Exam 4: Gerontologic Assessment

In order to establish a mutually respectful relationship with an older adult client being admitted to a skilled nursing unit, the nurse first introduces himself and then asks:

The nurse showing the best understanding of how personal attitude affects the interview process during a health assessment of an older adult client is one who:

The nurse most effectively implements guided reminiscence during a client interview by:

A nurse who cares for older adults recognizes which of the following clinical features associated with dementia? Select all that apply.

The geriatric nurse admitting a client to an assisted living facility recognizes the importance of tools such as the Katz and the Barthel indexes because of the impact they have on:

The nurse has administered the Apgar screen tool to assess an older client's family function status.Upon determining that the family functions at a 4, the nurse:

An 80-year-old client is admitted to rule out bacterial pneumonia.The only abnormal assessment values include heart rate of 102 beats per minute, slight cyanosis of the nail beds, and mild confusion.The client's daughter questions the possibility of pneumonia stating, "He isn't coughing or having any difficulty breathing." The nurse responds most appropriately by saying:

A nurse aide working in the geriatric unit's dining room tells the nurse that a client who was oriented to time and place this morning is now confused about what day it is and why she's "here." The nurse appropriately directs the nurse aide to:

A 76-year-old postsurgical diabetic client has reported feeling dizzy and clammy.The daily serum glucose level shows the client's levels to be within normal limits.The geriatric nurse shows an understanding of established health norms for the older adult when stating:

A 78-year-old client is hospitalized after a fall that resulted in a fractured left ankle.By day 4 of the hospitalization that includes reduction of the fracture and analgesic drug therapy, the client has become mildly disoriented and is incontinent of urine.The nurse explains to the family that these symptoms reflect the:

The geriatric nurse recognizes that the body's homeostatic mechanisms may be compromised in the:

An 81-year-old client who is accompanied by family is being admitted after a fall that has caused a painful leg injury.In preparing to interview the client for a health history, the nurse is initially concerned that:

When unsure about how to address older clients with advanced stage Alzheimer's disease, the nurse recognizes that it is best to address them by:

In order to best minimize client anxiety and help ensure a successful history assessment interview, the geriatric nurse first:

An 81-year-old patient is reluctant to report multiple vague signs and symptoms, including lethargy, incontinence, and weight loss that have persisted for 6 weeks.The nurse recognizes that such symptoms place the client at great risk for:

An 80-year-old client is being admitted to a long- term care facility.The nurse recognizes that the primary purpose of the initial geriatric health assessment is to: