Geria Drills

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1. A 65 year old, male client is sufering from Pulmonary Tuberculosis and the nurse will give mornig care. Which of the following action will you correct the nurse? a. Performing CPT b. Oral Care c. Offering Bed Care d. Performing Mouth Swab 12. The following are true in the human sexuality of the elderly EXCEPT: A. There is minimal change in amount of sexual response. B. There is cessation of sexual activity among elderly. C. There is an increased refractory period in male. D. There is reduced vaginal lubrication. 2. In performing bed bath to a comatose client, the nurse should bear in mind to maintain dryness of the workplace, this is due to: a. Prevent skin irritations b. Prevent pressure ucers c. Maintain comfort measures d. All of the above 3. A 88 year old patient is at risk of having fall due to loss of bone mass, and muscle weakness, which of the following intervention can promote patient instability when it comes to movement? a. The nurse should be at the side of the client in assisting in walking b. The nurse should be at the back of the client in assisting in walking c. The nurse should be at the front of the client in assisting in walking d. The nurse should be at the top of the client in assisting in walking 4. It refers to the patient reaching at the age of 64 years old and older a. Pediatrics b. Geriatrics c. Maternal d. None of the above 14. According to Kohlberg’s theory on moral development, relationships are based on: A. Mutual trust. B. Mutual satisfaction of needs. C. Mutual approval of each other. D. Mutual beliefs. 5. In giving care of a geriatric client suffering from neuropathic pain after a below knee amputation procedure, the nurse should: a. Give IV pain medication as ordered b. Maintain silence at all times c. Explain to the client the effects of the procedure d. Elevate affected part every 4 hours. 6. What type of amnesia is when the client remembers the past events and forgets the recent events: a. Anterograde amnesia

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Transcript of Geria Drills

1. A 65 year old, male client is sufering from Pulmonary Tuberculosis and the nurse will give mornig care. Which of the following action will you correct the nurse?a. Performing CPTb. Oral Carec. Offering Bed Cared. Performing Mouth Swab

12. The following are true in the human sexuality of the elderly EXCEPT:A. There is minimal change in amount of sexual response.B. There is cessation of sexual activity among elderly.C. There is an increased refractory period in male.D. There is reduced vaginal lubrication.

2. In performing bed bath to a comatose client, the nurse should bear in mind to maintain dryness of the workplace, this is due to:a. Prevent skin irritationsb. Prevent pressure ucersc. Maintain comfort measuresd. All of the above

3. A 88 year old patient is at risk of having fall due to loss of bone mass, and muscle weakness, which of the following intervention can promote patient instability when it comes to movement?a. The nurse should be at the side of the client in assisting in walkingb. The nurse should be at the back of the client in assisting in walkingc. The nurse should be at the front of the client in assisting in walkingd. The nurse should be at the top of the client in assisting in walking

4. It refers to the patient reaching at the age of 64 years old and oldera. Pediatricsb. Geriatricsc. Maternald. None of the above

14. According to Kohlbergs theory on moral development, relationships are based on:A. Mutual trust.B. Mutual satisfaction of needs.C. Mutual approval of each other.D. Mutual beliefs.

5. In giving care of a geriatric client suffering from neuropathic pain after a below knee amputation procedure, the nurse should:a. Give IV pain medication as orderedb. Maintain silence at all timesc. Explain to the client the effects of the procedured. Elevate affected part every 4 hours.

6. What type of amnesia is when the client remembers the past events and forgets the recent events:a. Anterograde amnesiab. Retrograde Amnesiac. Antero-Retrograde Amnesiad. Aphasia

7. A 90 year old client is sitting on the wheelchair. The nurse assist the client to the comfort room with an inclined area. The nurse will move the wheelchair by:a. Client facing the inclined areab. Nurse facing the inclined areac. Nurse moving backward in the inclined aread. Nurse moving forward in the inclined area

8. A 70 year old client tells the nurse I want to be breastfed, wheres my mama?. The nurse understand that the client is in stage of:a. Resilienceb. Regressionc. Suppressiond. Introjection

9. A 70 year old with nasoesophageal cancer ask the nurse Am I going to die? If I am, please make my family complete. The nurse will replied:a. Im on it. Dont worry I will do your requestb. It seems your thinking very deep about your family.c. I understand how you feel. Tell me more about it.d. Nah! Youre not going to die. Trust me.

10. Patient who are in comatose state and unable to move. The patient is at risk in developing the following except:a. Pressure Ulcersb. Stress Ulcersc. Hypercalcemiad. Hypophosphatemia

11. In promoting patient independence, which of the following activity you need to provide to the client to promote independence for geriatric clients:a. Let the patient fractured client walk on his ownb. Let the client do his oral care while taking phenytoinc. Let the client do chewing of his/her foodd. All of the above

12. The client is having nocturia resulting to decreased sleeping time. To regain its sleeping time , the nurse can give liquids to the client during:a. Morningb. Afternoonc. At Nightd. Anytime of the day

13. Which of the following nursing care can promote patient safety?a. Removing clients dentures before sleepingb. Providing bedbath two times a dayc. Adjusting the room temperature upon client request.d. Assisting the client in walking with a quadripod.

