Geriatric Nursing Exam Practice Tests
Course Introduction
Geriatric Nursing focuses on the specialized care required for aging populations, emphasizing the physical, psychological, social, and emotional changes associated with the aging process. The course covers assessment techniques, common health problems of older adults, principles of health promotion and disease prevention, and management of chronic conditions. Students learn evidence-based interventions to support functional independence, promote dignity, and address end-of-life concerns. Ethical and legal considerations, interdisciplinary collaboration, and effective communication with elderly patients and their families are also integral components, enabling nursing professionals to deliver holistic and compassionate care in diverse healthcare settings.
Recommended Textbook
Ebersole and Hess Gerontological Nursing Healthy Aging 4th Edition by Theris
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25 Chapters
426 Verified Questions
426 Flashcards
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A. Touhy
Chapter 1: Introduction to Healthy Aging
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse plans the care for an older man who has Medicare,lives on Social Security and a small pension,and has type 2 diabetes mellitus.Which aspect(s)of this man should the nurse integrate into a positive approach to his health and well-being?
A) Pays for some diabetic supplies.
B) Enjoys regular physical activity.
C) Practices effective glucose control.
D) Lives alone in a high-rise apartment.
E) Lacks low-cost,reliable transportation.
F)Attends weekly dinner club for diabetics.
Answer: B,C,F
Q2) Which nursing intervention is a holistic approach to an older adult?
A) Performs glucose testing during the weekly worship service.
B) Wheels ambulatory adults to exercise when running late.
C) Assigns female nurses to older women who are Islamic.
D) Allows older adults in a nursing home to eat meals alone.
Answer: C
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3
Chapter 2: Gerontological Nursing History, Education, and Roles
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which was the first formal action the ANA took in relation to gerontological nursing?
A) Established a national geriatric nursing group
B) Defined educational standards for gerontology
C) Created the ANA Division of Geriatric Nursing
D) Formed the Council of Long Term Care Nurses
Answer: A
Q2) Identify future directions for gerontological nursing research as suggested by Wykle and Tappen.
A) Interdisciplinary practice models
B) Intergenerational caregiving
C) Health disparities
D) Influence of culture on aging
E) Long-term care initiatives
Answer: A,B,C,D
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Chapter 3: Care Across the Continuum
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A nursing home is converting to a person-centered culture from an institution-centered culture.Which nursing intervention will be suitable in the new culture?
A) Maintain consistent resident assignments.
B) Provide structured activities for the residents.
C) Assign nursing assistants to perform bathing.
D) Determine mealtime on the basis of staffing levels.
Answer: A
Q2) A family that has three small children prepares to move an older female parent into their home knowing that she stays up all night.The nurse helps the family prepare for the change.Which part of planning should the nurse indicate is the family's priority?
A) Sharing household responsibilities
B) Preparing the house for her arrival
C) Helping her use her skills and talents
D) Setting limits on nighttime activities
Answer: B
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5
Chapter 4: Culture and Aging
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17 Flashcards
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Sample Questions
Q1) Which health belief system uses treatments to repair a body part?
A) Holistic
B) Biomedical
C) Personalistic
D) Magicoreligious
Q2) Which factor(s)are associated with the provision of culturally competent care?
A) Cultural awareness
B) Cultural knowledge
C) Cultural skills
D) Cultural connections
Q3) Which of the following considerations is most likely to be true when working with an interpreter?
A) An interpreter is never needed if the nurse speaks the same language as the patient.
B) When working with interpreters, the nurse can use technical terms or metaphors.
C) A patient's young granddaughter who speaks fluent English would make the best interpreter because she is familiar with and loves the patient.
D) The nurse should face the patient rather than the interpreter.
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Chapter 5: Theories of Aging and Physical Changes
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) During a nursing assessment,an older adult tells the nurse about increasing loss of balance.Further assessment indicates musculoskeletal changes.Which patient teaching should the nurse implement to address musculoskeletal reasons for the loss of balance?
A) Exercise with light weights.
B) Stand on one foot at a time while supported.
C) Train with the use of sit-ups.
D) Work out in a swimming pool.
Q2) The nurse assigns the diagnosis of Nutrition Imbalance: less than body requirements for an older adult.Which age-associated intestinal problem does the nurse apply to plan goals and interventions to improve this adult's nutritional status?
