An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the Geriatric Depression Scale tool. When it is determines that the earned score is 9, the nurse initially:
a. asks if they have any thoughts of committing suicide
b. recognizes that this score is not indicative of depression
c. knows it is not unusual for clients this age to earn such a score
d. notifies the client's healthcare provider immediately
Question 2What is true about instruments to assess for depression in older adults?
a. Older adults tend to score inaccurately low (indicating less depression) than younger adults on the Zung Self-Rating Depression Scale.
b. The shortened Geriatric Depression Scale does not contain a question to eval-uate suicide potential.
c. The Beck Depression Inventory is designed for gerontological patients.
d. The Geriatric Depression Scale is administered by a health care provider in an interview with the older adult
Question 3A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful lately, and she is concerned that he might be senile. The advanced practice nurse administers the clock drawing test and the patient draws
a. probably has Alzheimer's disease
b. needs further evaluation
c. probably has delirium
d. needs a functional status assessment
Question 4The FANCAPES assessment tool focuses on the older adult's:
a. ability to meet personal needs to identify the amount of assistance needed
b. ability to perform instrumental activities of daily living (IADLs)
c. cognitive abilities
d. level of dementia present
Question 5Which intervention is therapeutic when facilitating communication with a cognitively impaired older client? Select all that apply.
a. Explain a task using simple, concise phrasing and one step at a time
b. Give instructions to a group whenever possible to provide peer support
c. Allow for additional time for the client to respond to questions or directions
d. Use non-verbal as well as verbal cues to help get your message across to the client
e. Speak loudly to gain and retain the client's attention
Question 6The nurse sits at the bedside of a comatose, terminally ill older client reading the wishes expressed in the numerous cards the client has received. Which concept of grief work is the nurse addressing with this intervention?
a. Everyone needs social interaction
b. The nurse needs to 'attend to the patient'
c. Hearing is believed to be the last sense to be lost
d. The individual is living until they are dead
Question 7A NANDA nursing diagnosis that could be appropriate for an older adult with a marked hearing impairment is: Select all that apply
a. Fear
b. Social Interaction Impaired
c. Confusion (Chronic)
d. Risk for Injury
e. Self Esteem Disturbance
Question 8The nurse suspects that the spouse of a terminally ill client is experiencing anticipatory grief when they:
a. Dramatically reduce the time they spend attending to the client
b. Refuse to leave the client's bedside regardless of the reason
c. Sob inconsolably whenever they visit
d. Spend hours recalling details of their life together
Question 9A nurse manager is providing a novice geriatric nurse with guidelines when encour-aging an older client to reminisce about their life and past experiences. Which sugges-tions will be included? Select all that apply
a. Don't correct the client even when you suspect the memory is incorrect
b. When the focus remains on sad topics, assess the client for possible depres-sion
c. Refrain from interjecting personal stories into the reminiscing process
d. Expect and respect a degree of repetition
e. Use close-ended questions to help focus the reminiscing
Quick Reply
