Gerontology Nursing Exam Materials
Course Introduction
Gerontology Nursing focuses on the specialized care of older adults, addressing the unique physical, psychological, and social needs that arise with aging. This course covers topics such as age-related physiological changes, chronic disease management, medication considerations, cognitive and mental health issues, and strategies to promote functional independence and quality of life. Students will learn evidence-based nursing interventions, effective communication techniques, and interdisciplinary collaboration to ensure holistic and compassionate care for elderly patients in diverse healthcare settings.
Recommended Textbook
Ebersole and Hess Toward Healthy Aging Human Needs and Nursing Response 9th Edition by Touhy
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36 Chapters
367 Verified Questions
367 Flashcards
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Page 2
Chapter 1: Health and Wellness in an Aging Society
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/15266
Sample Questions
Q1) A nurse organizes a health fair for older adults. The nurse's goal is to focus on the six priority areas identified by the National Prevention Council. Which of the following activities should the nurse include? (Select all that apply.)
A) Smoking cessation
B) Depression screening
C) Recognizing elder abuse
D) Cholesterol screening
E) Fitness training
Answer: A, B, C
Q2) Primary prevention strategies for older adults include which of the following? (Select all that apply.)
A) An annual influenza immunization clinic
B) A smoking cessation program
C) A prostate screening program
D) A cardiac rehabilitation program
E) A meal planning education program for type 2 diabetics
Answer: A, B
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Chapter 2: Gerontological Nursing: Past Present and Future
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A nurse interviews for a job in a hospital that advertises that it is "elderly friendly." The nurse would expect to see which of the following in place? (Select all that apply.)
A) An elder-assistance program to help patients remember their appointments and navigate the hospital services.
B) A long-term care facility that is affiliated with the hospital
C) Rooms furnished with foldout beds for family members/caregivers
D) An initiative to provide gerontological education for all nurses
E) An initiative to increase the number of patients referred to long-term care facilities upon discharge from the hospital
Answer: A, C, D
Q2) Which of the following factors contribute to poor outcomes for older adults during transitions of care? (Select all that apply.)
A) Inability to read and understand discharge instructions
B) Inadequate financial resources to purchase medications
C) Lack of desire to comply with discharge instructions
D) Improved medication reconciliation during hospitalization
E) High levels of nurse-patient engagement
Answer: A, B
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Chapter 3: Theories of Aging
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) 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, the nurse includes 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
Q2) The nurse implements the concepts of the activity theory of aging when instructing the older client with osteoarthritis to:
A) continue her daily walking routine.
B) curtail further increases in physical activity.
C) document preferred end-of-life interventions.
D) avoid exposing herself to crowds.
Answer: A
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5
Chapter 4: Cross Cultural Caring and Aging
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) The nurse in a clinic setting that provides care for an ethnically diverse population of older clients shows an understanding of the LEARN Model to direct the assessment process when: (Select all that apply.)
A) recognizing that the client's hands are clenched as she answers the assessment questions.
B) asking the client to describe what he thinks will help him feel better.
C) explaining to the client that herbal remedies may not be sufficient treatment for his chest congestion.
D) acknowledging that the client has a different view of the appropriate treatment.
E) suggesting to the client that it would be beneficial if she would trust her health care provider to prescribe the correct treatment.
Q2) An older patient learns that he has metastatic cancer. The patient states: "I must have angered God." This is an example of which type of belief?
A) Biomedical
B) Magico-religious
C) Naturalistic
D) Ayurvedic
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Chapter 5: Cognition and Learning
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) An older female resident of an assisted living facility says the following to a nurse: "I am very frightened about getting dementia. I have read a lot about brain exercises, but I am not sure what I should be doing." The nurse formulates a response based on knowledge of which of the following? (Select all that apply.)
