Geriatric Nursing Exam Bank
Course Introduction
Geriatric Nursing is a specialized field focused on providing comprehensive healthcare to older adults, addressing their unique physiological, psychological, and social needs. The course covers age-related changes in the human body, common health challenges in the elderly, and the principles of promoting independence, dignity, and quality of life. Students learn to assess and manage complex health conditions, collaborate with multidisciplinary teams, and advocate for effective care planning and support systems. Emphasis is placed on communication skills, ethical considerations, and evidence-based practices to optimize health outcomes for the geriatric population.
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) The Scope and Standards of Gerontological Nursing Practice:
A) identifies minimum nurse staffing levels for both acute and long-term care facilities.
B) describes minimum gerontological nursing education required for nursing staff in long-term care facilities.
C) mandates the presence of a full-time advanced practice nurse (APN),either a gerontological clinical nurse specialist or a geriatric nurse practitioner,for all patient care areas with greater than 50% of the population older than age 65.
D) identifies levels of clinical gerontological care and gerontological nursing performance.
Answer: D
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) A married couple are residents of a life care community.They retired to the community after the husband had heart surgery.The wife has always been physically and socially active and joined an aerobic class,knitting groups,and a book club shortly after moving to the community.She walks on a daily basis and swims twice a week.Her husband spends his days reading and watching television.He was never a social person and enjoys being by himself.Which of the sociological theories of aging best describes the couple?
A) Role theory
B) Disengagement theory
C) Continuity theory
D) Personality theory
Answer: C
Q2) Erikson's stage or task for later life is:
A) ego maturation vs.stagnation.
B) ego transcendence vs.ego preoccupation.
C) generativity.
D) ego integrity vs.despair.
Answer: D
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Chapter 3: Health and Wellness
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/7228
Sample Questions
Q1) You are on a performance improvement committee at your hospital.The committee selects a project related to influenza vaccination.What is the guideline for influenza vaccination for individuals older than age 65?
A) Annually for individuals older than age 65 with a compromised immune system,or with a respiratory or cardiac condition
B) Annually for all individuals older than age 65,whether they are well or have chronic conditions
C) Once in persons age 65 or older,with boosters given as needed every 5 years
D) Every 2 to 5 years
Answer: B
Q2) 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
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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 are teaching a health promotion class at a senior center.The topic is promoting healthy skin while aging.The following topics should be included in the program except:
A) the importance of using sunscreen.
B) the importance of adequate hydration.
C) the importance of using moisturizing lotions.
D) the importance of using antibacterial soaps when bathing.
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6
Chapter 5: Laboratory Values and Diagnostics
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/7230
Sample Questions
Q1) You are a nurse working in a community health center that is sponsoring a program that offers free prostate-specific antigen (PSA)blood tests to all men older than age 50.A man approaches you and asks,"What is this all about?" What is the best response to him?
A) "PSA is one of the primary screening tests for prostate cancer.All men older than 50 should be screened for prostate cancer."
B) "PSA is a definitive way to diagnose prostate cancer.All men older than 50 should be screened for prostate cancer."
C) "PSA is indicated when a man has other symptoms of prostate cancer."
D) "PSA is invalid unless a digital rectal exam is done immediately before the blood sample being drawn."
Q2) While looking at your patient's laboratory values,you note the following values.Which contains an alteration (increase or decrease)that you might expect with aging?
A) Potassium 4.5 mEq/L
B) Blood urea nitrogen (BUN)10 mg/dL
C) Creatinine 0.8 mg/dL
D) Erythrocyte sedimentation rate (ESR)20 mm/hr
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Chapter 6: Health Assessment in Gerontological Nursing
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) 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.
Q2) What is true about instruments to assess for depression in older adults?
A) Older adults tend to score inaccurately low (indicating less depression)than younger adults on the Zung Self-Rating Depression Scale.
B) The Geriatric Depression Scale cannot be used in older adults with dementia or cognitive impairment.
