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CNS Gerontology EXAM, Exams of Nursing

University of London (Lond)Nursing

Clinical nurse specialists Gerontology EXAM

Typology: Exams

2023/2024

Available from 02/03/2024

DANTUTOR
DANTUTOR 🇬🇧

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CNS Gerontology EXAM
1. The initial, psychosocial assessment of a patient with metastatic cancer, refractory to
treatment, includes:
a discussion of hospice care.
a review of critical life incidents.
the family's readiness to learn about the dying process.
the patient's preference for quality versus quantity of life. -
the patient's preference for quality versus quantity of life.
2. An adult-gerontology clinical nurse specialist evaluates a patient who has chronic
obstructive pulmonary disease and is on home oxygen therapy. The efficacy of the
oxygen therapy is demonstrated by the patient's:
awareness of the disease complications.
energy conservation strategies.
improved gas exchange.
knowledge of the hazards of smoking. -
improved gas exchange.
3. What clinical tool is used to aid in the diagnosis of Guillain-Barré syndrome?
Cerebrospinal fluid analysis
Computed tomography angiography
Magnetic resonance angiography
Magnetic resonance imaging -
Cerebrospinal fluid analysis
4. Several days after gastrointestinal surgery, a patient begins to receive total,
parenteral hyperalimentation. In addition to the blood glucose, which laboratory values
are most important for the adult-gerontology clinical nurse specialist to monitor?
Creatinine clearance and magnesium
Potassium and hemoglobin
Serum electrolytes and blood urea nitrogen
Total protein level and serum calcium -
Serum electrolytes and blood urea nitrogen
5. A staff nurse admits a patient, who has overdosed on cocaine, to a busy medical unit.
The nurse asks the adult-gerontology clinical nurse specialist, "Why are we bothering
with this patient? He will only wind up being readmitted." The clinical nurse specialist's
response is:
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CNS Gerontology EXAM

  1. The initial, psychosocial assessment of a patient with metastatic cancer, refractory to treatment, includes: a discussion of hospice care. a review of critical life incidents. the family's readiness to learn about the dying process. the patient's preference for quality versus quantity of life. - the patient's preference for quality versus quantity of life.
  2. An adult-gerontology clinical nurse specialist evaluates a patient who has chronic obstructive pulmonary disease and is on home oxygen therapy. The efficacy of the oxygen therapy is demonstrated by the patient's: awareness of the disease complications. energy conservation strategies. improved gas exchange. knowledge of the hazards of smoking. - improved gas exchange.
  3. What clinical tool is used to aid in the diagnosis of Guillain-Barré syndrome? Cerebrospinal fluid analysis Computed tomography angiography Magnetic resonance angiography Magnetic resonance imaging - Cerebrospinal fluid analysis
  4. Several days after gastrointestinal surgery, a patient begins to receive total, parenteral hyperalimentation. In addition to the blood glucose, which laboratory values are most important for the adult-gerontology clinical nurse specialist to monitor? Creatinine clearance and magnesium Potassium and hemoglobin Serum electrolytes and blood urea nitrogen Total protein level and serum calcium - Serum electrolytes and blood urea nitrogen
  5. A staff nurse admits a patient, who has overdosed on cocaine, to a busy medical unit. The nurse asks the adult-gerontology clinical nurse specialist, "Why are we bothering with this patient? He will only wind up being readmitted." The clinical nurse specialist's response is:

"As nurses, we are responsible for learning to recognize our own feelings when caring for patients whose diagnoses we may find difficult to accept." "As nurses, we need to put the patient first. Our feelings are not supposed to be considered when we care for challenging patients." "I hear what you are saying, but nurses cannot be judgmental of their patients." "I'm going to refer you to the employee health nurse, so that you can receive some help for your burnout." - "As nurses, we are responsible for learning to recognize our own feelings when caring for patients whose diagnoses we may find difficult to accept." The colleague of a researcher requests the mailing list of subjects who have participated in a researcher's study. The researcher tells the colleague that: a formal, written request will be needed before any information may be released. authorization from all study investigators will be needed before sharing the information. the information may not be shared without institutional review board approval. the information will be shared, provided the colleague uses it only as approved by the researcher. - the information may not be shared without institutional review board approval.