A) Individuals should engage in some type of brain fitness activity a couple of times a week for at least 25 minutes
B) Brain fitness activities are only effective if an individual has not experienced any memory problems at all
C) Brain fitness activities may include computer-based games, memory training, board games, reading, and engaging in conversation
D) Physical activity is important for wellness but is unrelated to brain fitness
E) Individuals should choose brain exercise activities that are unfamiliar, challenging, and fun
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Chapter 6: Communicating with Older Adults
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) Which intervention is therapeutic when facilitating communication with a cognitively impaired older client? (Select all that apply.)
A) Explain a task using simple, concise phrasing and one step at a time
B) Give instructions to a group whenever possible to provide peer support
C) Allow for additional time for the client to respond to questions or directions
D) Use nonverbal as well as verbal cues to help get your message across to the client
E) Speak loudly to gain and retain the client's attention
Q2) Which of the following are examples of elderspeak? (Select all that apply.)
A) A nursing assistant refers to one of her patients as "grandma"
B) A nurse attempts to medicate a patient and states, "Now come on and be a good girl"
C) A nurse explains a procedure to a patient using simple nonmedical terms
D) A nurse makes sure that she is directly facing a patient who has hearing loss when she is speaking
E) A nursing assistant tells a patient, "It is time for our bath now"
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8
Chapter 7: Health Assessment
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A nurse utilizes the SPICES tool (Sleep disorders, Problems with eating, Incontinence, Confusion, Evidence of falls, and Skin breakdown) to assess an older female patient in the hospital. The nurse notes that the patient has new onset urinary incontinence. The first action by the nurse is to:
A) conduct a more in-depth focused assessment of the urinary incontinence.
B) call the provider and obtain an order for an antibiotic for a suspected urinary tract infection.
C) send a urine specimen for culture and sensitivity.
D) develop a plan of care with the patient to control episodes of incontinence.
Q2) A resident of a long-term care facility is assessed by a nurse upon admission to the facility. The assessment includes a comprehensive health, social, and functional profile. The tool that the nurse utilizes is:
A) Outcomes and Assessment Information Set (OASIS).
B) Resident Assessment Instrument (RAI).
C) Older Americans Resources and Services (OARS).
D) Comprehensive Geriatric Assessment (CGS).
E) Mini Mental Status Examination (MMSE).
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Page 9
Chapter 8: Laboratory Values and Diagnostics
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10 Verified Questions
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Sample Questions
Q1) An older woman asks a nurse in the cardiology practice, "What is the ideal number that my cholesterol levels should be? I am confused by all of the different numbers." The nurse formulates her response on the knowledge that:
A) recent guidelines from the American Heart Association state that there is no "one size fits all" recommendation and that recommendations must be individualized to each patient.
B) recent guidelines from the American Heart Association provide different recommendations for individuals age 65-74, 75-84, and over age 85.
C) recent guidelines from the American Heart Association recommend a total serum cholesterol level below 100.
D) recent guidelines from the American Heart Association recommend a total serum cholesterol level over 200.
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10
Chapter 9: Geropharmacology
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) When discussing pharmacological considerations, a 68-year-old client asks, "Why do medications seem to act differently than they did when I was younger?" The nurse bases the response on the concept that:
A) age-related changes affect the way drugs are metabolized by older adults.
B) Over-the-counter (OTC) drugs have standardized dosages that are appropriate for all ages.
C) older adults may need larger doses of medication to bring about the desired effects. D) adverse drug reactions occur with similar frequency in older adults as the general population.
Q2) An 81-year-old patient is being discharged from the hospital to home. She is on seven different medications, which are to be taken at four different times during the day. What would be most useful in helping this patient manage her medications?
A) The package inserts from all of the medications for the client to read
B) A pillbox with compartments for each day and each of the doses
C) A written list of all the client's medications and administration routine
D) A suggestion that the client's daughter administer the medications
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Chapter 10: The Use of Herbs and Supplements
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) The nurse is confident that the client who takes glucosamine sulfate daily is conscientious of the safety issues involved when hearing the client state: (Select all that apply.)
A) "I'm always careful to buy the same brand of glucosamine sulfate."
B) "If glucosamine sulfate wasn't safe the drug store wouldn't sell it."
