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NURS 306/NURS306 GERONTOLOGICAL NURSING
FINAL EXAM 2025|ACTUAL 91 QUESTIONS AND
ANSWERS|GRADED A+
Who is considered a senior? A person aged 65 or older Those who have multiple chronic illnesses Those who take multiple drugs My dog who is 11 A person aged 65 or older What is an example of alternative medicine? Using massage therapy in conjunction with muscle relaxants for relief of muscle pain Using chinese herbal medicine as the sole treatment for strep throat Using calcium channel blockers as the sole treatment for atrial fibrillation Vaccinating a child to prevent future infections Using chinese herbal medicine as the sole treatment for strep throat What is an example(s) of complementary medicine? Select all that apply Meditation as an adjunctive for pain management in cancer patients Acupuncture used alongside physiotherapy
Taking ginseng along with antibiotics during a bout of pneumonia Meditation as an adjunctive for pain management in cancer patients Acupuncture used alongside physiotherapy Taking ginseng along with antibiotics during a bout of pneumonia Physical and cognitive-behavioural approaches as well as pharmacological interventions are all methods of reducing pain. Which methods fall into these categories: touch, meds altering sensory transmission, rest biofeedback, non-narcotic analgesics, transcutaneous electrical nerve stimulation cutaneous nerve stimulation, increased carbohydrate intake, decreased protein intake transcutaneous electrical nerve stimulation, distraction, exercise biofeedback, non-narcotic analgesics, transcutaneous electrical nerve stimulation What best describes delirium? select all that apply an acute confusional state a medical emergency a chronic illness a normal process of aging
a. Speaking more slowly b. Using pet names such as "honey" or "dear" c. Focusing on the issue of concern d. Changing pitch and tone a. Speaking more slowly b. Using pet names such as "honey" or "dear" d. Changing pitch and tone Input and Output is regularly assessed in nursing practice. What is an inappropriate intervention for urinary incontinence? Select all that apply. a. scheduled (timed) voiding + prompt voiding b. insert catheter c. pelvic floor muscle exercises (PFMEs) d. Biofeedback b. insert catheter The following specific assessment tool of older adults encompasses the 6 common syndromes of the older adult requiring interventions: sleep disorders, eating/feeding problems, falls, confusion, and incontinence. a. Family APGAR
b. The MoCA Screening c. Fulmer SPICES d. Geriatric Assessment c. Fulmer SPICES Which is not a type of resilience? Health Functional Psychological Cognitive Functional Based on the CNA Code of Ethics, which of the four principles of the biomedical ethics would you use first to assure participation of older adults and their families in the decision making process? Autonomy Non-maleficence Beneficence Justice Autonomy
c) ageism awareness When the lower urinary tract is intact but the patient is unable to reach the toilet due to environmental barriers, physical limitations, or severe cognitive impairment; is the definition of which type of urinary incontinence a) Urge incontinence b) Functional incontinence c) Stress Incontinence d) Reflex incontinence b) Functional incontinence Which of the following is NOT a common cause of dehydration in older adults? Ch. 9 pg 137 a) Result of disease b) Age-related changes c) Lack of access d) Medication effect c) Lack of access Which of the following theories is a Non-stochastic (programmed) theory of aging? a) Wear and tear theory
b) Cross- link theory c) Free-radical theory d) Neuroendocrine-immunological theory d) Neuroendocrine-immunological theory Self Management refers to ________ and health force refers to ____________. Nurse characteristics; patient characteristics Patient behavior; Nurse behavior Patient behaviors; Patient characteristics Patient characteristics; nurse characteristics Patient behaviors; Patient characteristics How can the nurse ensure that older adults in their care use medication safely and effectively? Select all that apply. Conduct comprehensive medication assessment Understand patients' beliefs about the effectiveness and necessity of the medications they are using Inquire about herbal and other supplements that patients take with their prescriptions Disregard allergies, interactions, and other adverse medication reactions that patients may report Conduct comprehensive medication assessment
Which of the following interventions can the nurse use to promote medication adherence in older adults? Select all that apply. Environment: turn off the television or other sources of distraction Timing: provide teaching that best suits the nurse Key persons: find out who manages the older adult's medication Communication: make sure the older person has his/her glasses or hearing aids while taking medication Environment: turn off the television or other sources of distraction Key persons: find out who manages the older adult's medication Communication: make sure the older person has his/her glasses or hearing aids while taking medication Frailty, an often-overlooked geriatric syndrome in nursing, is sub-categorised into physical and cognitive frailty. Cognitive frailty is: select all that apply a. A reversible condition b. Dementia c. A combination of physical frailty and cognitive impairment . a. A reversible condition c. A combination of physical frailty and cognitive impairment