C) The Beck Depression Inventory is designed for gerontological patients.
D) The Geriatric Depression Scale is administered by a health care provider in an interview with the older adult.
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Chapter 7: Managing Basic Physiological Needs
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Older adults with sleep apnea:
A) experience excessive deep sleep.
B) are often slim and underweight.
C) have an increased risk for sudden death and stroke.
D) experience excessive tension in the muscles of the throat and soft palate.
Q2) What client statement might encourage you to add the nursing diagnosis of constipation to the client's care plan?
A) "I only have a bowel movement every 2 days."
B) "I have to have my morning cup of coffee before I can move my bowels."
C) "If I don't eat enough prunes or other fruit,I sometimes have trouble."
D) "I had a bowel movement 3 days ago,but it wasn't much,and it was very hard."
Q3) You are a nurse on the Acute Care for the Elderly unit in a large academic medical center.One of the performance improvement projects of your unit is to implement a protocol to decrease the use of indwelling urinary catheters.The major reason for the choice of this project is that:
A) urinary catheters are very costly.
B) long-term catheter use increases the risk of urinary tract infections.
C) long-term catheter use causes pain in older adults.
D) intermittent catheterization is very time consuming.
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Page 9
Chapter 8: Biological Maintenance Needs
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) An 88-year-old resident in a long-term care facility tells the nurse she is having mouth pain.The first action the gerontological nurse should take is to:
A) notify the physician in charge about the resident's problem.
B) carefully inspect the resident's mouth,teeth,and tongue.
C) medicate the resident with a prescribed analgesic.
D) instruct the resident to begin rinsing the mouth with an antimicrobial mouthwash.
Q2) An 81-year-old woman complains of pain in the right upper posterior thoracic area and has an elevated temperature (101° F).She subsequently develops clusters of fluid-filled vesicles in the same area where she reported the pain.It is likely that she has:
A) seborrheic keratoses.
B) rosacea.
C) herpes zoster.
D) stasis dermatitis.
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Chapter 9: Nutritional Needs
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) 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.
Q2) An 82-year-old patient is admitted to the hospital from the long-term care facility with a diagnosis of pneumonia and dehydration.Her mental status is at baseline,she has dry mucous membranes,and she reports feeling "very tired." What is the first line of treatment for her?
A) Administer intravenous fluids with 0.9 sodium chloride at a minimum of 1 L/day.
B) Administer oral fluids at a minimum of 2 to 3 L of clear fluids.
C) Administer intravenous fluids with 0.9 sodium chloride at the rate of 1 L/hr.
D) Assess the patient's intake and output because this is the most accurate way of assessing fluid status.
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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 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.
Q2) You are assisting your elderly client with chronic obstructive pulmonary disease (COPD)in self-care activities.Which direction provided by you will best help her achieve the goal of being able to perform self-care activities?
A) Bathe and eat slowly,allowing rest periods.
B) Attempt to walk short distances without oxygen.
C) Perform all activities of daily living at one time,and then rest.
D) Bathe right after eating,and then rest.
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12
Chapter 11: Pain and Comfort
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) An older adult is seen in the emergency department after falling on an icy surface.She is complaining of a painful right hip.She also has a history of osteoarthritis and states that she takes acetaminophen 650 mg four times per day and Motrin 800 mg four times per day for control of persistent arthritic pain.She is discharged from the emergency department after x-rays reveal that she only has soft tissue bruising.In her discharge teaching,the nurse should include all except:
A) monitoring for signs and symptoms of gastrointestinal bleeding.
B) monitoring for signs and symptoms of renal impairment.
C) reviewing other prescription medications that the patient is presently taking.
D) monitoring for signs and symptoms of confusion.
Q2) Compared with acute pain,persistent pain:
A) leads to markedly altered vital signs.
B) is usually described as a burning pain.
C) is generally gone within 4 months.
D) can lead to lifestyle changes.
