Gerontological Nursing Review Questions
Course Introduction
Gerontological Nursing focuses on the healthcare needs and challenges associated with aging populations. This course explores the physiological, psychological, and social aspects of aging, equipping nursing students with the knowledge and skills required to provide holistic, evidence-based care to older adults. Emphasis is placed on health promotion, chronic disease management, dementia care, effective communication strategies, end-of-life considerations, and advocacy for the elderly within various healthcare settings. Ethical and legal issues, as well as family and community resources, are also addressed to prepare nurses for collaborative and compassionate practice in gerontological care.
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) A group of nursing students conducts a small research project examining the most effective means to deliver medication education to older adults.Their sample consists of 100 adults from ages 55 to 101 who live in the same community.The students conclude that individuals from ages 55 to 64 prefer computerized instructions,and individuals from ages 65 to 100+ prefer typewritten instructions.What is a potential problem with this study?
A) The sample size of 100 is too small to draw any conclusions.
B) The older adults ranging in age from 65 to 100+ were grouped into one category.
C) It has been proven that older adults are not computer literate.
D) The study design is not a randomized,controlled trial.
Answer: B
Q2) The following services are commonly offered by state Area Agencies on Aging (AAAs),except:
A) senior centers.
B) nutrition centers.
C) long-term care ombudsman.
D) primary health care.
Answer: D
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Chapter 2: Theories of Aging
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) The theory of aging that suggests the basis for aging results from decreased weight of the thymus and decreased ability to produce T-cell differentiation is known as:
A) cross-link theory.
B) free radical theory.
C) stochastic theory.
D) immunity theory.
Answer: D
Q2) A 66-year-old retired professional basketball player is admitted to the hospital for a total knee replacement due to osteoarthritis.In preparing preoperative teaching for this patient,you may want to include which theory of aging to help him understand how the disease has progressed?
A) Free radical theory
B) Wear and tear theory
C) Gene theory
D) Cross-link theory
Answer: B
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4
Chapter 3: Health and Wellness
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) What best describes nutritional alterations with aging?
A) Caloric needs and nutritional needs decrease.
B) Caloric needs increase,but nutritional needs decrease.
C) Caloric and nutritional needs increase.
D) Caloric needs decrease,but nutritional needs remain constant.
Answer: D
Q2) Which is the best example of a wellness-based nursing intervention?
A) Providing the Internet address of support groups and resources to the computer-literate,Internet-proficient daughter of your oncology client
B) Lecturing your client with diabetes that he would not have been admitted this time if he had listened to your discharge instructions last time
C) Ignoring the ice cream treat and cappuccino you saw your cardiac client's visitors bring into her hospital room
D) Responding to your elderly client's request to be ambulated by stating,"You should take it easy and rest.You're 90 years old-you deserve it!"
Answer: A
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Chapter 4: Physiological Changes with Aging
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) In implementing care for an elderly bedridden client,which nursing intervention reflects appropriate action to compensate for normal changes of aging to her immunological system?
A) Turning her every 2 hours to maintain intact skin integrity
B) Administering prophylactic antibiotics
C) Inserting multiple intravenous lines in case fluid resuscitation becomes necessary rapidly
D) Drawing daily laboratory values for complete blood count with differential to analyze for "shift to the left"
Q2) You have four rooms to choose from for your elderly client to be admitted this afternoon.Which room would you choose?
A) A brightly lit,blue room with cozy throw rugs
B) An orange carpeted room with soft lighting
C) A brightly lit,blue room with an EZ-Glide wax floor
D) A combination television/children's playroom with cute pastel wall hangings.
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Chapter 5: Laboratory Values and Diagnostics
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7 Verified Questions
7 Flashcards
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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
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Sample Questions
Q1) An 88-year-old woman with a new diagnosis of Alzheimer's disease is being cared for by her daughter,who is eager to honor her mother's wishes to be cared for at home and not be placed in a nursing home.The visiting nurse makes her initial home visit and administers the Family APGAR in order to assess the:
A) caregiver's perception of emotional and social support with a new diagnosis of Alzheimer's disease.
