Gerontological Nursing Exam Bank
Course Introduction
Gerontological Nursing focuses on the specialized care of older adults, addressing their complex physical, psychological, social, and cultural needs. This course explores the aging process, the most common health challenges and chronic conditions affecting the elderly, and evidence-based practices for promoting health, independence, and quality of life in older populations. Students learn about assessment tools, communication skills, pharmacological considerations, ethical issues, and family dynamics related to geriatric care. Emphasis is placed on interdisciplinary collaboration, health promotion, and person-centered approaches to enhance the well-being and dignity of aging individuals in diverse healthcare settings.
Recommended Textbook
Toward Healthy Aging Human Needs and Nursing Response 7th Edition by Priscilla Ebersole
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27 Chapters
262 Verified Questions
262 Flashcards
Source URL: https://quizplus.com/study-set/413 Page 2
Chapter 1: Gerontological Nursing and an Aging Society
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/7226
Sample Questions
Q1) When have serious and carefully controlled research studies on aging flourished?
A) During the past 40 years
B) Since the turn of the century,around 1895 to 1905
C) Following the Great Depression
D) Just beginning to flourish since the year 2000
Answer: A
Q2) A nursing student on her obstetrical nursing rotation hands an infant girl to the infant's mother,who asks the student what life expectancy is these days.The nursing student bases her response on her knowledge that,for this child,life expectancy can reasonably be expected to be:
A) 72.9 years.
B) 74 years.
C) 79.7 years.
D) 81.2 years.
Answer: C
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3
Chapter 2: Theories of Aging
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A married couple are residents of a life care community.They retired to the community after the husband had heart surgery.The wife has always been physically and socially active and joined an aerobic class,knitting groups,and a book club shortly after moving to the community.She walks on a daily basis and swims twice a week.Her husband spends his days reading and watching television.He was never a social person and enjoys being by himself.Which of the sociological theories of aging best describes the couple?
A) Role theory
B) Disengagement theory
C) Continuity theory
D) Personality theory
Answer: C
Q2) Erikson's stage or task for later life is:
A) ego maturation vs.stagnation.
B) ego transcendence vs.ego preoccupation.
C) generativity.
D) ego integrity vs.despair.
Answer: D
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Chapter 3: Health and Wellness
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/7228
Sample Questions
Q1) You engage in a casual conversation with your overweight 72-year-old neighbor.He was recently discharged from a stay at the hospital during which he had a treadmill test to evaluate the extent of his cardiac disease.After he relays information to you about the test,you ask him about any dietary changes he has made.Which statement best demonstrates wellness behavior on his part?
A) "My doctor didn't tell me I have to change anything.Isn't that good news?"
B) "My nurse said something about fat and cholesterol,but I'm sure that's not my problem.My father ate bacon and eggs every day of his life and he lived to a ripe old age."
C) "It's so hard to give up the foods I love,but my wife and I have bought the American Heart Association's cookbook and we're going to try our best."
D) "I heard there's a new fat substitute.I wonder if that would taste any good on my wife's cinnamon rolls."
Answer: C
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Page 5
Chapter 4: Physiological Changes with Aging
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) You are teaching a health promotion class at a senior center.The topic is promoting healthy skin while aging.The following topics should be included in the program except:
A) the importance of using sunscreen.
B) the importance of adequate hydration.
C) the importance of using moisturizing lotions.
D) the importance of using antibacterial soaps when bathing.
Q2) As you enter your patient's room,you find her sitting up in bed,reading the large print edition of Reader's Digest.She asks you if it is possible to increase the amount of lighting in the room for her while she reads.She says to you,"I don't know what it is.It just seems that I need more light for everything as I get older." In your verbal response to her,you explain what age-related changes?
A) Slower ability of the pupil to adjust to changes in lighting is age related.
B) The gray-yellow ring around her cornea,arcus senilis,interferes with visual acuity.
C) The cornea becomes flatter and thinner with aging.
D) The retina begins to degenerate with aging,and detachment is an age expected change.
