Gerontological Nursing Exam Practice Tests
Course Introduction
Gerontological Nursing focuses on the holistic care of older adults, addressing their unique physiological, psychological, and social needs. This course explores the aging process, common health challenges associated with aging, and evidence-based practices for promoting healthy aging. Students learn to assess, plan, implement, and evaluate nursing interventions tailored to older adult populations in diverse settings, emphasizing dignity, independence, and quality of life. The course also covers ethical and legal considerations, family dynamics, chronic illness management, community resources, and interdisciplinary collaboration in the care of the elderly.
Recommended Textbook
Toward Healthy Aging Human Needs and Nursing Response 7th Edition by Priscilla Ebersole
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262 Verified Questions
262 Flashcards
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Chapter 1: Gerontological Nursing and an Aging Society
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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 country with the oldest population,both in terms of median population and the number of persons older than age 60,is:
A) Japan.
B) Sweden.
C) China.
D) Ireland.
Answer: A
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Chapter 2: Theories of Aging
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Sample Questions
Q1) 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
Q2) 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
Q3) Select the true statement regarding the nonstochastic group of theories.
A) Aging events occur randomly.
B) Biological aging is genetically programmed.
C) Aging is a result of an accumulation of errors in RNA and DNA metabolism.
D) The free radical theory is an example of this type of theory.
Answer: B
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Chapter 3: Health and Wellness
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Sample Questions
Q1) Select the statement about wellness that best applies to your client,who is terminally ill with end-stage prostate cancer.
A) Wellness is possible even if he refuses to assist in management of his medical care.
B) Wellness is unfortunately not a realistic option for him.
C) Wellness is the same thing as faith healing,and if he would be more receptive,he could be back at active gardening in a few weeks.
D) Your nursing interventions can help empower him to achieve a higher level of wellness.
Answer: D
Q2) Environmental press is defined as:
A) learned helplessness as a result of lack of social support in the environment.
B) modifications made to the environment to make it "elder friendly."
C) obstacles in the environment that make it unsafe for older adults.
D) demands that environments make on the older person to adapt,respond,or change.
Answer: D
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Chapter 4: Physiological Changes with Aging
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Sample Questions
Q1) You are caring for an 89-year-old woman who was admitted to the hospital for weakness and a cough.In her assessment,the client describes that she has to go to the bathroom frequently and manages this by monitoring her fluid intake,especially before going to bed.She has no pain or discomfort with voiding.The nurse knows:
A) that this is normal for a woman her age.
B) that this is indicative of a urinary tract infection.
C) that this is a sign of diabetes.
D) that the patient is drinking too many fluids.
Q2) Which statement best describes normal changes of aging?
A) All age-related changes are the result of disease.
B) When comparing functional abilities of an elderly client,it is important to not allow social or cultural influences to cloud your assessment.
C) It is always very easy to tell the difference between normal aging and the results of one's lifelong poor habits.
D) Individual variations are enormous at every age and in every part of the body.
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6
Chapter 5: Laboratory Values and Diagnostics
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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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Sample Questions
Q1) A limitation of the Katz index of activities of daily living (ADLs)is that:
A) completion of the tool requires the joint efforts of the interdisciplinary team.
B) all ADLs are weighted equally,and the cutoff score is arbitrarily determined.
C) it puts a heavier weight on the cognitive abilities necessary to perform ADLs.
D) it is completed as a self-report by the patient.
Q2) When comparing the Older American's Resources and Services (OARS)with the Katz index of ADLs,what is true?
A) The Katz index and the OARS both measure only ADL performance.
B) The OARS is a comprehensive assessment tool that measures ability in five areas; the Katz index measures only ADL performance.
C) The OARS is used only for older adults in the long-term care setting; the Katz index is used in all settings.
D) The OARS is not valid for use in older adults who are cognitively impaired,whereas the Katz index is.
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8
Chapter 7: Managing Basic Physiological Needs
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Sample Questions
Q1) 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.
Q2) When beginning an exercise program,an elderly client should first be assessed.What is important to include in the initial assessment for older adults of all ages?
A) Exercise tolerance testing (ETT)
B) Echocardiogram
C) Medical history and physical examination
D) Pulmonary function tests (PFTs)
Q3) 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.
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Page 9
Chapter 8: Biological Maintenance Needs
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Sample Questions
Q1) What skin preparations should the nurse instruct the older adult to use with caution?
A) Moisturizing soaps
B) Emollients to keep the skin moist
C) Steroid-based ointments and creams
D) Sun block
Q2) An older woman tells the nurse her husband seldom brushes his teeth as he did in the past.One reason for this might be:
A) decreased manual dexterity.
B) loss of some of his natural teeth.
C) decrease in taste acuity.
D) lack of dental insurance.
