Long Term Care RN

A patient with Stage 2 Alzheimer's disease visits the mental health clinic. During the interview, the patient becomes hostile and refuses to answer further questions. The gerontological nurse's best action is to:

A gerontological nurse at a nursing home conducts a reminiscence therapy group for residents with confusion. A member of the group stands up and says, "I just heard my cow. I have to go and milk her now." The nurse's most therapeutic response is to say:

A 75-year-old patient who sustained a stroke has residual left-sided weakness. Since the first day of admission, the patient has been combative and demanding, and has refused to swallow any medication. A constructive nursing action would be to determine his premorbid personality.

An 80-year-old patient complains of sleeping less despite spending more time in bed. The patient does not use alcohol, caffeine, or any medications other than acetaminophen or arthritis pain. The patient goes to bed at 11:00 p.m., falls asleep in 15 minutes, awakens several times during the night, and promptly goes back to sleep. The patient feels refreshed in the morning and works five (5) days a week as a volunteer. The gerontological nurse's most appropriate response is to:

Which of the following is characteristic of deep vein thrombosis?

Which symptom is first exhibited by an older adult with a urinary tract infection?

The adult children of an aging couple ask the nurse about alternative therapies or nontraditional services to improve their parents' health. The nurse's most appropriate response is to:

A 68-year-old man calls his daughter every night to talk about his beloved wife who died four weeks ago. He is sad during the day and goes out frequently to get away from the empty house. The man's most probable state is:

An 87-year-old man who has been living independently is entering a nursing home. To help him adjust, the most effective action is to:

When relocating from a family home to a continuing care community, the most crucial factor in an older person's adjustment is his or her:

A 78-year-old male resident at a long-term care facility, who is a former business executive, has been smoking and extinguishing cigarettes in a paper cup in areas where smoking is prohibited. He has been informed repeatedly of the designated smoking areas. The resident's behavior indicates an attempt to:

A gerontological nurse is caring for an older adult who has been confined at home for the last ten (10) weeks due to illness. The patient is anxious, has multiple somatic complaints, and has become unable to follow instructions. The nurse knows that the phenomenon commonly occurs with:

When teaching an older adult patient, the nurse's most appropriate initial strategy is to:

When hospital quality assurance indicators are assigned, the nursing staff strives to:

The occurrence of tuberculosis in older adults is significantly increased among individuals who:

Which type of fracture has the highest morbidity and mortality rate in older adults?

The primary reason for establishing quality improvement committees at long-term care facilities is to:

A gerotological nurse is creating a staff development program for a unit. To assess the staff's learning needs, the nurse's best approach is to ask staff members:

A gerontological charge nurse delegates the administration of a nasogastric tube feeding to a licensed practical nurse (LPN). Which statement regarding this situation is most accurate?

Which of the following is an accurate statement about Medicare?

A Stage III pressure ulcer is characterized by deep craters with or without undermining the full thickness skin loss involving subcutaneous tissue.

The primary risk factor for the development of pressure ulcers is older adult patients is:

The most common cause of chronic pain in older adults is:

A factor that contributes to hypothermia in older adults is:

Older adults with Parkinson's Disease exhibit:

To prevent injury, a home health nurse advises an older adult who is taking tricyclic antidepressants to:

A common side effect of angeotensin-converting enzyme inhibitors that frequently result in discontinuation of therapy is:

A physician has just informed an older adult patient that test results indicate the patient has cancer and will require extensive surgery. The patient says, "I know the test are wrong. I feel fine." The gerontological nurse's most appropriate response is to:

Possible adverse reactions to dialysis therapy include:

Symptoms associated with fluid overload include:

What is your first and last name?