C) "My pharmacist is so helpful when I have questions about the herbals I take."
D) "The liquid form of glucosamine sulfate is what I consistently take."
E) "I made sure my physician knew that I was allergic to strawberries."
Q2) When a client who routinely takes the herb St. John's Wort (SJW) shares that his or her "hay fever is really bad right now," the nurse initially:
A) notifies the primary care provider that the client has been self-medicating for hay fever.
B) compares the client's current blood pressure to his/her baseline blood pressure.
C) stresses the need to avoid over-the-counter (OTC) medications containing monoamines.
D) suggests that the client stop taking the herb until the hay fever has improved.
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12
Chapter 11: Vision
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Sample Questions
Q1) An older man tells a nurse, "The doctor says I have something wrong with my eyes, something called presbyopia. Can you explain why I have this? I was always fortunate to have good eyesight." The nurse formulates a response based on the knowledge that:
A) the lens of the eye loses elasticity causing a loss of focus for near objects.
B) the cornea of the eye becomes thicker and less curved causing an increase in astigmatism.
C) the lens of the eye increases in opacity causing a decrease in light refraction.
D) the cornea of the eye forms a gray ring at the edges.
Q2) A nurse is conducting an assessment of an older patient's eyes. The nurse expects to see which of the following normal age-related changes of the external eye? (Select all that apply.)
A) The eyelids are less elastic and droopy
B) The eyes are very dry
C) The eyelids may not close completely
D) There is a loss of eyelashes
E) The lower lid may be turned outward
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13
Chapter 12: Hearing
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) An older nursing home resident reports that her hearing loss is getting worse. What is the first action of the nurse?
A) Refer the resident for an evaluation for a hearing aid
B) Raise her voice when speaking to the resident
C) Examine the resident's ears for cerumen impaction
D) Teach the resident to read lips
Q2) An older patient is diagnosed with sensorineural hearing loss. The nurse knows that causes of sensorineural hearing loss include: (Select all that apply.)
A) tumors of the middle ear.
B) cerumen impaction.
C) infections of the external and middle ear.
D) age-related hearing impairment.
E) excessive and loud noise.
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14
Chapter 13: Skin Care
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/15278
Sample Questions
Q1) A nurse is providing an educational session on vaccines to a group of older adults. The nurse is discussing the zoster vaccine (Zostavax). Which of the following information should the nurse include in the education?
A) Zostavax should only be given to individuals who have never had an episode of herpes zoster (HZ)
B) Zostavax is recommended for all individuals over age 60 that have no contraindications to the vaccine
C) Zostavax should not be given to anyone with a chronic cardiac or respiratory condition
D) Zostavax will always prevent an individual from developing Herpes Zoster
Q2) A nurse is educating a group of nursing assistants in long-term care on the prevention of skin tears. Which of the following interventions should the nurse include in the education? (Select all that apply.)
A) Lubricate the resident's skin with moisturizers twice daily
B) Ensure that the resident has adequate nutrition and hydration
C) Bathe the resident in hot soapy water
D) Avoid the use of lifting shifts when transferring the resident
E) Dress the resident in long sleeves and long pants to protect the extremities
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Chapter 14: Nutrition
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Sample Questions
Q1) An older adult who is within a normal weight range asks a nurse, "I have heard that it is important to limit the amount of fats in my diet, but I don't know how much I should be taking in daily. Can you help me?" The best response by the nurse is:
A) "Someone of your age needs to limit fats."
B) "Since you are at your ideal weight, you should limit your daily fat grams to half your weight."
C) "Fat intake will depend on the presence of any cardiac issues."
D) "Read food labels well and focus your diet on low-fat foods."
Q2) A nurse identifies that an older adult needs more education on nutritional needs when the older adult states the following:
A) "Since I am an older person, I need more calories because my metabolic rate is slower"
B) "Since I am an older person, I need fewer calories since my metabolic rate is slower"
C) "Even though I am an older person, I still need the same amount of nutrients in order to be healthy"
D) "Even though I am an older person, I still need to pay attention to my diet and activity levels"
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Page 16
Chapter 15: Hydration and Oral Care
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/15280
Sample Questions
Q1) An older adult complains of xerostomia. Which of the following interventions should the nurse implement for this patient? (Select all that apply.)
