NSG4067 Week 5 Quiz 2018

NSG4067 Week 5 Quiz 2018

NSG4067_Week_5_Quiz_latest_2018_august.docx (55.02 KB)

Question 1 (5 points)

An 88-year-old, being admitted to rule out lung cancer, is
assessed using the short form of the Geriatric Depression Scale tool. When it
is determines that the earned score is 9, the nurse initially:

Question 1 options:

Asks if they have any thoughts of committing suicide.

Recognizes that this score is not indicative of depression.

Knows it is not unusual for clients this age to earn such a

Notifies the client’s healthcare provider immediately.

Question 2 (5 points)

A widowed grandmother is about to assume the role of
custodial parent for her 6-year-old grandchild. Which intervention has priority
when preparing the grandmother for long-term success in this new role?

Question 2 options:

Reviewing the developmental milestones of childhood.

Identifying local sources of child counseling services.

Discussing the common challenges of parenting a 6 year old.

Teaching stress management and relaxation techniques.


I think spiritual values do influence the decision to maintain academic integrity because otherwise, it would be hypocrisy. If one claims to be a spiritual being but cheats their way through life, then the question becomes who do we actually think we’re fooling? It is necessary to stay true to oneself and to choose the proper thing to do even when no one’s looking, to me, that’s the true definition of integrity. I also believe one must constantly work at or renew their spiritual beliefs because we’re all human without perfection so, at times will’s get weak and we envision success by taking the easier way out such as cheating on a test or taking credit where it isn’t due by putting our names on others’ work, committing infractions known to us as plagiarism but causing greater damage to the soul. We must remember every good thing worth having requires putting in the work required to achieve those goals. The constant struggle within to always do the right thing is understandable but, if we nourish the positivity more than we nourish the negativity, making the appropriate decisions become second nature and the struggle to make the desirable choices are lessened. It’s a greater sense of appreciation to know the goals achieved were achieved honestly and through hard work. When one puts in honest work, the process is respected!

Question 3 (5 points)

The client is diagnosed with dyslipidemia. This diagnosis is
supported when the client’s lipid panel indicates a: Select all that apply.

Question 3 options:

Triglyceride level of triglyceride levels (>2000 mg/dL).

Low Density Lipids (LDL) level of 120 mg/dL.

Total Cholesterol level of 260 mg/dL.

High Density Lipids (HDL) level of 70 mg/dL.

Glucose level of 230 mg/dL.

Question 4 (5 points)

Which factor is the greatest barrier to an older adult
living independently?

Question 4 options:

Deficits in vision and/or hearing resulting in safety

Limited finances that prevent upkeep and maintenance of a

Depression that occurs after the death of a spouse or
significant other occurs.

The manifestation of cognitive impairment resulting from
dementia or Alzheimer’s.

Question 5 (5 points) Question 5 Unsaved

Compared with acute pain, persistent pain requires the nurse

Question 5 options:

Monitor vital signs more frequently.

Document the character of the pain as burning.

Administer analgesics at least every 4 hours.

Educate the client to the benefit of specific lifestyle

Question 6 Unsaved

When diagnosed with diverticulosis, a client asks how this
problem occurred. Which assessment data identifies a risk factor for

Question 6 options:

Drinks a quart of whole milk daily.

Takes an over the counter laxative twice weekly.

History of a Helicobacter pylori infection.

Maintains a diet low in fiber.

Question 7 (5 points) Question 7 Unsaved

When focusing best on the goal of enhancing the health and
well-being of the older residents of extended care living facility, the nurse:

Question 7 options:

Assures that they all receive their medications and treatments
on time.

Assesses each new resident to determine their food and
beverage preferences.

Asks the nursing assistant to “allow the residents to
dress themselves but to check that they are dressed appropriately.”

Documents that “the residents appeared to enjoy the
opportunity to socialize at the weekly Sunday brunch.”

Question 8 (5 points) Question 8 Unsaved

The nurse best addresses the spirit of the Healthy People
2020 project regarding the older adult when:

Question 8 options:

Providing information regarding where free flu vaccinations
are being given to those over 65 years of age.

Facilitating a “Walking for your Health” program
for residents of a senior living apartment complex.

Arranging for a registered nutritionist to hold a
“Grandparents and their Grandchildren Cooking Together” class.

Encouraging their utilization of government sponsored health
and wellness programs that target the senior citizen.

Question 9 (5 points) Question 9 Unsaved

When acting as a fictive kin, in which activity will a paid
caregiver engage?

