geriatric nursing practice questions

Correct Answer: C

Rationale: The correct answer is C: Regular review and adjustment of medications by healthcare providers. This approach is the best because it involves healthcare professionals regularly assessing the appropriateness of each medication, adjusting dosages, and eliminating unnecessary drugs to minimize potential adverse effects and drug interactions in older adults. This proactive management strategy ensures that the patient's medication regimen is optimized for their specific health needs, reducing the risks associated with polypharmacy. Choice A (Regular use of over-the-counter medications) is incorrect as it does not address the issue of polypharmacy and may actually contribute to it. Choice B (Reducing the number of medications based on patient preferences) is not the best approach as patient preferences alone may not always align with the most effective and safe medication regimen. Choice D (Relying solely on herbal supplements) is also incorrect as herbal supplements can interact with prescribed medications, leading to potential complications.

Correct Answer: B

Rationale: The correct answer is B: Installing safety bars and removing tripping hazards. This strategy addresses environmental factors that contribute to falls in older adults. Safety bars provide support, while removing tripping hazards reduces the risk of accidents. Restricting mobility (choice A) can lead to muscle weakness and increase fall risk. Increasing medication dosages (choice C) can cause side effects like dizziness, increasing fall risk. Providing frequent sedation (choice D) can impair alertness and balance, also increasing fall risk. Thus, choice B is the most effective strategy to reduce falls by modifying the physical environment.

Correct Answer: B

Rationale: The correct answer is B because Mezey and Fulmer (2002) justify gerontological nursing research by emphasizing that it positively influences outcomes from nursing care. This is supported by evidence showing how research in gerontological nursing can lead to improved quality of care for older adults. Other choices are incorrect: A is not directly supported by the justification provided by Mezey and Fulmer (2002), C is too specific and not the main focus of their justification, and D is not mentioned in the justification and does not address the impact of research on nursing care outcomes.

Correct Answer: B

Rationale: The correct answer is B because health disparities refer to variations in health outcomes between different groups, often linked to social, economic, or environmental factors. This definition accurately captures the essence of health disparities by emphasizing the differences in health outcomes among various populations. Choice A is incorrect because it describes cultural elimination rather than health disparities. Choice C is incorrect as it focuses on statistical comparison rather than the health outcomes themselves. Choice D is incorrect as it discusses differing values and perspectives, which are not directly related to health disparities. In summary, choice B is the correct answer as it aligns with the definition and concept of health disparities.

Correct Answer: B

Rationale: The correct answer is B. Fewer than 50% of older adults utilize available preventive services. This is important for a community health initiative as it highlights a gap in healthcare utilization among seniors. By recognizing this statistic, the nurse can tailor the initiative to target the barriers preventing seniors from accessing preventive services. Rationale: 1. Option A is incorrect because stating that approximately 60% of older adults actively participate in preventive health services is misleading. The actual utilization rate is lower. 2. Option C is incorrect as it focuses on preference for alternative medicine rather than actual utilization of preventive health services. 3. Option D is incorrect as it states preventive health services are equally utilized by older and younger adults, which is not supported by data regarding senior healthcare utilization.