A) Less intrinsic factor secretion
B) Short, broad small intestinal villi
C) Decreased gastric smooth muscle
D) Decreased large intestinal motility
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Chapter 6: Social, Psychological, Spiritual, and Cognitive Aspects of Aging
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse provides opportunities for nursing home residents to read aloud to others.Which cognitive skill is this nursing intervention most likely to improve?
A) Verbal fluency
B) Logical analysis
C) Object naming
D) Visuospatial skills
Q2) Which of the following statements is true about social and emotional health of older adults?
A) Contemporary society has strong norms for the behavior of adults older than 80 years.
B) The transition to old age entails a declining level of contribution to others as one becomes increasingly dependent on them.
C) Computers and the Internet have little to contribute to older adults in their need for social support.
D) Nurses are often significant sources of social and emotional support for older adults.
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Chapter 7: Assessment and Documentation for Optimal Care
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Which mental status assessment tool(s)would be appropriate for use in long-term care facilities?
A) Fulmer SPICES
B) Clock Drawing Test
C) The Mini-Cog
D) Mini-Mental State Examination (MMSE)
Q2) The same nursing documentation record is used in every unit of a hospital.Why does a hospital use a standardized form for nursing documentation?
A) Helps provide continuity of care
B) Standardizes patient care parameters
C) Assists in maintaining confidentiality
D) Reduces the number of medication errors
E) Provides the foundation for staffing levels
F)Allows for quality evaluations among units
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Chapter 8: Safe Medication Use
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A health care provider has ordered alendronate (Fosamax)for an older adult who has been admitted for a hip fracture.Which is the best response from the nurse when educating the patient on the new medication?
A) You will need to have your calcium checked monthly while on this medication.
B) If you miss a dose, you will need to take the medication as soon as you remember.
C) Take on an empty stomach.
D) Do not take with alcohol.
Q2) An older man is taking aripiprazole (Abilify)for agitation.Which patient assessment is the nurse's priority to prevent catastrophic effects of the medication?
A) Oral and facial dyskinesia
B) Mask facies, shuffling gait
C) Muscle spasms of the face
D) Repetitive aimless walking
Q3) Which process is increased in the early morning?
A) Fibrinolytic activity
B) Blood plasma
C) Asthma symptoms
D) Rheumatoid arthritis pain
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Chapter 9: Nutrition and Hydration
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Sample Questions
Q1) Which combination is suitable for the daily diet of older adults?
A) Vitamin B??, 2.4 mcg; and fiber, 15 g
B) Three 8-oz glasses of fluid; and 1600 calories
C) Vitamin B??, 1.1 mcg; and 40% of daily calories from fat
D) Calcium, 1200 mg; and vitamin D, 600 to 800 units
Q2) Which recommendations for daily food intake is correct for older adults according to the MyPlate for Older Adults from Tufts University?
A) Three 8-ounce glasses of water
B) Two servings of deep-colored fruit
C) Four or more servings of high-quality protein
D) One or two servings of brightly colored vegetables
E) Three or more servings of low-fat or nonfat dairy products
F)Six or more servings of fortified,enriched,or whole grain foods
Q3) Which of the following is a true statement about dental health in older adults?
A) Most people can expect to lose most of their teeth by old age.
B) Excessive saliva production is a common problem among older adults.
C) Dentures should be cleaned once a day by brushing and soaking in a cleaning solution.
D) A little blood on the toothbrush is normal.
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Page 11
Chapter 10: Elimination
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse wants to begin helping a resident who is overweight and has urinary incontinence with healthy bladder behavior skills.Which intervention should the nurse implement?
A) Begin a low-calorie diet for weight management.
B) Schedule voiding at 2- to 4-hour intervals.
C) Instruct the resident to practice abdominal exercises.
D) Reduce the time between an urge to void and voiding.
Q2) The nurse understands that stress incontinence occurs:
A) With a urinary tract infection (UTI)
B) Because of emotional strain
C) As a result of increased intraabdominal pressure
D) With a specific amount of urine in the bladder
Q3) An older woman tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence.Which recommendation should the nurse implement?
A) Tell her to eliminate the use of caffeinated beverages.
B) Coordinate a family conference with the older adult.