B) patient.
C) environmental changes needed to enhance function.
D) degree of physical assistance that the patient and caregiver need.
Q2) The FANCAPES assessment tool:
A) appraises the older adult's ability to meet his or her needs and the amount of assistance needed.
B) evaluates the older adult's ability to perform instrumental activities of daily living (IADLs).
C) assesses the older adult's cognitive abilities.
D) assesses the level of dementia present.
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Chapter 7: Managing Basic Physiological Needs
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) An older adult has Alzheimer's disease.His wife says he gets up at night and wanders around the house.What suggestion given by the nurse would be most appropriate?
A) "Ask your physician to prescribe strong sedatives."
B) "Increase his daily activity by taking him on frequent walks."
C) "Try using a restraint jacket at night."
D) "He needs his rest,so make sure he takes a nap during the day."
Q2) In evaluating interventions for your client's problem of constipation,what best indicates progress toward resolution of the problem?
A) Small,liquid bowel movements once to twice per day
B) Moderate discomfort with every-other-day evacuation
C) Fluid intake of 1 L/day with a low-residue diet
D) Normal bowel movements 1 to 3 days apart
Q3) In implementing your nursing care plan for your client with constipation,what will you include in your plan?
A) Bedrest
B) Limiting fluids
C) Increased fiber in the diet
D) Aluminum-containing antacids
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9
Chapter 8: Biological Maintenance Needs
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Sample Questions
Q1) An important consideration about the skin of an elderly person is that:
A) generous amounts of soap should be used as cleanser.
B) sweat glands increase in activity.
C) the patient's thermoregulating capabilities are decreased.
D) the epidermis becomes thicker and harder.
Q2) Normal age-related changes in the mouth include:
A) thickening of the enamel on the teeth.
B) recession of the gums.
C) increase in saliva production
D) leukoplakia.
Q3) Your 70-year-old client has been coming to the clinic for 5 years for medical follow-up of her osteoporosis.Lately she has been complaining of dry skin,and she asks for your advice.What would be the best suggestion you could offer her?
A) Use extra soap to moisturize the skin.
B) Keep bath water at a moderate temperature-90 to 105 degrees F.
C) Move to a climate with lower humidity.
D) Dry vigorously with a rough towel after bathing.
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Chapter 9: Nutritional Needs
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Factors that make older adults more susceptible to dehydration than younger adults include the following except:
A) decreased percentage of body fat.
B) decreased percentage of body water.
C) decreased concentrating ability of kidneys.
D) decreased thirst sensation.
Q2) A 74-year-old woman is seen in the geriatrician's office.She is prescribed calcium supplements.The nurse knows that the recommended daily dosage of calcium for older adult females is:
A) 1500 mg/day.
B) 1000 mg/day.
C) 2500 mg/day.
D) 3000 mg/day
Q3) An 80-year-old patient has gout.Diet teaching should include the avoidance of alcohol and:
A) foods high in purine.
B) foods high in calcium.
C) foods high in phosphorous.
D) foods high in magnesium.
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Chapter 10: Chronic Disease in Late Life
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) 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.
Q2) You are caring for a client with a newly diagnosed chronic illness.In answering her questions,your most accurate response will include phrasing to the effect that:
A) the most prevalent form of disease in older adults at this time is acute illness.
B) although chronic illness lasts a long time,the effect on the family is minimal,primarily affecting only the client.
C) chronic illness is lifelong,and coping can be influenced by perceived uncertainty.
D) the client's acquisition of knowledge of the disease will guarantee successful coping with phases of the illness.
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12
Chapter 11: Pain and Comfort
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) An 88-year-old male patient with gastric cancer with bone metastases is being discharged from the hospital where he was started on a regimen of opioid analgesics to control the metastatic pain.What should be included in the discharge teaching plan?
