ATI RN
basic geriatric nursing 6th edition test bank Questions
Question 1 of 5
Which racial or ethnic group has the highest life expectancy in the United States?
Correct Answer: D
Rationale: The correct answer is D: Asian and Pacific Island Americans. This group has the highest life expectancy in the US due to various factors such as healthy dietary habits, lower rates of smoking and alcohol consumption, access to quality healthcare, and strong social support systems. They also tend to engage in regular physical activity and have lower rates of obesity and chronic diseases compared to other racial or ethnic groups. In contrast, choices A, B, and C have lower life expectancies due to factors such as higher rates of poverty, inadequate healthcare access, systemic racism, and higher prevalence of chronic health conditions like diabetes and heart disease.
Question 2 of 5
Which of the following is the most important intervention to prevent pressure ulcers in older adults?
Correct Answer: A
Rationale: The correct answer is A: Regular repositioning every 2 hours. Repositioning helps to relieve pressure on vulnerable areas, improving blood flow and preventing tissue damage. This intervention is evidence-based and recommended in pressure ulcer prevention guidelines. Administering pain medications before repositioning (B) does not address the root cause of pressure ulcers. Encouraging excessive hydration (C) may have other health benefits but does not directly prevent pressure ulcers. Using restrictive bandages (D) can actually increase pressure and worsen the risk of pressure ulcers.
Question 3 of 5
A home care nurse discusses turning a patient every 2 hours, but the patient�s daughter removes the turning clock. The best response by the nurse is:
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.
Question 4 of 5
The nurse is admitting a patient to a long-term care facility. During the admission, the patient verbalizes a concern about getting dementia now that he is in a nursing home. In which activities should the nurse encourage the patient to participate to maintain brain health?
Correct Answer: A
Rationale: The correct answer is A: Physical exercise. Engaging in physical exercise has been shown to improve blood flow to the brain, promote the growth of new brain cells, and enhance cognitive function. This helps maintain brain health and may reduce the risk of developing dementia. Other choices are not as directly related to brain health. B: Stimulating mental activity is important but not as effective as physical exercise in preventing dementia. C: Socialization is beneficial for overall well-being but does not have a direct impact on brain health. D: Crossword puzzles are a form of mental stimulation, but physical exercise has a greater impact on brain health.
Question 5 of 5
What is the most common type of vision impairment in older adults?
Correct Answer: A
Rationale: The correct answer is A: Cataracts. Cataracts are the most common type of vision impairment in older adults due to the clouding of the eye's lens. As people age, proteins in the lens can clump together, leading to vision issues. Glaucoma (B) is characterized by damage to the optic nerve, AMD (C) affects the macula in the retina, and diabetic retinopathy (D) is a complication of diabetes affecting blood vessels in the retina. However, cataracts are the primary cause of vision impairment in older adults due to the natural aging process of the eye.
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