Ginataang Monthlies 2 Flashcards
geria 2
- A 66-year-old recently widowed patient with limited income is planning to move into the home of her daughter and son-in-law and their two adolescent children in order to share expenses, and she is concerned about the transition and a lack of independence. The best advice is for the patient to
a. Accept the changes in her life.
b. Apply for low-cost housing elsewhere.
c. Set the ground rules for living together.
d.. Have a frank discussion with the family.
d. Have a frank discussion with the family
If a patient is severely dehydrated, what effect will this have on the complete blood count (CBC)
a) Increased hemoglobin and hematocrit, decreased blood volume, and stable red blood cell (RIBC) count.
b. Decreased hemoglobin and hematocrit, decreased blood volume, ard increased RBC count.
c. Decreased hemoglobin and hematocrit, decreased blood volume, and decreased RBC count.
d. Stable hemoglobin and hematocrit decreased blood volume and stable RBC count.
a) Increased hemoglobin and hematocrit, decreased blood volume, and stable red blood cell (RIBC) count.
The gerontological nurse works in a mobile clinic to provide care to a homeless population. Am ing the older adults in this population, the health problems that the gerontological nurse most expects to find
a. Psychiatric/substance abuse disorders.
b. Neurological disorders.
c. Digestive disorders.
d. Traumatic injuries.
a. Psychiatric/substance abuse disorders.
- A 76-year-old male is recovering from surgery but exhibits a sudden onset of confusion with
fluctuating inattention, disorgaized thinking and an altered level of consciousness. Which of the
following assessment tools is most indicated?
a. Mini-mental state exam (MMSE)
b. Mini-Cog
c. Confusion assessment method (CAM),
d. Geriatric depression scale (GDS)
C. Confusion assessment method (CAM)
- In assessing the aging client, it is important for the nurse to recognize:
a. The client’s ability to perform ADLs
b. The financial status of the client
c. The job that the client held prior to aging
D. All components of well-being, including biological function, psychological function, and social function
D. All components of well-being, including biological function, psychological function, and social function
- Medications, slower mobility, lack of proper fluid intake, and poor, diet can contribute to what common symptoms in the elderly population?
a. Urinary incontinence
b. Skin changes
c. Mental changes
d. Depression
A. Urinary Incontinence
- A. 73-year-old patient is admitted to a rehabilitation facility after sustaining a mild stroke. After three nights in the facility, the patient begins to sleep only four to five hours a night and awakens frequently during the night. The patient then complains of not feeling rested and begins to nap during the day.
Which is the most appropriate nursing action?
a. Completing an assessment of the patient’s sleep-wake cycle to determine necessary interventions
b. Doing nothing since this type of sleep pattern is associated with normal aging
c. Inquiring if the patient takes medication at bedtime and requesting that the physician order it
d. Moving the patient further away from the nurse’s station to minimize
a. Completing an assessment of the patient’s sleep-wake cycle to determine necessary interventions
A 64-year-old female describes a brutal assault and rape to the nurse practitioner on duty. Which of the following actions should the nurse practitioner take first?
A. Check with case manager on duty about possible police intervention.
b. Provide an environment of concern and emotional stabilization.
c. Clean the patient’s wounds with normal saline and gauze.
d. Recommend a good attorney to the patient
B. Provide an environment of concern and emotional stabilization
- A 92-year-old patient with advanced dementia has had three episodes of aspiration pneumonia in five! months. The patient has no written advanced directives. The speech therapist recommends feeding tube placement. The patient’s son would like a feeding tube placed; the daughter is unsure, and the patient’s spouse states that the patient would never want a feeding tube. The gerontological clinical nurse specialist’s next action is to:
a. Bring the case to the attention fo the ethics committee
b. Emphasize to the family that a feeding tube will decrease recurrent pneumonias
c. Obtain a surgical consult to schedule feeding tube placement
D. Organize a family and staff meeting to discuss the risks and benefits and consider the patient’s wishes.
D. Organize a family and staff meeting to discuss the risks and benefits and consider the patient’s wishes.
- An 80-year-old female decides on a do not resuscitate (DNR) status for herself after discussing her medical concerns with her physician. Which statement best describes the reasoning behind this decision?
