Importance of Gerontology Education for Health Professionals, Exams of Nursing

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Geri Midterm Nursing Exam Questions with Answers Latest Update 2024 Test Match the team members with the best description of their function on the geriatric team. occupational therapist (f) a. works with gait and balance activities physical therapist (a) b. assessment, planning, care coordination nurse (b) c. discharge planning, social assessment social worker (c) d. counseling of patient and family psychologist (d) e. diagnosis and treatment of medical problems geriatrician (e) f. works with home maintenance and ADLs - Correct Answers occupational therapist (f) a. works with gait and balance activities physical therapist (a) b. assessment, planning, care coordination nurse (b) c. discharge planning, social assessment social worker (c) d. counseling of patient and family psychologist (d) e. diagnosis and treatment of medical problems geriatrician (e) f. works with home maintenance and ADLs 2. A negative attitude towards aging and the aged is called: a. geriatrics b. racism c. ageism d. ethnocentrism - Correct Answers c. ageism 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 erotological nursing c. Prevent or reduce common risk factors that contribute to functional decline d. Recognize one's own attitudes about aging - Correct Answers b. Obtain certification in erotological nursing The nurse wishes to obtain basic certification in the specialty of erotological 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 - Correct Answers a and b only 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 - Correct Answers c. research consumer 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 d. Greg Reed, RN, MSN - Correct Answers b. Mary Malloy, RN, MS, GNP 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 - Correct Answers b. provide a guideline for the knowledge that is expected to provide quality care to older adults 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 neuropsychologist b. the geropharmacist c. the financial gerontologist d. the erotological rehabilitation nurse - Correct Answers b. the geropharmacist The health care professional who wants to gain experience in working with older adults who are post-acutely recovering from serious illness or injury, have challenging medical issues needing 24 hour per day nursing, but who cannot yet tolerate a full rehabilitation program may be best suited for employment in what setting: a. acute care hospital b. assisted living c. rehabilitation d. sub acute care - Correct Answers d. sub acute care Which of the following levels of care would be most appropriate for a healthy 84 year old man who can take care of himself, but wants to live in a place where he can socialize and have help available if needed? a. a group foster home c) subculture d) person-environment fit - Correct Answers b) disengagement theory 6. 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 and grandchildren 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) neuroendocrine d) immunological - Correct Answers b) theory of thriving 7. The physician tells his 81 year old male patient that his health has deteriorated due to the exogenous sources of free radicals to which he has exposed himself for many years. To what is the physician most likely referring? a) the ozone layer b) the patient's cigarette smoking c) the patient's alcohol consumption d) radiation from the patient's microwave - Correct Answers b) the patient's cigarette smoking Chapter 4: - Correct Answers 1. 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 - Correct Answers night blindness 2. All of the following are considered IADLs except: a. toileting b. balancing the checkbook c. using the phone d. shopping - Correct Answers toileting In assessing IADLs, the nurse will ask questions about all but which of the following patient activities? a. cooking b. shopping c. using the phone d. bathing - Correct Answers d. bathing 3. 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 - Correct Answers all of the above 4. An older adult who complains of a dark spot in the center of the visual field is showing signs of: a. cataracts b. macular degeneration c. acute glaucoma d. diabetic retinopathy - Correct Answers b. macular degeneration 5. An older adult who complains of seeing dark shadows around the center of the visual field is showing signs of: a. cataracts b. macular degeneration c. glaucoma d. diabetic retinopathy - Correct Answers c. glaucoma 6. An older adult who complains of blurry vision and has a bluish-white coating that can be seen on the lens is showing signs of: a. cataracts b. macular degeneration c. acute glaucoma d. diabetic retinopathy - Correct Answers a. cataracts 7. Which of the following factors could contribute to an older person's inability to hear instructions given by the nurse? a. crewmen impaction b. nurse not facing the person when giving directions c. loss of high frequency pitches d. all of the above - Correct Answers d. all of the above 8. The nurse is trying to take a history from a cooperative but fearful older person with mild dementia. Which of the following 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 - Correct Answers a. sit calmly in a chair next to the person and ask questions in a non- threatening manner 9. 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 - Correct Answers recording important information for them in a notebook to refer to later 10. 