14. A 64 year old patient is using the pail as an umbrella. Which of the following syptom can be expected?a. Aphasiab. Anomiac. Agnosiad. Alogia

15. The patient is stating to the nurse: I want to drink, I want drink, I want to drink. This symptom can be stated as:a. Echolaliab. Palilaliac. Verbigerationd. Word salad

16. Which of the following will help maintain the self esteem of an elderly client?a. Provide as much independence as possible, wit consideration to safetyb. Assist the client to accept the need or seeking help in making decisions and judgmentsc. Do hygiene measures for the elderly to promote sense of well being.d. Plan for routine activities of daily living to be followed by the client

The care for elderly client which is more on symptomatic approach is called:a. Reconstructiveb. Ablativec. Palliatived. Aggressive Treatment

16. The patient is suffering from right eye blindness and is at risk for accidents. Which of the following nursing care is most effective:a. Putting all patient items on the left side of the tableb. Putting all patient items on the right side of the tablec. Putting all patient items on the middle portion of the tabled. Always ask the client on its necessities and offer it.

17. Mar L. Boro, a 75 year old client is asking the nurse about his treatment modality regarding Ischemic Heart Disease, to promote non-pharmacological care the nurse will do perform the following except:a. Prevent restrictive clothingb. Always maintain a semi-fowler positionc. Give and remind the client his medication regarding IHD.d. Always standby oxygenation at home

18. Win S. Ton, a 77 year old who admitted to due CVA, hemorrhagic and Pneumonia asked the nurse, until when I suffer, I want to end my life so tha tI can rest. The nurse will reply:a. Human tends to die, so its normal. Youre life will end soonb. It seems you are afraid in dyingc. Lets talk about your plans for tomorrows activity.d. It seems you are experiencing an impending doom.

19. A 66 year , female client is suffering from Chronic Renal Failure and is having bipedal edema. Part of the non-pharmacological treatment for the client is:a. Position the client in semi-fowler positionb. Position the client in T-berg positionc. Instruct the client to increase fluid intaked. Avoiding the food rich in sodium

20. The following nursing interventions are appropriate in the prevention of pressure sores among bedridden elderly patient EXCEPT:a. Massage bony prominencesb. Apply alcohol on the skinc. Apply cornstarch over the bedriddend. Elevate head of the bed at 45 to 90 degrees

A 98 year old, male client is scheduled for craniotomy due to cancerous brain tumor. The patient relative is asking the nurse if it is okay to continue the surgery. The will reply:A. The doctors knows best for their clients so if it is the doctors order, I cannot do anything about it.B. It seems you want to discuss your concerns about your client, you can tell me your concerns then we will discuss it with the physicianC. Yes, because it will give relief to the clientD. No, considering the age of the client, he might not survive the operation.

20. Mr. Pootak Ty, a 75 year old chinese rushed on ER because eof Myocardial Infarction. 4 Aspirin 80mg/tab crushed was given orally, followed by an intravenous Isosorbide Dinitrate. Unfortunately he did not survived, the patient relative is requesting for 5 minutes traditional chinese prayer. The nurse will:A. Leave the patient and relatives and be back after the traditionB. Join in their prayer session and after do your post mortem careC. Stand back and wait until they finish their traditionD. Explain that post mortem care is a need and they will do their tradition after the care.

11. Which of the following maybe a primary reason why an elderly finds it difficult to comply with low sodium diet?A. The patient had been used to taking salty foods in his younger years.B. The patient experiences diminished sense of taste.C. The patient has decreased absorption in the gastrointestinal tract.D. There is reduced vaginal lubrication.

21. The skin turgor of an elderly client can be best determined by:a. Pinching the skin on the forearmb. Pinching the skin on the chestc. Pinching the skin on the foreheadd. Pinching the skin on the abdomen

22. Pressure ulcers on ederly client can be prevented by the following measures except:a. Turnnig the client form side to side every 2-4 hoursb. Maintaining the linen as dry as possible and free from wrinklesc. Performing bedbath 2-3 times a dayd. Maintaining patient oral hygiene

23. A 90 years old patient is suffering from Type 2 Diabetes Mellitus and was rushed to the hospital due to hyperglycemia. During initial assessment , her BP reveals a 200/120 mmHg. Which of the following IV solutions can be given to the client?a. 0.9 NaClb. D5LRSc. PNSSd. A and C1. The following are characteristics of middle-aged adult EXCEPT:A. There is sense of stability and consolidation.B. The person becomes more altruistic and service-orientedC. The person is more family oriented and career-orientedD. The person is more concerned with adhering to laws that protect the welfare and rights of others.

2. The Rate of Living Theory of Aging conceptualizes that:A. Changes in the replication of DNA- RNA are the causes of aging.B. Aging is caused by a change in immune system.C. The body is like a machine, parts wear out and the machine breaks down.D. The faster one lives, the sooner one ages and dies.

3. The Disengagement theory of aging believes that:A. Human beings are mortal and must eventually leave their place and role in society.B. One must constantly struggle to remain functional.C. Persons will remain the same unless external and internal factors stimulate change.D. The body is like a machine, parts wear out and machine breaks down.4. Which of the following colors is difficult to distinguish by elderly?A. RedB. GreenC. PurpleD. Blue5. The following are appropriate nursing actions for the elderly with hearing impairment EXCEPT:A. Speak clearly, in well-enunciated words.B. Use normal tone of voice.C. Repeat instructions as needed.D. Increase loudness of voice when speaking.

19. The following are nursing interventions to minimize confusion among elderly?a. Use touch to convey concernb. Have clocks or calendars in the environmentc. Keep a routine of activities of daily livingd. All of these10. Which of the following should be included in the nursing care plan of an elderly?A. Provide health teachings in several brief sessions.B. Provide recreational activities like needle works.C. Make decision for the client.D. Use audio-visual aids when providing health teachings.