basic geriatric nursing 8th edition test bank

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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?

  • A. Role theory
  • B. Disengagement theory
  • C. Age-stratification theory
  • D. Social exchange theory
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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A nurse in a long-term care facility is using the TimeSlips program with a group of cognitively impaired older adults. The nurse is using which of the following techniques?

  • A. Provides a picture for all group members to look at and use to create a story
  • B. Records the responses of all participants
  • C. Compliments each member for his or her contribution to the story
  • D. Reads the story back during the session, noting the contributions of each participant
Correct Answer: A

Rationale: The correct answer is A because the TimeSlips program involves providing a picture as a creative prompt for group members to collaboratively create a story. This technique stimulates imagination and communication in cognitively impaired individuals. Choice B is incorrect as recording responses is not specific to the TimeSlips method. Choice C is incorrect as complimenting contributions is not a core component of the TimeSlips program. Choice D is incorrect as reading back the story during the session does not align with the collaborative, creative process of TimeSlips.

The nurse is providing a patient education session about gerontologic specialty certification. Which statement is accurate?

  • A. Gerontological nursing certification indicates that a nurse has advanced knowledge and skills specifically related to the care of older adults.
  • B. All nurses in long-term care must obtain gerontological certification after completing their initial training.
  • C. Certification in gerontology is only necessary for nurses working in rehabilitation centers.
  • D. Only nurses with a master's degree can achieve certification in gerontology.
Correct Answer: A

Rationale: Step 1: Gerontological nursing certification focuses on advanced knowledge and skills for caring for older adults.
Step 2: This certification is not a requirement for all nurses in long-term care or limited to rehabilitation centers.
Step 3: Nurses with various levels of education, not just a master's degree, can obtain gerontological certification.
Therefore, option A is correct as it accurately states that gerontological nursing certification signifies advanced knowledge and skills specific to older adult care. Options B, C, and D are incorrect as they provide inaccurate information about the certification requirements and scope.

Which of the following is a sign of frailty in older adults?

  • A. Increased muscle mass
  • B. Unexplained weight gain
  • C. Difficulty walking and balance issues
  • D. Improved cognitive function
Correct Answer: C

Rationale: The correct answer is C - Difficulty walking and balance issues. Frailty in older adults is characterized by physical weakness, decreased muscle strength, and reduced functional capacity. Difficulty walking and balance issues are key indicators of frailty as they reflect a decline in physical capabilities. Increased muscle mass (A) is not a sign of frailty but rather a positive indicator of strength. Unexplained weight gain (B) may not necessarily be related to frailty. Improved cognitive function (D) is unrelated to physical frailty.

Which of the following interview questions would be most appropriate when a nurse is assessing a client's respiratory function?

  • A. Would you be interested in finding out more about environmental smoke?
  • B. Did either of your parents experience lung disease?
  • C. Have you ever worked in a job where you were exposed to dust, fumes, smoke, or other pollutants?
  • D. What do you do to actively maintain your health?
Correct Answer: C

Rationale: The most appropriate interview question for assessing a client's respiratory function is C: "Have you ever worked in a job where you were exposed to dust, fumes, smoke, or other pollutants?" This question directly relates to potential occupational exposures that could impact respiratory health. It helps gather specific information relevant to respiratory assessment. Choice A is unrelated to respiratory function assessment. Choice B focuses on familial history, which is important but not as direct as occupational exposure. Choice D is too general and does not specifically address respiratory issues. Therefore, C is the most appropriate choice for assessing respiratory function.

An older women tells the nurse that her husband seldom brushes his teeth as he did in the past. A reason why older clients stop participating in daily oral hygiene, such as brushing the teeth, include:

  • A. Decreased manual dexterity and inability to hold a tooth brush
  • B. Malocclusion of teeth
  • C. Decrease in taste acuity
  • D. Lack of dental insurance
Correct Answer: A

Rationale: The correct answer is A: Decreased manual dexterity and inability to hold a toothbrush. As people age, they may experience decreased hand strength and motor skills, making it difficult to hold and manipulate objects like a toothbrush. This can lead to a decline in oral hygiene practices. Malocclusion of teeth (B) does not directly impact the ability to brush teeth. Decrease in taste acuity (C) may affect appetite but not tooth brushing habits. Lack of dental insurance (D) is a financial barrier and may affect access to dental care, but it does not directly impact the physical ability to brush teeth.

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