Questions 9

ATI RN

ATI RN Test Bank

geriatric nursing practice questions Questions

Question 1 of 5

The visiting nurse observes that the older male client is confined by his daughter to his room. When the nurse suggests that he walk into the den and join everyone, he says "I'm in everyone's way, my daughter needs me to stay here." The most important action for the nurse is to:

Correct Answer: A

Rationale: The correct answer is A because suggesting appropriate resources like respite care and a senior citizens' center shows the nurse's understanding of the client's needs for social interaction and support. This approach addresses the client's isolation and the daughter's need for assistance in caring for her father. Choice B is incorrect because simply telling the daughter to allow her father to participate does not address the underlying issues of the client feeling in the way and the daughter's need for support. Choice C is incorrect as it ignores the client's need for social interaction and the daughter's need for assistance, prioritizing peace over the client's well-being. Choice D is incorrect as offering to stay with the client while he is isolated does not address the broader issue of the client's need for social engagement and the daughter's need for support.

Question 2 of 5

Which of the following are true statements about older adults and use of computer technology?

Correct Answer: A

Rationale: The correct answer is A because older adults are indeed the fastest growing population using computers and the Internet due to increasing digital literacy and accessibility. Choice B is incorrect as research shows older adults are increasingly using social networking sites. Choice C is incorrect as many older adults do perceive the Internet as a valuable resource. Choice D is also incorrect as older adults are utilizing the Internet to connect with their healthcare providers more frequently.

Question 3 of 5

How does age-related physiological change affect pharmacokinetics in older adults?

Correct Answer: A

Rationale: The correct answer is A because as individuals age, there is a decrease in renal function leading to reduced renal clearance of drugs. This results in a longer drug half-life and potentially increased drug accumulation in the body. Choice B is incorrect as aging often leads to a decrease in hepatic metabolism, not faster metabolism. Choice C is incorrect because aging can actually lead to reduced gastrointestinal absorption due to changes in the gastrointestinal tract. Choice D is incorrect as aging can result in decreased circulation, which may affect drug distribution negatively.

Question 4 of 5

The nurse at a nursing home wants to help decrease the risk of Alzheimer’s disease (AD) in the residents. Which should the nurse do to implement this goal?

Correct Answer: D

Rationale: The correct answer is D because assisting residents with ambulation to meals promotes physical activity, which is known to reduce the risk of Alzheimer's disease. Physical activity increases blood flow to the brain, reduces inflammation, and promotes the growth of new brain cells. Keeping curtains open (choice A) may offer natural light but does not directly reduce the risk of AD. Offering beads for stringing (choice B) and showing movies (choice C) may provide cognitive stimulation but do not address the physical activity needed to decrease the risk of AD.

Question 5 of 5

Which of the following is the most important factor in managing malnutrition in older adults?

Correct Answer: B

Rationale: The correct answer is B: Increasing protein intake. Protein is crucial for maintaining muscle mass and strength in older adults, aiding in the prevention and management of malnutrition. Protein also supports immune function and wound healing. Reducing calorie intake (A) can exacerbate malnutrition, as older adults need adequate nutrition. Avoiding all fats (C) is not recommended as healthy fats are essential for brain health and nutrient absorption. Limiting hydration (D) can lead to dehydration and worsen malnutrition. In summary, increasing protein intake is the most important factor in managing malnutrition in older adults due to its vital role in maintaining overall health and preventing muscle loss.

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