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 - Correct Answers c. use physical restraints to control anxious behavior Chapter 5: - Correct Answers 1. 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) buildup of crewmen c) the nurse not facing the person when speaking d) all of the above - Correct Answers d) all of the above 2. Which of the following is the best example of an open-ended question/statement that would promote verbalization from an older person? a) tell me about your major problem today b) do you have any complaints today? c) are you having any major problems? d) do you want to talk about your major complaint? - Correct Answers a) tell me about your major problem today 3. An older patient has had a stroke that resulted in Boca’s aphasia. Which of the following would be most typical of Boca’s aphasia? a) fluent speech b) impaired comprehension c) broken speech d) global problems - Correct Answers c) broken speech Chapter 6: - Correct Answers 1. Which of the following signs would you consider an abnormal finding for a 75 year old female? a. blood pressure of 110/78 b. Hot (hematocrit) of .41 c. resting pulse of 80 d. urinary incontinence - Correct Answers urinary incontinence c. aging of the immune cells d. better replication of the cells that fight infection - Correct Answers c. aging of the immune cells 15. Which of the following is a reason why older females may develop vaginitis? a. lower estrogen levels b. atrophy of the vaginal canal c. decreased lubrication of the vagina d. all of the above - Correct Answers d. all of the above Chapter 8 - Correct Answers 1. Of the following lab results, which of the following is most desirable for a healthy older adult? a. Total cholesterol of 300 mg/dl b. LDL of 60 mg/dl c. Triglycerides of 400 mg/dl d. FBS of 235 - Correct Answers LDL of 60 mg/dl 2. The nurse is administering medications in the nursing home to over 40 residents. Which of the following is not one of the five rights that she should check on each person? a. right patient b. right route c. right time d. right place - Correct Answers d. right place 3. Which of the following lab results would alert the nurse to an abnormality in an older adult? a. glucose = 100 b. albumin = 2.5 c. TSH = 4.0 d. blood culture = negative - Correct Answers b. albumin = 2.5 4. The physician orders a peak and trough to be drawn on a patient receiving Vancomycin. The nurse correctly draws the peak: a. when the highest level of medication is in the blood b. when the lowest level of medication is in the blood c. two minutes after the medication is given d. three hours prior to the medication being given - Correct Answers a. when the highest level of medication is in the blood 5. Which of the following normal aging changes affects the way medications are processed in the body of an older adult? a. decreased renal clearance b. decreased cardiac output c. impaired absorption in the gut d. all of the above - Correct Answers d. all of the above 6. Opioids are rarely prescribed for persons with dementia because of what adverse reaction? a. dry mouth b. sedation c. confusion d. constipation - Correct Answers c. confusion 7. Which of the following is true about the elderly and medications? a. about 1/6 of all medications are for the elderly b. medications may stay in the body longer c. there is a decreased risk of side effects with aging d. dosing should be the same for young and old adults - Correct Answers b. medications may stay in the body longer 8. Polypharmacy is a significant problem for the elderly because: a. the more medications one takes, the greater the risk of side effects b. older persons are unable to take medications correctly c. older adults are not accustomed to taking multiple medications d. a and c only - Correct Answers a. the more medications one takes, the greater the risk of side effects 9. Diphenhydramine (Benadryl) is not recommended for use in older adults because of: a. confusion and severe anticholinergic effects b. risk of seizures c. prolonged half life d. dosage problems - Correct Answers a. confusion and severe anticholinergic effects 10. Which of the following questions is least appropriate to ask when taking a medication history? a. use of over the counter medications b. drug allergies c. home remedies used d. all of the above are appropriate - Correct Answers d. all of the above are appropriate Chapter 9: - Correct Answers The nurse is preparing a teaching session about diabetes to a group of older adults in assisted living. Which of the following is most essential to consider for this audience? a. whether they are part of the Baby boomer generation b. the accommodations needed for them to participate in the presentation c. literacy level if there are handouts d. b and c - Correct Answers d. b and c 3. Which of the following strategies used by the nurse in teaching older adults is a principle of adult learning? a. Adults need a motivation to learn. b. Adults are independent learners. c. Adults learn best through lecture. d. a and b - Correct Answers d. a and b 4. The nurse plans his educational program to enhance learning of the older adult audience through all the following except: a. avoiding glare from windows b. facing the audience when speaking c. using handouts with larger print d. using PowerPoint slides with large amounts of material on them - Correct Answers