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Chapter 12: Geropharmacology
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) 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) Providing package inserts from all of the medications for the patient to read
B) Providing a pillbox with compartments for each day and each of the doses
C) Providing a written list of the medications
D) Asking the patient's daughter to administer the patient's medications
Q2) A 72-year-old patient tells his nurse that he is allergic to Lasix.What is the nurse's first response?
A) "Let me write that down on your chart and put an allergy alert wrist band on you."
B) "Tell me what happened to you when you took Lasix."
C) "It is unusual for a patient to have a reaction to Lasix."
D) "Were you taking a generic form of Lasix?"
Q3) Factors that affect pharmacokinetics in the elderly include:
A) greater lean body mass.
B) decreased total body water.
C) increased glomerular filtration rate.
D) increased creatinine clearance.
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Chapter 13: The Use of Herbs and Supplements in Late Life
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5 Verified Questions
5 Flashcards
Source URL: https://quizplus.com/quiz/7238
Sample Questions
Q1) The profile of a usual herbal supplement client resembles:
A) inner city,lower socioeconomic status,female.
B) white,highly educated with higher income level.
C) third generation,middle income,Hispanic American.
D) men and women from small rural communities.
Q2) A patient is admitted to a medical nursing unit.On his admission interview,he tells the nurse that he takes ginkgo biloba daily.As a nurse,you understand that this herbal supplement can cause:
A) depression with paranoia.
B) gastrointestinal (GI)upset and headache.
C) impotence and sterility.
D) pneumonia and bronchitis.
Q3) Herbal supplements are manufactured in all but one of these forms:
A) tincture.
B) salves.
C) extracts.
D) intravenous.
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15
Chapter 14: Sensory Function
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) In evaluating the care plan developed for your elderly client with the diagnosis of Disturbed sensory perception: hearing,which progress notes would suggest improvement toward resolution of the diagnosis?
A) "Client refuses to wear his hearing aid."
B) "Client reported the nursing assistants were 'talking about him.'"
C) "Client attended Friendly Social Group this morning."
D) "Client read in his room and then took a nap."
Q2) Considering his sensory changes with aging,planning an ideal environment for your newly admitted elderly client would include choosing:
A) a brightly lit room with green walls,blue floor,and green cozy throw rugs.
B) a room with ivory walls,orange carpeting,and bright incandescent lighting.
C) a brightly lit room with blue walls and a blue EZ-Glide wax floor.
D) a combination television/children's playroom with cute pastel wall hangings.
Q3) An appropriate psychosocial nursing diagnosis for your elderly client experiencing a hearing loss might include all except:
A) anxiety.
B) chronic low self-esteem.
C) social isolation.
D) risk for falls.
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Page 16
Chapter 15: Mobility
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) An elderly patient is being discharged from the hospital after an acute exacerbation of gout.The nurse reviews instructions for allopurinol (Zyloprim)with him.The nurse knows that this medication:
A) blocks the excretion of uric acid.
B) neutralizes uric acid.
C) lowers the formation of uric acid.
D) increases the excretion of uric acid.
Q2) A nurse in the geriatric outpatient clinic frequently receives questions from clients about exercise.The nurse answers their questions based on the knowledge that regular exercise:
A) performed in excess as a young adult will lead to osteoporosis.
B) prevents muscle atrophy and improves mobility,thus reducing the risk of falls.
C) must be avoided by older adults with rheumatoid arthritis because it strains the joints.
D) is likely to lead to increased falls and possibly fractures.
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17
Chapter 16: Environmental Safety and Security
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5 Verified Questions
5 Flashcards
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Sample Questions
Q1) A 98-year-old female client of your home care agency resides independently in the community.You make a routine visit and you find that despite its being 90 degrees F outside,the windows are closed and the client is wearing a sweater.You understand that her behavior may be related to:
A) cognitive changes that diminish the individual's awareness of temperature changes.
B) neurosensory changes related to aging that diminish the individual's awareness of temperature changes.
C) delirium related to an acute illness.
