ATI RN
basic geriatric nursing test bank Questions
Question 1 of 5
Which type of exercise is most beneficial for older adults to prevent falls and maintain balance?
Correct Answer: C
Rationale: The correct answer is C: Yoga and tai chi. These exercises focus on balance, flexibility, and strength, which are crucial for preventing falls in older adults. Yoga and tai chi also promote mindfulness and body awareness, further enhancing balance and coordination. Swimming (choice A) is beneficial for overall fitness but may not specifically target balance and fall prevention. Weight training (choice B) is important for muscle strength but may not address balance and flexibility adequately. Running (choice D) is high-impact and may actually increase the risk of falls for older adults.
Question 2 of 5
What is the primary reason older adults with cognitive impairments experience difficulties with medication adherence?
Correct Answer: B
Rationale: The correct answer is B: Cognitive decline affecting memory and decision-making. Older adults with cognitive impairments, such as dementia, may struggle with remembering to take their medications as prescribed and making sound decisions regarding their medication regimen due to cognitive decline. Memory deficits can lead to missed doses, while impaired decision-making can result in improper adherence. Choices A, C, and D are incorrect as the primary reason for medication non-adherence in this population is the cognitive decline impacting memory and decision-making, rather than lack of understanding, physical inability, or fear of side effects.
Question 3 of 5
In the care of older adults, how does the concept of "multimorbidity" complicate the treatment of chronic conditions?
Correct Answer: B
Rationale: The correct answer is B because multimorbidity refers to the presence of multiple chronic conditions in an individual, which can complicate treatment due to interactions between medications, conflicting treatment recommendations, and the need for coordination among different healthcare providers. Managing multiple health conditions and medications can lead to potential adverse effects, drug interactions, and difficulties in prioritizing treatment goals. Choices A, C, and D are incorrect because multimorbidity actually increases treatment complexity, necessitating individualized care plans and careful consideration of potential interactions between treatments.
Question 4 of 5
How does sarcopenia impact functional independence in older adults?
Correct Answer: D
Rationale: The correct answer is D because sarcopenia, which is the age-related loss of muscle mass and strength, directly impacts balance and mobility in older adults. Muscle weakness from sarcopenia reduces stability and coordination, increasing the risk of falls. This affects functional independence as it limits the ability to perform daily activities safely. Choices A, B, and C are incorrect as sarcopenia primarily affects muscle mass and strength, not body fat, lung capacity, or joint stiffness.
Question 5 of 5
Which of the following best describes the concept of "cognitive reserve" in older adults?
Correct Answer: C
Rationale: The correct answer is C: "It is the brain's ability to maintain function despite age-related changes and pathology." Cognitive reserve in older adults refers to the brain's ability to withstand age-related changes and pathology while maintaining cognitive function. This concept suggests that individuals with higher cognitive reserve may show fewer cognitive deficits even in the presence of brain damage or pathology. Choice A is incorrect because cognitive reserve is not about compensating for damage through enhanced neurogenesis but rather about maintaining function despite changes. Choice B is incorrect because cognitive reserve is not specifically about the relationship between cognitive decline and physical health; it focuses on maintaining cognitive function. Choice D is incorrect because cognitive reserve is not about developing new cognitive abilities later in life but rather preserving existing cognitive function.