Which definition does not describe Role Clarification, 1 of the 6 Domains within the Interprofessional Competency Framework? Communication of roles, knowledge, skills and attitudes using appropriate language Accessing the skills and knowledge of others through interprofessional collaboration Developing a set of principles for working together that respects the ethical values of team members Integrating competencies and roles seamlessly to provide patient/family/community centred care Developing a set of principles for working together that respects the ethical values of team members (team functioning) As a member of the Interprofessional Team the role of the nurse includes which of the following? Select all that apply Lead and redesign healthcare approaches to patient/family/community centred care
The nurse clarifies what the physiotherapist's role is in her geriatric patient's rehabilitation The interprofessional team independently work with the patient without consultation with each other The nurse limits their time with patients due to their high volume of patients that they need to see The interprofessional team independently work with the patient without consultation with each other What were the findings from the systematic review that Gougeon, Johnson, and Morse (2017) conducted in relation to interprofessional teams and health outcomes for older adults living in community? Interprofessional teams negatively affect some health outcomes Interprofessional teams positively affect some health outcomes Interprofessional teams positively affect all health outcomes Interprofessional teams negatively affect all health outcomes Interprofessional teams positively affect some health outcomes
Which of the following is an aged related effect of aging on absorption? select all that apply Gastric pH increases, increasing absorption of basic drugs Blood flow decreases, decreasing absorption Decreased total body water, decreasing absorptio Glomerular filtration rate decreases, decreasing absorption Gastric pH increases, increasing absorption of basic drugs Blood flow decreases, decreasing absorption What are the appropriate non-pharmacological interventions to approach delirium? (select all that apply) Keep the patient's room quiet and well lit Put a clock or calendar where the patient can see it Have family members around Keep the same caregivers as much as possible
polypharmacy Ethnic-related physiological changes Treatment of COPD is done most effectively with which kind of approach? Retrograde Dynamic Curative Step-wise Step-wise Which of the following is false regarding MAID (Medical Assistance in Dying)? Must be administered by a physician, nurse practitioner or the patient themself The patient must be at least 18 years of age It can be administered at City Hospital, St. Paul's Hospital and Royal University Hospital The patient must make a written request for MAID It can be administered at City Hospital, St. Paul's Hospital and Royal University Hospital What statement by the nurse reflects a patient-centered care approach?
"You need to have your bath and get dressed because I only have time for it right now" "You can't be in pain, you just your had pain meds" "What is your main priority for your care today?" "The doctor wants you to get your pain under control today" "What is your main priority for your care today?" Which of the following is not a fundamental principle of caregiver assessment? Recognizing, respecting, assessing, and addressing the needs of caregivers Including only the preferences of the care recipient Developing a plan of care with measurable outcomes and regular updates Reflecting cultural respect and competence None of the above Including only the preferences of the care recipient
Patients may lack food and other necessities upon discharge Living space needs to be rearranged Patients may need to move in with their family member Transportation Which of the following is a barrier in managing and coordinating care? Restricted mobility may prevent patients to continue care with their usual health care providers Difficulties in navigating a system Challenges with accessing services for the patient Time constraint Difficulties in navigating a system Which of the following is/are a factor(s) influencing admission to residential care? select all that apply Wandering
Living alone Need for physical assistance Caregiver no longer able to provide care Wandering Living alone Need for physical assistance Caregiver no longer able to provide care Complex Interaction places patients at risk for which of the of the following? select all that apply Increased morbidity Increased mortality Increased health care costs Increased morbidity Increased mortality
