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Gerontology Nursing Study Guide Questions - 439 Verified Questions

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Gerontology Nursing Study Guide Questions

Course Introduction

Gerontology Nursing focuses on the specialized care of older adults, addressing their unique physiological, psychological, and social needs. This course equips students with knowledge about the aging process, common health conditions in geriatric populations, and strategies to promote healthy aging and independence. Emphasis is placed on holistic assessment, management of chronic illnesses, communication with elderly patients and their families, and ethical considerations in end-of-life care. Through evidence-based practice and interdisciplinary collaboration, students learn to deliver compassionate, culturally competent, and person-centered care for older adults across a variety of healthcare settings.

Recommended Textbook

Growth and Development Across the Lifespan A Health Promotion Focus 2nd Edition by Leifer

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16 Chapters

439 Verified Questions

439 Flashcards

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Chapter 1: Healthy People 2020

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Sample Questions

Q1) Healthy People 2020 endorses the completion of a high school education primarily to enable a person to:

A) secure a better job.

B) increase the quality of life.

C) make healthy lifestyle choices.

D) maintain the family unit.

Answer: C

Q2) Adults over the age of 65 can significantly reduce their health risk by:

A) using herbal remedies.

B) getting annual vaccines for influenza and pneumonia.

C) engaging in a mild exercise regimen.

D) eating three large, well-balanced meals a day.

Answer: B

Q3) Infant mortality rates are based on infant deaths that occur:

A) at birth, per 1000 deliveries.

B) before 1 year of age, per 1000 live births.

C) from infection and congenital disorders, per 1000 live births.

D) from unexplained causes, per 1000 live births.

Answer: B

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Page 3

Chapter 2: Government Influences on Health Care

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Sample Questions

Q1) The Omnibus Budget Reconciliation Act of 1981 provided money for the development of: (Select all that apply. )

A) treatment centers for drug dependency.

B) skilled nursing facilities.

C) nursing schools.

D) home health agencies.

E) day care centers.

Answer: B,D

Q2) An informed consent form requires that:

A) the patient is informed of all adverse problems of a procedure.

B) the nurse signs as a witness that the patient received the necessary information.

C) the nurse questions the patient to confirm that all aspects of treatment are understood.

D) the nurse documents that the consent has been signed.

Answer: B

Q3) The nursing theorist that proposed a holistic view of health care in the 1960s was

Answer: Martha Rogers

In the 1960s,Martha Rogers proposed a theory of holistic health care.

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Page 4

Chapter 3: Cultural Considerations Across the Lifespan and in

Health and Illness

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Sample Questions

Q1) The culturally competent health-care worker helping a Hmong family dress the recently deceased family member will be careful to:

A) avoid looking at the deceased.

B) keep the deceased covered.

C) prevent metal from touching the deceased.

D) arrange bowls of food near the body.

Answer: C

Q2) Complementary and alternative medicine (CAM)modalities include: (Select all that apply. )

A) acupuncture.

B) energy healing.

C) intravenous therapies.

D) physical therapy.

E) guided imagery.

Answer: A,B,E

Q3) Deep feelings a person has about what is morally right are __________. Answer: values

Values are deep feelings a person holds about what is morally right or wrong,good or bad.

Page 5

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Chapter 4: The Influence of Family on Developing a Lifestyle

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Sample Questions

Q1) An example of a blended family is one made up of:

A) three unmarried couples and six minor children.

B) a paternal grandmother, parents, three minor children.

C) a husband, wife, one biological child, one adopted child.

D) a mother, her children, stepfather.

Q2) The parents of two children,ages 7 and 2,are concerned about the language development of their 2-year-old.They tell the health-care worker that their older child began talking in two- or three-word phrases by age 2,but their younger child is still using mostly one-word sentences.The best response by the health-care worker is:

A) "Your child should be evaluated as soon as possible for a language disorder."

B) "First-born children generally have a larger vocabulary and better conversational skills at an earlier age."

C) "Your child will not begin to develop better language skills until she enters preschool."

D) "Make arrangements for your child to attend a day care center to improve language skills."

Q3) Families who have poor communication among members,who tend to be isolated from the community,and who have inconsistent rules are labeled as

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Chapter 5: Theories of Development

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Q1) When the father of a 12-year-old says,"I must find some way to get my son to become serious about school.He just seems to want to play all the time." The parent is in the __________ stage of parenting behaviors described by Erik Erikson.

A) parental image

B) authority

C) integrative

D) independent

Q2) According to Piaget,children typically solve problems by trial and error during the ____________ stage of development.