d. using PowerPoint slides with large amounts of material on them 5. The nurse is working with a culturally diverse group of older adults in an impoverished geographic area. Which of the following would be most important to first consider when choosing what educational topics to teach them related to health? a. what they wish to learn about b. the number of people who will attend c. the time of day of the presentation d. what the nurse thinks they should know - Correct Answers a. what they wish to learn about 6. Of the following techniques, which is the most essential to meet the long-term goal of increasing the health literacy of minority elders through the introduction of computer technology? a. recruiting large numbers of participants for the first session b. offering rewards to participants c. assuring access to the technology d. limiting the age group of participants to the young old - Correct Answers c. assuring access to the technology 7. Which of the following titles of presentations that the nurse may give to a group of seniors who are members of a wellness center would be most likely to attract attention? a. Hypoglycemia and Hyperglycemia b. Understanding HemoglobinA1C c. Preventing a Stroke: Knowing This Could Save Your Life! d. Information about Advance Directives - Correct Answers c. Preventing a Stroke: Knowing This Could Save Your Life! 8. In conducting a one-to-one teaching session about the role of nutrition in preventing osteoporosis, the nurse should first: a. establish rapport with the person b. assess readiness to learn c. nutrition therapy for everyone d. a and b only - Correct Answers d. a and b only 3. The nurse chooses to use a health contract/calendar as a behavior-changing tool for an older adult client who wants to lose weight. Which of the following principles should the nurse keep in mind when choosing this tool? a. it relies on the self-management capability of a client, after initial assistance is provided by a clinician or health educator b. it relies on the ability and skill of the educator c. it has been shown to be less effective with females who are older and widowed d. it cannot be used in older adults with less than a high school education - Correct Answers a. it relies on the self-management capability of a client, after initial assistance is provided by a clinician or health educator 4. The advantages of using a health contract for behavior change include all of the following except: a. it identifies and enhances motivation b. it assures that change will occur c. it clarifies measurable and modest goals d. it suggests tips to remember new behaviors - Correct Answers b. it assures that change will occur 5. The nurse is instructing a new patient on the benefits of exercise. She would include which of the following in providing the most current recommendations for older adults? a. the emphasis is on being more physically active rather than a narrow adherence to a rigid exercise regimen b. older adults should exercise one solid hour per day to achieve benefits c. research has shown that older adults need to burn more calories than younger adults in order to obtain cardiac benefit from exercise d. all of the above are true - Correct Answers a. the emphasis is on being more physically active rather than a narrow adherence to a rigid exercise regimen 6. An older client is discussing his desire to continue walking during the winter months, but expresses fear of being out in the colder weather. The nurse appropriately recommends for him to: a. suspend all walking activities until the weather is favorable b. walk inside at the local shopping mall c. join a health club and walk on the treadmill d. continue to walk outside no matter what the weather - Correct Answers b. walk inside at the local shopping mall 7. Nutrition counseling is thought to be important for older adults because of which factors? a. older adults are more vulnerable to obesity than other age groups b. older adults are more vulnerable to malnutrition than other age groups c. eating and drinking habits are linked to several leading causes of death d. all of the above - Correct Answers d. all of the above 8. Which of the following foods should the nurse encourage the older client to eat 5 - 13 servings of per day? a. grains b. meat/eggs c. dairy d. fruits/vegetables - Correct Answers d. fruits/vegetables 9. The nurse is investigating a model health program to recommend to a client who needs help with ADLs and is unable to live alone. Which of the following models would be most appropriate for the nurse to help the client explore? a. Health wise handbook b. Green house c. Project enhance d. Cornish program - Correct Answers b. Green house Chapter 13 - Correct Answers 1. An elderly person who just bumped his head is complaining of vision problems that seem like a curtain is drawing across his right eye. What should you do first? have him sit still call his family tell him he is showing signs of glaucoma call his doctor - Correct Answers have him sit still 2. Old persons may have difficulty picking up their pills from a medicine cup because of: a. macular degeneration decreased touch sensation that comes with old age c. peripheral neuropathy d. all of the above - Correct Answers d. all of the above 3. One of the most difficult activities for an older woman with upper extremity hemiplegia due to stroke would be: ambulating putting on a long-sleeved shirt putting hair in a