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6
Chapter 5: Laboratory Values and Diagnostics
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/7230
Sample Questions
Q1) You are a nurse working in a community health center that is sponsoring a program that offers free prostate-specific antigen (PSA)blood tests to all men older than age 50.A man approaches you and asks,"What is this all about?" What is the best response to him?
A) "PSA is one of the primary screening tests for prostate cancer.All men older than 50 should be screened for prostate cancer."
B) "PSA is a definitive way to diagnose prostate cancer.All men older than 50 should be screened for prostate cancer."
C) "PSA is indicated when a man has other symptoms of prostate cancer."
D) "PSA is invalid unless a digital rectal exam is done immediately before the blood sample being drawn."
Q2) While looking at your patient's laboratory values,you note the following values.Which contains an alteration (increase or decrease)that you might expect with aging?
A) Potassium 4.5 mEq/L
B) Blood urea nitrogen (BUN)10 mg/dL
C) Creatinine 0.8 mg/dL
D) Erythrocyte sedimentation rate (ESR)20 mm/hr
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Chapter 6: Health Assessment in Gerontological Nursing
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/7231
Sample Questions
Q1) A limitation of the Katz index of activities of daily living (ADLs)is that:
A) completion of the tool requires the joint efforts of the interdisciplinary team.
B) all ADLs are weighted equally,and the cutoff score is arbitrarily determined.
C) it puts a heavier weight on the cognitive abilities necessary to perform ADLs.
D) it is completed as a self-report by the patient.
Q2) What is true about instruments to assess for depression in older adults?
A) Older adults tend to score inaccurately low (indicating less depression)than younger adults on the Zung Self-Rating Depression Scale.
B) The Geriatric Depression Scale cannot be used in older adults with dementia or cognitive impairment.
C) The Beck Depression Inventory is designed for gerontological patients.
D) The Geriatric Depression Scale is administered by a health care provider in an interview with the older adult.
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Chapter 7: Managing Basic Physiological Needs
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/7232
Sample Questions
Q1) Older adults with sleep apnea:
A) experience excessive deep sleep.
B) are often slim and underweight.
C) have an increased risk for sudden death and stroke.
D) experience excessive tension in the muscles of the throat and soft palate.
Q2) A 78-year-old client in your home care agency has a history of congestive heart failure and arthritis.She lives alone in a two-story home; the bathroom is on the first level,and her bedroom is on the second level.She reports that she has something "very upsetting" to tell you,and reports that she has been wetting the bed at night.What type of incontinence does she most likely have?
A) Urge incontinence
B) Functional incontinence
C) Iatrogenic incontinence
D) Stress incontinence
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9
Chapter 8: Biological Maintenance Needs
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) What skin preparations should the nurse instruct the older adult to use with caution?
A) Moisturizing soaps
B) Emollients to keep the skin moist
C) Steroid-based ointments and creams
D) Sun block
Q2) An older woman tells the nurse her husband seldom brushes his teeth as he did in the past.One reason for this might be:
A) decreased manual dexterity.
B) loss of some of his natural teeth.
C) decrease in taste acuity.
D) lack of dental insurance.
Q3) An 88-year-old resident in a long-term care facility tells the nurse she is having mouth pain.The first action the gerontological nurse should take is to:
A) notify the physician in charge about the resident's problem.
B) carefully inspect the resident's mouth,teeth,and tongue.
C) medicate the resident with a prescribed analgesic.
D) instruct the resident to begin rinsing the mouth with an antimicrobial mouthwash.
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Chapter 9: Nutritional Needs
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The following are reliable methods to evaluate obesity except:
A) BMI (body mass index).
B) WHR (waist-hip ratio).
C) weight and height evaluation using a table of desirable weight.
D) weight greater than 150% of ideal body weight.
Q2) The following are important in the management of diabetes in older adults except:
A) diet.
B) physical activity.
C) eliminating all sugars from the diet.
D) testing blood sugar regularly.
Q3) A 78-year-old female is admitted to the long-term care facility after a hospitalization for pneumonia.She has a history of a right cerebrovascular accident and dysphagia.When preparing the room for this patient,what equipment is most important in the care of this patient?
