GERIATRIC NURSING MSU-IIT College of Nursing

Name: _____________________ Block: ______________________Score: ______________________Date: March 19, 2015

1. The geriatric assessment differs from a standard medical evaluation in three general ways. One of which is: a) it focuses on elderly individuals with single pronounced problemb) it emphasizes functional status and quality of lifec) it frequently takes advantage of a single specialistd) It focuses on the history of present illness of the pt

A nurse works in a long-term care facility caring for older client. The nurse understands that when an older client complains of pain:a) It is better to treat symptoms of pain immediately rather than identifying the cause.b) It is assumed that pain is a natural and expected outcome of agingc) Non-pharmacological relief measures such as massages and warm soaks are not effective.d) It indicates that something is wrong.

2. The Five I's of Geriatric assessment includes the following EXCEPT:a) Intellectual impairmentb) Immobilityc) Intolerance to heatd) Iatrogenic disorders

3. One of the areas of a geriatric care provider may choose to assess: a) Past illnesses and their financial impactb) Current medications, their indications and effectsc) Relevant past educational attainmentd) Recent and impending political change

4. One of the areas of a geriatric care provider may choose to assess: a) Rehabilitative status and prognosis if retiredb) Current verbal language and physical exercisesc) Nutritional status and needsd) Financial risk factors, civil status, and business promotion activities.

5. In any medical history especially geriatric history taking, the historian should note the identity of the source of information and the assessment of their reliability and objectivity.a) Trueb) False

6. Elderly patients may present with non-specific, apparently unrelated and seemingly trivial complaints. Maybe because older patients interpret their pain or dysfunction as "normal signs of aging.a) Trueb) False

7. Communication barriers in history taking may be due to the following EXCEPT:a) cultural incompatibilitiesb) memory lossc) manic attacksd) hearing impairment

8. Elderly are more vulnerable to inadequate nutrition because of the following EXCEPT:a) limited dentition or ill-fitting denturesb) diminished appetitec) prevalent familial conditionsd) lack of financial resources

9 . At a minimum, a nutritional assessment involves the evaluation of :a. current weight in comparison to ideal body weightb. recent changes in vital signsc. current medical providerd. hyperalimentation

10. The following are four components specific to the geriatric nutritional assessment EXCEPT:a) A nutritional history performed with some version of a nutritional health checklistb) A detailed dietary assessment using a 72-hour recall, "usual intake" c) A physical exam with particular reference to signs associated with over-consumption and inadequate nutritiond) Selected laboratory tests if applicable

11. Diet of particular concern (needed) among the elderly population include?a) insurmountable carbohydrate and fat intakeb) five or more servings of fruits and vegetablesc) three servings of peanuts and root cropsd) insurmountable quantity of food

12. These may be indicators of nutritional status.a) general appearanceb) anthropologyc) genitourinary cavityd) upper extremity length

13. Serum albumin is used to help determine what status? a) protein and immune statusb) cardiovascular and respiratory statusc) renal and fluids statusd) endocrine status

14. Serum cholesterol and homocysteine are used to help determine what?a) risk for CVDb) risk for Parkinsonsc) risk for Alzheimersd) risk for dementia

15. Exercise operate in both the short and long-term and decreases what?a. Glucose toleranceb. Strengthc. Blood pressure and weightd. Agility and flexibility

16. Exercise operate in both the short and long-term and improves what?a. Cardiovascular and cerebrovascular riskb. Osteoarthritic joint pain and stiffnessc. Cardiopulmonary fitnessd. Osteoporosis

17. Elderly people sleep fewer hours.a) Trueb) False

18. The nurse is performing an assessment on an older client who is having difficulty sleeping at night. Which statement, if made by the client indicates that teaching about improving sleep is necessary?a) I swim three times a week.b) I have stopped smoking cigars.c) I drink hot chocolate before bedtime.d) I read for 40 minutes before bedtime.

