Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 37: Geropsychiatric Nursing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “So you see, it’s a matter of adding free radicals to your system through diet and supplements in order to stop the aging process.” |
| b. | “Although DNA programming isn’t reversible, a healthy lifestyle and preventive health care can maximize cell function.” |
| c. | “Collagen delays aging. By increasing the collagen levels in the body, you improve flexibility and delay aging.” |
| d. | “The key is in the immune system, and once we solve the problem by gradually eliminating error cells, we extend youth.” |
ANS: B
The biological programming theory speculates that each cell has stored a biological clock and that the process of aging in DNA is not reversible. The remaining options are not related to the biological programming theory of aging.
DIF: Cognitive Level: Comprehension REF: Text Page: 716
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
| a. | Observe the level of grooming and dress that the patient demonstrates on a daily basis. |
| b. | Interview the patient with a focus on how daily toileting and bathing are typically achieved. |
| c. | Offer to provide the patient with the typical activities involved with bathing and grooming. |
| d. | Interact with the patient to determine his or her ability to bathe, toilet, eat, and dress independently. |
ANS: D
Interacting with the patient during ADLs (bathing, grooming, toileting, eating, dressing) presents the best opportunity to assess independence and needs related to those activities.
DIF: Cognitive Level: Application REF: Text Page: 720
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
| a. | Interact with the patient during meals. |
| b. | Perform a comprehensive health assessment. |
| c. | Supplement the patient’s diet with preferred, nutritious snacks. |
| d. | Ask the patient to complete a 7-day inclusive nutritional recall. |
ANS: B
A comprehensive health assessment would include oral assessment (checking swallowing, breathing, missing teeth, dry mouth, and any ulcerations in the mouth), vision, mental status, and other variables that might affect nutritional status.
DIF: Cognitive Level: Application REF: Text Page: 717
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
| a. | Experiencing early-morning confusion |
| b. | Taking sugarless hard candy for dry mouth |
| c. | Dangling feet at the bedside to avoid dizziness |
| d. | Reporting frequent awakenings during the night |
ANS: A
Older patients may experience sunrise syndrome. This may result from hangover effects of sedative-hypnotics and other nighttime medications that interact with drugs for sleep. The other options all demonstrate interventions for possible side effects.
DIF: Cognitive Level: Application REF: Text Page: 722
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
| a. | “What do you do to cope with these negative feelings?” |
| b. | “It’s fairly common for a caregiver to feel such negative emotions.” |
| c. | “Have you ever felt angry enough to be abusive toward your mother?” |
| d. | “Please consider discussing these feelings with other members of your family.” |
ANS: A
The answer that invites the patient to share feelings and perceptions (thus facilitating emotions) is the most therapeutic communication. The correct response uses exploring, a therapeutic communication technique. The remaining options are either premature or make unsubstantiated assumptions.
DIF: Cognitive Level: Application REF: Text Page: 731
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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