Tiêu đề WORKBOOK - GERIA (KEY) ✅

speaks louder than normal. She does not prefer to socialize with other residents and no longer bothers to answer telephone calls because of deterioration of her hearing. 14. The nurse aide assigned to Marlene complains that she is becoming very loud and becomes aggressive at times. You explain that this is a: A. Beginning indifference to the world around her B. Overcompensation for hearing loss C. Behavior indicative of unresolved repressed conflict of the past D. Attempt to maintain authoritative role 15. You will edit your plan of care accordingly by setting a goal which is to: A. Increase her self esteem to maintain her authoritative role B. Adjust to the loss of sensory and perceptual function C. Accept the steady loss of hearing that occurs with aging D. Participate in conversation and other social situations 16. A hearing aid was soon fitted for Marlene. She understood the proper use and wearing of this device when she says that the battery should be functional, the device is turned on and adjusted to a A. Audible level B. Therapeutic level. C. Comfortable level. D. Prescribed level. 17. Upon assessment of Marlene’s situation, the physician is considering presbycusis. Which of the following manifestations would support this diagnosis? A. The elderly usually rub her ear and has frequent headaches B. She usually talks loudly because she cannot hear her own voice C. The presence of impacted ear wax upon otoscopic exam D. She usually presents with yellowish-greenish secretion draining from the ears SITUATION: Eustacio, aged 66, was diagnosed with Alzheimer’s Disease. He has a history of sundowning. 18. Eustacio asks you, “What time is it?” The best response of the nurse to make is I. “I don’t know too. Where are we?” II. “Don’t worry Eustacio, You are safe. No one will harm you while I am here.” III. “You are Eustacio. Welcome to your new home” IV. “You are placed in this institution because you are a bad boy.” A. 1, 3 and 4 B. 3 only C. 3 and 4 D. None of the above 19. Which of the following would be an appropriate strategy in reorienting a confused client, Eustacio, to where his room is? A. Remind Mr. Andrade where his room is B. Let the other nurses know where Mr. Andrade’s room is C. Place pictures of his family on the bedside stand D. Put Mr. Andrade’s name in large letters on his forehead 20. Eustacio has had difficulty sleeping since admission. Which of the following would be the best intervention? A. Provide him with a glass of warm milk before sleeping B. Ask the physician for a mild sedative and restraints C. Encourage himto take naps during the day D. Offer a bucket of red horse beer to induce sleep 21. Hypoxia may occur in the older patients because of which of the following physiologic changes associated with aging? A. Ineffective airway clearance B. Decreased alveolar surface area C. Decreased anterior-posterior chest diameter D. Hyperventilation 22. The older patient is at higher risk for incontinence because of: A. Dilated urethra B. Increased glomerular filtration rate C. Diuretic use D. Decreased bladder capacity 23. Poling, due to her arthritis, spends most of her day lying on her beD. When she tries to rise up from the bed, she complains of dizziness when he stands up. This may indicate: A. Dementia B. A visual problem C. Functional decline D. Drug toxicity 24. Rene, aged 77, wants to have a cardiac assessment since he has a strong family history of myocardial infarction. To look for cardiac ischemia, which of the following is a most likely sign? A. ST-T wave changes B. Very high creatinine kinase level C. Chest pain radiating to the left arm D. Acute confusion 25. In screening geriatric clients for infection, which of the following signs should you look for? A. Change in mental status B. Fever C. Pain D. Decreased breath sounds with crackles 26. Nestor, 72-year-old, is admitted in a community hospital for diagnostic workup. He was found to be loitering in the hall at 1 am. He complaint of difficult of sleeping. To improve client’s sleeping pattern, the nurse should put the LAST priority to which of the following nursing measures? A. Lessen need to awaken client for medication B. Use of sedatives and anxiolytics C. Increase physical activity in late PM and early evening D. Limit napping during the day 27. Experts in the field of pain management have conducted that if pain perception is diminished in the elderly person, it is most likely secondary to a: A. Disease process B. Developmental process C. Chronic intake of medications D. Mental process 28. Yuriko is a 65 year old who frequently wears sweaters and jackets despite hot weather. , The ability to feel differences in temperature is decreased in the elderly because of: A. Inefficient heat regulating mechanism B. Deficient diaphoresis mechanism C. Decrease ability of discrimination D. Illness effect 29. Retchie complains to you that she can no longer read a text message in her phone without drawing it near her eyes. This is a manifestation of: A. Nystagmus B. Strabismus C. Presbyopia D. Diplopia 30. Paulina’s daughter complained to you that she feels like her mother disregards what she says. But in your assessment, you found out that he has a decreased ability to hear high pitched sounds. You know that thus is termed as: A. Tinnitus B. Presbycusis C. Otosclerosis D. None of the above 31. You proceeded to assess Paulina’s skin. You noticed that the skin appears to be dry, wrinkled and has a poor skin turgor; this will prompt you to be aware that the patient already has? TOP RANK REVIEW ACADEMY, INC. Page 2 | 4