basic geriatric nursing test bank

basic geriatric nursing test bank Related

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In geriatric nursing, which factor is most important in determining the effectiveness of rehabilitation after a stroke?

  • A. Age of the patient
  • B. Family support and involvement
  • C. Number of medications prescribed
  • D. Patient’s previous health conditions
Correct Answer: B

Rationale: The correct answer is B: Family support and involvement. This is crucial in determining the effectiveness of rehabilitation after a stroke because a supportive and involved family can provide emotional support, encouragement, and assistance with activities of daily living. This positively impacts the patient's motivation, compliance with treatment, and overall well-being, leading to better rehabilitation outcomes.

A: Age of the patient - While age can be a factor in stroke recovery, it is not the most important factor as older patients can still make significant progress with proper rehabilitation and support.

C: Number of medications prescribed - While medication management is important in stroke recovery, it is not the most crucial factor for rehabilitation effectiveness.

D: Patient’s previous health conditions - While previous health conditions can impact stroke recovery, the level of family support and involvement plays a more significant role in determining the effectiveness of rehabilitation after a stroke.

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What is the most significant predictor of social isolation in older adults?

  • A. Lack of access to healthcare
  • B. Limited income and resources
  • C. Loss of a spouse or close family member
  • D. High levels of physical activity
Correct Answer: C

Rationale: The correct answer is C: Loss of a spouse or close family member. This is the most significant predictor of social isolation in older adults because losing a spouse or close family member can result in decreased social interactions and emotional support. This loss can lead to feelings of loneliness and isolation.

Incorrect options:
A: Lack of access to healthcare - While lack of access to healthcare can impact overall health, it is not the primary factor contributing to social isolation.
B: Limited income and resources - Financial constraints can affect social activities, but they are not as impactful as losing a loved one.
D: High levels of physical activity - While physical activity is important for overall well-being, it is not directly correlated with social isolation in older adults.

Which type of exercise is most beneficial for older adults to prevent falls and maintain balance?

  • A. Swimming
  • B. Weight training
  • C. Yoga and tai chi
  • D. Running
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.

What is the primary reason older adults with cognitive impairments experience difficulties with medication adherence?

  • A. Lack of understanding of the importance of medication
  • B. Cognitive decline affecting memory and decision-making
  • C. Physical inability to manage medications
  • D. Fear of side effects or drug interactions
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.

A paper on culture and illness would likely include the statement that

  • A. Culture is the same as ethnicity.
  • B. Ethnic groups always share common geographic origin and religion.
  • C. Ethnicity involves recognized traditions, symbols, and literature.
  • D. Most members of an ethnic group exhibit identical cultural traits.
Correct Answer: C

Rationale: The correct answer is C because ethnicity involves recognized traditions, symbols, and literature. This statement aligns with the topic of culture and illness, as ethnicity plays a significant role in shaping cultural beliefs and practices related to health and illness. It highlights the importance of cultural elements in understanding how different ethnic groups perceive and address health issues.

A: Culture is not the same as ethnicity; culture encompasses a broader range of beliefs and practices.
B: This choice is incorrect as ethnic groups can have diverse origins and religions.
D: Most members of an ethnic group do not exhibit identical cultural traits as cultural diversity exists within ethnic groups.

The nurse is providing instructions to a nursing assistant regarding care of an older client with hearing loss. The nurse tells the assistant that clients with a hearing loss:

  • A. Respond to low pitched tones.
  • B. Have difficulty hearing any frequency of sound.
  • C. Need assistance with lip-reading only.
  • D. Respond to high-pitched tones more clearly.
Correct Answer: A

Rationale: The correct answer is A because clients with hearing loss typically have difficulty hearing high-pitched tones, making it easier for them to respond to low-pitched tones. Low-pitched tones are easier for individuals with hearing loss to perceive due to the nature of hearing loss affecting the ability to hear higher frequencies. Choice B is incorrect as it is a generalization that does not consider the specific nature of hearing loss. Choice C is incorrect because individuals with hearing loss may require various forms of assistance beyond just lip-reading. Choice D is incorrect as individuals with hearing loss generally struggle more with high-pitched tones.

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