basic geriatric nursing 6th edition test bank

Correct Answer: D

Rationale: The correct answer is D because promoting independence without assistance to all clients may not always maintain safety for the elderly. Elderly individuals may require some level of assistance for certain activities to prevent falls or other safety risks. Providing assistance when needed is crucial for ensuring their safety. A: Modifying the environment to reduce obstacles and barriers to ambulation helps prevent falls. B: Consistent checks of ambulation abilities ensure early detection of any decline in mobility. C: Orienting to new surroundings and repeating as needed helps prevent confusion and disorientation.

Correct Answer: C

Rationale: The correct answer is C: Home health care support. This is because having access to home health care support can provide ongoing monitoring, medication management, and assistance with activities of daily living, which can help prevent complications and reduce the need for hospital readmissions. Minimizing polypharmacy (A) is important but may not have as significant an impact as continuous home health care support. Frequent medication adjustments (B) may lead to confusion and potential adverse effects in older adults. Specialized geriatric assessments (D) are beneficial but may not directly address the day-to-day support needed to prevent hospital readmissions.

Correct Answer: D

Rationale: The correct answer is D: Lack of physical exercise contributes the most to aging-related cognitive decline. Regular physical exercise increases blood flow to the brain, promotes neurogenesis, and enhances cognitive function. It also reduces the risk of developing conditions such as dementia and Alzheimer's disease. Chronic stress (A) can impact cognitive function, but it is not the primary factor in aging-related decline. Poor nutrition (B) can negatively affect brain health, but exercise has a more significant impact. Social isolation (C) is also detrimental to cognitive health, but physical exercise has been shown to have a more substantial influence on cognitive decline in aging individuals.

Correct Answer: C

Rationale: The correct answer is C: 90 y.o woman with advanced Parkinson's dz. Older adults with advanced Parkinson's disease are more vulnerable to abuse due to their physical and cognitive impairments. They may be dependent on caregivers, making them easy targets for abuse. The other choices do not indicate significant vulnerability to abuse. Choice A is a common demographic but lacks specific vulnerability factors. Choice B with cataracts and Choice D with early Lyme disease do not inherently increase the risk of abuse.

Correct Answer: A

Rationale: The correct answer is A because a high-intensity lamp can provide better lighting for reading, addressing the difficulty the patient experiences in the evening. This intervention can improve visibility and reduce strain on the eyes. Option B is incorrect as arcus senilis is a common age-related condition but not a direct cause of difficulty reading. Option C is incorrect as simply increasing the power of fluorescent lights may not address specific visual needs for reading. Option D is incorrect as examining the retinas may not directly address the patient's difficulty in reading and is not the most appropriate initial intervention.