When a fall results in injury and hospitalization, a cycle of disuse may occur over time.

When establishing a
care plan for the patient and family to prevent this, it is important to remember disuse is most likely a result
of:*
1/1
A. Decreasing muscle strength.
B. Decreased joint mobility.
C. Fear of repeated falls.
D. Changes in sensory perception.

Which of the following statements accurately reflects data that the nurse should use in planning care to meet
the needs of the older adult?*
1/1
A. 50% of older adults have two chronic health problems.
B. Cancer is the most common cause of death among older adults.
C. Nutritional needs for both younger and older adults are essentially the same.
D. Adults older than 65 years of age are the greatest users of prescription medications.

An elderly patient who experiences nighttime confusion wanders from his room into the room of another
patient. Which intervention will best decrease this patient's nighttime confusion?*
1/1
A. Administering a sedative at the hour of sleep
B. Leaving a night-light on during the evening and night shifts
C. Assigning a nursing assistant to sit with him until he falls asleep
D. Allowing the patient to share a room with another elderly patient

An assisted living facility has provided its clients with an educational program on safe administration of
prescribed medications. Which statement made by an older-adult client reflects the best understanding of
safe self-administration of medications?*
1/1
A. "I don't seem to have problems with side effects, but I'll let my doctor know if something happens."
B. "I'm lucky since my daughter is really good about keeping up with my medications."
C. "I'll be sure to read the inserts and ask the pharmacist if I don't understand something."
D. "It shouldn't be too hard to keep it straight since I don't have any really serious health issues."

What is the study of Geriatrics?*

0/1
A). It is a branch of health care dealing with the physiology and psychology of aging as related to diagnosis
and treatment of disease.
B). It is a branch of mental health care dealing with cognitive memory loss in the elderly.
C). It is a branch of health care dealing with the elderly and longevity.
D). It is a genetic study of DNA and aging factors.

Correct answer
C). It is a branch of health care dealing with the elderly and longevity.

What is true about the aging brain and the neurological system as we age?*
1/1
A.). As we grow older our brain function experiences a mild decrease in our ability to think.
B). Nerve functioning slows down and a person’s response time lengthens.
C). There is a mild decline in one’s memory but our creativity is unaffected.
D) All of the above.

Which of the following statements, made by the daughter of an older adult client concerning bringing her
mother home to live with her family, presents the greatest concern for the nurse?*
1/1
A. "If this doesn't work out, she can always go to live with my sister."
B. "I don't think she will react very well to me making decisions for her."
C. "I'm afraid that mom will be depressed and miss her home."
D. "My children will just have to adjust to having their grandmother with us."
Option 5

The nurse is aware that the majority of older adults:*

1/1
A. Live alone
B. Live in institutional settings
C. Are unable to care for themselves
D. Are actively involved in their community

D-E-T-E-R-M-I-N-E screening tool means*

···/9

Disease, Eating Properly, Tooth loss/mouth pain, Economic Hardship, Reduced Social Contact, Multiple
Medicines
Feedback
DISEASE
EATING POORLY
TOOTH LOSS, MOUTH PAIN
ECONOMIC HARDSHIP
REDUCED SOCIAL CONTACT
MULTIPLE MEDICATIONS
INVOLUNTARY WEIGH LOSS OR GAIN
NEED FOR ASSISTANCE IN SELF CARE
ELDERLY (>80 YEARS OLD)

When caring for the older adult, it is important to:*

1/1
A. Repeat oneself often because older adults are forgetful.
B. Treat the client as an individual with a unique history of his or her own.
C. Be aware that older adults are no longer interested in sex.
D. Disregard the older adult's experiences because older people are too old-fashioned to be of value today

What should the nurse include in the teaching plan for self-medication practices of older adults?*
1/1
A. Eliminate unnecessary medications.
B. Substitute herbal preparations for certain prescribed medications.
C. Develop a drug reminder system and schedule.
D. Pharmacy shop for the cheapest medications

A 76-year-old male patient reports hesitancy, decreased force of the urinary flow, a sensation of incomplete
emptying of the bladder, and dribbling. The gerontological nurse first asks:*
1/1
A. "Have you experienced abdominal pain?"
B. "Have you had a daily bowel movement?"
C. "Have you had low back pain?"
D. "Have you noticed blood in your urine?"