C) Recommend exercises to strengthen the pelvic floor.
D) Schedule voiding for every 2 hours around the clock.
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Page 12
Chapter 11: Rest, Sleep, and Activity
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse expresses concern about a female nursing home resident in the team meeting.Which resident information determines the team's priority in planning her care?
A) Experiences several interruptions with sleep
B) Has had coronary bypass graft surgery during the last year
C) Needs increasing help with personal hygiene
D) Eats insufficient calories to maintain her weight
Q2) An older woman maintains an active lifestyle playing various games with friends.She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night.Which intervention should the nurse implement to improve the quality of this woman's sleep?
A) Recommend preparation for sleep.
B) Suggest trying a cup of warm milk at bedtime.
C) Inquire about her nightly sleep rituals.
D) Propose volunteer work at a thrift shop.
Q3) What is the difference between rest and sleep?
A) Sleep occurs with rest.
B) Rest is an extension of sleep.
C) Rest occurs only in brief periods.
D) Sleep is restorative and recuperative.
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Page 13
Chapter 12: Promoting Healthy Skin and Feet
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Although intact skin effectively protects an individual,it functions within physiological limits.Which qualities of healthy skin work synergistically within these limits to absorb,cushion against,deflect,or neutralize potentially harmful forces,as well as protect against potentially harmful substances that might impair skin integrity?
A) Strength
B) Pliability
C) Location
D) Durability
E) Moistness
F)Pigmentation
Q2) A nurse will be conducting an educational session on preventing skin cancer at a local senior citizens center.Which should the nurse include in the session?
A) Squamous cell cancer may appear similar to a wart.
B) Basal cell carcinoma is more common in women.
C) Actinic keratosis begins as a pearly papule.
D) Melanoma is characterized by rough, scaly patches.
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14
Chapter 13: Promoting Safety
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Sample Questions
Q1) The nurse plans care to prevent a dangerous thermal environment for an older man who lives in a northern climate of the United States.Which patient assessment data does the nurse recognize that can contribute to his risk of hypothermia?
A) Has a history of a cerebrovascular accident (CVA)
B) Has a history of diabetes mellitus
C) Builds miniature cars for a hobby
D) Bathes three to four times a week
E) Gets heat from a boiler in the cellar
F)Becomes diaphoretic on warm days
Q2) Which of the following is(are)assessed in a fall prevention assessment of an older adult?
A) Environment
B) Physical status
C) Financial status
D) Functional status
E) Medical history
F)Occupational history
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Page 15
Chapter 14: Living With Chronic Illness
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16 Verified Questions
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Sample Questions
Q1) An older man with myasthenia gravis lives with his wife.Which patient characteristics should the nurse use to identify areas for nursing care in the disability assessment of this man?
A) Successfully manages his finances.
B) Lives in an adults-only community.
C) Walks around the house for exercise.
D) Health care is provided through Medicare.
E) Has a history of peptic ulcer disease.
F)Wife is in good health but has poor eyesight.
Q2) Which of the following types of phases are included in the chronic illness trajectory (CIT)?
A) Caring
B) Plateau
C) Instability
D) Bargaining
E) Deterioration
F)Rehabilitation
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Chapter 15: Pain and Comfort
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which pain sensation is associated with nociceptive pain?
A) Tissue inflammation
B) Postherpetic
C) Radiculopathies
D) Nerve root irritation
Q2) An older Hispanic man states that he is not having pain,but he had knee replacement surgery 2 days ago.Which is the best pain assessment tool as recommended by the Hartford Institute for Geriatric Nursing (HIGN)from "Try This" for the nurse to apply for this man?
A) Numeric Rating Scale
B) Verbal Descriptor Scale
C) Iowa Pain Thermometer
D) Faces Pain Scale-revised (FPS-R)
Q3) Which type of pain tends to occur persistently along a well-defined path in a region of the body?
A) Unrelenting pain
B) Osteoarthritic pain
C) Postoperative pain
D) Postherpetic pain
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Chapter 16: Diseases Affecting Vision and Hearing
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is used to treat the most common cause of impairment to an older person's hearing?
A) Hearing aids
B) Cochlear implants
C) Ear canal irrigation
D) Sign language
Q2) The nurse is teaching older adults about maintaining health and wellness.Which recommendation should the nurse include in the teaching to maintain optimal vision?
