geriatric nursing practice questions

Correct Answer: A

Rationale: The correct answer is A: Hypertension. Hypertension, or high blood pressure, is the most common chronic condition affecting older adults in the U.S. This is because aging increases the risk of developing hypertension due to changes in blood vessels and the heart. Hypertension can lead to serious health complications such as heart disease and stroke. Summary: B: Osteoporosis primarily affects bone density and is more common in older women. C: Alzheimer's disease is a type of dementia that affects memory and cognitive function, but it is not as prevalent as hypertension among older adults. D: Diabetes is a chronic condition characterized by high blood sugar levels and while it is common, hypertension is more prevalent in older adults in the U.S.

Correct Answer: B

Rationale: Rationale for Correct Answer B: "Channeling Your Inner Strength Toward Wellness" 1. Focuses on a positive approach to aging by emphasizing inner strength and wellness. 2. Aligns with the ALF's philosophy of viewing aging from a health perspective. 3. Encourages residents to take an active role in their well-being and empowers them. 4. Promotes a holistic view of health by addressing physical, mental, and emotional aspects. Summary of Incorrect Choices: A: "The Many Chronic Illnesses of Aging" - Focuses on negative aspects and does not promote a proactive approach to health. C: "Maximizing Function As You Age" - While important, it may not fully capture the holistic nature of health and wellness. D: "Conserving Your Strength As You Age" - Does not emphasize active engagement in promoting wellness and may promote a passive approach.

Correct Answer: D

Rationale: The correct answer is D, Standards of gerontological nursing practice, as the ANA Scope and Standards of Gerontological Nursing (2010) specifically outlines the accepted standards and guidelines for gerontological nursing practice. This document does not focus on skills and knowledge (Choice A), levels of practice (Choice B), or certification requirements (Choice C), but rather on setting the standards and expectations for gerontological nursing care. It is essential for nurses to adhere to these standards to provide high-quality care to older adults.

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. Decreased hearing in older individuals can lead to increased danger as they may not be able to hear important warning sounds like smoke or security alarms. This can compromise their safety and well-being. A is incorrect because decreased hearing may lead to increased stressful interactions due to difficulties in communication. C is incorrect because decreased hearing can actually increase danger when driving or walking in traffic as the individual may not be able to hear car horns or other traffic sounds, leading to potential accidents. D is incorrect because decreased hearing can contribute to an increased risk of falls due to decreased awareness of environmental sounds and hazards.