basic geriatric nursing test bank

Correct Answer: B, E, F

Rationale: The correct answers are B, E, and F. B is correct because understanding what treatment can improve the condition is essential for culturally sensitive care. E is correct as it helps understand the patient's beliefs about the cause of the illness. F is correct to assess the impact of the illness on the patient's life. A is incorrect as it focuses more on negotiation rather than understanding the patient's perspective. C is incorrect as it assumes the nurse's plan is superior without considering the patient's beliefs. D is incorrect as it only focuses on the duration of the problem rather than the patient's explanatory model.

Correct Answer: B

Rationale: The correct answer is B because limited physical activity and poor nutrition have been consistently linked to cognitive decline in older adults. Physical activity promotes blood flow to the brain, which helps with cognitive function. Additionally, a balanced diet rich in nutrients supports brain health. Genetic predisposition (A) can play a role but is not the most closely associated factor. Social engagement and mental stimulation (C) are beneficial for cognitive health but not the primary factor for decline. Early retirement and lack of work-related stress (D) are not directly linked to cognitive decline.

Correct Answer: B

Rationale: The correct answer is B: Smoking. Centenarians are individuals who live to be 100 years old or older and smoking is a known risk factor for various diseases and premature death. Exercise, weight control, and delayed onset of disease are commonly associated characteristics of centenarians as they promote overall health and longevity. Smoking, on the other hand, has been proven to have detrimental effects on health and is not typically seen in individuals who live to be 100 or older. Therefore, the absence of smoking is a more accurate characteristic associated with centenarians.

Correct Answer: D

Rationale: The correct answer is D because memory loss affecting daily functioning is a key indicator of dementia, not normal aging. Normal aging may involve some forgetfulness, but it typically does not significantly impact daily activities. Choice A is incorrect because difficulty recalling recent events can occur in both normal aging and dementia. Choice B is incorrect as increased forgetfulness is a common feature of aging and may not necessarily indicate dementia. Choice C is incorrect as forgetting names of familiar people can also be a normal part of aging and does not solely point to dementia. Memory loss affecting daily functioning is a more specific and severe symptom that strongly suggests dementia over normal aging.

Correct Answer: B

Rationale: The correct answer is B because swelling in one leg with pitting edema is a classic sign of DVT. Pitting edema suggests fluid accumulation due to compromised venous circulation, which is common in DVT. Bilateral calf tenderness (choice A) is more indicative of muscle strain. Shortness of breath (choice C) is suggestive of a pulmonary embolism, a complication of DVT. Two plus palpable pulses (choice D) indicate good arterial circulation, not DVT.