Q3) An 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.
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10
Chapter 9: Nutritional Needs
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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) The following are reliable methods to evaluate obesity except:
A) BMI (body mass index).
B) WHR (waist-hip ratio).
C) weight and height evaluation using a table of desirable weight.
D) weight greater than 150% of ideal body weight.
Q3) A 76-year-old patient has severe osteoarthritis of the right knee.She is experiencing significant pain and some decreased mobility.She consults an orthopedist who recommends weight reduction and refers her to a nutritionist.The rationale for the orthopedist's action is that:
A) obesity puts significant pressure on the major joints.
B) obesity is an absolute contraindication to joint replacement.
C) obesity predisposes an individual to develop osteoporosis.
D) obesity predisposes an individual to be intolerant to nonsteroidal antiinflammatory drugs (NSAIDs).
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Chapter 10: Chronic Disease in Late Life
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16 Verified Questions
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Sample Questions
Q1) A 79-year-old male client with chronic obstructive pulmonary disease (COPD)is seen in the respiratory clinic.What intervention is most important when developing his plan of care to address the long-term goal of promoting healthy respiratory aging?
A) Annual tuberculosis (TB)skin testing
B) Teaching the patient to use alternative modalities such as meditation in order to relax
C) Annual influenza immunization
D) Consuming a high-protein,high-calorie diet
Q2) You are conducting a blood pressure screening at a local senior center.A 90-year-old client of the center has a blood pressure reading of 150/88.He reports no other symptoms,and no acute medical illness.You should instruct him to:
A) not worry because this reading is consistent with his age.
B) go to the emergency department for immediate evaluation.
C) contact his primary care provider for evaluation.
D) return to your next screening in 6 weeks.
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Chapter 11: Pain and Comfort
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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
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Sample Questions
Q1) 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.
Q2) Which pharmacokinetic/pharmacodynamic parameter is least affected by the aging process?
A) Absorption
B) Distribution
C) Metabolism
D) Excretion
Q3) Your patient is prescribed a transdermal morphine patch for severe chronic pain.You are providing medication teaching for her.What is important to include in your teaching?
A) Make sure to cut the patch to enhance medication release.
B) Take care not to touch the "skin side" of the patch.
C) Place the new patch next to the old patch.
D) Apply patch only to the chest.
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14
Chapter
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Sample Questions
Q1) 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.
Q2) Herbal supplements are manufactured in all but one of these forms:
A) tincture.
B) salves.
C) extracts.
D) intravenous.
Q3) 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.
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15
Chapter 14: Sensory Function
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Sample Questions
Q1) In altered perceptual organization,disorientation usually occurs first in which domain?
A) Time
B) Person
C) Place
D) Situation
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) 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.
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16
Chapter 15: Mobility
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Sample Questions
Q1) Who is at greatest risk for developing osteoporosis?
A) A 50-year-old white male
B) A 37-year-old aerobics instructor
C) A 72-year-old large black woman
D) A 69-year-old thin white woman
Q2) A 68-year-old female patient has a history of osteoporosis.She is on your surgical ward because of her recent wrist surgery.She is on the following medications: heparin 5000 units subcutaneously q12hr,Tums (calcium carbonate)1 tablet after meals and at bedtime,calcitonin 100 international units IM every morning,and Premarin (estrogen)0.3 mg PO,every morning.In writing your care plan,you identify risk for injury related to demineralization of bone.Which medication would be most likely to interfere with her bone integrity?
A) Heparin
B) Premarin
C) Calcitonin
D) Tums
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Chapter 16: Environmental Safety and Security
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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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Sample Questions
Q1) Your 88-year-old neighbor tells you that her daughter wants her to move to a life care community.These communities typically:
A) require that in the case of married couples,both individuals require the same level of care.
B) are decreasing in number across the United States.
C) offer a full range of residential options all in one location.
D) are for low-income seniors only.
Q2) The original intent of Social Security was to:
A) provide a hospital insurance plan.
B) minimize the dependency of older members on younger members of society.
C) provide the blind,elderly,or disabled with adequate financial support.
D) penalize women financially for numerous zero wage years while raising children.
Q3) 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.
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Chapter 18: Frailty,Vulnerability,and Elder Mistreatment
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Sample Questions
Q1) A visitor to a nursing home witnesses an attendant scolding a client with dementia about being incontinent.The visitor reports the incident to the charge nurse.This is an example of:
A) caregiver burnout.
B) exploitation.
C) psychological abuse.
D) neglect.
Q2) What is a true statement about mandatory reporting of elder mistreatment?
A) Nurses are mandatory reporters of elder mistreatment in all states and territories in the United States.
B) The nurse must have documented proof of elder abuse before reporting an incident.
C) Elder mistreatment reports require that the reporter identify herself in the report.