D) self-neglect.
Q2) 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.
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18
Chapter 17: Economic,Residential,and Legal Issues
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10 Flashcards
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Sample Questions
Q1) An older adult woman is concerned that her husband,who recently suffered a stroke,is to be placed in a nursing home.The main concern that she voices to the nurse is that she will not be able to remain in the community because the nursing home will take her home away from her and she will have no money to purchase food.She is also fearful that her car will have to be sold to pay for the nursing home and she will not be able to visit her husband.Your best response is that:
A) she should not worry because a spouse is allowed to keep a percentage of the family income and cash as well as the family home,car,and personal property.
B) she should transfer all her money and assets to her son so that she will qualify for Medicaid.
C) she should make plans to care for her husband at home because Medicare will cover custodial care at home.
D) she should ask her son for the money to provide support for her because a son is legally obligated to care for older parents.
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Chapter 18: Frailty,Vulnerability,and Elder Mistreatment
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/7243
Sample Questions
Q1) A 78-year-old wealthy white widow lives in a luxury high-rise condominium with her son.She has mild cognitive impairment and needs moderate assistance with activities of daily living.She is admitted to the Acute Care for the Elderly (ACE)unit for pneumonia and is noted to have burns on her upper back.The son states that the patient burned herself when attempting to shower.The nurse presents the patient in interdisciplinary rounds,and a discussion ensues on elder mistreatment.Which statement by a member of the team reflects a need for further education?
A) "This could not possibly be elder abuse.She is white and wealthy; abuse does not happen in these circumstances."
B) "Even if we are not sure,we should report our suspicions."
C) "Most abusers are either adult children or spouses."
D) "The incidence of abuse increases with the increased time needed by the caregiver to provide care."
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Chapter 19: Intimacy and Sexuality in Late Life
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/7244
Sample Questions
Q1) What is true regarding aging and sexuality?
A) Sexuality is important as long as one is not institutionalized.
B) One's sexuality can give meaning to life and bolster security,belonging,and esteem.
C) The sexual emphasis in later life is on procreation.
D) One cannot possess sexual health if widowed.
Q2) You are a preceptor to a new nurse on the geriatric unit of the hospital.You observe the nurse admit a new patient to the nursing unit and you are reviewing her documentation of the assessment.You note that she has left the section on the assessment form related to "sexuality" blank,and you question her about it.She states that it is "not applicable" and that the patient is 79 years old,then she draws a line through the section.What action do you take?
A) There is no action needed.The patient is 79 years old and this is not an area of concern.
B) There is no action needed.The patient would have shared information if there was anything of concern,so there is no need to ask.
C) Speak to the new nurse,because the role of the nurse is to offer an opportunity for discussion.
D) Speak to the new nurse,because this is an area for the physician to complete.
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Chapter 20: Relationships,Roles,and Transitions
10 Flashcards
Source URL: https://quizplus.com/quiz/7245
Sample Questions
Q1) An 82-year-old widow with Alzheimer's disease is being cared for at home by her daughter.Twice a week,the widow goes to an adult day care program.This is an example of:
A) long-term care.
B) a PACE program.
C) transitional care.
D) respite care.
Q2) 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.
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Chapter 21: Culture,Gender,and Aging
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Sample Questions
Q1) 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.
Q2) 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.
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23
Chapter 22: Nursing and Aging in Rural and Frontier Settings
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6 Verified Questions
6 Flashcards
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Sample Questions
Q1) 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.
Q2) An older adult lives in a community of 4800 people.The nearest city is 90 minutes away.The prominent features of a rural area are:
A) easy access to urban facilities,industrialized,and densely populated.
B) low population size and density,physical remoteness,and in an ecologically natural area.
C) physical remoteness,moderate population,and some industry presence.
D) in an ecologically natural area,culturally diverse population,and access to full health services.
