Question 1

At times, the gerontological nurse functions in the role of consultant when working with older clients. Which activities does the nurse perform while functioning in this role? Select all that apply.

Accepted Answer

A,B,C

Question 2

The gerontological nurse is identifying interventions based upon evidence-based practice. What is the best source of evidence-based practice information for the nurse?

Accepted Answer

The best source of evidence-based practice information is a publicly available resource website information database. These databases typically compile and review a wide range of research studies and clinical trials to provide the most current, scientifically validated information on effective healthcare practices. This allows nurses and other healthcare professionals to access the latest evidence to guide their interventions, ensuring they are based on the best available evidence.

Question 3

The nurse focuses on effective communication when caring for an older client. Which method does the nurse use?

Accepted Answer

Asking for clarification, rephrasing, and summarizing throughout the interaction are effective communication techniques that ensure understanding and engagement, especially important when caring for older clients who may have hearing or cognitive impairments.

Question 4

The nurse caring for older clients wants to return to school to become a gerontological nursing specialist. Which criteria would the nurse need to achieve in order to fulfill this career goal? Select all that apply.

Accepted Answer

The answer of The nurse caring for older clients wants...

Question 5

An older client with chronic health problems does not want to be admitted to a nursing home for continued care. What can the nurse explain to the client about nursing homes today? Select all that apply.

Accepted Answer

The answer of An older client with chronic health problems...

Question 6

An older client begins to cry when talking about the death of a daughter 20 years ago. Which response should the nurse make?

Accepted Answer

Touching the client's arm and listening in silence provides comfort and support, allowing the client to express their emotions without feeling pressured or judged.

Question 7

The nurse documents values-beliefs in the functional health pattern categories; which of the following is an example of this domain?

Accepted Answer

A client's religious affiliation falls under the values-beliefs pattern, as it reflects personal or cultural beliefs that can influence health behaviors and decisions.

Question 8

The nurse supports an older client's autonomy; which decision supports this ethical principle?

Accepted Answer

Supporting a client's autonomy involves respecting their right to make their own decisions about their healthcare. By deciding to stop further chemotherapy treatments, the client is exercising their autonomy.

Question 9

During a home visit, an older client recovering from cardiac surgery is concerned about weakness and not being able to enjoy dancing with the spouse anymore. What would be an appropriate response for the nurse to make to the client?

Accepted Answer

"Tell me more about not feeling able to do what you want to do." is an appropriate response because it encourages the client to express feelings and concerns, allowing the nurse to gather more information and provide individualized support.

Question 10

The nurse is preparing to assess an older client using functional health patterns. How does this approach ensure holistic care will be provided to the client?

Accepted Answer

Demonstrating the client's interaction with the environment is a key aspect of providing holistic care, as it considers the whole person and their relationship with their surroundings, rather than just focusing on diseases or disabilities. This approach helps in understanding how different aspects of a person's life and environment impact their health and well-being.

Question 11

A hiring manager is hiring a certified gerontological nurse. Which candidate would be qualified for this position?

Accepted Answer

The answer of A hiring manager is hiring a certified...

Question 12

The nurse is completing a functional health pattern assessment with an older client. Which assessment finding reflects the cognitive-perceptual category?

Accepted Answer

The answer of The nurse is completing a functional health...

Question 13

An older client is being discharged to live with adult children who need to work during the day. What referral information would be beneficial for the client and family members?

Accepted Answer

Community nursing care can provide the necessary support and healthcare services for the older client while their adult children are at work, ensuring continuity of care and assistance with daily activities or medical needs in their home environment.

Question 14

The nurse supports an older client's desire to discuss advance directives with the client's family. What action is the nurse performing with this client?

Accepted Answer

The nurse is advocating for the client's rights and autonomy by supporting the client's desire to discuss advance directives, which are legal documents that allow individuals to outline their preferences for medical care if they become unable to make decisions for themselves. This action ensures the client's wishes are known and respected.

Question 15

The director of nursing at a skilled facility is implementing the Quality and Safety Education for Nurses (QSEN) project to improve the quality of care of the older residents. Which topics will the director include in staff teaching? Select all that apply.

Accepted Answer

The QSEN project focuses on preparing nurses with the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the healthcare systems in which they work. This includes accessing evidence-based practice resources (A), ensuring effective team collaboration (B), and promoting respectful team communication (D). These components are directly related to the core competencies of QSEN, which aim to improve patient care quality and safety.

Question 16

The nurse creates and implements a client's plan of care. Which client outcomes best demonstrate use of evidence-based practice in planning care for the older client? Select all that apply.

Accepted Answer

The answer of The nurse creates and implements a client's...

Question 17

The family of an older client asks the nurse if the client qualifies for Medicaid to help with hospital bills. What information should the nurse provide to the family?

Accepted Answer

Eligibility for Medicaid is primarily based on the individual's or family's annual income level. Medicaid is a program intended to assist low-income individuals and families with healthcare costs, regardless of their age or retirement status. It is not exclusively available upon retirement, reaching a certain age, or entering a long-term care facility, although these factors can influence eligibility and coverage.

Question 18

The administrator at a skilled nursing facility is concerned about the rates of aspiration pneumonia. Which long-term facility factors are most likely to lead to increased rates of aspiration pneumonia? Select all that apply.

Accepted Answer

The answer of The administrator at a skilled nursing facility...

Question 19

After an assessment, the nurse determines that the diagnosis of constipation is appropriate for an older client recovering from surgery. What would be a goal for this nursing diagnosis?

Accepted Answer

The goal for a nursing diagnosis of constipation is to ensure the client can have regular bowel movements with minimal discomfort, which is directly addressed in option D. Options A, B, and C are interventions or education points rather than goals.

Question 20

Which action by the gerontological nurse demonstrates the role of manager?

Accepted Answer

Arranging respite care for a client demonstrates the role of a manager, as it involves organizing and coordinating services to meet the needs of the client, which is a key managerial responsibility.

Quiz 2: Contemporary Gerontological Nursing