pony tail washing her face - Correct Answers putting hair in a pony tail Which of the following would be the least likely cause of a 93 year old woman (newly placed in the nursing home) showing signs of delirium? a. a sodium level that was out of balance b. dehydration c. unfamiliar surroundings d. overeating - Correct Answers d. overeating Delirium differs from dementia in which of the following ways? a. delirium has a slower onset b. dementia patients have a higher mini mental status exam result c. delirium is considered temporary d. dementia patients are more easily treated - Correct Answers c. delirium is considered temporary Sundowner syndrome is characterized by which of the following that the nurse may observe in an older adult? a. early morning confusion b. oversleeping c. nocturnal confusion d. violent behavior after sundown - Correct Answers c. nocturnal confusion If the nurse suspects that a patient has delirium, which of the following factors should be further investigated? a. UTI b. medications c. oxygen saturation d. all of the above - Correct Answers d. all of the above Which of the following best describes a characteristic of the earliest phase of Alzheimer's disease? a. impaired speech b. personality changes c. total dependence upon others for care d. progressive forgetfulness - Correct Answers d. progressive forgetfulness A 60 year old African American male with known hypertension comes to the emergency room with complaints of bad indigestion that has continued all night and a little bit of numbness in his left arm. What action should the admitting nurse take? a. have the patient sit in the waiting room to be seen in order b. treat him as if it he could be having a heart attack give him some antacids immediately after checking with the physician call 911 and let the paramedics decide what to do - Correct Answers b. treat him as if it he could be having a heart attack If the nurse wishes to know about the patient's overall nutritional health, what is the best lab value to look at? triglycerides iron serum albumin red blood cells - Correct Answers serum albumin The physician is discussing an older person who has just had a stroke. He says that he will try to give t-PA to minimize the ischemic penumbra. What does this tell you? a. delirium has a slower onset b. dementia patients have a higher mini mental status exam result delirium is considered temporary dementia patients are more easily treated - Correct Answers delirium is considered temporary A score of 12 on the MMSE would indicate: a. situational depression b. cognitive impairment, probably dementia c. delirium d. a normal result - Correct Answers b. cognitive impairment, probably dementia If a person is suffering from dementia, what could have caused this? Creutzfeld-Jacob disease Lowy body disorder Alzheimer's disease All of the above - Correct Answers All of the above Clinically, Lowy body dementia (LBD) can be distinguished from Alzheimer's disease (AD) by: a. motor symptoms in the early stage of LBD b. visual hallucinations in late LBC c. fluctuating mental status as a feature of AD but not LBD d. response of motor symptoms to dopaminergic agents - Correct Answers a. motor symptoms in the early stage of LBD 2. The daughter of a patient with AD wants to know what the risk factors for dementia are. The nurse appropriately explains that all of the following are risk factors except: a. age b. family history c. male gender d. history of head injury - Correct Answers c. male gender 3. The nurse screening for AD recognizes the diagnostic criteria to include all but which of the following? a. impaired short or long-term memory b. aphasia c. apraxia d. dysphagia - Correct Answers d. dysphagia 4. An older patient has recently been diagnosed with moderate stage AD. The nurse practitioner orders a noncompetitive receptor antagonist such as Namenda. The nurse would instruct the patient and family that this medication: a. stops the decline of the disease b. is taken over a long period of time to achieve best results c. may result in significantly higher function over time d. b and c only - Correct Answers d. b and c only 5. The target dose for Donepezil (Aricept) is: a. 5 mg pop daily b. 10 mg pop daily c. 20 mg pop daily d. 30 mg pop daily - Correct Answers b. 10 mg pop daily 6. A patient presents to the clinic with confusion and provides a list of medications to the nurse. Which of the following medications could be a source of this problem? a. meperidine b. aspirin c. benzodiazepines d. a and c - Correct Answers d. a and c 7. An older adult who presents with complaints of insomnia, loss of energy, impaired concentration and diminished pleasure in activities she once enjoyed is showing signs of: a. delirium b. dementia c. depression d. confusion - Correct Answers c. depression 8. In educating patients and families about depression, the erotological nurse recognizes that depression is: a. a prevalent condition b. often undertreated c. common cause of excess disability d. all of the above - Correct Answers d. all of the above 9. Behavioral symptoms of dementia include all of the following except: a. wandering b. anxiety c. hoarding d. aggression - Correct Answers b. anxiety 10. Environmental interventions for patients with dementia include all of the following except: a. a cool room temperature b. alarms on exits c. disguising exits d. areas for safe wandering - Correct Answers a. a cool room temperature