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Exam Elaboration | Education
LEARNING SYSTEM RN: GERONTOLOGY 1, FINAL
SKU: | Pages: 18 | Year: 2024
Document Brief Description
A community health nurse is assessing an older adult patient who lives alone. The
nurse finds that, although the patient is able to answer all quest...
A community health nurse is assessing an older adult patient who lives alone. The
nurse finds that, although the patient is able to answer all questions appropriately, the
patient has a decreased attention span, express his feelings of overwhelming sadness,
and has a low energy level. The nurse should identify that the patient is exhibiting
manifestations of which of the following disorders? - depression
-manifestations: changes in sleep habits, appetite, relationships w/ other, inability to
perform ADL's, decreased ability to make decisions/concentrate, anhedonia (inability to
feel happy)
-manifestation of a delusions: false personal beliefs despite evidence to contrary
-manifestation of dementia: severe memory loss and inability to solve problems
-manifestations of delirium: sudden onset on confusion, disorientation, altered LOC,
inability to focus
A community health nurse is visiting home of an older adult patient and her caregiver.
The patient has excoriations to her wrists and ankles. Which of the following actions
should the nurse take first? - interview pt in private
-to gain info abut possible abuse b/c pt might be reluctant to talk w/ caregiver present
-provide info on local support groups for individuals who are no longer able to cope w/
burden of caring for older adult
-carefully document descriptions of pts wounds for legal purposes
-contact adult protective services, abuse is reportable to authorities
A home health nurse is visiting an older adult patients who has anemia. Which of the
following foods should the nurse recommend to increase the patient's iron intake? -
Dried fruit
-Greek yogurt increases intake of zinc and calcium
-bran muffins increases intake of fiber
-peanut butter sandwich increases intake of complementary protein
a nurse at a long-term care facility is planning care for an older adult patient who has
dementia. which of the following interventions should the nurse include in the plan? -
use photographs as memory triggers
-such as pic of toilet at entrance of BR. pic of pt as young adult at entrance to her room
-use consistent staff, changing staff increases confusion
-avoid many choices to decrease confusion and frustration, limit to 1-2 choices
- 18-pages detailed model answer (PDF + online view)
- Clinical reasoning & medication selection justified
- NP-level explanation with key teaching points
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Keywords
LEARNING SYSTEM RN: GERONTOLOGY 1, FINAL
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