A) Encouraging oral fluids
B) Preventing falls
C) Increasing calories and protein in the diet
D) Preventing pressure ulcers
Q2) An 81-year-old female patient was recently admitted to the subacute setting after having a knee replacement.She is very anxious and refuses to get out of bed,stating that it is too painful.What is the best action for the nurse?
A) Tell the patient that she must get out of bed and that she will get used to the pain.
B) Use the Hoyer lift to get her out of bed so that she does not have to move her knee.
C) Offer pain medication,administer the medication,and wait 20 minutes before getting her out of bed.
D) Let her rest in bed.
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13
Chapter 12: Geropharmacology
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Your 68-year-old client asks why she reacts differently to some medications than she did when she was younger.In discussing pharmacological considerations with her,what do you keep in mind regarding drug therapy and the elderly?
A) Age-related changes affect the way drugs are metabolized by older adults
B) Elders should exercise caution with prescription medications but need not worry about over-the-counter (OTC)drugs.
C) Older adults may need larger doses of medication due to pharmacokinetic changes.
D) Adverse drug reactions occur with the same frequency in older adults as they do in younger adults.
Q2) What is an important contributing factor to polypharmacy in older adults?
A) Inadequate communication among medical care providers
B) Implementation of Medicare Part D prescription drug benefit
C) Use of generic medications
D) Increasing popularity of dietary and herbal supplements
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14
Chapter 13: The Use of Herbs and Supplements in Late Life
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5 Verified Questions
5 Flashcards
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Sample Questions
Q1) 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
Q2) 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.
Q3) Herbal supplements are manufactured in all but one of these forms:
A) tincture.
B) salves.
C) extracts.
D) intravenous.
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Page 15
Chapter 14: Sensory Function
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) You are assessing your elderly client for tinnitus.Which statement correctly describes this symptom?
A) It is characterized by hissing,buzzing,or ringing in the ears.
B) It is never related to metabolic conditions.
C) It always accompanies hearing loss.
D) It is characterized by silence.
Q2) A 69-year-old patient reports that she is having difficulty hearing.Which interventions would the nurse perform? (Select all that apply.)
A) Perform a Rinne test.
B) Eliminate extraneous noise in the environment.
C) Speak in an extra loud tone of voice.
D) Review prescribed medications.
Q3) 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
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Page 16
Chapter 15: Mobility
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Parkinson's disease is characterized by which alteration in gait?
A) Wide-based gait with frequent side-stepping
B) Stooped posture and a short,rapid shuffling
C) Spastic,shuffling gait
D) Waddling gait
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.
Q3) Rheumatoid arthritis:
A) is diagnosed by a positive pannus blood test.
B) results from a deficiency of vitamin D.
C) includes systemic manifestations as well as bilateral joint deformities.
D) is characterized by low bone mass and compromised bone strength.
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Chapter 16: Environmental Safety and Security
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5 Verified Questions
5 Flashcards
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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 nurse on the Acute Care for the Elderly Unit,which has an activity program for patients on the unit.All patients are encouraged to get out of bed and walk to the activity program daily.This program is based on the understanding that:
A) fewer registered nurse staff are required to care for patients who are ambulatory.
B) physical activity improves mobility,balance,and muscle strength.
C) fewer falls occur in patients who are out of bed than among those who are on bedrest.
D) older adults who are ambulatory have less of a risk of developing hypothermia.
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Chapter 17: Economic,Residential,and Legal Issues
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10 Flashcards
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Sample Questions
Q1) The cost of nursing home care is significant.The primary payer for nursing home care is:
A) Medicare.
B) Medicaid and private pay.
C) long-term care insurance.
D) Medi-Gap insurance.
Q2) One significant difference in the two levels of care in a nursing home-subacute (skilled)care and chronic care-is that subacute care:
A) provides 24-hour personal assistance to the resident.