  1. A 68-year-old patient has a history of dyspnea on exertion, paroxysmal nocturnal dyspnea, weakness, and palpitations. The patient's electrocardiogram reveals atrial fibrillation, right ventricular hypertrophy, and right axis deviation. The adult-gerontology clinical nurse specialist anticipates a differential diagnosis of: aortic insufficiency. aortic stenosis. mitral regurgitation. mitral stenosis. - mitral stenosis.
  2. An exploratory study is conducted to examine the emotional responses of family members of patients in the intensive care unit. Of the 52 subjects, 94.2% were white, 86.5% were married, 44.2% had completed high school, and 40.4% had finished college. The subjects kept daily logs of their feelings and supportive behaviors. The researchers concluded that the subjects experienced a broad range of powerful emotions throughout the patients' stay. A major limitation of the study is that: exploratory studies have demonstrated an effective research approach. families are not capable of properly identifying the supportive behavior of others. the documented feelings are too subjective to be valid for study. the subjects do not represent a diverse population sample. - the subjects do not represent a diverse population sample.
  3. An adult-gerontology clinical nurse specialist examines a patient who is on medication for chronic low back pain, hypercholesterolemia, hypertension, and

providing a listing of sitters who care for older adult patients. recommending transfer to a long-term care facility for patients with Alzheimer's disease.

  • contacting the Alzheimer's Association to locate adult day care services.
  1. Based on change theory, the adult adult-gerontology clinical nurse specialist who is starting a new palliative care program in the organization promotes change and acceptance by: avoiding the periodic, negative events between the driving and restraining forces. equalizing the driving and restraining forces to stabilize the environment. influencing the environment so that the driving forces outnumber the restraining forces. stimulating the disequilibrium of the driving and restraining forces. - influencing the environment so that the driving forces outnumber the restraining forces.
  2. An adult-gerontology clinical nurse specialist is treating a postoperative patient with moderate dementia. The patient is striking out at staff during routine care. The clinical nurse specialist: evaluates for the use of physical restraints. performs a comprehensive pain assessment. prescribes a low dose sedative. refers for a psychiatric consult. - performs a comprehensive pain assessment.
  3. An adult-gerontology clinical nurse specialist is leading an interdisciplinary group that is developing a special care unit for persons who have dementia. During the second meeting, the nurse manager becomes resistant to the idea and negative about its implementation. This is an important project and the support of the manager will be needed. The clinical nurse specialist's best response to the situation is to: meet individually with the nurse manager to discuss the perceived resistance. report the situation to the nursing director and ask for administrative intervention. revisit the initial goals of the group at the next meeting and ask for comments. schedule another meeting of the group and move through the agenda since the majority of the group is very supportive. - meet individually with the nurse manager to discuss the perceived resistance.
  4. An adult-gerontology clinical nurse specialist is asked to provide consultation on ways to reduce the use of restraints in a nursing home. In the initial meeting with the nursing home administration, the clinical nurse specialist's primary goal is to: complete a written contract for services that covers expected outcomes, time commitments, support systems, and financial arrangements.

conduct a force field analysis of the variables in the nursing home that includes use of existing data on restraint use and staff strengths and weaknesses. discuss the need for consultation, the overall goal of the project, and the working relationship with the staff. plan a review of how the use of restraints has been accomplished elsewhere and the models used for education and for changing practice. - discuss the need for consultation, the overall goal of the project, and the working relationship with the staff.

  1. An adult-gerontology clinical nurse specialist is asked to consult with a local nursing facility to provide nursing staff development. After meeting with the administrator to identify the nature of the problem requiring the consultation, the clinical specialist's next step is to: create an interdisciplinary teaching team. develop outcome measures. market the educational plan. utilize a survey to assess the educational needs of the staff. - utilize a survey to assess the educational needs of the staff.
  2. An 88-year-old patient is reluctant to use the call light for assistance and is often incontinent. The adult-gerontology clinical nurse specialist tells the staff to praise the patient each time the patient uses the call light to request toileting assistance. The clinical nurse specialist's suggestion is based on which theory? Behavioral learning Cognitive reorganization Person-environment fit Social cognitive - Behavioral learning
  3. A 92-year-old patient with advanced dementia has had three episodes of aspiration pneumonia in five months. The patient has no written advance directives. A speech therapist recommends feeding tube placement. The patient's son would like a feeding tube placed, the daughter is unsure, and the patient's spouse states that the patient would never want a feeding tube. The adult-gerontology clinical nurse specialist's next action is to: bring the case to the attention of the ethics committee. emphasize to the family that a feeding tube will decrease recurrent pneumonias. obtain a surgical consult to schedule a feeding tube placement. organize a family and staff meeting to discuss the risks and benefits and consider the patient's wishes. - organize a family and staff meeting to discuss the risks and benefits and consider the patient's wishes.

patients may deny violence during calm phases of a violent relationship. screening frequently is recommended by the United States Preventive Services Task Force. - patients may deny violence during calm phases of a violent relationship.