A) A room close to the nursing station
B) An adjustable height bed that goes low to the floor
C) A suction machine
D) Oxygen at bedside
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11
Chapter 10: Chronic Disease in Late Life
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) An older adult with pneumonia often:
A) presents with an elevated temperature.
B) is not treated with antibiotics.
C) presents with a change in functional status and mental status.
D) presents with a markedly elevated white blood cell (WBC)count.
Q2) You are conducting a blood pressure screening at a local senior center.A 90-year-old client of the center has a blood pressure reading of 150/88.He reports no other symptoms,and no acute medical illness.You should instruct him to:
A) not worry because this reading is consistent with his age.
B) go to the emergency department for immediate evaluation.
C) contact his primary care provider for evaluation.
D) return to your next screening in 6 weeks.
Q3) You are assisting your elderly client with chronic obstructive pulmonary disease (COPD)in self-care activities.Which direction provided by you will best help her achieve the goal of being able to perform self-care activities?
A) Bathe and eat slowly,allowing rest periods.
B) Attempt to walk short distances without oxygen.
C) Perform all activities of daily living at one time,and then rest.
D) Bathe right after eating,and then rest.
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Page 12
Chapter 11: Pain and Comfort
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7236
Sample Questions
Q1) The safest narcotic choice for your elderly client experiencing severe acute pain is:
A) Demerol (meperidine).
B) Talwin (pentazocine).
C) morphine sulfate.
D) none; there are no safe narcotics for elderly clients.Nonsteroidal antiinflammatory drugs (NSAIDs)should always be used instead.
Q2) Compared with acute pain,persistent pain:
A) leads to markedly altered vital signs.
B) is usually described as a burning pain.
C) is generally gone within 4 months.
D) can lead to lifestyle changes.
Q3) Adjuvant medications:
A) are used instead of opioids to decrease the likelihood of addiction.
B) have no side effects.
C) are used to eliminate the side effects of opioid medications.
D) are used in combination with analgesics to potentiate the effect of the analgesics.
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13
Chapter 12: Geropharmacology
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Which pharmacokinetic/pharmacodynamic parameter is least affected by the aging process?
A) Absorption
B) Distribution
C) Metabolism
D) Excretion
Q2) An 87-year-old Hispanic Catholic widow lives alone in the community.Her daughter lives nearby.She is being discharged home after a hospitalization for congestive heart failure.She is on eight different medications.She is at risk for noncompliance.What would not be a contributing factor to noncompliance?
A) Language barrier
B) Living alone
C) Large number of medications
D) Ethnic and religious background
Q3) The area in which nurses have the greatest effect on medication use is:
A) educating clients.
B) ensuring adherence.
C) marketing beneficial products.
D) encouraging alternative/herbal remedies.
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Page 14
Chapter 13: The Use of Herbs and Supplements in Late Life
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5 Verified Questions
5 Flashcards
Source URL: https://quizplus.com/quiz/7238
Sample Questions
Q1) The profile of a usual herbal supplement client resembles:
A) inner city,lower socioeconomic status,female.
B) white,highly educated with higher income level.
C) third generation,middle income,Hispanic American.
D) men and women from small rural communities.
Q2) Herbal supplements are manufactured in all but one of these forms:
A) tincture.
B) salves.
C) extracts.
D) intravenous.
Q3) An 88-year-old woman is being seen for the first time at the outpatient geriatric clinic.When the nurse completes her nursing admission history,she asks the patient about her medication list.She inquires about the use of herbs and other supplements as well as prescription medications.The reason for this inquiry is that herbs and supplements:
A) may interact with prescription medications.
B) are hazardous when used by older adults.
C) replace the need for prescription medications.
D) cause excessive sedation in older adults
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Page 15
Chapter 14: Sensory Function
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/7239
Sample Questions
Q1) An 86-year-old nursing home resident is being evaluated for a hearing disorder.What is the most common and easily corrected of all interferences in the hearing of older adults?
