basic geriatric nursing 8th edition test bank

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In the document “Recommended Baccalaureate Competencies and Curricular Guidelines for the Nursing Care of Older Adults” developed by the American Association of Colleges of Nursing and the Hartford Institute for Geriatric Nursing, recommendations include which of the following?

  • A. Provision of a free-standing course in gerontology within the curriculum
  • B. Integration of gerontological content throughout the curriculum
  • C. Requirement of gerontological certification for all students before completion of a BSN program
  • D. Structured clinical experiences with older adults across the continuum of care
Correct Answer: B

Rationale: The correct answer is B: Integration of gerontological content throughout the curriculum. This is because integrating gerontological content throughout the curriculum ensures that nursing students are exposed to and learn about caring for older adults in various courses, rather than just in a standalone course. This approach better prepares students to provide holistic care to older adults in different clinical settings.

A: Provision of a free-standing course in gerontology within the curriculum may limit exposure to gerontological content and may not provide a comprehensive understanding of caring for older adults.

C: Requiring gerontological certification for all students before completion of a BSN program is not mentioned in the document and may not be feasible or necessary for all nursing students.

D: While structured clinical experiences with older adults across the continuum of care are essential, this alone may not ensure that students receive a comprehensive education in gerontological care if the content is not integrated throughout the curriculum.

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

  • A. Wellness can only be achieved with aggressive medical interventions.
  • B. Wellness is not a real option for this client because he is terminally ill.
  • C. Wellness is defined as the absence of disease.
  • D. Nursing interventions can help empower a client to achieve a higher level of 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.

Providing information about diet & exercise for a healthy diabetic client is best described as which nursing activity?

  • A. Promoting wellness
  • B. Preventing illness
  • C. Treating disease
  • D. Restoring health
Correct Answer: A

Rationale: The correct answer is A: Promoting wellness. Providing information about diet and exercise for a healthy diabetic client falls under promoting wellness because it focuses on proactive measures to maintain health and prevent complications. It aims to empower the client to make healthy lifestyle choices.

B: Preventing illness is not the best description as the client is already diabetic, so the focus is on managing the condition rather than solely preventing it.

C: Treating disease is not accurate because the client is already diabetic and the goal is not to treat the disease, but rather manage it effectively.

D: Restoring health is not applicable in this scenario as the client is not in a state of compromised health that needs to be restored.

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.

Mr J., an 80 yr old who has had flu like symptoms with diarrhea and has vomited 4 times in the last 24 hours is seen in the ED. Mr. J seems confused and is lethargic. The nurse notes that Mr. J has dry skin, a brown tongue, sunken cheeks and concentrated urine. This array of symptoms indicates:

  • A. congestive heart failure
  • B. dehydration
  • C. urinary tract infection
  • D. bowel obstruction
Correct Answer: B

Rationale: The correct answer is B: dehydration. Mr. J's symptoms of flu-like illness, diarrhea, vomiting, confusion, lethargy, dry skin, brown tongue, sunken cheeks, and concentrated urine are indicative of severe dehydration. Dehydration can lead to electrolyte imbalances, decreased blood volume, and impaired organ function, resulting in confusion and lethargy. Skin changes, dry mucous membranes, and concentrated urine are also classic signs of dehydration. The other choices (A, C, D) do not align with the constellation of symptoms presented by Mr. J and are less likely based on the information provided.

A nurse interviewing a non–English-speaking client with an interpreter should: (Select all that apply.)

  • A. Look and speak to the interpreter.
  • B. Use technical terminology to ensure accuracy.
  • C. Allow more time for the interview.
  • D. Watch the client’s nonverbal communication.
Correct Answer: C, D, E

Rationale: The correct answers are C, D, and E. C is crucial as it allows for effective communication, D involves observing nonverbal cues, and E emphasizes the need for clear and concise language. A is incorrect as the nurse should address the client directly, not just the interpreter. B is incorrect as using technical terms may hinder understanding.

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