FREE Gerontological Nursing Questions And Answers

Question 1

Which of the following SSRIs may have a longer half-life that causes agitation, sleeplessness, and anorexia in older adults?

Accepted Answer

Fluoxetine

Answer

Sertraline

Answer

Paroxetine

Answer

Duloxetine

Question 2

A patient underwent colon resection and colostomy surgery, but in the six hours after returning from the recovery room to his room on the surgical unit, he has not asked for any pain medicine. The geriatric nurse should presume the following about the patient:

Accepted Answer

Is reluctant to complain of pain

Answer

Has not recovered from anesthesia

Answer

Has no pain

Answer

Is insensitive to pain

Question 3

The unit is so noisy during the day, and the patient complains to the gerontological nurse that she is frequently awakened during the night for treatments. Which of the following best exemplifies a team effort to meet the patient's needs?

Accepted Answer

“Let’s talk about ways to allow you to get more rest.”

Answer

“We can provide you with a sedative at night to help you sleep better.”

Answer

“I understand your concerns, but there is little that can be done.”

Answer

“I’ll talk about this with staff members.”

Question 4

The gerontological nurse made a note in the patient's plan of care that the patient has specified he does not want to be revived in the case of a life-threatening event, but she did not get a doctor's DNR order. If a distant relative is present when the patient experiences cardiac arrest, the personnel should:

Accepted Answer

Carry out resuscitation efforts.

Answer

Call the physician for guidance.

Answer

Withhold resuscitation efforts.

Answer

Ask the relative’s preference for resuscitation.

Question 5

In accordance with the patient's advance request, the family of a severely ill patient has decided to withdraw all care and feedings. Although the gerontological nurse strongly disagrees with the decision to remove life support, she supports the patient's family nonetheless, offers only comfort measures, and directs the patient's family to hospice. According to the nurse, this is an illustration of:

Accepted Answer

Advocacy

Answer

Justice

Answer

Agency

Answer

Moral agency

Question 6

Which of the following behaviors might be seen as an infringement on a patient's privacy?

Accepted Answer

Allowing a visiting student nurse to observe a patient’s wound care

Answer

Reporting a patient’s communicable disease to the public health department

Answer

Reporting a patient’s statements regarding treatment in the electronic health record

Answer

Reporting suspicion of abuse to adult protective services

Question 7

The gerontological nurse wants to make adjustments, but staff members are opposed because they believe the burden will rise. The ideal strategy is to:

Accepted Answer

Explain the rationale and benefits of change.

Answer

Wait until ready to implement before announcing change.

Answer

Promise staff change will be effortless.

Answer

Rely on administrative authority to force change.