1. Which information from a co-worker on a gerontological unit will causethe nurse to

intervene?

a. Most older people have dependent functioning.

b. Most older people have strengths we should focus on.

c. Most older people should be involved in care decision.

d. Most older people should be encouraged to have independence.

ANS: A

Most older people remain functionally independent despite the increasing prevalence of chronic

disease; therefore, this misconception should be addressed. It is critical for you to respect older

adults and actively involve themin care decisions and activities. You also need to identify an older

adult’s strengths and abilities during the assessment and encourage independence as anintegral part

of your plan of care.

2. A nurse suspects an older-adult patient is experiencing caregiver

neglect. Which assessment findings are consistent with the nurse’ssuspicions?

a. Flea bites and lice infestation

b. Left at a grocery store

c. Refuses to take a bath

d. Cuts and bruises

ANS: A

Caregiver neglect includes unsafe and unclean living conditions, soiled bedding, and animal or

insect infestation. Abandonment includes desertion ata hospital, nursing facility, or public location

such as a shopping center. Self-neglect includes refusal or failure to provide oneself with basic

necessities such as food, water, clothing, shelter, personal hygiene, medication, and safety.

Physical abuse includes hitting, beating, pushing, slapping, kicking, physical restraint,

inappropriate use of drugs, fractures, lacerations, rope burns, and untreated injuries.

3. A nurse is teaching a group of older-adult patients. Which teaching strategy