basic geriatric nursing test bank

Correct Answer: A

Rationale: The correct answer is A: "The unknown may be frightening. Do you want to talk about this?" This response acknowledges the patient's fear and offers an opportunity for the patient to express their concerns. It shows empathy and encourages open communication. Choice B is incorrect because it assumes all religious people share the same belief, which may not be the case for this patient. Choice C is incorrect as it imposes experiences of others onto the patient, which may not align with their beliefs or feelings. Choice D is incorrect as it assumes the patient's feelings without giving them a chance to express themselves.

Correct Answer: D

Rationale: The correct answer is D: Speak clearly. This is important when addressing older adults as many may have hearing impairments. Speaking clearly helps ensure they can understand and follow instructions. Using an exaggerated pitch (A) may come across as patronizing. Using a lower quality of speech (B) can be perceived as disrespectful. Using endearing terms (C) may not be appropriate for all individuals and can be seen as condescending. In summary, speaking clearly is the most effective way to communicate respectfully with older adults.

Correct Answer: C

Rationale: The correct answer is C: To offer holistic care that allows older adults to live in the community. PACE aims to provide comprehensive and coordinated care to help seniors remain independent in their homes and communities. This includes medical, social, and behavioral services. Choice A is incorrect as PACE focuses on holistic care rather than just intensive medical treatment. Choice B is incorrect as PACE aims to prevent nursing home placement by supporting older adults to live at home. Choice D is incorrect as while PACE may help reduce healthcare costs through preventive and coordinated care, the primary goal is to support seniors in living in the community.

Correct Answer: C

Rationale: The correct answer is C because assigning female nurses to older women who are Islamic respects their cultural and religious beliefs, promoting holistic care. This approach considers the older adult's physical, emotional, social, and spiritual needs, aligning with the principles of holistic nursing care. Choice A is incorrect because performing glucose testing during a weekly worship service does not necessarily address the older adult's holistic needs. Choice B is incorrect as simply wheeling ambulatory adults to exercise when running late does not encompass a holistic approach. Choice D is incorrect as allowing older adults in a nursing home to eat meals alone may neglect their social and emotional well-being.

Correct Answer: A

Rationale: The correct answer is A: Alzheimer's disease. It is the most common type of dementia in older adults, accounting for around 60-80% of cases. Alzheimer's is characterized by the presence of beta-amyloid plaques and tau protein tangles in the brain, leading to memory loss and cognitive decline. Vascular dementia (B) is caused by impaired blood flow to the brain, Lewy body dementia (C) is characterized by abnormal protein deposits in the brain, and Frontotemporal dementia (D) affects the frontal and temporal lobes of the brain, leading to changes in behavior and personality. However, in older adults, Alzheimer's disease is the most prevalent form of dementia due to its widespread impact on memory and cognition.