The nurse works with elderly clients in a wellness screening clinic on a weekly basis. Which of the
following statements made by the nurse is the most therapeutic regarding their mobility?*
1/1
A. "Your shoulder pain is normal for your age."
B. "Continue to exercise your joints regularly to your tolerance level."
C. "Why don't you begin walking 3 to 4 miles a day, and we'll evaluate how you feel next week."
D. "Don't worry about taking that combination of medications since your doctor has prescribed them."

Your patient assigned to you has pneumonia. You are reviewing the age-related changed involved with the
older adult. Select all age-related changes of the respiratory system that apply.*
1/1
A.Decreased in residual lung volume
B. Decreased gas exchange
C. Decreased cough efficiency
D Increased gas exchange

The nurse is planning client education for an older adult being prepared for discharge home after
hospitalization for a cardiac problem. Which nursing action addresses the most commonly determined need
for this age-group?*
1/1
A. Suggest that he purchase an emergency in-home alert system.
B. Arrange for the client to receive meals delivered to his home daily.
C. Encourage the client to use a compartmentalized pill storage container for his daily medications.
D. Provide only written document describing the medications the client is currently prescribed.

Which information obtained by the home health nurse when making a visit to an 88-year-old with mild
forgetfulness is of the most concern?*
1/1
A. The patient's son uses a marked pillbox to set up the patient's medications weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last month.
C. The patient is cared for by a daughter during the day and stays with a son at night.
D. The patient tells the nurse that a close friend recently died

In assessing the aging client, it is important for the nurse to recognize:*

1/1
a) The client's ability to perform ADLs
b) The financial status of the client
c) The job that the client held prior to aging
d) All components of well-being, including biological function, psychological function, and social function

Geriatric assessment tools for hearing loss includes ; (SELECT ALL THAT APPLY)*
0/1
A. Whispered voice test
B. CALFRAST
C. Watch tick test
D. Clock drawing
Correct answer
A. Whispered voice test
B. CALFRAST
C. Watch tick test

Cancer screening in elderly includes; (SELECT ALL THAT APPLY)*

0/1
A. Mammography
B. Paps Smear
C. Annual FOBT
D. Flexible Sigmoidoscopy

Correct answer
A. Mammography
B. Paps Smear
C. Annual FOBT
D. Flexible Sigmoidoscopy

There are factors that influence the musculoskeletal system associated with aging. The nurse recognizes that
with age:*
1/1
A. Men have the greatest incidence of osteoporosis
B. Muscle fibers increase in size and become tighter
C. Weight-bearing exercise reduces the loss of bone mass
D. Muscle strength does not diminish as much as muscle mass

Screening for HPN, Visual deficits, Obesity or malnutrition is;*

1/1
A. Primary prevention
B. Secondary Prevention
C. Tertiary prevention
D. All of the above

A 72-year-old man with asthma, chronic obstructive pulmonary disease, and chronicanxiety is admitted to a
nursing home. Care plan objectives for this man include:*
1/1
A. adherence to his medication regimen, inhalation therapy, and instruction about method of conserving
energy.
B. an exercise program to increase the vital capacity of his lungs.
C. instruction in respiratory exercises with emphasis on forced inhalation.
D oxygen therapy at 3 L/min as needed and deep-breathing exercises for relaxation

A 70-year-old presents to the clinic stating that his family things he is losing his mind and they want to put
him in a home. What would be the initial role of the gerontological nurse?*
1/1
a) Begin the process of finding a qualified nursing home
b) Do a complete history,physical, and assessment
c) Speak with the family about their concerns
d) Make light of the subject until the nurse can evaluate the situation

Activity theory suggests that activity*

1/1
a. is the best prescription for successful old age.
b. is ranked in the age-stratification perspective.
c. is something to reduce as one ages.
d. is constructed by the individual.
e. is constrained by the economy.

A nurse caring for older adults in an assistive living facility recognizes that a clients quality of life needs are
best determined by:*
1/1
A. Excellent physical, social, and emotional nursing assessments
B. A working knowledge of this age-group's developmental needs
C. A therapeutic nurse-client relationship that facilitates communication
D. The client's need for complete physical, emotional, and cognitive care

The term geriatric refers to what type of adult patient?*

1/1
A. Those in nursing homes
B. Nursing home patients over 65
C. Any adult patient 65 or older
D. Adult patients 85 or older

What is true about the genetic theory about aging?*

1/1
A). The life span of an individual is programmed in the genes and in the DNA molecules before birth
B). The life span of an individual is determined by stress on the body’s cells
C). The lifespan of an individual is determined by nutrition and exercise
D). None of the above

. In performing a physical assessment for an older adult, the nurse anticipates finding which of the following
normal physiological changes of aging?*
1/1
A. Increased perspiration
B. Increased airway resistance
C. Increased salivary secretions
D. Increased pitch discrimination

Which question does the gerontological nurse prioritize for an 86-year-old patient with abdominal pain,
muscle weakness, and leg cramps?*
1/1
A. "Do you eat a lot of meat?"
B. "Do you have heart problems?"
C. "Do you take a diuretic?"
D. "Do you walk every day?"

