Which comorbidity commonly associated with type 2 diabetes mellitus enhances the de-velopment of the microvascular complications of diabetes mellitus?
a. Hyperlipidemia
b. Hypothyroidism
c. Venous insufficiency
d. Chronic constipation
Question 2Which of the following is a true statement about gerontological nursing for patients of different races and ethnic backgrounds?
a. The fact that a nurse is white has no bear-ing on the nurse's ability to care for mi-nority patients or patients of color.
b. An encyclopedic accumulation of details of a particular culture is the best prepara-tion for caring for persons from that cul-ture.
c. A nurse who works in Illinois does not need to be as concerned about sensitivity to multiple cultures as the nurse who works in California.
d. Facial expressions, body language, post-ure, and touch are important elements of communication between a nurse and a pa-tient from a different ethnicity.
Question 3The older adult who has type 2 diabetes mellitus has a sensory impairment and unstable blood sugar levels. Which of the following alterations in sensory function does the nurse address in the plan of care for stabilizing the blood sugar?
a. Requires reading glasses at 2.0 strength.
b. Has difficulty hearing in crowded rooms.
c. Enjoys spicy food more than bland food.
d. Awakens with periodic left-foot numb-ness.
Question 4An older woman who has diabetes mellitus takes glipizide (Glucotrol) and tells the nurse that her blood sugar levels have been higher than normal since she began using a vaginal cream for hot flashes.
Which one of the following interventions is the best for the nurse to implement? a. Ask the patient if she has had a fever or infection recently.
b. Verify the expiration date of the medica-tion.
c. Review her diet for increased carbohy-drates.
d. Ascertain whether the vaginal cream con-tains estrogen.
Question 5Which home modification interventions are designed to enhance the ability of older adults to remain in their homes? (Select all that apply.)
a. A 36-inch-wide doorway
b. Entryways with less than two steps
c. Electrical outlets at chest level
d. A bathroom on the first floor
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