a. This is ethical reasoning based on self-determination and informed consent
b. This is not a medical decision
c. This discussion would be meaningless because the family members were not involved
d. This is not an ethical decision
A. This is ethical reasoning based on self-determination and informed consent
- The purpose of the Patient Self-Determination Act is:
a. To encourage patient to document their choices about life support and advance directives
b. To help older adults organize their finances
c. To help older adults plan for jobs after the age of 65
d. To assist older adults in naming benefactors’
A. To encourage patient to document their choices about life support and advance directives
- Quality improvement (QI) refers to:
a. Acute care and inpatient facilities only
b/Attention to safety and appropriate care for all
c. It is not important to gerontological nursing
d. High-risk older adults only
B. Attention to safety and appropriate care for all
- You are caring for a hospice client who is at the end of life. Based on this client’s signs and symptoms, the client is comatose, dehydrated, free of pain, constipated, without distress, and expected to die in a day or two. Which of the following is an appropriate client outcome or an appropriate intervention for this client?
a.The client will be free of constipation
b.The client will remain free of pain and distress
c. The administration of an antiemetic to prevent vomiting and further dehydration
D. The administration of an enema to correct the constipation
B. The client will remain free of pain and distress
- Your supervisor asks you to take photographs of the residents and their family members who are attending a holiday dinner and celebration at your long-term care facility. What should you do?
a. Take the photographs because these photographs are part of the holiday tradition at this facility
b. Take the photographs because all of the residents are properly attired and in a dignified condition
C. Refuse to take the photographs unless you have the consent of all to do so.
d.Refuse to take the photographs because this is not part of the nurse’s role
C. Refuse to take the photographs unless you have the consent of all to do so
- Select the law that is accurately paired with its description in terms of client rights.
a. The Patient Self Determination Act: The client’s right to choose the level of care
b. The Patient Self Determination Act: The clients’ right to healthcare insurance coverage for mental health disorders
c. The Mental Health Parity Act: The privacy and security of technological psychiatric information.
D. The Health Insurance Portability and Accountability Act (HIPAA): The privacy and security of technological medical information
D. The Health Insurance Portability and Accountability Act (HIPAA): The privacy and security of technological medical information
- What ethical principle below is accurately paired with a way that ethical principle is applied to nursing practice?
a.Justice: Equally dividing time and other resources among a group of clients
b.Beneficence: Doing no harm during the course of nursing care *
c. Veracity: Fully answering the client’s questions without any withholding of information
d.Fidelity: Upholding the American Nurses Association’s Code of Ethics
c. Veracity: Fully answering the client’s questions without any withholding of information
- Which of the following is most closely aligned with the principles and concepts of informed consent?
A. Justice
B. Fidelity
C. Self determination
D. Nonmalficence
C. Self determination
- Which of the following is the least essential/minimal component of the teaching that(occurs prior)to getting informed consent?
a/The purpose of the proposed treatment or procedure
b.The expected outcomes of the proposed treatment or procedure
c. Who will perform the treatment or procedure
D. When the procedure or treatment will be done
D. When the procedure or treatment will be done
Expanded Senior Citizens Act.
RA 9257
Expanded Senior Citizens Act.
RA 9257
National Commission of Senior Citizens Act
RA 11350
Generics Act.
RA 6675
Senior Citizens Act.
RA 6675
Mandatory PhilHealth Coverage for All Senior Citizens.
RA 10645
Senior Citizens Center Act of the Philippines
RA 7876
Which of the following manifestations are suggestive of sensory overstimulation, or overload of input
- Irritability, anxiety, restlessness
- Periodic or general disorientation
- Reduced problem-solving ability and task performance
- Increased muscle tension
- Lola Mita has been refusing to eat, take a bath, and go out of her room. This behavior started after she found out that her friend died of a heart attack and was cremated immediately. This is a sign of :
a coping mechanism
b. stress
c. hopelessness
d. acceptance
B. Stress
- This is a subjective response experienced by the surviving loved ones after the death of a person with whom they have shared a significant relationship:
a. Grief
B. Bereavement
c. Mourning
d. depression
B. Bereavement
- Which among the following are independent nursing responsibility for dying patients:
A. Assist in a peaceful death by giving sedation.
B. Provide relief from loneliness, fear, and depression /
C. Maintain the client’s sense of security, self-confidence, dignity, and self-worth
D. Provide physical comfort.
E. Providing spiritual
B. Provide relief from loneliness, fear, and depression /
C. Maintain the client’s sense of security, self-confidence, dignity, and self-worth
D. Provide physical comfort.
E. Providing spiritual
For the nurse to assist the elderly in maintaining good relationships with peers, she should assist the elderly in:
- Promoting socialization and companionship
- Elevating morale and life satisfaction
- Buffering the effects of stressful events;
- Providing a confidant
D. All are correct
Provide one psychosocial risk factors that predispose Older Adults to Mental disorders
Loss of social roles
Loss of autonomy
Declining health
Increased isolation
Decreased cognitive function
Financial constraints
