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A negative attitude towards aging and the aged is called: A. geriatrics B. racism C. ageism D. ethnocentrism Answer: C Which of the following is not considered a core competency for nurses caring for older adults? A. Analyze the impact of an aging society on the health care system B. Obtain certification in gerontological nursing C. Prevent or reduce common risk factors that contribute to functional decline D. Recognize one's own attitudes about aging Answer: B The nurse wishes to obtain basic certification in the specialty of gerontological nursing. Which of the following is true about this credential? A. there is an experience requirement B. one must pass an exam C. one must have a BSN D. a and b only Answer: D When the nurse reads an article and uses the findings of a study to improve the quality of the patients for whom she cares, she is implementing the role of: A. teacher B. manager C. research consumer D. advocate Answer: C A lawyer wishes to hire a nurse consultant who has advanced education and certification in gerontology. Based on their
listed credentials, which of the following nurses best fits his wishes? A. Sally Smith, RN, BSN, BC B. Mary Malloy, RN, MS, GNP C. Andy Jones, LPN, CRRC
Answer: C Which of the following is not true about assisted living facilities? A. if their care needs become too great, they may have to seek other living arrangements B. persons pay for assistance out of pocket C. the average resident is in his 60's D. they have assumed about 15% of the previous nursing home population Answer: C A person aged 84 would be classified, according to current systems, as: A. young B. middle C. old D. very old Answer: B The clinical nurse specialist (CNS) in gerontology differs from the GNP in that: A. the GNP usually works in a collaborative practice with a physician B. the CNS has less education than the GNP C. the GNP has a doctorate D. the CNS does less consulting than the GNP Answer: A What is the most compelling reason for health professionals to be educated in the area of gerontology? A. to address the comprehensive nursing shortage B. to make an increase in salary C. to prepare to be challenged by the educated baby boomers D. to prepare to care for the growing number of older persons in the population Answer: D An intergenerational approach to care for the aging is advisable because of what fact? A. baby boomers want their children to take of them in old age
B. Gen X and Gen Y persons do not know anything about aging
Answer: A Minority elderly groups are growing and thus present unique challenges for nurses today A. TRUE B. FALSE Answer: A The majority of older persons live alone A. TRUE B. FALSE Answer: B Older women who live alone tend to be more from lower income groups than those who are married A. TRUE B. FALSE Answer: A Elderly Hispanics rate their overall health significantly higher than those from other ethnic groups A. TRUE B. FALSE Answer: B Older persons tend to die from acute illnesses more than chronic diseases A. TRUE B. FALSE Answer: B
The major causes of death in the older age group are heart disease, AIDS, and tuberculosis
Answer: D List the three leading causes of death in the elderly: Answer: Heart disease, Cancer, Stroke The theory of aging that says that personality and coping patterns remain consistent through life is: A. continuity B. gerotranscendence C. human needs D. life course Answer: A Erikson's stages of personality development for a person that is 76 years old would be: A. autonomy versus shame B. integrity versus despair C. generativity versus isolation D. trust versus mistrust Answer: B A biological theory of aging that is based on random events that cause cellular damage versus genetically programmed events is called: A. nonstochastic B. Orgel / error C. selective optimization D. stochastic Answer: B A scientist who believes that people have a genetic programming that determines or predicts longevity is a supporter of which theory? A. age stratification B. cross-link
C. free radical
- nonstochastic theories F. problems with gland feedback leads to disease
- theory of thriving G. based on random events that cause cellular damage
- human needs theory H. genetically programmed events cause cellular damage that lead to aging
- functional consequences theory I. failure to thrive is from discord in relationships
- wear and tear theory J. (Miller’s Theory) nurse’s role is risk reduction to enhance safety Answer:
- continuity theory (A) A. personality and coping patterns remain consistent through life
- stochastic theories (G) B. remaining active and involved promotes life satisfaction in later year
- neuroendocrine theory (F) C. transformation towards oneness with the universe
- activity theory (B) D. cells wear out with age
- gerotranscendence theory (C) e. five basic needs that motivate behavior
- nonstochastic theories (H) F. problems with gland feedback leads to disease
- theory of thriving (I) G. based on random events that cause cellular damage
- human needs theory (E) H. genetically programmed events cause cellular damage that lead to aging
- functional consequences theory (J) I. failure to thrive is from discord in relationships
- wear and tear theory (D) J. (Miller’s Theory) nurse’s role is risk reduction to enhance safety Which of the following visual changes is not usually associated with normal aging? a. presbyopia b. yellowing of the lens c. night blindness d. decreased accommodation Answer: C All of the following are considered IADLs (Instrumental Activities of Daily Living) except: a. toileting b. balancing the checkbook c. using the phone d. shopping Answer: A (this is considered an ADL) Old persons may have difficulty picking up their pills from a medicine cup because of: a. macular degeneration b. decreased touch sensation that comes with old age c. peripheral neuropathy d. all of the above
A. sit calmly in a chair next to the person and ask questions in a non-threatening manner
B. ask loud, direct questions C. have the person write down the information on the chart D. ask the family member instead of the person Answer: A While speaking with a patient who is experiencing depression, which of the following strategies might be most helpful? A. speaking very loudly since they are certainly hard of hearing B. recording important information for them in a notebook to refer to later C. ignoring the person and discussing their condition with a family member D. telling them that their depression will go away on its own if they think positively Answer: B In caring for a person experiencing delirium, which of the following is least effective in enhancing communication? A. speak in simple sentences B. offer frequent reassurance C. use physical restraints to control anxious behavior D. use large print clocks and calendars Answer: C List five nursing strategies for enhancing memory in the older adults with mild dementia. Answer: Journaling, keeping a record of the day, using familiar items, posting reminders, using calendars and clocks If an older person with hearing impairment complains of not being able to hear what the nurse is saying, what could be a contributing cause of this? A. normal age-related changes B. build up of cerumen C. the nurse not facing the person when speaking D. all of the above Answer: D
D. how much she ate today
Answer: C Which of the following would be an abnormal finding in assessment of an 80 year old male? A. decreased cardiac output B. decreased stage IV sleep C. loss of hearing of low frequency tones D. age spots on the hands and face Answer: C Which of the following changes in the skeletal system is least characteristic of normal aging? A. decreased range of motion B. loss of height up to 10 cm C. chronic inflammation of joints D. loss of some muscle mass Answer: C All of the following are intrinsic changes in the integumentary system except: A. increased skin temperature B. sagging and wrinkling C. age spots D. increased risk of bruising Answer: A Which of the following is true about normal aging changes in the GI system? A. absorption of nutrients does not change with age B. absorption of certain vitamins does change with age C. small intestine transit rate is relatively unchanged with age D. all of the above Answer: D