A) Encourage the patient to brush and floss teeth regularly.
B) Encourage the patient to have regular dental screenings.
C) Provide antiseptic mouthwash (e.g., Listerine) for the patient.
D) Encourage adequate intake of water.
E) Provide saliva substitutes.
Q2) Which of the following nursing interventions should be implemented to prevent dehydration in hospitalized older adults? (Select all that apply.)
A) Implementing intake and output recording for any patients with fever, diarrhea, vomiting, or an infection
B) Limiting duration of NPO requirements for diagnostic tests and procedures
C) Administering IV fluids to all hospitalized older adults
D) Limiting the use of diuretic medications in hospitalized older adults
E) Making sure that hospitalized patients have easy access to fluids
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Chapter 16: Elimination
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Sample Questions
Q1) A nurse is caring for an older adult in a hospital who has an indwelling catheter. The nurse assesses the patient based on the knowledge that which of the following are correct indications for an indwelling catheter? (Select all that apply.)
A) To assist with incontinence management
B) To manage acute urinary retention
C) To assist in healing of open sacral or perineal wounds in incontinent patients
D) To accurately measure urinary output in critically ill patients
E) To prevent falls related to toileting in hospitalized older patients
Q2) A patient tells the nurse, "Every time I laugh or cough, I wet myself." Which type of urinary incontinence is this patient describing?
A) Urge
B) Functional
C) Stress
D) Mixed
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18
Chapter 17: Sleep
9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/15282
Sample Questions
Q1) A client who reported "a problem sleeping" shows an understanding of good sleep hygiene by:
A) doing 10 pushups before bed to encourage a "pleasant tiredness."
B) seldom eating a bedtime snack.
C) engaging in computer games as a pre-bed activity.
D) limiting the afternoon nap to just 30 minutes.
Q2) A nurse in a long-term care facility notes that an older resident with Alzheimer's disease awakens frequently at night and is restless and agitated. Which of the following interventions will be most effective to help manage this resident's sleep problems?
A) Taking the resident outside in the garden for 45 minutes daily
B) Limiting fluid intake for the resident
C) Educating the resident on the association between Alzheimer's Disease and insomnia
D) Administering a mild sedative hypnotic at bedtime
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19
Chapter 18: Physical Activity and Exercise
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) A nurse is using the function-focused care approach to care for a hospitalized older adult. The nurse is assisting the patient to transfer from the bed to a chair. Which of the following statements by the nurse is most congruent with this approach to care?
A) "Place your hands across your chest and let us move you to the edge of the bed."
B) "Place both of your hands on the overbed trapeze and pull yourself up to a sitting position."
C) "How do you get yourself out of bed when you are at home? Why can't you do the same thing here?"
D) "It is taking you a long time to get yourself into a sitting position. Let me help you sit up."
Q2) A nurse at a senior center promotes activity by leading exercise programs. Which of the following is a benefit of such exercise?
A) Improvement of mood
B) Cardiovascular stress
C) Painful and stiff joints
D) Depression
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Chapter 19: Falls and Fall Risk Reduction
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10 Verified Questions
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Sample Questions
Q1) Which assessment finding is a contributor to an older client's risk for falls? (Select all that apply.)
A) Client is awaiting cataract surgery on right eye.
B) Client's type 2 diabetes is poorly controlled with diet and exercise alone.
C) Client reports a fall in the last year.
D) Client has a history of contact dermatitis and psoriasis.
E) Client attends Tai Chi classes at the senior center.
Q2) A home health nurse is making a home visit to an older patient. A nurse conducts a home safety assessment and screens the environment for potential hazards for falls. The nurse recommends that the patient eliminate which of the following? (Select all that apply.)
