Deck 2: Contemporary Gerontological Nursing

Question 1

At times, the gerontological nurse functions in the role of consultant when working with older clients. Which activities does the nurse perform while functioning in this role? Select all that apply.
1) Develops clinical pathways
2) Implements evidence-based practices
3) Develops quality assurance standards
4) Provides information about regulations
5) Provides instruction about healthy aging

Answer 1

1, 2, 3

Question 2

The gerontological nurse is identifying interventions based upon evidence-based practice. What is the best source of evidence-based practice information for the nurse?
1) Progress notes about methods that were previously effective for that client
2) The nurse's practice and experience with successful client interventions
3) The policy and procedures manual of the healthcare facility
4) A publicly available resource website information database

Answer 2

4

Question 3

The nurse focuses on effective communication when caring for an older client. Which method does the nurse use?
1) Speak continuously so the client can stay focused on the conversation.
2) Ask for clarification, rephrase, and summarize throughout the interaction.
3) Keep the speaking voice loud and make statements slowly and clearly.
4) Change the subject if the client seems disturbed by the discussion topic.

Answer 3

2

Question 4

The nurse caring for older clients wants to return to school to become a gerontological nursing specialist. Which criteria would the nurse need to achieve in order to fulfill this career goal? Select all that apply.
1) Been a practicing nurse for at least 2 years, with 2,000 unsupervised clinical practice hours.
2) Complete at least 500 supervised hours of providing care to older clients.
3) Have a gerontological nurse manager recommend the nurse for the credential.
4) Complete a course in advanced pathophysiology and pharmacology.
5) Receive their doctor of nursing practice degree.

Question 5

An older client with chronic health problems does not want to be admitted to a nursing home for continued care. What can the nurse explain to the client about nursing homes today? Select all that apply.
1) Nursing homes are for short-term stays.
2) Nursing homes help the client with activities of daily living.
3) Nursing homes are being replaced with community-based services.
4) Nurses in nursing homes provide at least 5 hours of care to each client each day.
5) Nursing homes help with bathing, toileting, meals, and medication administration,

Question 6

An older client begins to cry when talking about the death of a daughter 20 years ago. Which response should the nurse make?
1) Assess the client for depression.
2) Touch the client's arm and listen in silence.
3) Ask the client to describe the details of the death.
4) Leave the client alone so they can cry.

Question 7

The nurse documents values-beliefs in the functional health pattern categories; which of the following is an example of this domain?
1) A client's religious affiliation
2) Daily fluid consumption
3) Sleep and rest patterns
4) Coping strategies

Question 8

The nurse supports an older client's autonomy; which decision supports this ethical principle?
1) Client wants to see case management for Medicaid resources.
2) Client decides to stop further chemotherapy treatments.
3) Client is given more education regarding medication side effects.
4) Client treatment information is kept from client because of family request.

Question 9

During a home visit, an older client recovering from cardiac surgery is concerned about weakness and not being able to enjoy dancing with the spouse anymore. What would be an appropriate response for the nurse to make to the client?
1) "In time, your strength will return so you can return to your activities."
2) "Tell me more about not feeling able to do what you want to do."
3) "Dancing is a strenuous activity and may no longer be appropriate for you."
4) "Do you think you are working hard enough to return to that type of activity?"

Question 10

The nurse is preparing to assess an older client using functional health patterns. How does this approach ensure holistic care will be provided to the client?
1) Focuses on the effects of diseases
2) Predicts the outcome for clients with disabilities
3) Demonstrates the client's interaction with the environment
4) Identifies the potential for rehabilitation early in the process

Question 11

A hiring manager is hiring a certified gerontological nurse. Which candidate would be qualified for this position?
1) The nurse has a master's degree in nursing and has worked in a nursing home for 10 years.
2) The nurse has worked in administration at a geriatric psychiatric facility for 5 years.
3) The nurse has worked full time at least 2 years in gerontological nursing and is in a PhD program.
4) The nurse's clinical competence in gerontological nursing has been validated via testing.