A) Otosclerosis
B) Tinnitus
C) Cerumen impaction
D) Ototoxic drug therapy
Q2) Considering his sensory changes with aging,planning an ideal environment for your newly admitted elderly client would include choosing:
A) a brightly lit room with green walls,blue floor,and green cozy throw rugs.
B) a room with ivory walls,orange carpeting,and bright incandescent lighting.
C) a brightly lit room with blue walls and a blue EZ-Glide wax floor.
D) a combination television/children's playroom with cute pastel wall hangings.
Q3) An appropriate psychosocial nursing diagnosis for your elderly client experiencing a hearing loss might include all except:
A) anxiety.
B) chronic low self-esteem.
C) social isolation.
D) risk for falls.
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Page 16
Chapter 15: Mobility
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/7240
Sample Questions
Q1) An 88-year-old woman is admitted to the hospital with a diagnosis of pneumonia.She has a history of hypertension and congestive heart failure and is on a total of five different medications for these chronic conditions.The nurse caring for the woman develops a care plan that includes the diagnosis Risk for falls.A priority nursing intervention for this client is to:
A) perform a fall assessment.
B) keep all of the side rails up on the client's bed at nighttime.
C) place the client on bedrest so that she does not fall.
D) assess the client's dietary intake for calcium adequacy.
Q2) A nurse is making a visit to the home of an 88-year-old client.The nurse reviews safety measures with the client and screens the home environment for potential hazards that could precipitate a fall.The nurse urges the client to eliminate:
A) night lights.
B) railings on the stairway.
C) throw rugs.
D) the use of a cane.
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Chapter 16: Environmental Safety and Security
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5 Verified Questions
5 Flashcards
Source URL: https://quizplus.com/quiz/7241
Sample Questions
Q1) You are educating your elderly female client about fire safety.You answer her questions knowing that:
A) elderly women are more likely to die in fires than elderly men.
B) fire mortality for elders is twice that of any other age group except children ages 1 to 4.
C) most people who die in fires are killed by the flames.
D) most fires occur outside the home.
Q2) You are a home care nurse in an area of the country that is prone to tornadoes.When you make your first home visit,you routinely discuss disaster preparedness.The rationale for this includes the following except:
A) older adults are less likely to seek formal and informal help than are younger people during disasters.
B) older adults are more likely to bring litigation against the home care agency.
C) older adults have special needs that need to be addressed.
D) older adults may not get as much assistance as younger adults during a disaster.
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Chapter 17: Economic,Residential,and Legal Issues
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Your 88-year-old neighbor tells you that her daughter wants her to move to a life care community.These communities typically:
A) require that in the case of married couples,both individuals require the same level of care.
B) are decreasing in number across the United States.
C) offer a full range of residential options all in one location.
D) are for low-income seniors only.
Q2) The original intent of Social Security was to:
A) provide a hospital insurance plan.
B) minimize the dependency of older members on younger members of society.
C) provide the blind,elderly,or disabled with adequate financial support.
D) penalize women financially for numerous zero wage years while raising children.
Q3) The Omnibus Budget Reconciliation Act (OBRA)of 1987 included:
A) mandatory registered nurse (RN)to patient ratios in nursing homes.
B) mandatory RN continuing education.
C) elimination of the use of restraints and medications for discipline of residents.
D) mandatory daily patient assessments by physicians.
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Chapter 18: Frailty,Vulnerability,and Elder Mistreatment
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/7243
Sample Questions
Q1) A 78-year-old wealthy white widow lives in a luxury high-rise condominium with her son.She has mild cognitive impairment and needs moderate assistance with activities of daily living.She is admitted to the Acute Care for the Elderly (ACE)unit for pneumonia and is noted to have burns on her upper back.The son states that the patient burned herself when attempting to shower.The nurse presents the patient in interdisciplinary rounds,and a discussion ensues on elder mistreatment.Which statement by a member of the team reflects a need for further education?
A) "This could not possibly be elder abuse.She is white and wealthy; abuse does not happen in these circumstances."
B) "Even if we are not sure,we should report our suspicions."
C) "Most abusers are either adult children or spouses."
