Gerontologic Nursing 5th Edition by Sue E. Meiner
Gerontologic Nursing 5th Edition by Sue E. Meiner
$2.99
Chapter 27: Cognitive and Neurologic Function
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “Don’t be concerned; just be very careful about your risk for falling.” |
| b. | “You have had very thorough testing, so don’t worry about it being serious.” |
| c. | “It’s just a matter of time before they too have to watch not to get up too quickly.” |
| d. | “You just don’t have the compensating mechanisms of your friends.” |
ANS: D
The age-related symptoms of postural hypotension are dizziness or lightheadedness when changing positions rapidly. However, compensatory processes in the cortex and subcortical areas of the brain help aging individuals maintain relatively normal motor performance.
DIF: Understanding (Comprehension) REF: Page 565 OBJ: 27-2
TOP: Teaching-Learning MSC: Physiologic Integrity
| a. | Installing auditory smoke alarms |
| b. | Having regular eye checkups |
| c. | Being aware that hearing acuity decreases with age |
| d. | Checking the expiration dates on foods such as dairy |
ANS: A
An age-related reduction in the senses makes it less likely that an older person will smell smoke from a fire. Loud fire alarms are important for home safety. The other factors are not as directly related to safety.
DIF: Understanding (Comprehension) REF: Page 566 OBJ: 27-2
TOP: Teaching-Learning MSC: Safe Effective Care Environment
| a. | scoring the client’s cognitive responses. |
| b. | focusing on the client to respond. |
| c. | directing the questions to both patient and family. |
| d. | arranging a Mini-Mental State Examination (MMSE). |
ANS: C
An interview with the friend or family member is an appropriate method to first implement when a patient is exhibiting confused behavior. The other options will not get accurate information for the assessment.
DIF: Understanding (Comprehension) REF: Page 566 OBJ: 27-2
TOP: Nursing Process: Assessment MSC: Physiologic Integrity
| a. | Reorienting the patient to the day, time and place frequently |
| b. | Being physically present to help the patient with eating meals |
| c. | Providing the patient with opportunities to discuss depression |
| d. | Administering antidepressive medication as prescribed |
ANS: B
Depressed older adults may neglect eating or caring for a chronic medical condition, predisposing them to the development of delirium resulting from hypoalbuminemia and possibly electrolyte imbalances. The other actions will not prevent delirium.
DIF: Applying (Application) REF: N/A OBJ: 27-4
TOP: Nursing Process: Implementation MSC: Physiologic Integrity
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