What is the primary purpose of geriatric nursing certifications?

Demonstrating commitment to the special needs of the geriatric client by means of board-certification

Raising the level of professionalism for the geriatric facility

Assuring the basic competency of the geriatric nurse

Addressing the current shortage of specialized geriatric nurses

None of the above

Answer and Explanation

The Correct Answer is A

Choice A reason: Demonstrating commitment to the special needs of the geriatric client by means of board-certification is the primary purpose of geriatric nursing certifications, as it shows that the nurse has met the standards of knowledge, skills, and practice in the field of gerontology. Board-certification also indicates that the nurse is dedicated to providing quality care and improving outcomes for the older adult population.

Choice B reason: Raising the level of professionalism for the geriatric facility is not the primary purpose of geriatric nursing certifications, as it is a secondary benefit that may result from having certified nurses on staff. Professionalism is not only determined by the credentials of the nurses, but also by their attitudes, behaviors, and values.

Choice C reason: Assuring the basic competency of the geriatric nurse is not the primary purpose of geriatric nursing certifications, as it is a minimum requirement that should be met by all nurses who work with older adults. Competency is not only measured by passing an exam, but also by demonstrating clinical judgment, ethical decision-making, and lifelong learning.

Choice D reason: Addressing the current shortage of specialized geriatric nurses is not the primary purpose of geriatric nursing certifications, as it is a challenge that cannot be solved by certifications alone. The shortage of geriatric nurses is influenced by many factors, such as the aging population, the lack of interest and incentives, and the high turnover and burnout rates.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the primary purpose of geriatric nursing certifications.

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Correct Answer is A

Explanation

Choice A reason: Overflow incontinence is a type of urinary incontinence that occurs when the bladder becomes overfilled and cannot empty completely. This causes urine to leak out of the bladder, even when the person does not feel the urge to urinate. A large residual urine volume is a common sign of overflow incontinence, as it indicates that the bladder is not emptying properly.

Choice B reason: Urge incontinence is a type of urinary incontinence that occurs when the bladder contracts involuntarily and causes a sudden and strong urge to urinate. This can result in urine leakage before the person can reach the toilet. A large residual urine volume is not a typical feature of urge incontinence, as the bladder tends to empty frequently and urgently.

Choice C reason: Stress incontinence is a type of urinary incontinence that occurs when the pelvic floor muscles that support the bladder are weakened or damaged. This causes urine to leak out of the bladder when the person coughs, sneezes, laughs, or exerts pressure on the abdomen. A large residual urine volume is not a common symptom of stress incontinence, as the bladder does not overfill or contract involuntarily.

Choice D reason: Functional incontinence is a type of urinary incontinence that occurs when the person has normal bladder function but cannot reach the toilet in time due to physical or mental impairments. This can be caused by mobility problems, cognitive decline, dementia, or environmental barriers. A large residual urine volume is not a characteristic of functional incontinence, as the bladder can empty normally when the person has access to the toilet.

A. A shortened warning time between the desire to void and actual micturition B. The first urge to void occurs at the midbladder volume (250-350 mL) C. Diarrhea is the most common gastrointestinal complaint made to the health care provider D. Constipation as a symptom of altered bladder functions E. None of the above

Correct Answer is A

Explanation

Choice A reason: A shortened warning time between the desire to void and actual micturition is a common sign of urinary incontinence in older adults. It is caused by the decreased bladder capacity, increased bladder irritability, and reduced urethral resistance that occur with aging.

Choice B reason: The first urge to void occurs at the midbladder volume (250-350 mL) is not a correct answer, as this is the normal bladder sensation for adults of all ages. It does not indicate urinary incontinence.

Choice C reason: Diarrhea is the most common gastrointestinal complaint made to the health care provider is not a correct answer, as it is not related to urinary incontinence. It is a separate condition that affects the bowel movements.

Choice D reason: Constipation as a symptom of altered bladder functions is not a correct answer, as it is not a direct cause or effect of urinary incontinence. However, constipation can worsen urinary incontinence by increasing the pressure on the bladder and pelvic floor muscles.

Choice E reason: None of the above is not a correct answer, as there is one choice that is true for urinary incontinence in older adults.

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What is the primary purpose of geriatric nursing certifications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A large residual urine volume characterizes what type of incontinence?

Correct Answer is A

Explanation

You realize that your client's bladder functions are only slightly altered by the physiological changes of age. What might you expect if an older person is experiencing urinary incontinence?

Correct Answer is A

Explanation

A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA). During the assessment, the client begins to report a severe headache and numbness in the left arm. Which action should the nurse take initially?

Which of the following is a true statement about assistive devices to aid older adults with impaired mobility?

When assessing an older male client, what are some issues that might put him at risk for dehydration? (Select all that apply.)

The promotion of an adequate fluid balance which prevents medical complications is defined as?

The nurse in a rehabilitation center is caring for a client diagnosed with new-onset stroke with right-side hemiparesis. Which intervention should the nurse implement when caring for this client?