B) focuses on rehabilitation or management of complex medical needs.
C) is provided in for-profit facilities only.
D) is not covered by Medicare.
Q3) When are managed care systems most effective?
A) When a client avoids using the system until needed in an emergency situation
B) When a client avoids using primary care practitioners and routinely accesses specialists
C) When a client uses high-tech treatments before trying less costly treatments
D) When a client uses preventive primary care services to maintain his or her health
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Chapter 18: Frailty,Vulnerability,and Elder Mistreatment
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) An 81-year-old widowed white woman is admitted to the hospital for community-acquired pneumonia.She lives alone and has a history of hypertension,coronary artery disease,glaucoma,and a cataract in her right eye.Her daughter lives 2500 miles away.What factor makes her the most physically vulnerable?
A) Hypertension
B) Osteoarthritis
C) Widowhood and a daughter living far away
D) Pneumonia
Q2) Which elderly client is at greatest risk for mistreatment in the home setting?
A) An active 70-year-old woman with well-controlled diabetes who lives alone
B) A healthy 75-year-old man who is a retired businessman and lives with his son
C) An 82-year-old woman with severe osteoarthritis and macular degeneration who lives with her single daughter who has an autistic adult son
D) A 77-year-old man who has a history of coronary bypass surgery,is active,and lives with his wife
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Chapter 19: Intimacy and Sexuality in Late Life
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) Acquired immunodeficiency syndrome (AIDS)is frequently underreported in older adults because:
A) it is often not recognized due to its low incidence in older adults.
B) many of the classic symptoms are also common to other conditions common in older adults.
C) presenting symptoms are markedly different than in younger adults.
D) AIDS progresses much slower in older adults so symptoms are not recognized easily.
Q2) A 77-year-old resident of a long-term care facility has dementia.He is nonverbal and requires assistance with all activities of daily living.The nurse aide reports that she observed the resident in the day room and he was masturbating.What is the first action of the nurse?
A) Remove the resident from the day room and complete an assessment of his behavior.
B) Cover the resident with a blanket and leave him in the day room.
C) Counsel the resident,telling him that his behavior is inappropriate.
D) Contact the resident's daughter to report his behavior.
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21
Chapter 20: Relationships,Roles,and Transitions
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Sample Questions
Q1) An 88-year-old resident of a long-term care facility relates that she used to be the family member who arranged family reunions.Although she was never married and had no children,her room is full of pictures of nieces and nephews and grandnieces and grandnephews,and she can tell you about all of the individuals in the pictures.You could describe the resident as:
A) preoccupied with the family.
B) matriarch of the family.
C) kin-keeper.
D) living in the past.
Q2) 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.
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Chapter 21: Culture,Gender,and Aging
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Sample Questions
Q1) Which is true about health care disparities among older adults?
A) Older adults of color have equal risk factors for vulnerability as all older adults.
B) Older adults of color have equal risk factors for vulnerability as young adults of the same ethnic group.
C) Older females of color have increased risk factors for vulnerability than do older males of the same ethnic group.
D) Health care disparities are only seen in older adults of color who receive care in public hospitals and clinics.
Q2) 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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23
Chapter 22: Nursing and Aging in Rural and Frontier
Settings
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Sample Questions
Q1) Your older adult client lives in a designated rural area.She owns her own home,where she has lived for most of her life,is recently widowed,and at age 84 has difficulty getting to a grocery store for food.With this information,your best description of her is that:
A) she is atypical of a rural-dwelling older adult due to the common availability of food delivery in rural areas.
B) she is atypical of a rural-dwelling older adult because she is widowed; most rural-dwelling older adults are married.
C) she is typical of an older rural woman,except she owns her own home.
D) she is atypical of an older rural woman because she has lived in the same home for most of her life.
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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Sample Questions
Q1) You are caring for a client with delirium.Which assessment finding would be expected in this client throughout your shift?
