ATI RN
geriatric nursing practice questions Questions
Question 1 of 5
When developing a community health initiative aimed at improving the health of older adults, which of the following statistics should the nurse consider regarding the utilization of preventive health services among seniors?
Correct Answer: B
Rationale: The correct answer is B. Fewer than 50% of older adults utilize available preventive services. This is important for a community health initiative as it highlights a gap in healthcare utilization among seniors. By recognizing this statistic, the nurse can tailor the initiative to target the barriers preventing seniors from accessing preventive services. Rationale: 1. Option A is incorrect because stating that approximately 60% of older adults actively participate in preventive health services is misleading. The actual utilization rate is lower. 2. Option C is incorrect as it focuses on preference for alternative medicine rather than actual utilization of preventive health services. 3. Option D is incorrect as it states preventive health services are equally utilized by older and younger adults, which is not supported by data regarding senior healthcare utilization.
Question 2 of 5
The nurse is working with older clients in a long term care facility. Which activities performed by the nurse fosters reminiscence among these clients?
Correct Answer: A
Rationale: The correct answer is A because storytelling allows older clients to recall and share past experiences, promoting reminiscence. Storytelling evokes memories and encourages clients to reflect on their lives. Playing cards, painting, and watching movies do not necessarily prompt reminiscence as effectively as storytelling does. Playing cards and painting are activities that may not directly stimulate reminiscence, and watching movies may not engage clients in personal reflection as much as storytelling does.
Question 3 of 5
The nurse employed in a long term care facility is caring for an older male client. What nursing action contributes to encouraging autonomy in the client?
Correct Answer: D
Rationale: The correct answer is D because allowing the client to choose activities promotes autonomy by giving him control over his daily routine and decision-making. This empowers the client to maintain a sense of independence and self-determination, which is crucial in long-term care settings. Planning meals (A) and scheduling appointments (B) are important tasks but do not directly contribute to the client's autonomy. Decorating his room (C) is a thoughtful gesture but does not actively involve the client in decision-making or daily choices.
Question 4 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 5 of 5
All of the following except ___________ are physical changes that occur in aging that lead to an increasing incidence of hypertension in the older adult.
Correct Answer: C
Rationale: The correct answer is C because a decrease in alveolar elasticity is not a physical change that directly leads to an increasing incidence of hypertension in the older adult. Arterial stiffening and loss of elasticity (choice A) can lead to increased blood pressure. Changes in renal regulation of sodium and water (choice B) can impact fluid balance and blood pressure. Increasing body weight (choice D) can contribute to hypertension through increased strain on the cardiovascular system. Therefore, a decrease in alveolar elasticity is not directly related to hypertension in the same way as the other choices.