geriatric nursing exam questions with rationale

Questions 43

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geriatric nursing exam questions with rationale Questions

Question 1 of 5

The nurse plans care for an older African American man who is from Jamaica and resides in New York City. Which should the nurse include in planning care?

Correct Answer: C

Rationale: Correct Answer: C - Maintain blood pressure below 120/70 mm Hg. Rationale: 1. Older African American individuals are at higher risk for hypertension. 2. African American men have a higher prevalence of hypertension compared to other demographic groups. 3. Hypertension is a common health issue among Jamaican individuals. 4. Keeping blood pressure below 120/70 mm Hg helps prevent complications like stroke and heart disease. Summary: A. Attributing illness to voodoo is culturally inappropriate and lacks evidence-based practice. B. Improving social relationships may be beneficial but is not directly related to the man's health needs. D. Reviewing magicoreligious systems is not relevant to addressing the man's health issues like hypertension.

Question 2 of 5

The nurse is reviewing the care plan of an 89 yr old client who has been admitted for prostate surgery. The client is on medication for hypertension and had a recent fall at home prior to admission. The nurse would include which assessment in the care plan?

Correct Answer: B

Rationale: The correct answer is B. Checking postural blood pressures is essential to assess for orthostatic hypotension in an elderly client with a history of falls and hypertension medication. Orthostatic hypotension can lead to falls, so monitoring postural B/Ps is crucial. Checking B/P every 2 hours (choice A) is not necessary and could cause unnecessary discomfort to the client. Checking serum sodium levels (choice C) and serum creatinine levels (choice D) are not directly related to the client's risk factors for falls post-prostate surgery.

Question 3 of 5

In gerontological nursing, what is the most important factor in assessing the risk for elder abuse?

Correct Answer: B

Rationale: The correct answer is B: Cognitive decline or dementia. Elder abuse risk assessment in gerontological nursing involves considering cognitive decline or dementia as the most important factor. This is because individuals with cognitive impairments are more vulnerable and may have difficulty recognizing and reporting abuse. Family history of violence (A), history of physical ailments (C), and medication regimen (D) are important factors to consider but do not directly impact the elder abuse risk assessment as significantly as cognitive decline or dementia.

Question 4 of 5

The nurse is performing an assessment on an older client who is having difficulty sleeping at night. What statement by the client indicates education is needed on improving sleep?

Correct Answer: C

Rationale: The correct answer is C because drinking hot chocolate before bed contains caffeine which can disrupt sleep. A is correct as exercise can promote better sleep. B is correct as smoking can affect sleep quality. D is correct as reading before bed can help relax the mind.

Question 5 of 5

Which of the following clients is at greatest risk for orthostatic hypotension?

Correct Answer: B

Rationale: The correct answer is B because straining to void can lead to increased vagal stimulation, resulting in decreased blood pressure upon standing (orthostatic hypotension). A: age and walker use don't directly increase risk. C: a leg cast may not directly affect blood pressure. D: Premarin use is not a common cause of orthostatic hypotension.

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