This set of questions focuses on nursing ethics, geriatric clinical assessments, and the psychosocial needs of older adults.
Abuse Reporting: Nurses must immediately notify Adult Protective Services whenever they suspect an older adult is being harmed or neglected.
Patient Rights: Autonomy ensures that older adults maintain the right to make their own choices regardless of their age.
Physical Assessment: Shingles often causes sharp pain or burning sensations in a specific area before a visible rash ever appears.
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Explanation
Q:1A gerontological nurse ensures that a patient's cultural and spiritual values are respected in their care plan. This action is most aligned with which ethical principle?
Autonomy means the patient has the right to make their own choices based on their own beliefs.
Q:2A male patient is diagnosed with benign prostatic hypertrophy (BPH). The most common obstructive symptoms he would likely report are:
BPH blocks the flow of urine. This causes trouble starting, stopping and starting, and dripping at the end.
Q:3A gerontological nurse suspects an elderly patient has been a victim of elder abuse. When planning for the patient's discharge, what is the nurse's primary and most important first action?
If you think someone is being hurt, you must call the state agency (APS) to keep them safe.
Q:4A nursing home resident's belongings were moved to a different room by staff without their knowledge or consent, despite the move being for a "better view." Which of the following principles was most violated?
Moving someone without asking them first ignores their right to control their own life.
Q:5An elderly patient and their family are crying and distressed, but a language barrier prevents the nurse from understanding the cause. What is the nurse's most appropriate action?
You need a professional to translate so you can help the family correctly and safely.
Q:6A gerontological nurse manager wants to involve staff in a quality improvement project. What is the most effective way to engage the staff in using trend data for analysis and improvement?
Staff will care more about the data if they see how it helps them and their patients every day.
Q:7For a patient with moderate dementia who is having difficulty eating, which of the following nursing interventions is most effective for promoting adequate nutrition?
Mugs and finger foods are easier to handle for someone who is confused.
Q:8An 82-year-old patient presents with a painful, unilateral vesicular rash on the left abdomen. The nurse suspects herpes zoster. What is the most important question to ask to confirm this diagnosis?
With shingles, the skin usually hurts or burns before any bumps or blisters show up.
Q:9An 86-year-old patient reports abdominal pain, muscle weakness, and leg cramps. The gerontological nurse suspects an electrolyte imbalance. Which question should the nurse prioritize to help identify the potential cause?
Water pills (diuretics) can make potassium levels drop, which causes leg cramps and weakness.
Q:10When teaching an older adult patient a new psychomotor skill, such as self-administering insulin, which teaching method is most effective for promoting long-term retention?
Watching the patient do the task over and over is the best way to make sure they remember it.
Q:11A gerontological nurse is providing care to older adults in a culturally diverse community. Which action best demonstrates the nurse's competency in collaboration?
Collaboration means working together with groups in the neighborhood to improve health.
Q:12A patient with end-stage multiple myeloma is receiving hospice care. Which of the following situations is the strongest indicator that the core principles of hospice care are being effectively met?
Hospice is working well if the patient's pain is under total control.
Q:13A 79-year-old retired musician continues to play music and mentor younger artists. This behavior, consistent with their lifelong interests, best exemplifies which theory of aging?
Continuity theory says that people stay the same and keep doing what they love as they get older.
Q:14A 75-year-old patient expresses feelings of regret and a sense that their life has lacked purpose. According to Erikson's stages of psychosocial development, this patient is struggling with the conflict of:
In old age, people either feel proud of their life (integrity) or sad that they wasted it (despair).
Q:15An adult child is concerned that their older parent has moved in with a new partner. The nurse's initial response to the child should prioritize the parent's autonomy by:
This reminds the child that the parent is an adult who can make their own happy choices.
Q:16The National Strategy for Quality Improvement in Health Care, a key component of the Affordable Care Act, is guided by three national aims. Which of the following correctly lists these aims?
The goals are better help for patients, healthy neighborhoods, and lower costs.
Q:17A gerontological nurse uses the Braden Scale to assess a patient's risk for pressure ulcers. A total score of 11 is documented. According to standard Braden Scale categories, this score indicates the patient is at:
A score of 10 to 12 on this scale means the patient has a high chance of getting a skin sore.
Q:18According to Maslow's Hierarchy of Needs, which category of needs must be addressed as the highest priority for a patient?
Body needs like breathing, food, and water come first before anything else.
Q:19The gerontological nurse uses the Geriatric Depression Scale (GDS) Short Form (15 items) to screen a resident. Which score is the standard "cutoff" point that indicates a positive screen for depression and requires further clinical evaluation?
If an older person scores 5 or higher on this test, the nurse must check them more closely for sadness.
Q:20A hospital is tracking PICC line infection rates and finds wild, inconsistent fluctuations in the data. What is the most appropriate first step in a quality improvement process?
If numbers are jumping around, you must first check if everyone is following the rules correctly.
Test 01 Study Summary
1. Medication SafetyDiuretic medications can lower potassium levels which often leads to muscle weakness and painful leg cramps in seniors.
2. Risk AssessmentA Braden Scale score of eleven indicates a high risk for developing pressure ulcers and requires immediate skin interventions.
3. Nutrition CareUsing finger foods and mugs helps patients with dementia stay nourished by making eating and drinking much easier tasks.
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