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Gerontology Nursing Questions And Answers PDF
1. A gerontological nurse is conducting an in-service program for a group of nurses who work with a wide range of culturally diverse older adults. After teaching the group about the impact of culture on health and illness, the nurse determines that the teaching was successful when the group identifies which reason as underlying the need to understand culture?
- A. Ensure that clients receive the respect customary in their own ethnic group
- B. Provide individualized and culturally sensitive care
- C. Ensure that medical treatments align with cultural expectations
- D. Increase compliance among minority clients
Correct answer: B
Rationale: The correct answer is B because understanding the impact of culture on health and illness enables nurses to provide individualized and culturally sensitive care to older adults from diverse backgrounds. This approach ensures that the cultural, religious, and sexual orientation differences of older adults are acknowledged, respected, and factored into their care. Choice A is not as comprehensive as B, as the goal goes beyond just respecting customary practices. Choice C, while important, is more focused on medical treatments rather than holistic care. Choice D is not the primary reason for understanding culture; the main goal is to provide personalized care that respects individual differences.
2. Which of the following statements most accurately captures an aspect of contemporary family caregiving in the United States?
- A. Women typically spend more time caring for aging parents than they did for their own children.
- B. The most common pattern of care involves an older man providing in-home care for his wife.
- C. The majority of care is now provided by public and private agencies rather than family members.
- D. A residential or institutional environment is now the most common venue for caregiving.
Correct answer: A
Rationale: The correct answer is A. Today, on average, women spend more time providing care for their aging parents than they did for their own children. While some men provide care for their wives, it is not the most common pattern. Family members, rather than public or private agencies, still provide the majority of care in a non-institutional environment, making option C incorrect. Also, caregiving in a residential or institutional environment is not the most common venue, thus choice D is inaccurate.
3. Which of the following actions can a nurse safely take without risk of liability?
- A. Questioning a doctor's written orders for medication
- B. Permitting a volunteer to move a patient
- C. Using a blood pressure cuff that is sometimes sticking
- D. Asking a family member to deliver routine medication to a patient's room
Correct answer: A
Rationale: The correct answer is A: Questioning a doctor's written orders for medication. Under the doctrine of respondent superior, nurses can face liability risks for various actions. Permitting volunteers to move patients, using malfunctioning equipment, or tasking unqualified staff can pose liability risks. Questioning medication orders is a responsibility to ensure patient safety. It is crucial for nurses to clarify any doubts or raise concerns about medication orders to prevent potential harm to patients.
4. A nurse manager works in a setting where projections for the future include a more diverse ethnic mix of older adults. Which action will the nurse manager take?
- A. Recruit multilingual nurses.
- B. Request volunteers for the ethics committee.
- C. Develop nurses' cultural competence.
- D. Teach nurses about a variety of religious practices.
Correct answer: C
Rationale: Nurses working in a setting with a diverse ethnic mix will need to exhibit cultural competence. Thus, the nurse manager should work to develop cultural competence in nursing staff. Developing nurses' cultural competence involves understanding and respecting the beliefs, values, and practices of different cultural groups, which is essential for providing effective care. Recruiting multilingual nurses could be beneficial, but cultural competence goes beyond language skills to encompass a deeper understanding of cultural nuances. Teaching nurses about a variety of religious practices is important for a holistic approach to care, but focusing solely on religious practices may not fully address the diverse cultural needs of older adults. Ethical dilemmas may not be directly related to the projected increase in diversity, so requesting volunteers for the ethics committee does not directly address the need for cultural competence in caring for a more diverse ethnic mix of older adults.
5. Which of the following statements by family caregivers would the nurse consider most indicative of elder abuse?
- A. Mom can't handle her own money anymore, so I've had to take over her banking.
- B. When my dad starts wandering around the house, I give him sleeping pills until he calms down and falls asleep in his chair.
- C. My mother says she wants me to do everything for her, but I think it's better if she keeps on doing everything she's still capable of.
- D. I get so frustrated because my father used to be so competent, and now he can't even use a toilet.
Correct answer: B
Rationale: The correct answer is B. The statement 'When my dad starts wandering around the house, I give him sleeping pills until he calms down and falls asleep in his chair' is most indicative of elder abuse as it involves the inappropriate use of chemical restraints. This practice can harm the elderly and is considered a form of abuse. Choices A, C, and D do not demonstrate elder abuse. Choice A may be a responsible action depending on the circumstances, choice C reflects a positive philosophy of care, and choice D expresses frustration but does not constitute abuse.
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