Question 9 options:

Being responsible for paying the client’s bills.

Organizing the client’s birthday celebration.

Accompanying the client to doctor’s appointments.

Assuring the client has clean, appropriate clothing

Question 10 (5 points) Question 10 Unsaved

An older adult is being treated for severe pain resulting
from a history of osteoarthritis. In her discharge teaching, which information
is most important to the successful management of the pain?

Question 10 options:

Check for incompatibilities before taking any new

Arrange to take a dose of analgesic prior to physical

To take the analgesic around the clock as prescribed.

Be alert for the signs of overdose toxicity.

Question 11 (5 points) Question 11 Unsaved

Which diagnostic laboratory test should the nurse anticipate
being ordered for the purpose of evaluating an individual’s acute, unexplained
weight loss? Select all that apply.

Question 11 options:

A complete blood count (CBC).


Fecal occult blood.

Serum potassium.

Serum electrolytes.

Question 12 (5 points)

When developing a teaching plan for an older, newly
diagnosed diabetic client, the nurse best ensures an understanding of oral
hypoglycemic medications when providing:

Question 12 options:

The package insert and assessing the client’s reading

The client with the website address for the American
Diabetes Association.

Oral explanations and sending the client home with a written

The information in paragraph form as opposed to numbered
line fashion.


Next Page

Question 13 (5 points) Question 13 Unsaved

While the older African-American is at the highest risk for
developing Alzheimer’s disease, the nurse demonstrates an understanding of this
disease process’s risk factors when assessing this population’s:

Question 13 options:

Weight and elimination patterns.

Heart rate and capillary refill status.

Blood pressure and glucose serum levels.

Muscle strength and reflex times.

Question 14 (5 points) Question 14 Unsaved

When best promoting a sense of well-being, the role of the
nurse caring for a terminally ill client is to:

Question 14 options:

Assume responsibility regarding medical decision making.

Encourage the client to identify his/her idea of a peaceful

Provide information regarding hospice care’s ability to
prolong life.

Help empower the client to achieve his/her potential for

Question 15 (5 points) Question 15 Unsaved

The nurse admitting a client to a same day surgery unit
makes the decision to notify the surgical team to cancel the procedure based on
the client’s statement that:

Question 15 options:

“Will I start taking my St John’s Wort as soon as I can
eat again?”

“I’ve haven’t taken my ginkgo for exactly 10

“I didn’t want to risk catching a cold so I took my
Echinacea with just a sip of water.”

“It seemed strange not taking my garlic pill this

Question 16 (5 points) Question 16 Unsaved

The nurse shows understanding of the need to promote healthy
skin in the older adult when encouraging the client to: Select all that apply.

Question 16 options:

Wear a wide-brimmed hat when outdoors.

Pad feet with socks when wearing shoes.

Clean the skin with a moisturizing soap.

Bathe in tepid water.

Always wear gloves in the winter.

Question 17 (5 points) Question 17 Unsaved

What is true about instruments to assess for depression in
older adults?

Question 17 options:

Older adults tend to score inaccurately low (indicating less
depression) than younger adults on the Zung Self-Rating Depression Scale.

The shortened Geriatric Depression Scale does not contain a
question to evaluate suicide potential.

The Beck Depression Inventory is designed for gerontological

The Geriatric Depression Scale is administered by a health
care provider in an interview with the older adult.

Question 18 (5 points) Question 18 Unsaved

The family member of a patient asks if vitamin C will
prevent aging. In formulating an appropriate response, the nurse considers the:

Question 18 options:

Free radical theory.

Immunity theory.

Clinker theory.

Continuity theory.

Question 19 (5 points) Question 19 Unsaved

Which housing arrangement would best address the family who
wants to provide housing for an older family member who has a large degree of
physical and cognitive independence and a desire to be closely involved with
the family?

Question 19 options:

Dedicating the spare bedroom in the home to the family

A house at a senior retirement community.

A “granny” apartment in a separate part of the

Private room at a residential care facility.

Question 20 (5 points) Question 20 Unsaved

An older resident of a long-term care facility diagnosed
with dementia has in the last 48 hours become more confused than usual and
while usually requiring help with toileting has been incontinent of urine. The
client’s healthcare provider orders a complete blood count and serum
electrolytes. When the lab tests are all within normal limits the nurse

Question 20 options:

Attributes the changes in the resident’s functioning to
advancing dementia.

