geriatric nursing practice questions

Correct Answer: A

Rationale: The correct answer is A: Monitor the client's blood glucose level. Tremors and confusion in a client with diabetes could indicate hypoglycemia. Monitoring blood glucose levels will confirm if the client's symptoms are due to low blood sugar. Providing a full meal (B) may worsen the situation by delaying the increase in blood sugar. Asking the client to rest (C) does not address the underlying cause. Administering insulin immediately (D) without knowing the current blood glucose level can further lower blood sugar levels. Hence, monitoring the blood glucose level is the most appropriate initial action.

Correct Answer: C

Rationale: The correct answer is C because it highlights a common issue in nursing education where gerontological nursing content is often underrepresented, with less than 25% of the curriculum dedicated to geriatric care. This is accurate as many nursing programs prioritize other areas over gerontology. A is incorrect as gerontological nursing integration has historically been lacking in nursing curricula. B is incorrect because undergraduate programs often lack extensive coverage of gerontological nursing compared to other specialties like psychiatric nursing. D is incorrect as accreditation does not guarantee specific proportions of gerontological nursing content in the curriculum. Thus, choice C is the most accurate statement regarding gerontological nursing education.

Correct Answer: B

Rationale: The correct answer is B: administer the lowest dose of 2 mg. In older adults, especially the elderly, it is essential to start with the lowest effective dose of medication to minimize the risk of adverse effects. This approach follows the principle of "start low and go slow" when administering medications to older adults due to age-related changes in drug metabolism and increased sensitivity to medications. Administering the lowest effective dose helps to reduce the risk of potential complications such as respiratory depression, sedation, and falls. Choice A (administer the highest dose of 6 mg) is incorrect because starting with the highest dose can increase the risk of adverse effects in older adults. Choice C (avoid the narcotic because of the risk of addiction) is incorrect as it is important to manage pain effectively in post-operative patients, and opioids can be safely used under proper supervision. Choice D (administer the dose only when the client asks for the medication 2 times) is incorrect as pain management should be

Correct Answer: B

Rationale: The correct answer is B: Biomedical. Biomedical health belief system focuses on treating diseases and conditions by repairing or replacing specific body parts through medical interventions such as surgeries, medications, and therapies. This approach is based on scientific evidence and aims to address the physical aspects of health. Incorrect choices: A: Holistic - Holistic health belief system emphasizes treating the whole person, including physical, emotional, and spiritual aspects, rather than focusing solely on repairing specific body parts. C: Personalistic - Personalistic health belief system attributes illnesses to external factors such as curses or supernatural forces, rather than treating specific body parts. D: Magicoreligious - Magicoreligious health belief system relies on magical or religious rituals to heal illnesses, rather than repairing body parts through medical interventions.

Correct Answer: A

Rationale: The correct answer is A: Hypertension. Hypertension, or high blood pressure, is the most common chronic condition affecting older adults in the U.S. This is because aging increases the risk of developing hypertension due to changes in blood vessels and the heart. Hypertension can lead to serious health complications such as heart disease and stroke. Summary: B: Osteoporosis primarily affects bone density and is more common in older women. C: Alzheimer's disease is a type of dementia that affects memory and cognitive function, but it is not as prevalent as hypertension among older adults. D: Diabetes is a chronic condition characterized by high blood sugar levels and while it is common, hypertension is more prevalent in older adults in the U.S.