D) The standard for reporting is one of reasonable belief that a vulnerable person has been or is likely to be abused.
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Chapter 19: Intimacy and Sexuality in Late Life
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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) 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.
Q3) The following have been identified as benefits of therapeutic touch except:
A) provision of sensory stimulation.
B) relief of physical and psychosocial pain.
C) reduction of anxiety.
D) improved skin integrity.
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Chapter 20: Relationships,Roles,and Transitions
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Q1) Lesbian,gay,bisexual,and transgender older adult couples face additional challenges as they age.All are challenges frequently encountered except:
A) ability to access social security and health care benefits of partner.
B) health care systems geared to special needs of lesbian,gay,bisexual,and transgender older adults.
C) same-gender marriages not recognized in all states in the United States.
D) family members not recognized as relatives in the traditional sense.
Q2) A 99-year-old resident of a long-term care facility came to the facility 12 years ago after the death of her husband of 56 years.She has no children or other relatives.She has a very close relationship with one of the nurse aides and refers to the aide as her daughter.The nurse aide is an example of:
A) delusional kin.
B) fictive kin.
C) kin-keeper.
D) primary kin.
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Chapter 21: Culture,Gender,and Aging
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Q1) You are assigned to write a culture and illness paper for your gerontology class.Which information will you be sure to include in your paper?
A) Culture is the same as ethnicity.
B) Ethnic groups always share common geographic origin,language,and religion.
C) Ethnicity involves culture,social status,and support systems.
D) You will expect the client you select for the paper to possess all cultural traits outlined in the textbook.
Q2) Select the true statement regarding cohort effect:
A) Birth cohort is important in understanding how one experiences a world event.
B) Each individual within a cohort experiences events in a similar way.
C) An example of applying the knowledge of cohort effect would be treating an elderly client exactly how your own grandfather would expect to be treated.
D) All generations share a similar perspective on life events.
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Chapter 22: Nursing and Aging in Rural and Frontier Settings
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Q1) The following are true about "swing beds" in rural hospitals except:
A) they are acute care hospital beds that are used to provide nursing home level care in rural hospitals.
B) the Omnibus Budget Reconciliation Act of 1980 legislation allowed for the development of this program in rural hospitals with less than 50 beds.
C) they provide for continuity of care for individuals who are awaiting a nursing home bed or in areas where there are no nursing homes close by.
D) they permit a hospital to receive the same reimbursement rate for nursing home care as they do for acute care.
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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Q1) A 90-year-old client with dementia resides with his daughter in the community.When the home care 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." What is the best response to the client's daughter?
A) "What have you done to anger your father?"
B) "Behavior is an expression of needs.Let's try to figure out what your father was trying to communicate."
C) "Scratching is usually a sign of untreated pain.Do you think your father is in pain?"
D) "Maybe you should not be providing direct care to your father,a home health aide might be more appropriate.
Q2) 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
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Page 25
Chapter 24: Stress,Crises,and Health in Aging
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Q1) 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."
Q2) What is a true statement about coping strategies in older adults?
A) Older adults are often less able to cope with stress due to decreased adaptive capacity.
B) Older adults are less able to cope with stress due to cognitive declines.
C) Coping strategies used in earlier life are ineffective in later life.
D) Older adults use coping strategies directed at avoiding the problem.
Q3) What is a true statement regarding crises and stress?
A) Stress always precipitates a crisis.
B) Crises always create stress.
C) Personal perception of an event is less significant than the event's magnitude.
D) Stress is time limited.
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26
Chapter 25: Emotional Health in Late Life
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Sample Questions
Q1) 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) One goal of reminiscence is to:
A) provide cognitive stimulation.
B) divert the individual's attention from the problem.
C) eliminate painful memories.
D) educate the individual on proper communication strategies.
Q3) 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.
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Chapter 26: Loss,Death,and Dying in Late Life
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Sample Questions
Q1) A nurse was caring for a patient who died of a chronic illness.The family had been present with the patient constantly during the previous week,experiencing the dying process.The family was present when the patient stopped breathing,and had a very emotional reaction as if they were in a state of disbelief.The nurse interprets this behavior to be:
A) a normal response when experiencing the death of a loved one.
B) a maladaptive coping mechanism.
C) an irrational response.
D) an expression of anger toward the staff.
Q2) The nurse is discussing hospice care with the wife of an 88-year-old patient who has end-stage liver cancer.The wife is worried that Medicare will stop paying for hospice at home if her husband lives longer than 6 months.What can the nurse tell the wife in order to allay her anxiety?
A) Medicare does not limit the hospice benefit.
B) The doctor should explain the hospice benefit.
C) The finance department should answer questions about hospice benefits.
D) Most patients with liver cancer do not live longer than 6 months.
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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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