19. What is one of the common reason for most falls?a) Increased memoryb) Maniac) Visual impairmentd) Improved functional capacity

20. Risk for injury assessment should include the following EXCEPT.a) ambient lighting b) wheelchair accessibilityc) distance and location between bathroom, kitchen and bedroomd) Ability to ride a motor vehicle

21. ROS information is likewise obtained as part of a typical geriatric assessment.a) Trueb) False

22. ROS - The most common cause of loss of peripheral vision.a) Common with ageb) Macular degenerationc) Glaucomad) Cataracts

23. ROS - The most common cause of pain associated with vision.a) Common with ageb) Macular degenerationc) Glaucomad) Cataracts

24. The most common cause of hearing loss of high-frequency range.a) cerumenb) drug-induced ototoxicityc) Paget's diseased) common with age

25. The nurse is providing instructions to a nursing assistant regarding care of an older client with hearing loss. The nurse tells the client with a hearing loss:a) Are often distractedb) Have middle ear changesc) Respond to low-pitched tonesd) Develop moist cerumen production

26. Difficulty eating or sleeping, over-fatigue, shortness of breath, orthopnea can manifest as what disease?a) congestive heart failureb) hypothyroidismc) dehydrationd) hypokalemia

27. A nurse is caring for an older client. When evaluating the clients renal function, the nurse recalls that which of the following changes takes place as part of the normal aging process?a) Medications are metabolized in larger amounts.b) Urine-concentrating ability increases.c) Tubular reabsorption increases.d) The glomerular filtration rate (GFR) diminishes

28. Transient loss of power sensation or speech is associated with what pathology?a) Transient ischemic attackb) Parkinsons diseasec) Alzheimers diseased) Dementia

29. The nurse is assessing an older client. The nurse recognizes which of the following as an abnormal assessment finding in this client?a) Gingival retractionb) Decreased ability to tastec) Diminished sense of smelld) Evidence of abdominal ascites

30. What is the most important consideration when a geriatric patient develops a chronic condition?a) Decline in financesb) Decline in social activitiesc) Decline in functional capabilityd) Decline in cognition

31. An acute disorder of attention and global cognitive function which may result to increased mortality.a) Parkinsonsb) Deliriumc) Stroked) Traumatic Brain Injury

32. In hospitalized patients, these have been found out to be risk factors for the development of Delirium EXCEPT.a) psychoactive medicationsb) severe illness such as CRFc) financial impairmentd) dehydration

33. These are the clinical aspects of Delirium EXCEPT.a) presents with an acute change in mental status b) increased ability to focusc) hypoalertness and hyperalertnessd) fluctuations in behavior and level of cognition throughout the day

34. This is of importance in the prevention and management of Delirium.a) Increased anti-manic drugsb) Increased fluid intakec) Increased socializationd) Increased monitoring

35. This is the drug of choice for patients with bothersome symptoms of Delirium.a) Haloperidolb) Morphine SO4c) Tramadold) Atenolol

36. For patients with severe anxiety and sleep disturbance, the nurse might expect the physician to order this.a) Cetirizineb) Dipenhydraminec) Simvastatind) Lorazepam

37. This is defined involuntary loss of urine of sufficient severity to be a social or health problem.a) Urinary incontinenceb) Urethral incontinencec) Urinary stasisd) Urinary Tract Infection

38. Incontinence can be managed through the following measures EXCEPT.a) Exerciseb) Assistive devicesc) Withholding medicationsd) Toileting schedule

39. These are factors that contribute to fecal incontinence EXCEPT:a) Increased muscle integrityb) decreased rectal sensation or compliancec) declining mental functiond) loss of physical mobility

40. These are causes of constipation EXCEPT;a) diet high in fiber and high fluidsb) dehydrationc) immobilityd) medications such as Morphine

41. These are common approaches to the prevention of fecal incontinence and constipation EXCEPT:a) changes in dietb) increased physical activityc) judicious use of laxatives and enemasd) psychologic rehabilitation of patients with anatomic abnormalities

42. These are intrinsic risk factors identifying patients at risk for falla) good extremity strengthb) good grip strengthc) gait and balance deficitsd) good performance of daily activities

43. These are additional intrinsic risk factors identifying patients at risk for fall EXCEPT:a) visual impairmentb) cognitive impairmentc) depressiond) strengthened extremity hand grip

44. These are likewise identified extrinsic risk factors identifying patients at risk for fall EXCEPT.a) use of four or more prescription drugsb) environmental impedimentsc) proper and conducive lightingd) absence of bathroom-safety equipment

45. These are likewise identified extrinsic risk factors identifying patients at risk for fall EXCEPT.a) use of four or more prescription drugsb) environmental impedimentsc) proper and conducive lightingd) absence of bathroom-safety equipment

46. The most useful diagnostic evaluation to identify patients at risk for fall.a) Observation of the patient's balance and gaitb) Observation of patients medication historyc) Observation of patients living facilityd) Observation of patients care provider

