geriatric nursing practice questions

Correct Answer: B

Rationale: The correct answer is B because a red, swollen 3-day-old wound in an older person indicates delayed wound healing, which is abnormal. The skin's ability to heal slows down with age due to decreased collagen production and compromised immune response. Thinner and more fragile skin (choice A) are typical changes in older individuals but not necessarily abnormal. Greater number of freckles (choice C) is a common age-related change due to accumulated sun exposure. Loss of hair on the extremities (choice D) can occur with aging but is not necessarily abnormal unless it is sudden and widespread.

Correct Answer: B

Rationale: The correct answer is B: administer the lowest dose of 2 mg. In older adults, especially the elderly, it is essential to start with the lowest effective dose of medication to minimize the risk of adverse effects. This approach follows the principle of "start low and go slow" when administering medications to older adults due to age-related changes in drug metabolism and increased sensitivity to medications. Administering the lowest effective dose helps to reduce the risk of potential complications such as respiratory depression, sedation, and falls. Choice A (administer the highest dose of 6 mg) is incorrect because starting with the highest dose can increase the risk of adverse effects in older adults. Choice C (avoid the narcotic because of the risk of addiction) is incorrect as it is important to manage pain effectively in post-operative patients, and opioids can be safely used under proper supervision. Choice D (administer the dose only when the client asks for the medication 2 times) is incorrect as pain management should be

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.

Correct Answer: A

Rationale: The correct answer is A because suggesting appropriate resources like respite care and a senior citizens' center shows the nurse's understanding of the client's needs for social interaction and support. This approach addresses the client's isolation and the daughter's need for assistance in caring for her father. Choice B is incorrect because simply telling the daughter to allow her father to participate does not address the underlying issues of the client feeling in the way and the daughter's need for support. Choice C is incorrect as it ignores the client's need for social interaction and the daughter's need for assistance, prioritizing peace over the client's well-being. Choice D is incorrect as offering to stay with the client while he is isolated does not address the broader issue of the client's need for social engagement and the daughter's need for support.

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.