D) "The incidence of abuse increases with the increased time needed by the caregiver to provide care."
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Chapter 19: Intimacy and Sexuality in Late Life
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/7244
Sample Questions
Q1) You are a preceptor to a new nurse on the geriatric unit of the hospital.You observe the nurse admit a new patient to the nursing unit and you are reviewing her documentation of the assessment.You note that she has left the section on the assessment form related to "sexuality" blank,and you question her about it.She states that it is "not applicable" and that the patient is 79 years old,then she draws a line through the section.What action do you take?
A) There is no action needed.The patient is 79 years old and this is not an area of concern.
B) There is no action needed.The patient would have shared information if there was anything of concern,so there is no need to ask.
C) Speak to the new nurse,because the role of the nurse is to offer an opportunity for discussion.
D) Speak to the new nurse,because this is an area for the physician to complete.
Q2) What is true regarding aging and sexuality?
A) Sexuality is important as long as one is not institutionalized.
B) One's sexuality can give meaning to life and bolster security,belonging,and esteem.
C) The sexual emphasis in later life is on procreation.
D) One cannot possess sexual health if widowed.
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Chapter 20: Relationships,Roles,and Transitions
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/7245
Sample Questions
Q1) An 89-year-old Chinese patient had a cerebrovascular accident that left him totally dependent in activities of daily living.He subsequently had a percutaneous enteral gastrostomy (PEG)tube placed for feeding.He is ready to be discharged from the acute care setting,and the family is expressing that they want to take him home and care for him.The following are important for the nurse to assess when evaluating the family support system except:
A) number of family members who are accessible.
B) economic status of each of the family members.
C) recent stresses of each of the family members.
D) ethnic background of each of the family members.
Q2) Select the true statement regarding grandparenthood.
A) Grandparenthood is an outdated role in today's society.
B) Grandparents tend to be less involved with their grandchildren than are great-grandparents with great-grandchildren.
C) Most older adults are grandparents.
D) The role of parent is subordinate to that of grandparent.
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22
Chapter 21: Culture,Gender,and Aging
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5 Verified Questions
5 Flashcards
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Sample Questions
Q1) Select the true statement regarding cohort effect:
A) Birth cohort is important in understanding how one experiences a world event.
B) Each individual within a cohort experiences events in a similar way.
C) An example of applying the knowledge of cohort effect would be treating an elderly client exactly how your own grandfather would expect to be treated.
D) All generations share a similar perspective on life events.
Q2) Which cultural group has the fastest growing elderly population in the United States?
A) Blacks
B) Asian/Pacific Island Americans
C) Native Americans
D) Hispanic Americans
Q3) Ethnocentrism is defined as:
A) an understanding of another's cultural beliefs and practices.
B) a conflict that occurs when an individual interacts with another whose beliefs differ from his own.
C) application of limited knowledge about one person with specific characteristics to another person.
D) a belief that one's ethnic group is superior to that of another.
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Chapter 22: Nursing and Aging in Rural and Frontier
Settings
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6 Verified Questions
6 Flashcards
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Sample Questions
Q1) An older adult lives in a community of 4800 people.The nearest city is 90 minutes away.The prominent features of a rural area are:
A) easy access to urban facilities,industrialized,and densely populated.
B) low population size and density,physical remoteness,and in an ecologically natural area.
C) physical remoteness,moderate population,and some industry presence.
D) in an ecologically natural area,culturally diverse population,and access to full health services.
Q2) What is true regarding the health status of rural-dwelling older adults? They are:
A) a population at risk for disease and disability.
B) less likely to have mental illness.
C) able to access health care due to federal farm pension programs.
D) automatically eligible for government assistance for home care programs regardless of specific needs.
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Chapter 23: Cognition and Caring for Persons with Cognitive Impairment
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10 Flashcards
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Sample Questions
Q1) Interventions to manage wandering in clients in a long-term care facility include the following except:
A) environmental modifications such as camouflaging doorways and providing enclosed pathways.
B) close observation to identify the person's individual patterns.
C) engaging the person in social interactions.
