ATI RN
basic geriatric nursing 6th edition test bank Questions
Question 1 of 5
The nurse plans care for older adults who are in good health but isolated from their families. If the nurse's goal is to move the adults toward gerotranscendence, which intervention should the nurse use in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Help each person with individual activities. This intervention aligns with promoting gerotranscendence, as it focuses on supporting older adults in engaging in personal growth and reflection. By assisting individuals with meaningful activities tailored to their preferences and abilities, the nurse encourages self-discovery and personal fulfillment. A: Giving a daily tea party for the group may foster social interaction but does not necessarily address individual growth or self-reflection. B: Calling each family to encourage visiting may help reduce isolation but does not directly promote gerotranscendence. C: Assisting them to resume midlife patterns may not be suitable as older adults may benefit more from exploring new activities and perspectives in their later years.
Question 2 of 5
Which of the following factors contributes the most to aging-related cognitive decline?
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.
Question 3 of 5
Identify the Healthy People 2020 emerging issues in the health of older adults.
Correct Answer: A
Rationale: The correct answer is A: Coordinating care for the older adult population. This is a key emerging issue in the health of older adults as it focuses on improving the integration and coordination of healthcare services to ensure comprehensive and efficient care delivery. This includes addressing the complex needs of older adults, promoting continuity of care, and enhancing communication among healthcare providers. Rationale: 1. Coordinating care addresses the holistic needs of older adults. 2. It aims to prevent fragmented care and improve health outcomes. 3. Enhances collaboration among healthcare providers and community resources. 4. Promotes patient-centered care and improves quality of life for older adults. Other Choices: B: Assisting older adults in the management of their own care - While important, this focuses on individual responsibility rather than systemic coordination. C: Identifying levels of training for those caring for older adults - Relevant but not a primary emerging issue in the health of older adults. D: Making community resources available for older adults - Important, but
Question 4 of 5
Which of the following is the most common reason for hospitalization in older adults?
Correct Answer: C
Rationale: The correct answer is C: Pneumonia. Older adults are more susceptible to pneumonia due to weakened immune systems and underlying health conditions. Pneumonia can lead to severe complications, requiring hospitalization. Osteoarthritis (A) primarily affects joints and does not typically lead to hospitalization. Stroke (B) and heart failure (D) are serious conditions but may not be as common for hospitalization as pneumonia in older adults. Pneumonia's impact on the respiratory system and its ability to progress rapidly make it the most common reason for hospitalization in this population.
Question 5 of 5
A nurse caring for older adults must be aware of which consequences of ageism in language? (Select all that apply.)
Correct Answer: A, C, D
Rationale: Step-by-step rationale: 1. Reduced sense of self: Ageist language can contribute to older adults feeling devalued and less confident. 2. Lowered sense of self-competence: Negative language can impact self-esteem and belief in one's abilities. 3. Decreased memory performance: Ageist language can reinforce negative stereotypes, leading to self-doubt and cognitive decline. Summary of incorrect choices: B: Poor nutritional intake - Not directly related to consequences of ageism in language. Incorrect choices do not address the psychological and emotional impacts of ageist language on older adults.
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