47. Pressure ulcers are common in immobilized patients and increase in incidence with aging.a) Trueb) False

48. Stage of pressure ulcer with nonblanchable (persistent) erythema of intact skin.a) Stage I b) Stage IIc) Stage IIId) Stage IV

49. Stage of pressure ulcer with partial-thickness skin loss involving the epidermis, the dermis, or both.a) Stage I b) Stage IIc) Stage IIId) Stage IV

50. Stage of pressure ulcer with extension into subcutaneous tissues to the deep fascia with or without undermining.a) Stage I b) Stage IIc) Stage IIId) Stage IV

51. Stage of pressure ulcer extension into muscle, bone, or both. a) Stage I b) Stage IIc) Stage IIId) Stage IV

52. These are included in the management of pressure ulcers EXCEPT:a) use of daily skin assessmentb) use of a pressure-reducing devicec) documentation of being at riskd) psychological consultation for patients with intrinsic and extrinsic risk factors

53. Wound care for pressure ulcers includes Povidone-Iodine or Betadine.a) Trueb) False

54. The visiting nurse observed that the older male client is confined by his daughter-in-law to his mom. When the nurse suggests that he walks to the den and join the family, he says, Im in everyones way; my daughter-in-law needs me to stay here. The most important action for the nurse to take is to:a) Say nothing because it is best for the nurse to remain neutral and wait to be asked for help.b) Suggest to the client and daughter-in-law that they consider a nursing home for the client.c) Say to the daughter-in-law, Confining your father-in-law to his room is inhuman.d) Suggest appropriate resources to the client and daughter-in-law, such as respite care and a senior citizens center.

55. During a home care visit, an older client complains of chronic constipation. The nurse tells the client to:A. Include rice and bananas in the diet.B. Increase the intake of sugar-free products.C. Increase fluid intake to at least eight glasses a day and increase dietary fiber.D. Increase potassium in the diet.

56. Aging is recognized by gerontologists as a developmental process that:a) is measured in chronological years.b) is directly related to heredity.c) relates to behavioral characteristics.d) begins at the time of birth.

57. Prerequisites for the nurse working with the geriatric patient include an understanding that:a) there is a need for specialized knowledge.b) the geriatric patient will be physically impaired.c) most geriatric patients will develop dementia.d) the geriatric patient will need to be closely supervised.

58. A 78-year-old resident of a long-term care facility insists on wearing high heels and miniskirts to the dining room for meals and will not leave her room without first applying glamorous makeup. The gerontological nurse assesses that the behavior is related to:a) insecurity about her appearance.b) trying to cope with the changes of aging.c) denial concerning her advancing age.d) her fashion consciousness.

59. The nurse explains that the effects of aging on the nervous system result in:a) an accelerated loss of neurons in the brain.b) gradually declining loss of intellectual capability.c) decreased conduction speed of neurons.d) a loss of long-term memory

60. According to Butler, a well-known gerontologist, ageism:a) dehumanizes the older individual.b) is based on the biological theory of aging.c) is based on natural and purposeful occurrences.d) continues to change as the population age.

61. The nurse includes in her approach to nursing care that older adult patients with mild cognitive impairment (MCI) are more likely to develop:a) dementia, non-Alzheimers type.b) Alzheimers dementia.c) Parkinsons disease.d) psychotic disorders.

62. In planning activities to improve short-term memory for an older adult patient experiencing memory deficits, the nurse would include:a) maintaining the same daily schedule.b) rehearsal memory training.c) a varied, stimulating daily schedule.d) deep-breathing exercises.

63. The nurse uses an example of normal memory change or lapse of memory, such as:a) relying on another person to remember names or important events.b) occasional forgetfulness or inability to recall names or facts.c) difficulty in recalling recent events.d) difficulty in recalling past events.

64. It is a generally accepted fact that for most older adults:a) intellectual capabilities are impaired.b) functional brain activities decrease.c) functional intellectual capability is maintained.d) creativity and judgment are severely impaired.