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Chapter 23: Cognition and Caring for Persons with Cognitive Impairment
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Sample Questions
Q1) An 87-year-old client is being discharged from the subacute facility to home with a sterile dressing on her right leg.You are her nurse and are responsible to teach her how to change the dressing.The following are important concepts to consider except:
A) assessing client readiness to learn.
B) teaching a family member because older adults are usually not able to learn new tasks.
C) providing enough time to respond because older adults' reaction times are often slower than younger adults.
D) using audio,visual,and tactile clues to reinforce learning.
Q2) At the present time,the definitive diagnosis of Alzheimer's disease can be made:
A) by the neurofibrillary tangles and senile plaques in neural tissue upon microscopic examination during a brain biopsy or autopsy.
B) by clinical observation of progressive mental status changes.
C) whenever there is a loss of ability to read,write,calculate,and communicate intelligently in persons older than 65.
D) by the use of a positive emission tomography (PET)revealing decreased blood flow and metabolism of glucose and oxygen in the brain.
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Page 25
Chapter 24: Stress,Crises,and Health in Aging
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Sample Questions
Q1) An older adult woman has recently experienced a number of stressful life events,including the loss of her brother,the burden of caring for her ailing husband,and now an impending move to an apartment across town,because an earthquake has structurally devastated her home of 35 years.She comes to the ambulatory clinic because,in her words,"On top of all of that,now I've got this flu!" In rendering care for this elderly woman,you recognize that:
A) she is exhibiting attention-seeking behaviors.
B) crisis and stressful situations may produce emotions that erode the health of the elderly.
C) she is exhibiting "learned helplessness."
D) a period of crisis will ultimately lead to a lower level of functioning.
Q2) A 90-year-old client in an adult day care program tells the nurse that she is very stressed because her neighbor passed away.The most therapeutic response is:
A) "Let's think of happy things."
B) "Tell me what you did and how you managed when your other neighbor passed away last year."
C) "You should count your blessings and not dwell on sad things."
D) "Let's get involved in some activities and not think about sad things."
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Chapter 25: Emotional Health in Late Life
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15 Flashcards
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Sample Questions
Q1) The goals of treatment for a depressed elderly client include the following except:
A) decreasing symptoms
B) reducing risk of relapse.
C) increasing quality of life.
D) increasing medication use.
Q2) The highest suicide rate in the elderly population in the United States is in which of the following groups?
A) Black men
B) White men
C) White women
D) Black women
Q3) Your elderly client has just suffered a myocardial infarction.Upon discharge,he says to you,"I watched all those heart videos and stuff,but I still insist it was just indigestion." In formulating a response,you recognize that he is showing signs of:
A) denial.
B) projection.
C) altruism.
D) deficient knowledge.
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Chapter 26: Loss,Death,and Dying in Late Life
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A woman is terminally ill.Although it has never been discussed in the family nor stated outright by her physician,she suspects that she will die because of her illness.This situation is:
A) closed awareness.
B) suspected awareness.
C) mutual pretense.
D) open awareness.
Q2) A woman died after a lengthy illness.Her brother failed to attend the funeral and family gatherings because he was on a drinking binge.He has always been the "black sheep" of the family due,in part,to his history of alcohol abuse.What best describes the brother's behavior?
A) Pathological grief
B) Anticipatory grief
C) Acute grief
D) Disenfranchised grief
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28
Chapter
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Sample Questions
Q1) Which description would be most characteristic of a self-actualized individual?
A) An economically disadvantaged older black man who regularly checks out books from the local library to read to neighborhood children
B) A wealthy white older woman who is constantly searching for a better laxative
C) A middle-class white man who was forced into an early retirement and is living in fear of being evicted from his apartment
D) The elderly wife of a famous celebrity who travels the world but starves herself and seeks plastic surgery in her quest to fight the physical signs of aging
Q2) A 90-year-old resident of an assisted living facility states,"I want to donate my brain to science." This is an example of a:
A) living legacy.
B) last will and testament. C) postmortem obligation.
D) postmortem legacy.
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