Suggests that the resident be placed on broad-spectrum antibiotics
to prevent infections.

Speaks with the healthcare provider regarding the changes in
the client’s function and the possibility of obtaiing a urine culture.

Changes the plan of care to include bladder training and
implement a 24-hour calorie count.

Question 21 (5 points) Question 21 Unsaved

An 81-year-old patient is being discharged from the hospital
to home. She is on seven different medications, which are to be taken at four
different times during the day. What would be most useful in helping this
patient manage her medications? The nurse makes the greatest impact on the safe
management of an 81-year-old client’s medication administration when included
in discharge education is:

Question 21 options:

The package inserts from all of the medications for the
client to read.

A pillbox with compartments for each day and each of the

A written list of all the client’s medications and
administration routine.

A suggestion that the client’s daughter administer the

Question 22 (5 points) Question 22 Unsaved

A 78-year-old is admitted to the long-term care facility
after a hospitalization for pneumonia. The client has a history of a right
cerebrovascular accident and dysphagia. When preparing the room for this
patient, what equipment is most important in the care of this patient?

Question 22 options:

A room located within sight of the nursing station

An adjustable height bed that goes low to the floor

A suction machine

Oxygen at bedside

Question 23 (5 points) Question 23 Unsaved

The nurse is managing the care of an older client
experiencing the symptoms of heat fatigue. Which intervention will the nurse
implement to help resolve the condition? Select all that apply.

Question 23 options:

Helping the client assume a comfortable resting position.

Monitoring the client’s intake of electrolyte replacement

Withholding the client’s prescribed antidiuretic medication.

Documenting that the client’s skin remains pale, moist and

Keeping the environmental humidity low and temperature cool.

Question 24 (5 points) Question 24 Unsaved

Based on recent studies, which statement regarding touch and
touch zones is most accurate?

Question 24 options:

Persons age 66 to 100 are the most often touched.

Newly graduated nurses tend to touch clients less often than
do nursing students.

When performing peri-care the nurse is working within the
zone of intimacy.

The comfort of touch depends on place, situation, social
status, and age.

Question 25 (5 points) Question 25 Unsaved

Based on current demographic data, which statement
identifies a predictive trend regarding the health care needs of society?

Question 25 options:

There will be an increasing need for health programs for
older males.

More nursing services will be required to serve the needs of
the population 85 years of age and older.

Fewer nurses will be needed to care for the older,
especially in long-term care facilities.

North Dakota is likely to experience the greatest need for
gerontological nurses.

Question 26 (5 points) Question 26 Unsaved

Which intervention to manage wandering in clients in a
long-term care facility should be implemented? Select all that apply.

Question 26 options:

Camouflaging doorways.

Close observation to identify the person’s individual

Engaging the person in social interactions.

Using physical restraints to prevent wandering to maintain

Providing enclosed pathways for walking.

Question 27 (5 points) Question 27 Unsaved

When using the Fulmer SPICES assessment tool the nurse
expects to ask:

Question 27 options:

“Do you think that you sleep well?”

“Are you ever incontinent of urine?”

“When was the last time you fell?”

“Who helps you when you can’t do something by

Question 28 (5 points) Question 28 Unsaved

A woman is terminally ill. Although it has never been
discussed in the family nor stated outright by her physician, she suspects that
she will die because of her illness. Upon which concept will the nurse base
therapeutic intervention on?

Question 28 options:

Closed awareness.

Suspected awareness.

Mutual pretense.

Mutual pretense.

Question 29 (5 points) Question 29 Unsaved

When an older adult client is diagnosed with restless leg
syndrome (RLS), the nurse is confident that client education on the condition’s
contributing factors has been effective when the client states:

Question 29 options:

“A warm bath at night instead of in the morning is my
new routine.”

“Eating a banana at breakfast assures me the potassium
I need.”

“I’ve cut way back on my caffeinated coffee, teas and

“I elevate my legs on a pillow so as to improve

Question 30 (5 points) Question 30 Unsaved

State Death with Dignity Laws require that the terminally
ill client be:

Question 30 options:

Educated regarding treatment alternatives.

Over the age of 55.

Be supported in their decision by immediate family members.

Eligible for federal support services.

Question 31 (5 points) Question 31 Unsaved

Serious and well controlled research studies on aging have
been available:

Question 31 options:

Only in the past 50 years

Since the turn of the 20th century

Following the Great Depression

Since the year 2000

Question 32 (5 points) Question 32 Unsaved

Which activity would a couple in the reorientation phase of
their retirement engage in?