65. A 92-year-old client with emphysema is experiencing chest pain. The nurse determines with a pulse oximetry that the oxygen saturation is 83%. The nurse understands that it is essential that oxygen be administered by nasal cannula at which of the following rates?1) 8 liters per minute2) 2 liters per minute3) 5 liters per minute4) 12 liters per minute

66. An 86-year-old client has sustained a fractured femur and has had surgery to repair the fracture. The client is rubbing the surgical site and moaning. Which of the following is the priority nursing intervention?1. Administer the prescribed pain medication2. Assess the clients pain level3. Determine when the client last had pain medication4. Inspect the surgical site

66. Which of the following is the appropriate assessment for respiratory depression in the older adult after the administration of an opioid for analgesia? Respiratory depression is: 1. more likely after several doses of the same drug2. most likely after the first dose3. unlikely because the opioid is not prescribed for the older adult in large doses4. unlikely if the drug is given orally

67. A 73-year-old client has just undergone a colostomy for cancer of the colon. The client tells the nurse the pain is 8 on a scale of 0 to 10. Which of the following is the expected outcome of the nursing care for the client?1) The client does not ask for pain medication2) The client self-medicates with an over-the-counter medication3) The client verbalizes satisfaction with the level of pain and pain control4) The client states the pain is 4 on a scale of 0 to 10

68. The nurse assesses which of the following physiological manifestations as indicting that the client is experiencing acute pain?Select all that apply[ ]1) Verbalization of pain[ ]2) Crying [ ]3) Hypertension[ ]4) Flushing[ ]5) Tachycardia[ ]6) Moist skin

69. The nurse has determined that a confused older adult client who keeps pulling out the intravenous line and indwelling catheter is in need of soft wrist restraints. Which of the following should the nurse include in this clients plan of care?1. Obtain a p.r.n. restraint order2. Assess the placement of the wrist restraints, skin, and circulation every hour and document3. Place the client in a supine position after applying the restraints and secure the wrist restraints to the side rails when the client is in bed4. Remove the restraints once every four hours to perform activities of daily living.

70. A family expresses concern to the nurse when their 96-year-old mother with dementia living in a long-term care facility seems more confused and does not remember the activities of daily living. Which of the following is the most appropriate response?1) Dont worry, your mother is safe in the long-term care facility.2) You need to remind your mother how to perform her basic needs.3) Your mother will get worse as time goes on and the dementia progresses.4) This must be frustrating for you.

71. A 77-year-old client expresses concern to a nurse in a walk-in psychiatric clinic of going crazy or having Alzheimers disease because of feelings of being overwhelmed and sad all the time, and misplacing things. Which of the following is the priority for the nurse to include in this clients plan of care?1) Assist the client to develop areas of strength in coping2) Make a psychosocial assessment3) Explore the available support for the client4) Assure the client and dispel the idea of going crazy

72. Upon admission to a long-term care facility, an 83-year-old client is withdrawn, sitting quietly in a chair with the back to the door of the room. When the nurse speaks to the client, the client says go away and leave me alone. Spend your time on someone who can use it. I just dont want to live if I have to stay here. Which of the following is the priority nursing action?1. Create a welcome and cheerful atmosphere2. Encourage the client to discuss the feelings of hopelessness3. Allow the client to have periods of solitude as asked for4. Assess for depression and suicide potential

73. An 86-year-old client suddenly becomes confused about time, place and person. After evaluating the oxygen saturation to be 98%, which of the following should the nurse assess first?1. What medication the client is taking2. Vital signs3. Possibility of a recent fall4. The clients pain level

74. The nurse assesses a 67-year-old client suspected of having a cataract for which of the following clinical manifestations?Select all that apply[ ]1) Halos around lights[ ]2) Decrease in vision [ ]3) Eye pain[ ]4) Abnormal color perception[ ]5) Glare[ ]6) Headache

75. The nurse assesses a 92-year-old client who has experienced a recent cerebral vascular accident (CVA) with cranial nerve VII dysfunction to be exhibiting which of the following manifestations?1. Loss of sense of smell2. Ptosis3. Difficulty of swallowing4. Asymmetry of facial features

76. The nurse should include which of the following foods that has the most potassium per serving when instructing a 72-year-old client about foods that are high in potassium?1) Milk2) Oranges3) Colas4) Chicken

77. A 56-year-old client diagnosed with Stage I (early-onset) Alzheimers disease lives at home with family. A daughter asks the nurse, How long will Dad be like this before his memory returns? The best initial response the nurse can make is1) He may never get better2) This is just the beginning of a predicted decline.3) Tell me what you know about Alzheimers disease.4) Is he taking his medicine for Alzheimers disease?

