G and D Drills

7/31/2019 G and D Drills

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1. The developmental task of the

older adult according to Erikson is:

A. identity vs. role confusion

B. intimacy vs. isolation

C. generativity vs. stagnation

D. ego integrity vs. despair


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2. The study of old age is referred to

as:

A. ageism

B. geriatrics

C. Gerontonics

D. gerontology


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3. Bone changes associated with aging

frequently result from loss of:

A. calcium

B. magnesium

C. vitamin A

D. vitamin C


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4. All of the following are true concerning

Erickson's task of ego integrity EXCEPT.

A. the person accepts his or her lifestyle as it is

B. the person feels dissatisfied with life

C. one is still in control of ones life

D. the person feels that he/she made the bestchoices for particular situations


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5. Nursing measures to deal with sensory changesin the aged include the following EXCEPT.

A. increasing room lighting without increasing

glare B. speaking slowly in clearly enunciated words

using slightly lowered tone of voice

C. keeping eyeglasses clean and always available

D. applying hot water bags on the legs duringcold climate


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6. Which of the colors is most difficult to be

perceived by an elderly?

A .purple

B. red

C. yellow

D. green


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7. The following nursing interventions are

appropriate in the prevention of pressure

sores among bedridden elderly patients

EXCEPT.

A. massage bony prominences

B. apply alcohol on the skin

C. keep the skin clean and dry

D. turn the client every 1-2 hours


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8. The following are appropriate nursing

actions to prevent postural hypotension in the

elderly client EXCEPT.

A. advise to get out of bed gradually

B. Instruct to have a daily fluid intake of 3

glasses

C. advise to avoid straining at stool

D. advise to avoid bending from the waist


10/18

9. Which of the following nursing

interventions is inappropriate when caring for

an elderly experiencing dementia?

A. have clocks or calendars in the environment

B. provide consistent routine of activities

C. spend time with the patient

D. address the patient by calling him papa


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10. Skin care for elderly should include which of

the following Except?

A. apply cream or lotion on the skin

B. apply alcohol on the skin

C. provide sponge bath alternately with full bath

D. use mild, super fatted soap

E. massage bony prominences

F. Soak feet in warm water before cutting nails


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11. A terminally ill clients husband tells the nurse I

wish we had taken that trip to Europe last year. Wejust kept putting it off and now Im furious that wedidnt go. The nurse interprets the husbandsstatement as indicating which of the following stages

of adaptation to dying? A. Denial

B. Anger

C. Bargaining

D. Depression

E. Acceptance


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12. The ability of an individual to cope with deathis dependent upon a number of factors. Whichperson likely will have the most difficulty copingwith a death?

A. A parent whose 17-year-old child died in anauto accident the night before graduation

B. A child of 8 years whose grandparent dies aweek before a planned visit

C. The spouse of an alcoholic who is killed in anautomobile accident

B. The grandparent of a child born with Tay-Sachsdisease


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13. Proper handling of the body following death is animportant intervention for the client, family, and nurse.An intervention that reflects an important principle ofpostmortem care is:

A. Preparing the body to look as clean and natural aspossible

B. Pulling the sheet over the patient's face until thefamily is comfortably seated in the room

C. Humor is helpful in relieving stress. However, usehumor only after family has left.

D. Calling the physician to verify the time of deathbefore taking the body to the morgue


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14. While the nurse is discussing a client's likely death with familymembers, one of the offspring inquires, "We plan on taking turns

being here for now, but we all want to be here at the time of death.Is there any way we can tell when that time is close?" The nurse'sbest response is:

A. "Often, there is a lucid moment during the last hour that lastsabout 15 minutes. First look for relaxation followed by clearing ofthe eyes, looking around, focusing on faces, and clearing of the

throat. Call the others in at that time. B. "I wish I could tell you that there was a way to know. It could be

minutes from now or another three days. One just never knows.

C. "You can expect more muscle relaxation and less movement.Breathing will become irregular and shallow, and change speed. Callme if you hear mucus in the throat. The pulse and blood pressurewill decrease.

D. "You can expect the muscles to become rigid, with staring eyesand mouth closed. The head is pulled back with nuchal rigidity.Don't be alarmed when you hear a death rattle in the throat. "


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15. Following the death of a child, one of the parentsbegins to falsely accuse other members of the family of

blaming the child's death on the parent. This leads tofamily members avoiding the mentioned parent forfear of the false accusation. The parent takes this asproof that the family truly believes the accusation. Thissets up a destructive cycle of family dysfunction. Whichnursing diagnosis is most appropriate for this family?

A. Impaired family processes related to impairedadjustment

B. Impaired adjustment related to loneliness

C. Loneliness related to fear D. Dysfunctional grieving related to loss of

relationships


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16. While talking to adult children of a dying client, the nurse findsthem tearful, with ambivalent feelings toward the client. The client

often expresses beliefs of a wasted life. The children say that theclient was a parent who often showed love but followed it withcriticism, anger, damaging accusations, and emotional abuse. Thenurse suggests an intervention that may be helpful to the client andother family members. The most likely intervention to be helpful is:

A. Listening to relaxation tapes before visiting each other. If

negative feelings arise, listen to the tapes together. B. Having a nurse present in the room at all times when one of

them visits the client. The nurse will intervene with conflictresolution if problems arise.

C. Assuring the client and children that the past no longer matters.

The only time that matters is the present and the future. D. Making a videotape of each child telling a story of a time when

the client showed love, while the client tells of a special love foreach child. Plan a time to watch it together.


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CHECK YOUR ANSWERS!

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G and D Drills