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ATI Learning Systems RN 3.0 Gerontology Final Exam/Older Adults/Updated A+ Guide

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A nurse is conducting an admission assessment for an older adult client. Which of the following actions should the nurse take to collect subjective data? A. Leave the client a written questionnaire ... to fill out in private. B. Allow sufficient time for the client to respond to the questions. C. Talk to family members to obtain the client's health history. D. Obtain the health history from the client's medical record. (ANS- B. Allow sufficient time for the client to respond to the questions. A nurse is caring for an older adult client. Which of the following physiological changes associated with aging can affect medication dosage in this client? A. Increased glomerular filtration rate B. Decreased body fat C. Decreased gastric motility D. Decreased gastric pH (ANS- C. Decreased gastric motility A nurse is caring for an older adult client who has a new onset of Type 2 Diabetes Mellitus. Which of the following physiological changes can contribute to the development of Type 2 Diabetes? A. Increased production of insulin by the pancreas B. Decreased sensitivity to the circulating insulin C. Increased rate of glucose metabolism D. Decreased release of glycogen by the liver (ANS- B. Decreased sensitivity to the circulating insulin A nurse at an assisted living center is conducting an orientation session for a group of newly hired assistive personnel (AP). Which pf the following instructions should the nurse include regarding clients who are hearing impaired? A. Maintain eye contact with the clients. B. Stand to one side of the clients and speak into their good ears. C. Speak loudly with exaggerated enunciation. D. Ask only questions with yes or no answers. (ANS- A. Maintain eye contact with the clients A nurse is caring for an older adult client who has dementia. The client becomes agitated and confused at night and wanders into the hallway. Which of the following actions should the nurse take? A. Place the client's mattress on the floor. B. Restrain the client during the nighttime hours. C. Provide continuous orientation to the client. D. Turn out the lights in the client's room at night. (ANS- A. Place the client's mattress on the floor. An older adult client tells a nurse at a health fair "I am always forgetting things. I cannot even remember where I parked my car! Do you think I have Alzheimer's disease?" Which of the following is a therapeutic response by the nurse? A. "Perhaps you should discuss your concerns with your doctor." B. "I am forgetful too. I can't remember where I parked my car either!" C. "You're probably just having 'senior moments.' Everyone has memory lapses." D. "That must be very upsetting. Can you tell me about your forgetfulness?" (ANS- D. "That must be very upsetting. Can you tell me about your forgetfulness?" [Show More]

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