78. An older adult is picking at clothing and muttering, Butterflies are all over me. The nurse does not see any butterflies. Which of the following is the priority for the nurse to perform?1. Identify any risk for injury related to altered thought process2. Call for help3. Provide a non-stimulating environment4. Inform the client there are no butterflies in the room

79. An Older adults cognitive function has declined over the last two years. The family is concerned by the loss of short-term memory and the safety issues posed by the forgetfulness. A complete medical workup including a CT scan of the head has shown no medical cause for the cognitive changes. The nurse explains to the client and family that the medical diagnosis of Alzheimers disease is based on?1) The information that no other cause can be found for the changes2) A blood test for C-reactive protein that was positive3) A loss of function seen on the Mini-Mental State Examination4) The results of an x-ray of the skull showing a decrease in the size of the brain

80. When assessing an older adult, the nurse should be alert to the clinical manifestations of depression that may be masked by other chronic conditions. The cardinal and primary behavior exhibited in the depressed older adult is1) A loss of interest in previously pleasurable activities2) Inactivity3) Drinking alcohol4) Crying

81. Donezepil hydrochloride (Aricept) has been prescribed for a client with Alzheimers disease. Which of the following adverse reactions should the nurse include in the medication instruction given to the family?Select all that apply[ ]1) Headache[ ]2) Tachycardia[ ]3) Insomnia[ ]4) Hypotension[ ]5) Constipation[ ]6) Anorexia

82. Which of the following is a priority for the nurse to assess when evaluating the hydration of an 87-year-old client?1. Height and weight2. Previous 24-hour intake3. Skin turgor on the back of the hand4. Blood pressure

83. During physical assessment of an older adult, the nurse should report which of the following cardiovascular changes that has occurred as a result of dehydration?1. Widened pulse pressure2. Tachycardia3. Hypertension4. Decreased respiratory rate

84. The nurse evaluates which of the following nursing assessment findings to be consistent with over-hydration in a 72-year-old client admitted with congestive heart failure?1. Periorbital edema2. Edema of the hands3. Projectile vomiting4. Moist rales

85. An 80-year-old client who is confined to bed because of generalized weakness, confusion, and disorientation is admitted to the hospital with dehydration. The family asks the nurse why the client is being turned every two hours. The nurse responds that turning the client every two hours is necessary to prevent decubitus ulcers as a result of ___________________.

86. A 93-year-old client has been functioning independently in the home but has suddenly become confused. A family member asks the nurse, Does this mean Dad has Alzheimers disease? Which of the following is the most appropriate response?1) It is very likely that your father has Alzheimers disease.2) Why do you think your father has dementia?3) Confusion can be a sign of an infection in the older adult.4) Your father will have to be monitored over time.

87. Before preparing to use the Mini-Mental State Examination for cognitive function in an older adult, the nurse should consider which of the following limitations of the exam?1. The test takes one hour to administer2. The client must be able to see and write3. The exam must take place in a dimly lit room4. The exam is valid only with English-speaking clients

88. The nurse should consider which of the following medical etiologies in an older adult who has been healthy until recently but has developed dementia?1) Sexually transmitted diseases2) Electrolyte imbalances3) Arthritis4) Liver disease

89. Which of the following four older adult clients that the nurse is caring for does the nurse evaluate as most at-risk for self-directed violence?1) A 76-year-old single man who lives in a retirement center and engages in community activities2) A widowed man who is 88 years old, lives alone, and has multiple chronic illnesses3) An 83-year-old woman who has type 2 diabetes mellitus and lives with her daughter4) A recently widowed woman with multiple chronic illnesses who lives near family

90. An older adult client with chronic depression tells the nurse, Dont worry about me. I can manage the pain of my arthritis. The way I mix up my medications helps. The best initial response of the nurse is?1) Dont mix your medications by yourself. Take them only as prescribed.2) That is dangerous. I will have to take your narcotics from you.3) That is dangerous. I will have to call your daughter and have her give you your medications.4) Tell me what you take and how you mix them.

91. The nurse is caring for an older adult with situational depression following the death of a spouse. What is the most important outcome for a nurse to plan for?1) The client will discuss the spouse and the meaning of the loss2) The client will not cry3) The client will speak of the spouse only positively4) The client will avoid talking about the spouse and engage in social activities.

92. A member of an older clients family asks the nurse why medications are ordered a half of the usual dose. Which of the following is the most appropriate response?1) Medications for the older adult are prescribed at a pediatric dose.2) The metabolism of an older adult is much like that of a child of the same weight.3) Medications for the older adult may be at lower doses initially until responses are evaluated.4) Older adults generally take a lower dose of a medication because of the cost.