The nurse is setting up an education session with an 85-year-old patient who will be going home on
anticoagulant therapy. Which strategy would reflect consideration of aging changes that may exist with this
patient?*
1/1
A. Show a colorful video about anticoagulation therapy.
B. Present all the information in one session just before discharge.
C. Give the patient pamphlets about the medications to read at home.
D. Develop large-print handouts that reflect the verbal information presented.

A long-term care facility sponsors a discussion group on the administration of medications. The participants
have a number of questions concerning their medications. The nurse responds most appropriately by
saying:*
1/1
A. "Don't worry about the medication's name if you can identify it by its color and shape."
B. "Unless you have severe side affects, don't worry about the minor changes in the way you feel."
C. "Feel free to ask your physician why you are receiving the medications that are prescribed for you."
D. "Remember that the hepatic system is primarily responsible for the pharmacotherapeutics of your
medications

It is a concept of aging that involves changes in mental functioning and personality*

1/1
A. Biologic Aging
B. Psychological Aging
C. Cognitive Aging
D. Social Aging

Rozee is visually impaired, particularly in her left eye. She has lost her ability to discern any type of detail
from the central portion of the eye. Rozee most likely has;*
1/1
A) glaucoma.
B) age-related macular degeneration.
C) diabetic retinopathy.
D) NONE OF THE ABOVE

A 79-year-old retired actor, who continues to pursue lifelong interests in swimming and singing, exemplifies
which theory of aging?*
1/1
A. Continuity.
B. Developmental.
C. Disengagement.
D. Physical

A 70-year-old client asks the nurse to explain to her about hypertension. An appropriate response by the
nurse as to why older clients often have hypertension is due to:*
1/1
A. Myocardial muscle damage
B. Reduction in physical activity
C. Ingestion of foods high in sodium
D. Accumulation of plaque on arterial walls

Changes in a person's reserve capacity will affect that person's*

1/1
A) heart rate.
B) metabolism.
C) immune functioning.
D) ability to deal with physical and other types of stress.
A 75-year-old patient, whose marriage ended in divorce after two years, has lived alone for the past 50
years. Feeling as if life has had little meaning, the patient is terrified of living out the remaining years and of
dying. The age-related issue to be resolved is:*
1/1
A. disengagement vs. activity.
B. ego integrity vs. despair.
C. self-determination vs. resignation.
D. self-esteem vs. self-actualization

A 76-year-old adult female is brought to a neighborhood client after being found wandering around the local
park. The client appears disheveled and reports being hungry. Which of the following assessment and
interview findings would cause the nurse to suspect elder abuse? (Select all that apply.)*
1/1
A. Falls asleep in the examination room
B. Repeatedly states, "Don't hurt me."
C. Chafing around wrists and ankles
D. Bruises in various stages of healing

Yolanda, a lifelong runner and walker, has just joined a team of seniors training for an upcoming marathon.
Yolanda is likely to experience which benefit as a result of her program of regular exercise?*
1/1
A) Avoiding high blood pressure
B) Better alertness and morale
C) Reduced chance of injuries from falls
D) All of these

The most common chronic health problem of older adults is;*

0/1
A) heart disease.
B) asthma.
C) arthritis.
D) diabetes

Correct answer
A) heart disease.

Rivka is 90 years old. Research on the aging brain suggests that Rivka's brain*
1/1
A) is larger now than it was when she was 25.
B) is shrinking mainly in the frontal cortex.
C) is showing growth of the existing neurons.
D) has steadily gained neurons since she reached puberty.

Who can make decisions concerning an older person’s healthcare?*

1/1
A. The older person
B. People providing care, for instance nurses
C. Nearest relative
D. Medical staff
Though some age researchers believe there is no limit to how long a person can live, most suggest that the
limit is about 120 years. This figure is our human*
0/1
A) life span.
B) gerontology.
C) life expectancy.
D) longevity.

