ATI LPN
Gerontology Nursing Questions And Answers PDF
1. 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.
2. A client with schizophrenia is prescribed haloperidol (Haldol). The nurse should monitor the client for which potential side effect?
- A. Tardive dyskinesia.
- B. Orthostatic hypotension.
- C. Photosensitivity.
- D. Hyperglycemia.
Correct answer: A
Rationale: The correct answer is A: Tardive dyskinesia. Haloperidol (Haldol) is an antipsychotic medication that can lead to tardive dyskinesia, a side effect characterized by involuntary, repetitive movements of the face and body. Monitoring for this side effect is crucial to provide timely interventions and prevent further complications.
3. When admitting a client at risk for falls in a long-term care facility, what should the nurse do first?
- A. Complete a fall-risk assessment
- B. Place a fall-risk identification bracelet on the client
- C. Provide the client with nonskid footwear
- D. Set the bed to the lowest position
Correct answer: A
Rationale: The initial step in caring for a client at risk for falls is to conduct a fall-risk assessment. This assessment helps the nurse gather crucial data to identify specific risks and individualized needs, guiding subsequent interventions and preventive measures. By completing a thorough assessment, the nurse can develop a targeted plan of care to mitigate fall risk and ensure the client's safety. Placing a fall-risk identification bracelet, providing nonskid footwear, or setting the bed to the lowest position may be important interventions, but these actions should be based on the findings of the fall-risk assessment, making choice A the priority.
4. What is the role of the nurse in the care of a patient with a pressure ulcer?
- A. Clean the wound and apply a protective dressing
- B. Assess the wound and reposition the patient frequently
- C. Apply pressure to the ulcer and monitor for signs of healing
- D. Provide pain relief and administer antibiotics as needed
Correct answer: B
Rationale: The correct answer is B: Assess the wound and reposition the patient frequently. When caring for a patient with a pressure ulcer, it is crucial for the nurse to assess the wound regularly to monitor its progress and prevent complications. Additionally, repositioning the patient frequently helps to relieve pressure on the affected area, prevent further damage, and promote healing. Choice A is incorrect because while cleaning the wound is important, applying a protective dressing is not the primary role of the nurse in managing a pressure ulcer. Choice C is incorrect as applying pressure to the ulcer is harmful, and monitoring for signs of healing should not involve applying pressure. Choice D is incorrect as providing pain relief and administering antibiotics may be necessary but are not the primary interventions for managing a pressure ulcer.
5. Which age group is particularly vulnerable to malnutrition?
- A. Infants
- B. Teenagers
- C. Young adults
- D. Middle-aged adults
Correct answer: A
Rationale: Infants are particularly vulnerable to malnutrition due to their high growth rate and specific nutrient requirements. During the first year of life, infants experience rapid growth and development, requiring essential nutrients for proper physical and cognitive development. Teenagers, young adults, and middle-aged adults have more stable nutritional needs compared to infants, making them less vulnerable to malnutrition. Therefore, infants are the most susceptible age group when it comes to malnutrition.
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