93. When the nurse is taking a nursing history on a client, the client mentions, I slipped on a wet spot on the way to the bathroom. Which of the following is a priority for the nurse to ask?1) Have you started on any new medications?2) Do you drink caffeinated beverages?3) Have you experienced any incontinent episodes?4) Have you been feeling excessively weak recently?

94. Which of the following should the nurse include in the medication instructions for an older adult who has back pain and a mild opioid with codeine has been prescribed?1) Assess the respirations three times a day2) Increase daily fiber and fluids3) Limit the administration of the medications to severe pain4) Avoid taking the medication more than two times a day

95. A hospice nurse caring for a terminally ill client should titrate the dose of morphine sulfate given to an older adult based on which of the following assessments?1) Blood pressure2) Level of consciousness3) Level of pain4) Request of the family

96. An older adult asks a nurse why a daily bath is necessary. The nurse should respond that daily bathing:1) Stimulates circulation, provides relaxation and mobilizes joints2) Adds hydration and prevents dry skin3) Including combing and brushing of hair helps to remove excess oil from the scalp4) An article on the importance of hygiene

97. Which of the following is the priority nursing intervention for the nurse to include in the plan of care for a client with behavior problems related to dementia?1) Inform the client why the nursing interventions are necessary2) Instruct the caregivers on the process of dementia and care to be given3) Be consistent by repeating the same intervention as the clients dementia progresses4) Assist the client to perform difficult tasks

98. A nurse observes a family member continually reminding a client in late Stage II Alzheimers disease of the date and place. The client is adamant that it is 1922 and in the North Pole. The nurse informs the family member that continually reminding the client of the date and place will result in1) A return of memory2) Increased retention of information3) A catastrophic reaction 4) An interest in having a calendar

99. An 80-year-old client is admitted to the intensive care unit because of hemorrhaging after a stent is placed on her left femoral artery to improve circulation to the leg. The client is confused, not following instructions, and pulling at the intravenous tubing and indwelling catheter. The clients adult son tells the nurse, My mom was never like this before. What have you done to her? The best initial response the nurse can make is1) Weve done nothing to her. She must have dementia.2) Older adults will become confused after a bleed to the brain from decreased oxygenation.3) Your mother is acting like she is in alcohol withdrawal. Does she drink?4) You will need to talk to your mothers physician to get information about her condition.

100. An older client in a nursing facility suddenly becomes confused, paranoid, and verbally abusive to the staff. Which of the following is the priority nursing action?1) Ask the family members if they had a recent disagreement with the client2) Assess the vital signs and obtain a urine specimen3) Reorient the client to person, place, and time4) Ask whether the client is hearing voices.

Bonus Question: The nurse assesses which of the following behaviors in a client in early Stage I Alzheimers disease?Select all that apply[ ]1) Masks forgetful behavior[ ]2) Has a slow reaction time[ ]3) Repetitive storytelling[ ]4) Inability to follow simple directions[ ]5) Becomes angry when challenged[ ]6) Change in eating patterns

Bonus Question: Which of the following should the nurse include in the instructions given to an older adult about self-care and hygiene to achieve a positive outcome?1) A detailed description of the procedures2) A written description of the outcomes3) A description of the care centers routines4) An article on the importance of hygiene

Bonus Question: The nurse evaluates which factor as a priority that will adversely affect mobility and self-care in the older adult?1) Weakness2) Level of consciousness3) Disease4) Family assistance

Bonus Question: Older clients have individual preferences in carrying out activities of daily living (ADLs). The nurse should include which intervention as a priority for encouraging independence in ADLs?1) Allow the client to decide when to have a bath2) Ask the client what ADLs are acceptable to perform3) Provide total care for a client who is handicapped4) Assess the clients abilities and preferences

Bonus Question: The nurse finds an 88-year-old client lying on the floor unresponsive. The priority nursing action for the nurse to take is?1) Start CPR2) Notify the physician3) Place the client back in bed4) Assess the respirations and pulse

Bonus Question: An older adult client with dementia becomes increasingly confused and wanders away from a long-term facility. The appropriate nursing action is to?1) Call reinforcement officials2) Restrain the client3) Follow the client and redirect from a safe distance4) Offer the client a ride back to the facility

Bonus Question: Which of the following should the nurse include in the education provided to a new graduate nurse to protect the nurse from injury when a client with dementia or delirium becomes aggressive?1) Gently place a hand on the clients shoulder to promote trust2) Lead the client to the activity area where there are others to distract the client3) Provide a quiet, calm atmosphere and offer simple directions4) Offer the client a meal

Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around. Leo B.