Correct answer
C) life expectancy.

Chemoprophylaxis such as multivitamins, Omega 3-fatty acids to prevent stroke is;*

1/1
A. Primary prevention
B. Secondary Prevention
C. Tertiary prevention
D. All of the above

Which of the following interventions should be taken to help an older client to prevent osteoporosis?*
1/1
A. Decrease dietary calcium intake.
B. Increase sedentary lifestyles
C. Increase dietary protein intake.
D. Encourage regular exercise.

Which of the following responses by an older-adult client is most reflective of a need for further education
by the nurse regarding the physiological changes associated with the older adult?*
1/1
A. "I call a cab if I want to go out after dark."
B. "I can't help worrying about becoming forgetful."
C. "I have my eyes checked regularly. Can't afford to fall."
D. "I really enjoy eating good vanilla ice cream, but I have cut way down."

The nurse is setting up an education session with an 85-year-old patient who will be going home on
anticoagulant therapy. Which strategy would reflect consideration of aging changes that may exist with this
patient?*
1/1
A. Show a colorful video about anticoagulation therapy.
B. Present all the information in one session just before discharge.
C. Give the patient pamphlets about the medications to read at home.
D. Develop large-print handouts that reflect the verbal information presented.

Administering Influenza Vaccine and Pneumococcal Vaccines to elderly*

1/1
A. Primary prevention
B. Secondary Prevention
C. Tertiary prevention
D. All of the above
When developing the plan of care for an older adult who is hospitalized for an acute illness, the nurse
should;*
1/1
A. use a standardized geriatric nursing care plan.
B. plan for likely long-term-care transfer to allow additional time for recovery.
C. consider the preadmission functional abilities when setting patient goals.
D. minimize activity level during hospitalization.

When the nurse described the client as “that nasty old man in 354,” the nurse is exhibiting which ethical
dilemma?*
1/1
A. Gender bias and ageism
B. Beneficence
C. HIPPA violation
D. Code of ethics violation

When developing the plan of care for an older adult who is hospitalized for an acute illness, the nurse
should*
1/1
A. use a standardized geriatric nursing care plan.
B. plan for likely long-term-care transfer to allow additional time for recovery.
C. consider the preadmission functional abilities when setting patient goals.
D. minimize activity level during hospitalization.

What observations should be made during a mental status exam of an older person?*
1/1
A). Note their appearance, their grooming and self-care
B). Listen to verbal and non-verbal information about their mood, thought patterns, and memory.
C). Observe their patterns of communication with family members
D). All of the above

Which of the following statements made by an older-adult client poses the greatest concern for the nurse
conducting an assessment regarding the clients adjustment to the aging process?*
1/1
A. "I use to enjoy dancing and jogging so much, but now I have arthritis in my knees so that it's hard to
even walk."
B. "I've given my grandchildren money for college so they can live a better life than I had."
C. "Growing old certainly presents all sorts of challenges. I wish I knew then what I know now."
D. "As I age I've found its harder to do the things I love doing, but I guess it will all be over soon enough."

Which of the following cognitive abilities is LEAST likely to decline in old age?*
1/1
A) Solving meaningful personal problems
B) Performance scores on the WAIS
C) Switching from one task to another
D) Instrumental activities of daily living

Which of the following best describes losses in strength and endurance among the elderly?*
0/1
A) Older adults consistently lose flexibility, although losses in endurance are more variable.
B) Adults generally lose about half of their strength by age 70.
C) Research shows that changes in muscle strength are unrelated to the likelihood of falls and fractures.
and fractures.
D) Losses in strength and endurance are partly reversible.

Correct answer
A) Older adults consistently lose flexibility, although losses in endurance are more variable.

Safety and injury prevention is;*

1/1
A. Primary prevention
B. Secondary Prevention
C. Tertiary prevention
D. All of the above

In reviewing changes in the older adult, the nurse recognizes that which of the following statements related
to cognitive functioning in the older client is true?*
0/1
A. Delirium is usually easily distinguished from irreversible dementia.
B. Therapeutic drug intoxication is a common cause of senile dementia.
C. Reversible systemic disorders are often implicated as a cause of delirium.
D. Cognitive deterioration is an inevitable outcome of the human aging process.

Correct answer
C. Reversible systemic disorders are often implicated as a cause of delirium.