Exam 4: Gerontologic Assessment

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

An older 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 patient at great risk for:

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

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

The geriatric nurse admitting a patient 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:

A nurse is working with an older patient in the gerontology clinic.The patient reports a vague decline in function and says,"I guess I'm just getting older." What action by the nurse is best?

A nurse assesses a patient using the Barthel Index and scores the patient as a 98.What inference does the nurse draw from this assessment?

The staff members in a long-term care facility have noted a decline in cognitive function in one of the residents;however,each time the resident is given the Short Portable Mental Status Questionnaire (SPMSQ),the score does not change.What action by the nursing manager is best?

A nurse aide working in the geriatric unit's dining room tells the nurse that a patient 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:

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

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

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

The nurse using the SPICES model to assess older patients collects data on which topics? (Select all that apply. )

The nurse admitting a debilitated patient to a long-term care facility initially assesses the patient using the Katz Index.The student asks why the nurse chose that tool.What answer by the nurse is best?

The nurse has used the Yesavage Geriatric Depression Scale (short form)and scored the patient at a 1.What is the nurse's best action?

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

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

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

A patient is being admitted after a fall that has caused a painful leg injury.In preparing to interview the patient for a health history,the nurse is initially concerned that:

A nurse is conducting an admission interview with an older patient admitted to a long-term care facility.When the nurse asks about the patient's former occupation,the patient states,"What do you care? I am long retired!" What response by the nurse is best?