Question 12

The nurse is completing a functional health pattern assessment with an older client. Which assessment finding reflects the cognitive-perceptual category?
1) Participates in church choir
2) Volunteers for political functions
3) Attends meditation classes weekly
4) Attends self-help seminars

Question 13

An older client is being discharged to live with adult children who need to work during the day. What referral information would be beneficial for the client and family members?
1) Transitional care unit
2) Retirement community
3) Skilled nursing facility
4) Community nursing care

Question 14

The nurse supports an older client's desire to discuss advance directives with the client's family. What action is the nurse performing with this client?
1) Facilitating palliative care
2) Educating the family on healthcare services
3) Collaborating with the interdisciplinary team
4) Advocating for client's rights and autonomy

Question 15

The director of nursing at a skilled facility is implementing the Quality and Safety Education for Nurses (QSEN) project to improve the quality of care of the older residents. Which topics will the director include in staff teaching? Select all that apply.
1) Directions on accessing evidence-based practice resources
2) Methods for ensuring effective team collaboration
3) A plan for staff incentives for meeting care goals
4) Examples of respectful team communication
5) Information on the most prevalent cultures in the region

Question 16

The nurse creates and implements a client's plan of care. Which client outcomes best demonstrate use of evidence-based practice in planning care for the older client? Select all that apply.
1) The client is placed in physical restraints and does not experience a fall.
2) The nurse reports to the next shift nurse that the malnourished client enjoys milkshakes.
3) The client who is at risk of deep vein thrombosis is assisted to walk three times daily.
4) The nurse requests a laxative and administers it while the client is on a narcotic.
5) The nurse allows the client with pneumonia to rest in bed throughout the shift.

Question 17

The family of an older client asks the nurse if the client qualifies for Medicaid to help with hospital bills. What information should the nurse provide to the family?
1) Eligibility for Medicaid is based upon annual income level.
2) Medicaid is available to individuals once they have the ability to retire.
3) Medicaid is intended to assist low-income individuals over the age of 6
5)
4) Eligibility for Medicaid begins when entering a long-term care facility.

Question 18

The administrator at a skilled nursing facility is concerned about the rates of aspiration pneumonia. Which long-term facility factors are most likely to lead to increased rates of aspiration pneumonia? Select all that apply.
1) Prolonged nurse position vacancies
2) Reduced staffing levels for second shift
3) Bonus pay offered for working extra shifts
4) High client turnover in the morning
5) Shortage of beverage thickener

Question 19

After an assessment, the nurse determines that the diagnosis of constipation is appropriate for an older client recovering from surgery. What would be a goal for this nursing diagnosis?
1) Decrease the frequency of narcotic pain medication administration.
2) Explain the importance of hydration and activity in regard to constipation.
3) Drink at least 800 ml of non-caffeinated and nonalcoholic beverages each day.
4) Evacuate a formed bowel movement at least every 2 days with minimal distress.

Question 20

Which action by the gerontological nurse demonstrates the role of manager?
1) Performing blood pressure screenings
2) Performing a skin assessment
3) Researching the latest evidence-based practice on wound care
4) Arranging respite care for a client

Question 21

The nurse is planning care for a client admitted for surgery with the primary nursing diagnosis being knowledge deficit related to pre- and postoperative care. Which goal statement is the most appropriate for this diagnosis?
1) The client will be knowledgeable about the surgery being performed.
2) The client will be given the postoperative plan of care prior to surgery.
3) The client will be afebrile during the intraoperative and postoperative period.
4) The client will verbalize the purpose of preoperative medications prior to surgery.

Question 22

The nurse is planning care for an older client with chronic comorbid conditions. The nurse determines that insufficient health maintenance is the priority nursing diagnosis for this client due to non-adherence to the medication regimen. What are the most important nursing interventions for this client? Select all that apply.
1) Ensure the client has written and verbal medication administration instructions.
2) Ask the client to identify ways in which the medication regimen can best fit the current lifestyle.
3) Have the client teach back any medication skills and knowledge after the learning session.
4) Browsing web resources with the nurse about how to use medications correctly.
5) Emphasize the importance of keeping medications organized with a pill planner.

Question 23

An older client expresses a desire to stop all care. Which techniques will the nurse use to discuss end-of-life issues with this client? Select all that apply.
1) Sit down in a chair at the client's bedside.
2) Turn off the television in the room.
3) Pause for clarification if client's facial expression changes.
4) Begin by addressing the client by their first name.
5) Inform the client that hospice services can be arranged.

Question 24

A gerontological nurse is planning an educational program to discuss the current and anticipated nursing staffing needs of the future. What should be included in the presentation? Select all that apply.
1) More nurses will be needed to work in assisted living care settings.
2) The number of nursing homes has begun to increase over the last 10 years.
3) The number of nurses employed in hospital settings has increased since 1980.
4) Adding nurses has no impact on the long-term health of nursing home residents.
5) More complex nursing skills are needed to provide care in long-term care and rehabilitative care facilities.

Question 25

An older client who is still physically active complains of progressive inability to maintain the home. The client wants to research other living options and has significant financial resources. What should the nurse recommend to help meet the client's living needs?
1) Adult day care
2) Retirement community
3) Skilled-nursing facility
4) Residential care facility