ATI RN
geriatric nursing practice questions Questions
Question 1 of 9
Which health belief system uses treatments to repair a body part?
Correct Answer: B
Rationale: The correct answer is B: Biomedical. Biomedical health belief system focuses on treating diseases and conditions by repairing or replacing specific body parts through medical interventions such as surgeries, medications, and therapies. This approach is based on scientific evidence and aims to address the physical aspects of health. Incorrect choices: A: Holistic - Holistic health belief system emphasizes treating the whole person, including physical, emotional, and spiritual aspects, rather than focusing solely on repairing specific body parts. C: Personalistic - Personalistic health belief system attributes illnesses to external factors such as curses or supernatural forces, rather than treating specific body parts. D: Magicoreligious - Magicoreligious health belief system relies on magical or religious rituals to heal illnesses, rather than repairing body parts through medical interventions.
Question 2 of 9
Mezey and Fulmer (2002) justify gerontological nursing research and the work of gerontological advanced practice nurses by concluding the following:
Correct Answer: B
Rationale: The correct answer is B because Mezey and Fulmer (2002) justify gerontological nursing research by emphasizing that it positively influences outcomes from nursing care. This is supported by evidence showing how research in gerontological nursing can lead to improved quality of care for older adults. Other choices are incorrect: A is not directly supported by the justification provided by Mezey and Fulmer (2002), C is too specific and not the main focus of their justification, and D is not mentioned in the justification and does not address the impact of research on nursing care outcomes.
Question 3 of 9
Which of the following are examples of appropriate communication techniques for dealing effectively with persons with dementia?
Correct Answer: C
Rationale: The correct answer is C because maintaining good eye contact and a relaxed, smiling approach can help establish a sense of trust and connection with persons with dementia. This approach can help reduce feelings of confusion and anxiety in individuals with dementia, improving communication and fostering a positive interaction. A: Asking open-ended questions may overwhelm individuals with dementia and make it difficult for them to process information. B: Talking to persons with dementia as you would a child is inappropriate and disrespectful, as it disregards their dignity and autonomy. D: Reminding individuals with dementia not to forget something can be frustrating and may lead to feelings of failure or inadequacy.
Question 4 of 9
What is the primary consideration when managing an older adult with advanced chronic kidney disease (CKD)?
Correct Answer: C
Rationale: The correct answer is C: Monitoring for electrolyte imbalances and adjusting medications accordingly. In advanced CKD, electrolyte imbalances can worsen kidney function and lead to complications. Monitoring electrolytes like potassium and adjusting medications such as diuretics is crucial. A: Initiating early dialysis is not always necessary and should be based on individual patient factors. B: Avoiding all medications is not feasible as some medications are essential and can be adjusted based on kidney function. D: Limiting fluid intake to less than 500 mL per day is too restrictive and can lead to dehydration.
Question 5 of 9
What is the best approach to managing polypharmacy in older adults?
Correct Answer: C
Rationale: The correct answer is C: Regular review and adjustment of medications by healthcare providers. This approach is the best because it involves healthcare professionals regularly assessing the appropriateness of each medication, adjusting dosages, and eliminating unnecessary drugs to minimize potential adverse effects and drug interactions in older adults. This proactive management strategy ensures that the patient's medication regimen is optimized for their specific health needs, reducing the risks associated with polypharmacy. Choice A (Regular use of over-the-counter medications) is incorrect as it does not address the issue of polypharmacy and may actually contribute to it. Choice B (Reducing the number of medications based on patient preferences) is not the best approach as patient preferences alone may not always align with the most effective and safe medication regimen. Choice D (Relying solely on herbal supplements) is also incorrect as herbal supplements can interact with prescribed medications, leading to potential complications.
Question 6 of 9
How does aging affect the immune response in older adults, making them more susceptible to infections?
Correct Answer: B
Rationale: Correct Answer: B Rationale: The thymus gland is responsible for producing T-cells, crucial for immune responses. As individuals age, the thymus gland shrinks and becomes less efficient, reducing the production of new T-cells. This decline in T-cell production weakens the immune response in older adults, making them more susceptible to infections. Therefore, choice B is correct. Summary of Incorrect Choices: A: Aging does not increase the production of white blood cells. In fact, the immune system may weaken with age due to a decline in key immune cells. C: Aging does not improve the body's ability to recognize and fight off pathogens. Instead, it often leads to a decline in immune function. D: While some inflammatory responses may increase with age, excessive inflammation can actually be harmful and contribute to age-related diseases, rather than providing protection.
Question 7 of 9
The term health disparity is defined as
Correct Answer: B
Rationale: The correct answer is B because health disparities refer to variations in health outcomes between different groups, often linked to social, economic, or environmental factors. This definition accurately captures the essence of health disparities by emphasizing the differences in health outcomes among various populations. Choice A is incorrect because it describes cultural elimination rather than health disparities. Choice C is incorrect as it focuses on statistical comparison rather than the health outcomes themselves. Choice D is incorrect as it discusses differing values and perspectives, which are not directly related to health disparities. In summary, choice B is the correct answer as it aligns with the definition and concept of health disparities.
Question 8 of 9
Which health belief system uses treatments to repair a body part?
Correct Answer: B
Rationale: The correct answer is B: Biomedical. Biomedical health belief system focuses on treating diseases and conditions by repairing or replacing specific body parts through medical interventions such as surgeries, medications, and therapies. This approach is based on scientific evidence and aims to address the physical aspects of health. Incorrect choices: A: Holistic - Holistic health belief system emphasizes treating the whole person, including physical, emotional, and spiritual aspects, rather than focusing solely on repairing specific body parts. C: Personalistic - Personalistic health belief system attributes illnesses to external factors such as curses or supernatural forces, rather than treating specific body parts. D: Magicoreligious - Magicoreligious health belief system relies on magical or religious rituals to heal illnesses, rather than repairing body parts through medical interventions.
Question 9 of 9
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.