A) Night-lights
B) Railings on the stairway
C) Loose carpeting on the floors
D) The use of a cane
E) Excess clutter
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Chapter 20: Safety and Security
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Sample Questions
Q1) The nurse is recommending that a client diagnosed with moderate stage Alzheimer's disease attend a support group when he becomes defensive about not driving his automobile and the effects it will have on "being stuck at home." Which is the priority outcome expected for this client when attending the group sessions?
A) Facilitates socialization thus minimizing the effects of social isolation
B) Helps with minimizing the loss as a factor in causing depression
C) Provides caregivers with respite while assuring the client is well attended to D) Allows for the opportunity for a mental health professional to assess the client
Q2) What information should be included in an informational program to be presented on burn prevention to a senior citizens group? (Select all that apply.)
A) Do not smoke in bed or when sleepy
B) Wear well-fitted clothing when cooking or when grilling outdoors
C) Establish a meeting place for all family members outside of the home in case of a fire
D) Establish a plan for exiting each room of your home in the case of a fire
E) Have a fire extinguisher readily available in the kitchen
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22
Chapter 21: Living Well with Chronic Illness
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Sample Questions
Q1) A nurse is planning health education on chronic illnesses for a group of seniors in the community. When deciding upon which illnesses to focus upon, the nurse knows that which of the following are the most common diseases in the United States? (Select all that apply.)
A) Heart disease
B) Hypertension
C) Asthma
D) Osteoarthritis
E) Diabetes
Q2) An older man who is a smoker is hospitalized for orthopedic surgery. A nurse takes the opportunity to provide smoking cessation education. The patient asks the nurse: "I have been smoking for most of my life, and I am an old man. Why are you wasting your time telling me to stop smoking? Isn't it too late?" The nurse bases the response on the knowledge that:
A) smoking cessation as late as age 75 can reduce premature death by up to 50%.
B) smoking cessation as late as age 75 can completely eliminate premature death.
C) smoking cessation at a late age will not impact the smoker but can reduce exposure of family members to second-hand smoke.
D) smoking cessation education is only effective in individuals under age 75.
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Page 23
Chapter 22: Cardiovascular and Cerebrovascular Health and Illness
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Sample Questions
Q1) An older patient with atrial fibrillation is prescribed warfarin for anticoagulation. Which of the following should the nurse include in the teaching plan? (Select all that apply.)
A) Frequent blood testing is required to assure that the level of anticoagulation is in the correct range.
B) Limit dietary intake of vitamin K.
C) Increase dietary intake of vitamin D and calcium.
D) Inform the medical provider if any antibiotics are ordered from any other provider.
E) Seek medical attention immediately if an injury is sustained.
Q2) A nurse is educating a group of older adults on the impact of lifestyle changes on hypertension. The nurse includes which of the following in the education? (Select all that apply.)
A) Learning how to read and interpret food labels
B) The sodium content of commonly consumed foods
C) Techniques to incorporate more physical activity into the daily routine
D) The actions of calcium channel blocker medications on hypertension
E) The importance of adhering to pharmacological regimens for treatment of hypertension
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Chapter 23: Neurodegenerative Disorders
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Sample Questions
Q1) An older adult with suspected Parkinson's Disease has a "challenge test" performed in order to confirm the diagnosis. The nurse understands that a "challenge test" will demonstrate which of the following?
A) Immediate reversal of all symptoms of Parkinson's Disease after administration of levodopa
B) Dramatic improvement of symptoms of Parkinson's Disease after administration of levodopa
C) Dramatic improvement in gait only after administration of levodopa
D) Dramatic improvement in tremor only after administration of levodopa
Q2) The greatest risk for injury for a client with progressed Parkinson's disease is: A) falls.
B) suicide.
C) bleeding ulcers.
D) respiratory arrest.
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Chapter 24: Endocrine and Immune Disorders
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Sample Questions
Q1) Hyperglycemia is harder to detect in older adults due to which of the following?
A) There is a higher tolerance for elevated levels of circulating glucose in older adults.
B) Older adults tend to metabolize glucose at a faster rate than younger adults.
