basic geriatric nursing 6th edition test bank

Correct Answer: D

Rationale: The correct answer is D: Complicated medication regimens. Older adults often have multiple medical conditions requiring several medications, leading to confusion and difficulty in following complex regimens. This complexity increases the likelihood of medication nonadherence. Lack of health literacy (A) may contribute but is not the primary factor. High cost of medications (B) and limited access to healthcare providers (C) are important barriers, but they are not as directly linked to nonadherence as the complexity of medication regimens.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates empathy, collaboration, and a patient-centered approach. By asking how to work together, the nurse acknowledges the daughter's concerns and fosters a collaborative relationship. This approach respects the daughter's role in her mother's care and encourages open communication. Choice A is incorrect as it uses a threatening tone and may alienate the daughter, leading to a breakdown in communication. Choice B is incorrect as it dismisses the daughter's cultural values, which are important in providing holistic care. Choice C is incorrect as it suggests that the daughter is incapable of caring for her mother, which can be disempowering and offensive.

Correct Answer: C

Rationale: The correct answer is C: Urinary tract infections (UTIs). UTIs are a common cause of delirium in hospitalized older adults due to their impact on the central nervous system. UTIs can lead to systemic inflammation and affect cognitive function, resulting in delirium. Other choices like medication side effects, sleep deprivation, and electrolyte imbalances can contribute to delirium but are not as common or direct as UTIs in this population.

Correct Answer: A

Rationale: The correct answer is A because walking is a physical activity that promotes cardiovascular health, strength, and overall well-being. Regular exercise like walking 3-5 times per week for 30 minutes can help improve circulation, maintain healthy weight, and reduce the risk of chronic diseases. Cooking healthy meals (choice B) is important for nutrition but may not directly promote physical activity. Reading and knitting (choice C) are mentally stimulating but do not provide the physical benefits of exercise. Taking vitamins daily (choice D) is important for overall health but does not substitute for physical activity.

Correct Answer: B

Rationale: The correct answer is B because super-centenarians, who are individuals aged 110 years or older, often exhibit a high level of functional independence despite their advanced age. This is supported by research showing that many super-centenarians maintain physical and cognitive abilities that allow them to perform daily activities without significant assistance. This statement aligns with the concept of successful aging, where individuals maintain autonomy and independence in later years. Option A is incorrect because a significant number of super-centenarians are not dependent on full-time nursing care for daily activities. Option C is incorrect as many super-centenarians can still engage in social activities despite health limitations. Option D is incorrect as most super-centenarians do not experience severe cognitive decline that affects their daily living.