1. Which information from a co-worker on a gerontological unit will cause

the 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 them

in care decisions and activities. You also need to identify an older adult’s

strengths and abilities during the assessment and encourage independence as an

integral 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’s

suspicions?

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 at

a hospital, nursing facility, or public location such as a shopping center. Selfneglect 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