A) Take 50,000 units of vitamin A daily.
B) Wear sunglasses that block sun rays.
C) Read in good light to avoid eye strain.
D) Visit the ophthalmologist every 5 years.
Q3) The most detrimental illness or condition that an older adult with deafness that occurred at birth can experience is which one of the following?
A) Aphasia
B) Cataracts
C) Glaucoma
D) Osteoarthritis
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18
Chapter 17: Metabolic Disorders
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Sample Questions
Q1) Which co-morbidity commonly associated with type 2 diabetes mellitus enhances the development of the microvascular complications of diabetes mellitus?
A) Hyperlipidemia
B) Hypothyroidism
C) Venous insufficiency
D) Chronic constipation
Q2) The nurse is caring for a patient diagnosed with hyperthyroidism.Which signs and symptoms indicate hyperthyroidism?
A) Atrial fibrillation
B) Heart failure
C) Constipation
D) Heat intolerance
Q3) An older man with diabetes mellitus complains to the nurse that his feet feel like they are burning.Which of the following interventions should the nurse recommend to this older adult to reduce his discomfort?
A) Wear well-fitting, leather shoes
B) Wear knee-high nylon stockings
C) Soak the feet in warm water
D) Apply antifungal powder on the feet
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Page 19
Chapter 18: Bone and Joint Problems
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Sample Questions
Q1) The nurse is educating an older woman on foods high in calcium.Which foods should the nurse include?
A) Chinese cabbage
B) Soy milk
C) Cheese pizza
D) Whole wheat
Q2) The nurse identifies which risk factor(s)for OA?
A) Men
B) African Americans
C) Old age
D) Steroid use
Q3) Which is a healthy practice recommended for a person at risk for OA?
A) Milk and orange juice at breakfast; cheese pizza at lunch; spaghetti served with spinach covered with melted cheese for dinner; and ice cream for dessert
B) Long-term estrogen administration as adjunct therapy
C) Alendronate (Fosamax) taken with a snack just before bedtime
D) Coffee, raisin bran and milk, and sausage at breakfast; a can of cola and a hot dog on a high-fiber bun at lunch; cocktails before dinner; steak with brown rice, celery, and red wine for dinner
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Page 20
Chapter 19: Cardiovascular and Respiratory Disorders
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19 Verified Questions
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Sample Questions
Q1) The nurse should instruct a patient on which of the following modifiable risk factor(s)for essential hypertension?
A) Tobacco use
B) Alcohol
C) Stress management
D) Adequate rest
Q2) The nurse notices that an older female nursing home resident is not eating and that her heart rate is faster than usual.Which should the nurse do to determine if pneumonia is a potential cause of the change in her status?
A) Obtain a specimen for aerobic blood cultures.
B) Promptly send the resident for a chest x-ray examination.
C) Analyze sputum for color, texture, and volume.
D) Compare tympanic temperature to the baseline.
Q3) Which condition is a COPD?
A) Bronchial asthma
B) Histoplasmosis
C) Bacterial pneumonia
D) Mycobacterium tuberculosis
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Chapter 20: Neurological Disorders
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Sample Questions
Q1) An older adult arrives at the emergency department with a probable diagnosis of a hemorrhagic stroke.The nurse understands,based on the patient's age,that the most likely cause is which one of the following?
A) Intracranial hemorrhage
B) Decreased cardiac output
C) Thrombosis
D) Uncontrolled hypertension
Q2) An older man comes to the emergency department after falling at home,and he reports that he cannot walk without losing his balance.Which steps should the nurse implement for this patient?
A) Arrange to transfer him immediately to the radiology department.
B) Determine symptom onset or when he fell at home.
C) Organize the reperfusion tissue plasminogen activator (tPA) infusion.
D) Perform a comprehensive neurologic assessment.
Q3) _______________ __________________ is a motor speech disorder that affects the ability to plan and sequence voluntary muscle movements.
Q4) _____________ _____________ is the result of a lesion in the part of the brain adjacent to the primary auditory cortex (Wernicke area).
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Page 22
Chapter 21: Cognitive Impairment
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Sample Questions
Q1) At 10 PM,an older male resident attempts to climb over the bedrails.Which intervention should the nurse implement first?