Q3) According to the language/culture developmental theory of Lev Vygotsky,preschool-age children guide their own behavior by the use of:

A) avoidance of punishment.

B) imitating older children.

C) relying on their autonomy.

D) inner language.

Q4) The school nurse recognizes the defense mechanism of _____________when the 7-year-old first grader throws his crayons on the floor after he has been reprimanded by the teacher for boisterous behavior.

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Page 7

Chapter 6: Prenatal Influences on Healthy Development

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Sample Questions

Q1) A complete set of DNA contained in all human cells is referred to as a(n)__________.

Q2) The prenatal intervention that would be most helpful to a prospective father about his new role would be to:

A) explain the physiological and psychological changes he can expect in the mother. B) demonstrate diapering and bathing techniques.

C) let him verbalize his feelings about the pregnancy and fatherhood.

D) encourage him to think about his role in the pregnancy.

Q3) The young pregnant woman with type 2 diabetes mellitus should get at least ____ minutes of exercise a day to control weight and blood glucose. A) 10

B) 15

C) 30 D) 60

Q4) A _________ ________ can now be programmed to destroy a defective gene,allowing a pure gene to replace it.

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Chapter 7: The Infant

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Sample Questions

Q1) According to Freud's theory of development,the best toy for an infant would be a:

A) colorful mobile.

B) rattle.

C) teething ring.

D) baby swing.

Q2) If parents are concerned about the fact that their 14-month-old infant is not walking,the health-care worker should particularly evaluate whether the infant:

A) pulls up on the furniture.

B) uses a pincer grasp.

C) transfers objects.

D) has developed object permanence.

Q3) To support the development of language skills in their child,the parents should:

A) talk to the infant in their native language.

B) introduce common slang words.

C) employ "baby talk" to get the infant's attention.

D) speak loudly.

Q4) Although the child protests when the parent leaves the room,the child will develop_________ when the parent consistently returns.

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Chapter 8: Early Childhood

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Sample Questions

Q1) Erik Erikson describes the major developmental task of the toddler to be:

A) trust.

B) initiative.

C) autonomy.

D) intimacy.

Q2) The Portion Plate for Kids placemat can be used as an aid to nutrition because it:

A) introduces a variety of foods.

B) acts as a guide for food intake.

C) is colorful and teaches basic food groups.

D) likens portion sizes to a baseball.

Q3) To prepare a preschooler for better human interaction,the parents should help the child learn to:

A) be autonomous.

B) express feelings verbally rather than acting out.

C) avoid conflict.

D) rely on others.

Q4) Preschool children need a minimum of ____ minutes a day of age-appropriate active play.

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Page 10

Chapter 9: Middle Childhood

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Sample Questions

Q1) When giving parents guidelines about supporting their children to learn in school,the health-care worker includes that parents should: (Select all that apply. )

A) give praise for the child's application to the learning process.

B) correct all incorrect responses.

C) encourage the child to accept responsibility for learning.

D) reinforce teaching frequently.

E) give occasional rewards.

Q2) Anticipatory guidance for the family of an 11-year-old girl should include that they should expect their daughter to exhibit:

A) decreased modesty.

B) desire for privacy.

C) disinterest in boys.

D) selection of career choice.

Q3) According to Piaget,school-age children are concrete thinkers,and _______-____ learning is retained best.

Q4) The health-care worker designing a class on maintenance of good nutrition for middle childhood children would ensure each class lasted no more than ___ minutes.

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Chapter 10: Adolescence

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Sample Questions

Q1) The appropriate term for the initial menstrual period is:

A) ovulation.

B) puberty.

C) menarche.

D) luteinization.

Q2) In planning sex education and contraceptive teaching for adolescents,the health-care worker should recognize that:

A) most adolescents today are knowledgeable about reproductive anatomy and physiology.

B) adolescents frequently do not have a basic understanding of fertility.

C) both contraception and sexual activity require planning.

D) most adolescents who become pregnant do so as an act of defiance against their parents.

Q3) The school nurse presenting a sex-education class to a group of 14-year-olds would stress that the birth control method that can prevent STDs,if used correctly,is the:

A) vaginal ring.

B) spermicidal foams.

C) cervical cap.

D) condom.

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Page 12

Chapter 11: Young Adulthood

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Sample Questions

Q1) The signs of a mid-life crisis" in a 39-year-old man suggest that he may be experiencing the negative influence of Levinson's stage of:

A) structure period.

B) concrete period.

C) operational phase.

D) transitional phase.

Q2) The college health-care worker cautions the 20-year-old male about an adverse effect of overtraining,which is:

A) excessive secretion of testosterone.

B) loss of strength.

C) uncontrolled rise in blood glucose.

