Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
$2.99
Chapter 36- Acute Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The husband of a 78-year-old postsurgical patient has approached the nurse, upset that his wife has become incontinent of urine during her hospital stay. The husband states that this is without precedent and he is adamant that the matter be looked into further. The nurse would recognize that which of the following factors may have contributed to this course of events? | |
| A) | Age-related changes to genitourinary function | |
| B) | Sensory deprivation | |
| C) | Changes in diet since admission to the hospital | |
| D) | Sedative effects of medications | |
| Ans: | D | |
| Feedback: | ||
| Sedation can cause incontinence in the hospitalized elderly. The sudden onset makes it unlikely that the wife’s incontinence is a result of age-related changes and a change in diet is unlikely to cause incontinence. Sensory deprivation would be less likely to result in incontinence. | ||
| Origin: Chapter 36- Acute Care, 2
Chapter: 36 Client Needs: A2 Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 1 Page and Header: 492, Box 36-2 |
||
| 2. | Which of the following nursing practices commonly performed in the geriatric medical unit of a hospital is most in need of modification or correction? | |
| A) | Patients are regularly prompted to practice deep-breathing and coughing exercises in order to mobilize secretions and prevent atelectasis. | |
| B) | Patients at risk for urinary incontinence are catheterized in order to reduce the risk of urinary tract infections. | |
| C) | Reality orientation is provided to patients who exhibit cognitive deficits. | |
| D) | The discharge planning process is begun immediately following admission. | |
| Ans: | B | |
| Feedback: | ||
| Urinary catheterization should be minimized and is not an appropriate intervention for the prevention of urinary incontinence. Promotion of deep breathing and coughing, reality orientation, and early discharge planning can help minimize the risks faced by older adults who are hospitalized. | ||
| Origin: Chapter 36- Acute Care, 3
Chapter: 36 Client Needs: A2 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 1 Page and Header: 485, Special Risks for Older Adults |
||
| 3. | Elderly hospital patients need special care in some respects. What is one thing a nurse can do to ensure that they leave the hospital in good condition and can return to a normal life? | |
| A) | Keep the patients in bed as much as possible to help them rest. | |
| B) | Keep the room temperature between 65°F and 70°F. | |
| C) | Wash hands between patients and use other infection control practices. | |
| D) | Use a urinary catheter on a patient who has stress incontinence. | |
| Ans: | C | |
| Feedback: | ||
| As soon as patients are able to get out of bed, they should do so. This will help restore normal physiological functioning and make it easier for them to resume their usual activities at home. Most elderly patients are more comfortable when the temperature is 75°F than when it is 70°F. Urinary catheters should be avoided unless absolutely necessary. Many patients acquire infections in the hospital, and it is sometimes a result of staff carelessness about hand washing or other sources of contagion. | ||
| Origin: Chapter 36- Acute Care, 4
Chapter: 36 Client Needs: D1 Cognitive Level: Application Difficulty: Difficult Integrated Process: Nursing process Objective: 2 Page and Header: 485, Figure 36-1 |
||
| 4. | Nurse R is providing care for a 71-year-old woman who has been admitted to the surgical unit following her post-anesthetic recovery from a bilateral mastectomy. The patient has been physically stable but disoriented to place and time since admission, but the nurse knows that a history of dementia is noted in the patient’s chart. The patient’s daughter is distraught, however, because “mom was always just a bit forgetful, but nothing at all like this.” What would be the most appropriate response by the nurse? | |
| A) | “If your mother already has dementia, her confusion is to be expected.” | |
| B) | “It is nothing for you to worry about, most elderly persons are forgetful.” | |
| C) | “Delirium can also cause an alteration in mental status and can be caused from a new environment, altered level of consciousness, excess stimuli, adverse drug reactions, and physiologic disturbance, all which your mother has likely experienced as a result of her hospitalization and surgery.” | |
| D) | “Are you blaming us for your mother’s confusion?” | |
| Ans: | C | |
| Feedback: | ||
| Answer C is the best response because it informs the patient’s daughter about what may be occurring with her mother. The daughter has stated that the mother is usually a bit forgetful but not like she is now. This means that the daughter has noticed a difference, which may be attributable to delirium instead of the dementia that the patient already has. Not all elderly persons are forgetful and this does not address the patient’s daughter’s concern. Answer D is defensive and the patient’s daughter has not made any accusations. | ||
Original price was: $100.00.$70.00Current price is: $70.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $40.00.$20.00Current price is: $20.00.
Original price was: $80.00.$60.00Current price is: $60.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $25.00.$15.00Current price is: $15.00.