A) Talk to the resident about his behavior.
B) Call the physician, and ask for a sedative.
C) Apply a vest restraint on the resident.
D) Get a companion to keep him in the bed.
Q2) Which types of exercise programs are better for older adults with AD for improving mood and function?
A) Balance
B) Walking
C) Self-paced
D) Endurance
E) Muscle strength
F)Lasting 16 weeks or longer
Q3) Which of the following should the nurse use to assess a nonverbal older adult for delirium?
A) Cranial nerves XI and XII
B) Confusion Assessment Method
C) MMSE-2
D) Controlled Word Association Test
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Chapter 22: Mental Health
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Sample Questions
Q1) Alcohol diminishes the effects of what type(s)of medications?
A) Oral hypoglycemic
B) Anticoagulant
C) Anticonvulsants
D) Tricyclic antidepressants
Q2) Which assessment finding of an older adult living in an assisted-living facility indicates the highest risk for suicide?
A) Liver failure is due to alcohol abuse; older adult is popular at meals.
B) Older adult declines company; is preoccupied with lethal weapons.
C) Refuses to allow a large, extended family to help him.
D) Older adult had an overdose of acetaminophen 20 years ago; is in a sewing group.
Q3) An older female resident lowers her voice and tells the nurse that another female resident is looking at her behind her back and is going to make her move tonight with a male staff member.Which ideas should the nurse include in the response to this individual?
A) The staff receives training in ethics.
B) Validate the woman's impression.
C) Avoid suspicious, paranoid thinking.
D) Use the call bell if she becomes frightened.
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Page 24
Chapter 23: Economic and Legal Issues
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Sample Questions
Q1) An older woman is resisting her son's help to make her money last longer.He wants to have her declared incapacitated so he can manage her finances.Which nursing assessment can be used by the court to declare incapacitation?
A) Prepares very few meals and avoids cleaning the house.
B) Ambulates around her local community without difficulty.
C) Balances her checkbook weekly and pays her bills on time.
D) Resists medical advice to remove a stage I malignant tumor.
Q2) Which is the fundamental difference between Medicare Part A and Medicare Part B?
A) Hospice care
B) Health care setting
C) Home care services
D) Invasive procedures
Q3) The older adult wants to appoint an attorney-in-fact with DPA for a specific period around a forthcoming surgery.Which should the nurse implement?
A) Help the patient find a qualified attorney.
B) Explain the legal rights and responsibilities of an attorney-in-fact with a DPA.
C) Suggest using a guardian for the surgical period.
D) Offer to act as the patient's guardian during surgery.
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Page 25
Chapter 24: Relationships, Roles, and Transitions
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Sample Questions
Q1) The children of an older woman ask the nurse for advice about helping their mother heal after her husband's (their father's)death.Which strategy should the nurse share with the family?
A) Appoint one family member to take her on outings.
B) Coordinate family expressions of care and concern.
C) Have each child plan a long trip with her assistance.
D) Take her to community events to meet other people.
Q2) Which disease has become known as the "great imitator?"
A) Human immunodeficiency virus (HIV)
B) Acquired immunodeficiency syndrome (AIDS)
C) Alzheimer disease
D) Schizophrenia
Q3) Which population(s)is(are)most at risk for developing HIV?
A) Those over the age of 50 years
B) Women
C) Those who are cognitively impaired
D) Those who are sexually active
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Chapter 25: Loss, Death, and Palliative Care
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Sample Questions
Q1) While awaiting the imminent death of her sister,an older woman makes arrangements to bury her sister in the survivor's home state because she cannot reach the other family members.Which step should the nurse implement?
A) Ask questions, including questions about the location of her sister's family.
B) Instruct this woman that this is not her decision to make.
C) Try to contact the family to inform them of the decision.
D) Question her about holding behaviors that she will want.
Q2) The health care provider believes an older woman has approximately 6 weeks to live.After 2 months,the family remains at the bedside but,in the last few days,are becoming increasingly impatient and irritable.This pattern is least indicative of which of the following statements?
A) Family is experiencing anticipatory grief for the older adult.
B) Family desires that the patient be relieved of her misery.
C) Anticipatory grieving can fail to attenuate acute grief upon death.
D) Grievers deal more easily with known losses at known times.
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