C) Fingerstick glucose monitoring is inaccurate in older adults.
D) The classic signs of elevated glucose levels, polyuria, polyphagia, and polydipsia are rarely present in older adults.
Q2) A nurse is educating an older adult with diabetes mellitus on minimizing the risk of cardiovascular disease. The nurse focuses on lipid levels. Which of the following are the recommended goals for lipid levels? (Select all that apply.)
A) Cholesterol <200
B) Low-density lipoprotein (LDL) >100
C) High-density lipoprotein (HDL) >40 (men), >50 (women)
D) Hb A<sub>1C</sub> value of 6.5%
E) Triglycerides <150
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Chapter 25: Respiratory Health and Illness
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Sample Questions
Q1) A nurse is involved in primary prevention activities related to the promotion of respiratory health. The nurse is involved in which of the following activities? (Select all that apply.)
A) Organizing an influenza vaccination clinic
B) Promoting a smoking cessation program in the community
C) Referring individuals with respiratory disease to the pulmonology clinic at the hospital
D) Visiting a congressman representative to advocate for legislation on clean air
E) Teaching individuals with COPD measures to maximize lung function
Q2) The nurse is preparing discharge teaching for a client diagnosed with chronic obstructive pulmonary disease (COPD). Which nursing statement would be included in this intervention? (Select all that apply.)
A) "Are you familiar with pursed-lip breathing?"
B) "It will be necessary to demonstrate postural drainage techniques with a caregiver."
C) "We will need to discuss alterations in your diet."
D) "Can you explain the purpose of the medications you have been prescribed?"
E) "There are some things I'd like to discuss about adaptive sexual practices."
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Chapter 26: Common Musculoskeletal Concerns
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Sample Questions
Q1) A nurse plans for the discharge of a 75-year-old patient who has the diagnosis of osteoporosis. Which of these actions would the nurse consider first?
A) Avoid stressful situations.
B) Schedule an annual DXA/DEXA scan.
C) Remove clutter from the floors of the home.
D) Encourage consumption of a high-protein diet.
Q2) A nurse is planning an educational session on osteoporosis to be given at a senior center. Which of the following should be discussed as preventive measures for osteoporosis?
A) Following a diet with adequate amounts of calcium and vitamin D
B) Increasing the intake of beverages containing phosphorus
C) Having a yearly dual-energy X-ray absorptiometry DXA (or DEXA) scan
D) Including isometric exercise for at least 30 minutes three times per week
Q3) Which of the following manifestations would a nurse expect in a 70-year-old patient who has the diagnosis of osteoarthritis?
A) Swan neck deformity of the hand
B) Subluxation of the fingers
C) Heberden's nodes on the distal phalanges
D) Enlarged great toe
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Page 28
Chapter 27: Pain and Comfort
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Sample Questions
Q1) When individualizing pain management for a client hospitalized after major surgery, the nurse will: (Select all that apply.)
A) titrate the prescribed analgesic medication to provide effective pain management.
B) assess the client for cultural beliefs that affect individual expression of pain.
C) reassure the client that pain medication is available whenever he or she expresses a need for it.
D) anticipate the client's need for pain medications.
E) implement nonpharmacological pain management interventions whenever possible.
Q2) The initial step to effect the safe management of mild to moderate acute pain that has not been controlled with over-the-counter medications is to:
A) begin acetaminophen (Tylenol) every 4 hours for 24 hours.
B) supplement with nonpharmacological interventions.
C) administer a single low dose of short-acting opioid and monitor for relief.
D) titrate dosage of a short-acting opioid upward over 24 hours to achieve relief.
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Chapter 28: Mental Health
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Sample Questions
Q1) An older client in an adult day care program tells the nurse, "I'm very stressed because another neighbor passed away." The most therapeutic response by the nurse is:
A) "What do you mean by 'stressed'?"
B) "Tell me what you did when your other neighbor passed away."
C) "Are you worrying about your own death?"
D) "Let's get involved in some activities and not think about sad things."