D) using physical restraints to prevent wandering and maintain safety.
Q2) A major differentiation between delirium and dementia is that the course of delirium over a 24-hour period:
A) is fairly stable but may be exacerbated by stress.
B) fluctuates and is often worse at night.
C) is fairly stable but may be worse in the morning.
D) demonstrates a steady decline.
Q3) Drug therapy with cholinesterase inhibitors such as donepezil,rivastigmine,and galantamine:
A) reverses the neuronal decline that is seen in Alzheimer's disease.
B) is given in high doses to prevent the appearance of cognitive symptoms.
C) is given long term even if the client shows slight decline.
D) has no reported side effects.
Page 25
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Chapter 24: Stress,Crises,and Health in Aging
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7 Flashcards
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Sample Questions
Q1) What is a true statement about coping strategies in older adults?
A) Older adults are often less able to cope with stress due to decreased adaptive capacity.
B) Older adults are less able to cope with stress due to cognitive declines.
C) Coping strategies used in earlier life are ineffective in later life.
D) Older adults use coping strategies directed at avoiding the problem.
Q2) A 90-year-old client in an adult day care program tells the nurse that she is very stressed because her neighbor passed away.The most therapeutic response is:
A) "Let's think of happy things."
B) "Tell me what you did and how you managed when your other neighbor passed away last year."
C) "You should count your blessings and not dwell on sad things."
D) "Let's get involved in some activities and not think about sad things."
Q3) What is a true statement regarding crises and stress?
A) Stress always precipitates a crisis.
B) Crises always create stress.
C) Personal perception of an event is less significant than the event's magnitude.
D) Stress is time limited.
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26
Chapter 25: Emotional Health in Late Life
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Sample Questions
Q1) An 88-year-old resident of a nursing home reports to the nurse that there was a problem during the night and that someone entered her room and stood by the window watching her.She expresses fear of going to sleep.What action is most appropriate for the nurse to take initially?
A) Reassure her that there was no one in her room and that she must have been dreaming.
B) Request a psychiatric consult to evaluate her.
C) Assess the environment in her room to see if there is anything that could be confusing for her.
D) Suggest to her that she request sleeping medication every night.
Q2) The highest suicide rate in the elderly population in the United States is in which of the following groups?
A) Black men
B) White men
C) White women
D) Black women
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Chapter 26: Loss,Death,and Dying in Late Life
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The family of a 78-year-old patient who is dying of colon cancer with metastases to the liver is concerned because he refuses to eat or drink.He is alert and oriented,and states that he has no desire to eat.What should the nurse do?
A) Comply with the patient's wishes.
B) Force fluids.
C) Contact the physician for an order for enteral feeding.
D) Contact the dietitian for feeding supplements.
Q2) An 87-year-old patient who is dying of metastatic ovarian cancer tells the nurse that she is concerned about being discharged home and living alone.She is independent in activities of daily living at present and is eager to maintain this independence for as long as possible.She expresses concern about dying alone and losing control.The nurse determines that the patient's concerns are:
A) signs of depression.
B) unrealistic fears because the client shows no signs at present.
C) common fears of the dying person.
D) appropriate to institute a referral to hospice.
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28
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Source URL: https://quizplus.com/quiz/7252
Sample Questions
Q1) A 90-year-old resident of an assisted living facility states,"I want to donate my brain to science." This is an example of a:
A) living legacy.
B) last will and testament.
C) postmortem obligation.
D) postmortem legacy.
Q2) You are caring for an elder who is experiencing severe chronic pain and suffering from a terminal illness despite your best nursing interventions to reduce the pain.Your patient has verbalized a desire to find "some sort of meaning to all of this." Which intervention would be most appropriate at this time?
A) Change the subject and introduce a distraction,such as television.
B) Reassure the elder that this is normal and that everyone experiences it.
C) Listen and facilitate expression of feelings about life and death.
D) Ask the doctor to order a psychiatric consult.
Q3) Which refers to the highest level of human functioning,according to Maslow?
A) Biological or physiological integrity
B) Safety and security
C) Self-esteem
D) Self-actualization
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