A) Fluctuation in symptoms
B) Normal attention span
C) Unlimited duration
D) Unchanged sleep-wake cycle
Q2) 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.
Q3) The Mini-Mental State Exam (MMSE)is a tool used to:
A) diagnose Alzheimer's disease.
B) provide a baseline mental status measurement and track changes.
C) diagnose delirium in hospitalized older adults.
D) predict the progression of cognitive changes.
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Chapter 24: Stress,Crises,and Health in Aging
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Sample Questions
Q1) 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.
Q2) A 68-year-old man recently suffered a left-sided cerebrovascular accident (CVA)and is now in an acute rehabilitation setting.He is easily frustrated due to his physical deficits.During his morning bath,the nurse instructs the certified nursing assistant (CNA)to give the patient a washcloth and let him wash his face and as much of his upper body as possible.The primary reason for this is to:
A) allow the patient to establish some control and preserve self-esteem.
B) exercise the patient's left arm.
C) save time so the CNA can assist other patients.
D) allow the CNA to establish control over the situation.
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Chapter 25: Emotional Health in Late Life
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Sample Questions
Q1) Electroconvulsive therapy (ECT)in older adults:
A) has been found to be effective in individuals with psychotic depression and those who do not respond to antidepressant medications.
B) has been found not to be as effective in older adults as in younger adults.
C) has been found to be safe for older adults with increased intracranial pressure. D) has been found to improve symptoms of dementia in older adults.
Q2) The following are true statements about bipolar disorders in older adults except: A) bipolar disorders often level out in later life.
B) relapses in bipolar disorder tend to be precipitated by medical problems.
C) older adults with bipolar disorder tend to cycle more quickly between mania and depression than younger adults.
D) bipolar disorder is the most common psychiatric disorder in older adults.
Q3) The most prevalent mental health disorder in older adults is:
A) anxiety disorder. B) depression.
C) schizophrenia. D) alcoholism.
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Chapter 26: Loss,Death,and Dying in Late Life
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Sample Questions
Q1) An 82-year-old patient has end-stage congestive heart failure.Her primary care physician requests a consult from the palliative care service to assist in developing a discharge plan of care.Her son asks the nurse,"What is palliative care? Does it mean Mom is going to die in the next few days?" The nurse's best response is:
A) "Palliative care is only available to persons in the last 6 months of life."
B) "Palliative care focuses on care rather than cure."
C) "Palliative care is only offered to patients whose deaths are imminent."
D) "Palliative care means that your mother will not be resuscitated in the event of a cardiac or respiratory arrest."
Q2) The nurse aide reports to the registered nurse that her 97-year-old patient is not breathing well and that she feels "cold and clammy" and "looks blue." The patient has an advance directive that states "comfort care only" and is designated as a DNR (do not resuscitate).The registered nurse should:
A) not administer pain medication or hygiene because the patient is dying.
B) contact the physician for order to address the patient's breathing problems.
C) ask the patient's family what they want to be done for the patient.
D) instruct the nurse aide to provide personal hygiene and make the patient comfortable as outlined in the plan of care.
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Chapter 27: Self-Actualization,Spirituality,and Transcendence
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Source URL: https://quizplus.com/quiz/7252
Sample Questions
Q1) A 92-year-old client of an adult day care center has Alzheimer's disease.The recreation therapist recommends a painting class for the client.Her daughter attends a team meeting and begins to laugh when she hears that her mother is attending a painting class and states: "Are you talking about my mother? Did you forget that she has Alzheimer's disease?" The nurse bases her response on the knowledge that:
A) creative activities are not limited to cognitively intact elders; even individuals with dementia can benefit from creative activities.
B) individuals with dementia who have rational language skills can benefit from creative activities.
C) cognitively impaired elders cannot benefit from creative activities due to altered brain processes.
D) cognitively impaired elders are usually too agitated to participate in creative arts.
Q2) 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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