Q2) When an older adult reports experiencing several different stressors over the last 6 months, the nurse demonstrates an understanding of the physiological effects of stress on the body by:
A) assessing the client using the Geriatric Depression Scale (GDS).
B) testing the client's urine for red blood cells.
C) screening the client for abnormally high serum glucose levels.
D) inquiring as to whether the client has lost weight during that time period.
Q3) The nurse preparing educational information on common mental health disorders among the older adult population should include:
A) methods for reducing anxiety.
B) a written depression screening tool.
C) local schizophrenia support groups.
D) signs and symptoms of alcoholism.
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Page 30
Chapter 29: Care of Individuals with Neurocognitive Disorders
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Sample Questions
Q1) An older client diagnosed with dementia resides with his daughter. When the homecare nurse visits, the daughter tearfully tells the nurse that her father scratched her hand and cursed at her when she was attempting to feed him. She states, "I don't know why he hates me and wants to hurt me. I try so hard to take good care of him. I love him." How will the nurse respond to the client's daughter?
A) "Let's think about what you may have done to anger your father?"
B) "Let's try to figure out what your father was trying to say with his behavior."
C) "Scratching is usually a sign of untreated pain. Do you think your father is in pain?"
D) "Maybe you should consider having a home health care provider take over responsibility for your father's physical care."
Q2) A nurse is caring for a patient with a diagnosis of delirium. Which of the following is an expected assessment finding for this patient?
A) Normal attention span
B) Fluctuation in symptoms
C) Normal sleep cycle
D) Increased appetite
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Chapter 30: Economics and Health Care in Later Life
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Sample Questions
Q1) When educating an older adult about Medicare Part D, which information will be included? (Select all that apply.)
A) It is an elective prescription drug plan with associated out-of-pocket premiums.
B) All persons with either Medicare Part A or B can voluntarily purchase a Medicare Part D prescription drug plan.
C) The plan covers all costs of drugs after a deductible is paid.
D) The plan is not available for individuals who are receive both Medicaid and Medicare.
E) This prescription drug plan requires client co-payments.
Q2) A 70-year-old person who has Medicare Part A only is discussing the cost of health care with a nurse. The nurse understands that Medicare Part A covers the cost of which of the following? (Select all that apply.)
A) Diabetic testing supplies
B) Acute hospitalization semiprivate rooms
C) Intensive care unit hospitalization
D) Skilled rehabilitative nursing care in a health care facility
E) Prescription medications
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32
Chapter 31: Common Legal and Ethical Issues
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Sample Questions
Q1) When a cognitively impaired, wealthy, white client is noted to have burns on her upper back, her son states that the patient burned herself when attempting to shower. Which statement by a member of the team reflects a need for further education on elder abuse? (Select all that apply.)
A) "She is wealthy; abuse does not happen in people of financial means."
B) "Even if we are not sure, we are legally bound to report our suspicions."
C) "We need to consider that most abusers are either adult children or spouses."
D) "Her cognitive deficiencies put her at risk for elder abuse."
E) "The client is white and race places an important role in who is likely to be abused."
Q2) Which option is an example of elder exploitation?
A) A homebound client is left alone for days at a time by the caregiver.
B) An older client is smacked if he doesn't eat all of his food.
C) A client diagnosed with Alzheimer's disease is bathed only twice a month.
D) A homebound client can only get groceries by agreeing to pay for her neighbor's groceries, too.
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33
Chapter 32: Long-Term Care
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Sample Questions
Q1) An older married couple is considering selling their home and moving into a continuing care retirement community (CCRC). The major benefit of a CCRC is:
A) they provide affordable living for older adults.
B) they have all levels of care in one location, allowing community members to easily transition between levels.
C) they are paid for by Medicare.
D) they allow the older adult's family to retain ownership of the property after the owner dies.
Q2) Which statement made by a nurse regarding a resident of a long-term care facility requires followup by the nurse manager?
A) "If he doesn't take his medication, he'll get no dessert tonight."
B) "She can't take a walk outdoors today; it's much too cold and snowy."