Question 32 options:

Establishing a new budget that will allow them to travel to
see the grandchildren.

Reading magazines devoted to making decisions about
retirement plans.

Looking for ways to ‘fill up the days.’

Volunteering at the local animal shelter.

Question 33 (5 points) Question 33 Unsaved

What factor is an important contribution to polypharmacy in
older adults?

Question 33 options:

Inadequate communication among medical care providers.

Implementation of Medicare Part D prescription drug benefit.

Use of generic medications.

Increasing popularity of dietary and herbal supplements.

Question 34 (5 points) Question 34 Unsaved

Which is the most likely reason that Type 2 diabetes
mellitus is often difficult to diagnose in older adults?

Question 34 options:

Presenting symptoms occur very quickly.

The disease rarely occurs in older adults.

The classic symptoms may not be present in older adults.

There are no recognizable symptoms; it is a “silent

Question 35 (5 points) Question 35 Unsaved

An older client in a long-term care facility is receiving an
annual physical and is ordered laboratory tests that include a complete blood
count, serum electrolytes, and thyroid tests. When the client’s son questions
why these tests are being ordered by saying, “Dad is 85 and supposed to be
sleepy,” the nurse’s response is based on an understanding that:

Question 35 options:

The healthcare provider ordering the tests needs to explain
the rationale to the son.

When conducted annually, all of the tests are helpful in
promoting maximum health for older adults in the long-term care setting.

The tests are useful, but only if clinically indicated.

The complete blood count and serum electrolytes are useful
screening tests, but the usefulness of the thyroid test should be questioned.

Question 36 (5 points) Question 36 Unsaved

Which reaction to the loss of a spouse or long-term partner
is a unique example of older adult male bereavement?

Question 36 options:

Withdrawing from friends and family.

Remarrying within months of the loss.

Focusing on ‘doing’ rather than ‘feeling.’

Experiencing moderate to severe depression.

Question 37 (5 points) Question 37 Unsaved

It is imperative that nursing take a leadership role in
providing effective health care across the lifespan and in various health care
settings. Which intervention will have the greatest impact on achieving
positive outcomes concerning that issue?

Question 37 options:

An acute care facility providing continuing education
credits for geriatric nursing in-services.

A baccalaureate degree nursing program including a geriatric
care course into the curriculum.

A professional nursing organization provides advanced
practice status as a geriatric specialist.

A long-term care facility’s nursing director is a certified
geriatric nurse practitioner.

Question 38 (5 points) Question 38 Unsaved

In order to focus on the older population with the greatest
risk for suicide the nurse would conduct a depression screening that targets:

Question 38 options:

African-American men.

White men.

White women.

African-American women.

Question 39 (5 points) Question 39 Unsaved

Which outcome regarding the effects of touch on the skin is
not supported by current research?

Question 39 options:

Brings about sensory stimulation.

Help relieves physical and psychosocial pain.

Known to reduce anxiety and tension.

Improves skin integrity.

Question 40 (5 points) Question 40 Unsaved

The nurse is caring for a client with a newly diagnosed
chronic illness. In answering the client’s questions, the nurse most accurately
responds when basing the response on the fact that:

Question 40 options:

The most prevalent form of disease in older adults at this
time is acute illness.

Although chronic illness lasts a long time, the condition
primarily affects the client.

Chronic illness is lifelong, and coping can be influenced by
perceived uncertainty.

The client’s acquisition of knowledge of the disease will
guarantee successful coping.

Question 41 (5 points) Question 41 Unsaved

What research finding is the basis for care planning of the
client receiving palliative care?

Question 41 options:

Palliative care is most useful when implement in the last 6
months of life.

Pain management is inadequately addressed among the
terminally ill population.

Palliative care is only offered to patients whose deaths are

Resuscitation in the case of a cardiac or respiratory arrest
is not implemented.

Question 42 (5 points) Question 42 Unsaved

When working with a bereaved individual, the goal of nursing
interventions is to:

Question 42 options:

Assist the individual to go through the stages of grief work
in the optimal order.

Assist the individual to attain a healthy adjustment to the
loss experience.

Encourage the individual to talk about his or her feelings
about the deceased individual.

Offer support and advice about how to successfully achieve
grief work.

Question 43 (5 points) Question 43 Unsaved

Which information will the nurse manager include when
discussing the major differentiation between delirium and dementia with novice
nurses: Select all that apply.

