geriatric nursing exam questions with rationale

Questions 43

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geriatric nursing exam questions with rationale Questions

Question 1 of 5

Mr. Abramson has been diagnosed with benign prostatic hypertrophy (BPH) by his primary care provider. The most likely symptoms that prompted him to initially seek health care is___

Correct Answer: A

Rationale: The correct answer is A: Nocturia. Nocturia, or waking up at night to urinate, is a common symptom of benign prostatic hypertrophy (BPH) due to the enlarged prostate pressing on the urethra, causing urinary frequency and urgency. Other symptoms like weak urine stream, difficulty starting urination, incomplete emptying, and dribbling may also be present. Recurrent urinary tract infections (B) are less likely to be the initial symptom of BPH, as they are more commonly associated with urinary retention or obstruction. Functional incontinence (C) is not a typical symptom of BPH, as it is more related to mobility or cognitive issues. Hematuria (D) is not a common presenting symptom of BPH, as it is more indicative of other conditions like urinary tract infections or kidney stones.

Question 2 of 5

Mr. Abramson has been diagnosed with benign prostatic hypertrophy (BPH) by his primary care provider. The most likely symptoms that prompted him to initially seek health care is___

Correct Answer: A

Rationale: The correct answer is A: Nocturia. Nocturia, or waking up at night to urinate, is a common symptom of benign prostatic hypertrophy (BPH) due to the enlarged prostate pressing on the urethra, causing urinary frequency and urgency. Other symptoms like weak urine stream, difficulty starting urination, incomplete emptying, and dribbling may also be present. Recurrent urinary tract infections (B) are less likely to be the initial symptom of BPH, as they are more commonly associated with urinary retention or obstruction. Functional incontinence (C) is not a typical symptom of BPH, as it is more related to mobility or cognitive issues. Hematuria (D) is not a common presenting symptom of BPH, as it is more indicative of other conditions like urinary tract infections or kidney stones.

Question 3 of 5

How does the gerontological nurse assess frailty in older adults?

Correct Answer: B

Rationale: The correct answer is B because measuring gait speed, grip strength, and weight loss are key components of assessing frailty in older adults. Gait speed reflects physical function, grip strength indicates muscle weakness, and unintentional weight loss signifies nutritional deficits, all of which are common indicators of frailty. Evaluating cognitive decline and social isolation (choice A) is important but not specific to frailty assessment. Presence of depression and anxiety (choice C) may contribute to frailty but do not directly assess it. Monitoring hydration and electrolyte levels (choice D) is important for overall health but not specific to frailty assessment.

Question 4 of 5

Pneumonia in the older client can be caused by all of the following except_____.

Correct Answer: C

Rationale: The correct answer is C: sleep apnea. Sleep apnea is a sleep disorder characterized by pauses in breathing during sleep, which does not directly cause pneumonia. Aspiration from a poor swallow (A), community acquired pneumonia (B), and compromised immune function (D) are all known risk factors for pneumonia in older adults. Aspiration can lead to the entry of bacteria into the lungs, community-acquired pneumonia is a common cause of infection in the elderly, and compromised immune function makes older adults more susceptible to infections. Thus, sleep apnea is the only option that does not directly contribute to the development of pneumonia in older clients.

Question 5 of 5

Which factor(s) are associated with the provision of culturally competent care? (Select all that apply.)

Correct Answer: A, B

Rationale: Step-by-step rationale: 1. Cultural awareness is crucial for understanding one's own biases and recognizing cultural differences. 2. Cultural knowledge involves understanding diverse cultural practices, beliefs, and values. 3. Cultural skills refer to the ability to effectively communicate and adapt care to meet individual cultural needs. 4. Cultural connections, while important, do not directly relate to providing culturally competent care. In summary, A and B are correct as they form the foundation for providing culturally competent care, while C and D do not encompass all aspects necessary for culturally competent care.

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