Questions 9

ATI RN

ATI RN Test Bank

basic geriatric nursing 8th edition test bank Questions

Question 1 of 5

Which of the following is a common side effect of benzodiazepines in older adults?

Correct Answer: B

Rationale: The correct answer is B: Increased risk of falls. Benzodiazepines are central nervous system depressants that can cause drowsiness, dizziness, and impaired coordination, leading to an increased risk of falls in older adults. This is due to the sedative effects of benzodiazepines, which can affect balance and motor skills. Increased alertness (choice A) is not a common side effect of benzodiazepines, as they typically have a calming and sedating effect. Improved memory (choice C) is also unlikely, as benzodiazepines are more commonly associated with memory impairment. Enhanced muscle strength (choice D) is not a known side effect of benzodiazepines, as they do not directly affect muscle strength. In summary, the correct answer is B because benzodiazepines can increase the risk of falls in older adults due to their sedative properties.

Question 2 of 5

Which common cognitive impairment is often mistaken for normal aging in older adults?

Correct Answer: A

Rationale: The correct answer is A: Mild cognitive impairment (MCI). MCI is often mistaken for normal aging because it involves subtle changes in memory and thinking abilities that are beyond what is expected for age but not severe enough to be classified as dementia. Individuals with MCI may experience forgetfulness or difficulty with complex tasks, which can be misconstrued as typical age-related changes. Alzheimer's disease (B), dementia with Lewy bodies (C), and vascular dementia (D) are all forms of dementia characterized by more significant cognitive decline and functional impairment compared to MCI, making them less likely to be confused with normal aging.

Question 3 of 5

A man is terminally ill with end-stage prostate cancer. Which is the best statement about this man’s wellness?

Correct Answer: D

Rationale: The correct answer is D because nursing interventions can focus on enhancing the client's quality of life, comfort, and emotional well-being even in the face of terminal illness. Nurses can provide support, educate the client and family, manage symptoms, and empower the client to find meaning and purpose in their life. This approach contributes to a higher level of wellness by addressing holistic needs beyond just medical interventions. Incorrect choices: A: Wellness can be achieved through various means, not just aggressive medical interventions. B: Wellness is still achievable in terms of emotional, social, and spiritual well-being even with a terminal illness. C: Wellness involves physical, emotional, social, and spiritual aspects beyond just the absence of disease.

Question 4 of 5

Which of the following can significantly improve the quality of life for older adults with chronic pain?

Correct Answer: C

Rationale: The correct answer is C: Cognitive-behavioral therapy (CBT) and physical therapy. CBT helps older adults manage pain through changing thought patterns and behaviors, improving coping skills. Physical therapy helps maintain mobility and reduce pain. Both approaches address the physical and psychological aspects of chronic pain, leading to better quality of life. Complete bed rest (A) can worsen pain and lead to muscle weakness. Unsupervised use of opioids (B) can be dangerous, leading to addiction and other health issues. Isolation and minimal social interaction (D) can contribute to depression and exacerbate pain.

Question 5 of 5

A retirement community is divided into different communities with different activities available for the residents. There is one community for individuals ages 65 to 74 years, one for individuals ages 75 to 85 years, and one for individuals older than age 85 years. This is consistent with which theory of aging?

Correct Answer: C

Rationale: The correct answer is C: Age-stratification theory. This theory suggests that age is a powerful determinant of social organization. In the given scenario, the retirement community is structured based on age groups, indicating stratification by age. This separation aligns with the concept of age-based social hierarchies and differing opportunities and resources based on age. Choice A (Role theory) focuses on how individuals adapt to social roles as they age, which is not directly reflected in the scenario. Choice B (Disengagement theory) posits that aging individuals withdraw from societal roles, which is not evident in the active engagement of residents in different age-specific communities. Choice D (Social exchange theory) emphasizes the relationships individuals form based on rewards and costs, which is not the primary focus in the scenario compared to the age-based stratification.

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