Question 43 options:

The delirious client learns to make up answers to hide their

Delirium requires increased monitoring at night.

The client diagnosed with dementia generally looks

Dementia results in a steady decline in cognitive abilities.

Delirium is characterized by fluctuations in alertness.

Question 44 (5 points) Question 44 Unsaved

The nurse is facilitating a support group for older adults
who have recently experienced losses in their lives. What is the basis for the
nurse’s understanding of how the individual participants will display stress?

Question 44 options:

An individual’s age has the most influence on the amount of
stress they will experience.

Stress tolerance is fairly consistent in both males and

Stress is a natural occurrence to loss and is always
manifested in physical signs.

There are individual differences in how in how individuals
define, perceive, and react to stress.

Question 45 (5 points) Question 45 Unsaved

The Beers list is an effective tool for healthcare
professionals prescribing and/or managing the medication therapy of older
adults since it identifies medications that for this population:

Question 45 options:

Are not typically covered by drug benefit plans.

Have a higher than usual risk for injury.

Are likely to be abused

Generally cause allergic reactions.

Question 46 (5 points) Question 46 Unsaved

An older client admitted to the hospital after having
sustained a fall at home is diagnosed with a right hip fracture and experienced
a surgical reduction of the fracture. At 2:30 AM, she awakens from sleep
insisting that her daughter is in the other room and wants to see her. Attempts
to reorient her to the surroundings are unsuccessful. In reviewing the client’s
record, what data would be considered a primary risk factor for the delirium?

Question 46 options:

History of dementia.

Death of the client’s husband last month.

The client’s age.

History of cardiac disease.

Page 46 of 52

Question 47 (5 points) Question 47 Unsaved

Your client is cared for at home by his son and
daughter-in-law, who are also responsible for the care of their four
preschool-aged children. What is true of this “sandwich” generation?

Question 47 options:

The conflicts that arise from caring for both older adults
and children can be very stressful.

The majority of middle-aged adults are faced with balancing
the care of parents and children.

The average age of adults caring for parents is in the late
30s and early 40s.

The majority of caregivers affected by this
“sandwich” generation are males.

Question 48 (5 points) Question 48 Unsaved

An African-American woman has taken on the responsibility of
raising her grandchild. Which intervention will best address a need commonly
identified in this specific population?

Question 48 options:

Providing her with a list of local afterschool children’s

Suggesting she enroll in a local community center’s senior
support group.

Scheduling her for a complete physical examination.

Encouraging her to walk 1 mile 3 days a week.

Question 49 (5 points) Question 49 Unsaved

The nurse interviewing an older adult for a nursing history
recognizes that the client is experiencing symptomology inconsistent with
normal aging of the urinary tract when the client reports: Select all that

Question 49 options:

Finding it more difficult in the last few months to start

Having two bladder infections in the last 4 years.

Getting up once or twice each night to urinate.

Occasionally experiencing pain when urinating.

Needing to urinate every at least every two hours during the

Question 50 (5 points) Question 50 Unsaved

The nurse sits at the bedside of a comatose, terminally ill
older client reading the wishes expressed in the numerous cards the client has
received. Which concept of grief work is the nurse addressing with this

Question 50 options:

Everyone needs social interaction.

The nurse needs to ‘attend to the patient.’

hearing is believed to be the last sense to be lost.

The individual is living until they are dead.

Question 51

A 97-year-old patient is admitted to the medical unit with a
productive cough and bilateral congestion and is reporting weakness. His vital
signs are 106/78, 82, 24, and a temperature of 97 degrees F. (oral). When told
that it is suspected that he has pneumonia, his granddaughter replies,
“Grandpa is running a fever so it can’t be an infection.” The nurse’s
response is based on the knowledge that:

Question 51 options:

The temperature needs to be taken tympanically.

In a 97-year-old, a temperature of 97 degrees F. is
considered febrile.

A lack of fever cannot be used to rule out an infection in
older adults.

Oral temperatures are always inaccurate in older adults.

Question 52

When assessing the intellectual abilities of an older adult,
the nurse demonstrates an understanding of a major barrier to reliable testing
of this population when:

Question 52 options:

Sharing with the client that the test can be scheduled at
“whatever time is good for you.”

Providing the client with frequent rest periods.

Stating, “Just take your time and try to relax; there
are no wrong answers to this test.”

Assuring that the area is well-lit and quiet.