Questions 9

ATI RN

ATI RN Test Bank

geriatric nursing practice questions Questions

Question 1 of 5

Which of the following best describes the role of a nurse in managing polypharmacy in elderly patients?

Correct Answer: B

Rationale: Step 1: Conducting regular reviews allows nurses to assess the necessity and appropriateness of each medication, addressing potential drug interactions, duplications, and side effects in elderly patients. Step 2: This proactive approach helps prevent polypharmacy-related complications and ensures optimal medication management. Step 3: Ensuring medications are taken exactly as directed (A) may not address the root cause of polypharmacy. Recommending over-the-counter medications (C) without proper evaluation can worsen the issue. Administering medications only during hospital stays (D) is not a comprehensive solution outside of the hospital setting.

Question 2 of 5

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 3 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 4 of 5

Research on the health outcomes of older adults has significantly increased in rigor and scope:

Correct Answer: A

Rationale: The correct answer is A: Primarily in the last 30 years. This is because advancements in research methodologies, technology, and increased awareness of aging population's health needs have led to a significant increase in research rigor and scope in the past few decades. Choice B is too broad and vague. Choice C is incorrect as research on older adults' health outcomes predates the establishment of Medicare. Choice D is too limited in scope, as research on older adults' health outcomes has been ongoing for more than just the last decade.

Question 5 of 5

An older married couple move to a continuing care retirement community. The older woman who was always very social and outgoing quickly joins an exercise group, a book club, and a knitting circle. The older man who was always very solitary adopts a routine of a long daily walk and registers for an online course in creative writing. The behaviors of the older couple are consistent with which theory of aging?

Correct Answer: B

Rationale: The correct answer is B: Continuity theory. This theory suggests that as individuals age, they strive to maintain a sense of consistency in their activities, interests, and relationships. In this scenario, both the older woman and man are adapting their lifestyles to maintain a sense of continuity with their past selves. The woman continues to engage in social activities, reflecting her outgoing nature, while the man maintains his solitary habits but explores new interests, such as creative writing, to fulfill his need for personal growth. A: Activity theory focuses on the idea that continued engagement in activities leads to a higher quality of life in old age. While the older woman's active engagement aligns with this theory, the older man's solitary activities do not fully support this concept. C: Social exchange theory emphasizes the balance of costs and benefits in social relationships. This theory is not directly applicable to the scenario as it does not address the individuals' personal activities and interests. D: Disengagement theory suggests that older adults gradually withdraw

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