NCLEX : Gerontology and End-of-Life Care

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #111 : Procedures And Care

The nurse is discussing end-of-life care procedures with an elderly patient who is Buddhist. The nurse knows that the patient will most likely want to incorporate:
Possible Answers:
No blood transfusions
No autopsy and cremation
Prayers to provide support and comfort
Time for medidation
Correct answer: Time for medidation
Explanation: Buddhists will want time for meditation, and may refuse medications that alter awareness. A shrine to Buddha may be placed in the client's room.

Example Question #1 : Gerontology And End Of Life Care

The nurse cares for an 82-year-old woman with frequent constipation. Which of the following statements by the nurse would be inappropriate?

Possible Answers:

“Make sure you are well hydrated. 6-8 glasses of water a day would be good.”

“You should eat dark green vegetables and whole grains.”

“You can try light exercise for at least 30 minutes every day.”

“You can take a laxative whenever you want to have a bowel movement.”

“It could help to remove dairy products like milk and cheese from your diet.”

Correct answer:

“You can take a laxative whenever you want to have a bowel movement.”


Elderly patients may suffer from bowel problems like constipation due to lower motility in the gastrointestinal tract. The nurse should advise this client to exercise daily (to increase blood flow to the GI tract), stay hydrated (to prevent hard, dry stools), eat more fiber (such as fruits, vegetables, nuts, grains, and beans), and stay away from milk and cheese (as lactose sensitivity is common and may be a cause of constipation or bloating). This patient should not take laxatives each time a bowel movement is expected; reliance on laxatives is not recommended because it can desensitize the bowel and make constipation worse.

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