D) reduced libido.

Q3) The health-care worker cautions the 30-year-old woman that at her age there is an increased risk for injuries due to muscle mass being replaced by_________.

Q4) Most young adults have ceased to grow when the __________ of the long bones fuse.

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Page 13

Chapter 12: Middle Adulthood

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Sample Questions

Q1) The health-care worker reminds a group of middle-aged men that they should take preventative measures to reduce the risk of cardiovascular disorders resultant from their lifestyle,which includes which factor(s)? (Select all that apply. )

A) Sandwich generation stress

B) Lack of intimacy

C) Smoking

D) Inadequate exercise

E) Hormonal changes

Q2) Middle adulthood is considered the period of development after young adulthood but before retirement and is categorized as age 40 to _____ years.

A) 50

B) 55

C) 60

D) 65

Q3) The term climacteric refers to a time in life in which:

A) women have erratic menstrual cycles.

B) men have a decrease in libido.

C) women have completed menopause.

D) men become permanently impotent.

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Page 14

Chapter 13: Late Adulthood

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) The most effective nursing intervention for health promotion in the older adult is primarily focused on:

A) managing disease.

B) providing a sense of control over health problems.

C) controlling symptoms of illness.

D) teaching positive health behaviors.

Q2) The health-care worker recommends the practice of Tai Chi to an older adult to enhance ___________ strength.

Q3) The home health care worker suggests a lifestyle change that would be supportive to memory retention such as:

A) completing a crossword puzzle.

B) listening to "oldies" music.

C) subscribing to a travel magazine.

D) working on a jigsaw puzzle.

Q4) A provision of the controversial Health Care Affordability Act of 2010 was to:

A) ration health care to the elderly.

B) provide wider health-care coverage.

C) limit hospital stays.

D) set up more community health clinics.

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Chapter 14: Advanced Old-Age and Geriatrics

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Sample Questions

Q1) The health-care worker is planning a discussion about sexual responses in the aging population.The health-care worker would make a point to include information relative to that fact that:

A) menopause decreases the sexual response in females.

B) erotic response of the nipple and clitoris decrease.

C) sperm motility is not affected by reduced testosterone.

D) males retain their fertility into the eighth decade of life.

Q2) An appropriate strategy when teaching geriatric adults is to:

A) ask them to repeat what they heard because of possible hearing deficits.

B) use many videos and charts to keep their interest.

C) present all the material in one long session rather than two short ones.

D) speed up the presentation because of the short attention span.

Q3) An appropriate nursing action helpful to older adults with insulin-dependent diabetes mellitus is to:

A) avoid discussing future lifestyle changes.

B) assure the elder that the condition is stable.

C) encourage confidence in the elder as a competent manager of the disease.

D) assign the responsibility for insulin injections and blood testing to a home health-care worker.

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Page 16

Chapter 15: Planning for the End of Life

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34 Verified Questions

34 Flashcards

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Sample Questions

Q1) When the treatment for a 12-year-old child with terminal cancer needs to shift from cure to palliation,the health-care worker reminds the family it is important that they should:

A) tell the child that he will not have to take any more treatments.

B) explain this new approach in age-appropriate terms.

C) the family must understand that palliative care takes place at home.

D) withhold this information from the child as it will contribute to a sense of hopelessness.

Q2) As a Native American elder is dying,a young health-care worker complains to her supervisor that the eldest son is not at his father's bedside and is nowhere to be found.The culturally competent health-care worker responds:

A) "He is probably making arrangements with the funeral home."

B) "Because he believes it is dishonorable to watch a person die, he is not here."

C) "He has gone to get the ceremonial robes for his father to wear after death."

D) "He is observing his own private grieving away from his dying father."

Q3) The health-care worker recommends the services of _____________,a community health-care organization specializing in the care of dying patients and their families.

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Chapter 16: Bereavement

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Sample Questions

Q1) After the death of their child in the emergency room following a hit-and-run automobile accident,the mother says,"God is dead for me.God is as dead as my child.I will not worship a dead god!" The most helpful response would be:

A) "I am sorry for your loss."

B) "Let me get the hospital chaplain for you!"

C) "God feels your pain and he is still there for you.

D) "I can understand why you feel angry with God and everyone else right now."

Q2) A grief reaction that interferes with life's functions is:

A) mourning.

B) anticipatory grief.

C) bereavement.

D) dysfunctional grief.

Q3) Persons experiencing bereavement should postpone making drastic changes in their lives for at least:

A) 1 month.

B) 6 months.

C) 1 year.

D) 2 years.

Q4) _________________ is the outward expression of grief.

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