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Western Governors University CARE OF THE ELDERLY C
CARE OF THE OLDER ADULT TEST BANK
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 trueabout 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 shecares, 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 theirlisted 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 D. Greg Reed, RN, MSN Answer: B The AACN/John A. Hartford Foundation Competencies are helpful to nurses because they: A. offer suggestions about how to gain employment in geriatrics B. provide a guideline for the knowledge that is expected to provide quality care to older adults C. were designed to prepare nurses to pass the State Board Exam D. were written for nurses working on a graduate degree in gerontology Answer: B The nurse has a question about the appropriateness of an older patient's medication dose. Which of the following professionals would be best qualified to answer such a question? A. the geropsychologist
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 C. most older persons are cared for by their children D. nearly a half million grandparents are raising their grandchildren Answer: D What best explains the lack of prepared, qualified health professionals to care for the aged? A. a shortage of nursing faculty B. medical programs not including gerontology content C. not enough health professionals choosing gero as a specialty D. the current nursing shortage
Answer: B Most centenarians (people over the age of 100 years) are White and female A. TRUE B. FALSE 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
B. Hispanics C. Asians and Pacific Islanders D. American Indians and Alaskan natives Answer: A Which ethnic/cultural group is the most rapidly growing ethnic minority, and less likely to obtain preventive services suchas flu vaccines and mammograms? A. African Americans B. Hispanics C. Asians and Pacific Islanders D. American Indians and Alaskan natives Answer: B Which ethnic/cultural group is comprised of many subgroups and generally have a longer life expectancy than whiteAmericans?
A. African Americans B. Hispanics C. Asians and Pacific Islanders D. American Indians and Alaskan natives Answer: C Which ethnic/cultural group makes up a small percentage of America's elderly population and have increased morbidityand mortality related to diabetes and renal disease? A. African Americans B. Hispanics C. Asians and Pacific Islanders D. American Indians and Alaskan natives Answer: D List the three leading causes of death in the elderly:
Answer: B A biological theory of aging that is based on random events that cause cellular damage versus genetically programmedevents 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 ofwhich theory? A. age stratification B. cross-link C. free radical D. gene/biological Answer: D
When a Native American Indian elder goes out into the woods to die and the tribe does not search for him, but allowshim to withdraw, this could be an example of: A. activity theory B. disengagement theory C. subculture D. person-environment fit Answer: B A 99 year old widow who has lived alone in her own home for 40 years experiences a fall and is sent by her children andgrandchildren to a nursing home. The woman refuses to eat and exhibits signs and symptoms of depression and withdrawal. Which theory does this most describe? A. functional consequences B. theory of thriving C. neuroedncorine D. immunological
- 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
Which of the following factors could contribute to an older person's inability to hear instructions given by the nurse? A. cerumen impaction B. nurse not facing the person when giving directions C. loss of high frequency pitches D. all of the above Answer: D The nurse is trying to take a history from a cooperative but fearful older person with mild dementia. Which of thefollowing would be the most therapeutic strategy to use for this interaction? 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 acontributing 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 An older patient has had a stroke that resulted in Broca's aphasia. Which of the following would be most typical ofBroca's aphasia? A. fluent speech B. impaired comprehension C. broken speech D. global problems Answer: C