C) "The grandchildren have colds so they should not visit this week."
D) "I don't understand why, but she wants a different doctor to see her."
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Chapter 33: Intimacy and Sexuality
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Q1) The partner of a client comments, "Our sex life will certainly suffer now that he's had a heart attack." Which statement is the basis for the nurse's response?
A) The client should no longer have sexual relations because of the demand on his heart.
B) The energy expenditure during sex is equivalent to briskly climbing six flights of stairs.
C) People with heart disease reduce their sexual activity out of fear of their condition.
D) The couple will benefit from attending a cardiac support group.
Q2) An older widow who is a newly admitted resident of a long-term care facility develops a romantic relationship with a male resident. When the resident's daughter demands that the staff "put a stop to this sexual behavior right now," the nurse's response is based on the understanding that:
A) such activity in a long-term care facility is inappropriate.
B) older adults need to express love and intimacy.
C) sexual desire is usually absent in older adults.
D) sexual activity can be dangerous for older adults with chronic illnesses.
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35
Chapter 34: Relationships, Roles, and Transitions
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Sample Questions
Q1) Which nursing intervention best addresses the need for social support demonstrated by an older adult couple who will be assuming responsibility for the raising of two grandchildren?
A) Facilitating a support group for children being raised by grandparents
B) Helping the grandparents express their feeling regarding this unexpected role change
C) Offering a monthly parenting class for this cohort of grandparents
D) Suggesting couple's therapy to assist in managing any new stress on their marriage
Q2) Which question will best assess the ability of the LGBT older couple to successfully adjust to the challenges of aging?
A) "How long have you been in this relationship?"
B) "Have you experienced prejudice and discrimination in your life?"
C) "As a couple are you financially secure?"
D) "Do you as a couple share similar religious beliefs?"
Q3) When acting as a fictive kin, in which activity will a paid caregiver engage?
A) Being responsible for paying the client's bills
B) Organizing the client's birthday celebration
C) Accompanying the client to doctor's appointments
D) Assuring the client has clean, appropriate clothing available
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Chapter 35: Loss, Death, and Palliative Care
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Sample Questions
Q1) A patient tells a nurse that she has prepared a living will (LW). The nurse understands that a living will: (Select all that apply.)
A) is an advanced directive that is used in the situation of a person who is unable to speak for herself or himself.
B) is a legally binding document in all states and territories of the United States.
C) appoints a proxy to uphold the patient's wishes.
D) includes the provision that the patient's next of kin have more authority than the appointed proxy.
E) can be revoked by the patient at any time in either writing or verbally.
Q2) Which principle regarding grief crisis intervention is the basis for intervention planning?
A) The acute phase is the most intense period of the grieving process.
B) The intensity of the grief is in proportion to the expected death trajectory.
C) Grief work is most effective when addressed during the acute phase of grief.
D) Anticipatory grief is an expected barrier to grief work.
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Chapter 36: Self-Actualization, Spirituality, and Transcendence
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Source URL: https://quizplus.com/quiz/15301
Sample Questions
Q1) When a terminally ill client expresses a need "for something more to help me cope with the pain," the nurse bases the recommendation of meditation on which principle concerning this alternative therapy?
A) It is efficient and usually takes less than 5 minutes to implement.
B) It has been shown to decrease anxiety and depression.
C) It improves cognitive abilities.
D) It has been known to eliminate emotional distress.
Q2) Which activity assures the nurse that the client's wish to "leave a living legacy" has been accomplished?
A) Donating his body to the local teaching hospital for research purposes
B) Discussing his experiences as a World War II veteran in Europe to a reporter
C) Keeping a journal to be passed on to his great-grandchildren
D) Making a pilgrimage to a location with personal religious significance
Q3) What is the role of the nurse in assisting older adults with travel interests?
A) Suggesting that they travel with a seniors' group
B) Addressing arrangements to have medical care, if needed, during their travels
C) Providing information regarding pet care services for their beloved dog
D) Reassuring the client that their concerns about safety are unfounded
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