2
ANCC Gero Review Questions with verified detailed answers
|| || || || || || ||
When an older patient is hospitalized, Medicare reimburses for this inpatient care by which
|| || || || || || || || || || || || || ||
of the following mechanisms?
|| || ||
A. Medicare B
|| ||
B. Medicare A
|| ||
C. Medicare D
|| ||
D. Medigap - ✔✔B. Medicare A
|| || || || ||
Gerontological nurses are expected to evaluate research to implement evidence-based || || || || || || || || || ||
practice. Which of the following studies provides the strongest evidence to change practice?
|| || || || || || || || || || || ||
A. Randomized control clinical trial
|| || || ||
B. Qualitative phenomenological study
|| || ||
C. In-depth case study
|| || ||
D. Cohort study - ✔✔A. Randomized control clinical trial
|| || || || || || || ||
A randomized clinical trial is considered the "gold standard" and the highest level of
|| || || || || || || || || || || || || ||
research evidence. The randomized design eliminates selection bias, and the control and
|| || || || || || || || || || || ||
experimental groups provide evidence that any differences in outcomes at the end of the
|| || || || || || || || || || || || || ||
study are due to the study intervention and not chance. phenomenological qualitative study
|| || || || || || || || || || || || ||
and a case study enable understanding of one person's "lived experience" which may or may
|| || || || || || || || || || || || || || ||
not be typical of others. Outcomes from a cohort study may reflect differences in age groups
|| || || || || || || || || || || || || || || ||
found as a result of historical events and not necessarily changes as a result of research
|| || || || || || || || || || || || || || || ||
interventions
,2
The landmark Institute of Medicine (IOM) report entitled "The Future of Nursing" advances
|| || || || || || || || || || || ||
which of the following positions?
|| || || || ||
A. Nursing faculty will be required to pursue postdoctoral training
|| || || || || || || || ||
B. Nursing curriculum will require advanced aging content
|| || || || || || ||
C. Physicians will no longer be allowed to direct care in long-term-care facilities
|| || || || || || || || || || || ||
D. Nurses should practice to the full extent of their education and training - ✔✔D. Nurses
|| || || || || || || || || || || || || || || ||
should practice to the full extent of their education and training
|| || || || || || || || || ||
Nurses should be full partners with other professionals when redesigning the healthcare
|| || || || || || || || || || || ||
system, nurses should achieve higher levels of education and have opportunities for
|| || || || || || || || || || || ||
seamless academic progression, and nurses should participate in effective workforce
|| || || || || || || || || ||
planning and policy-making with a better data collection and information infrastructure
|| || || || || || || || || ||
The biggest risk factor for developing a cognitive impairment is:
|| || || || || || || || ||
A. socioeconomic status
|| ||
B. poor nutrition
|| ||
C. age ||
D. female gender - ✔✔c. age
|| || || || || ||
Cognitive impairments become more common with advanced age across all categories of
|| || || || || || || || || || || ||
older people ||
A 76 year old woman presents at an ambulatory clinic. About 2 weeks ago, she had
|| || || || || || || || || || || || || || || ||
difficulty finding words, felt weak, and noticed her right hand felt numb for several hours.
|| || || || || || || || || || || || || || ||
Although she has recovered most of her function, she continues to have difficulty with her
|| || || || || || || || || || || || || || ||
short-term memory. The most likely cause of these symptoms|| || || || || || || ||
,2
A. Alzheimer's disease
|| ||
B. organic delusional syndrome
|| || ||
C. vascular dementia
|| ||
D. acute depressive syndrome - ✔✔C. vascular dementia
|| || || || || || ||
Is associated with sudden acute events, such as transient ischemic attacks or small strokes.
|| || || || || || || || || || || || || ||
Clinically, older patients suffering from vascular events will have sudden-onset presentation
|| || || || || || || || || ||
of their symptoms rather than slow, insidious onset
|| || || || || || || ||
An 85-year-old woman with advanced cancer asks the nurse, "what is wrong with me? My
|| || || || || || || || || || || || || || ||
doctor won't tell me anything. The chemotherapy is making me sick and if I knew it wasn't
|| || || || || || || || || || || || || || || || ||
helping, I would stop taking it." The nurse decides to tell the patient the truth. Which
|| || || || || || || || || || || || || || || ||
ethical principle is the nurse upholding?
|| || || || ||
A. Fidelity
||
B. Autonomy
||
C. Justice||
D. Nonmaleficence - ✔✔B. Autonomy
|| || || ||
By telling the patient the truth about the cancer diagnosis, the nurse is supporting
|| || || || || || || || || || || || || ||
autonomy by providing information that supports self-determination. Justice involves
|| || || || || || || || ||
treating patients fairly, nonmaleficence involves doing no harm, and fidelity involves
|| || || || || || || || || || ||
faithful performance of duties and obligation to meet the needs of patients
|| || || || || || || || || || ||
Higher RN staffing levels in long-term-care settings are known to be associated with which
|| || || || || || || || || || || || || ||
of the following factors?
|| || ||
, 2
A. lower costs to the facility
|| || || || ||
B. higher fall rates
|| || ||
C. lower rates of decubitus ulcers
|| || || || ||
D. more medication use - ✔✔C. lower rates of decubitus ulcers
|| || || || || || || || || ||
Based on a study published by AARP, long-term-care facilities with higher RN staffing
|| || || || || || || || || || || || ||
levels have higher quality indicators, including lower rates of decubitus ulcers, indwelling
|| || || || || || || || || || || ||
catheter use, and patient mortality || || || ||
The process of gerontological nursing certification by the American Nurses Credentialing
|| || || || || || || || || || ||
Center is best described as a(n)|| || || || ||
A. formal process to validate clinical competence in a speciality area of practice
|| || || || || || || || || || || ||
B. formal process to obtain a nursing license
|| || || || || || ||
C. informal process necessary for those considering graduate study
|| || || || || || || ||
D. requirement only for those working in a long-term care - ✔✔A. formal process to
|| || || || || || || || || || || || || || ||
validate clinical competence in a speciality area of practice
|| || || || || || || ||
Certification is a voluntary process that occurs when a nurse passes an examination || || || || || || || || || || || || ||
developed by experts in the field, assuring the public and other healthcare professionals that
|| || || || || || || || || || || || ||
the nurse possesses knowledge of speciality content in a given area
|| || || || || || || || || || ||
Mrs. Jones is a 78-year-old female with a history of severe degenerative arthritis of her lower
|| || || || || || || || || || || || || || ||
back. She suffers from chronic pain much of time, rated between 4 and 6 on a 1-10 scale.
|| || || || || || || || || || || || || || || || || || ||
She describes the pain as burning and tingling. Over the past few months, she has been on a
|| || || || || || || || || || || || || || || || ||
variety of analgesics without much effect on her pain. Her current regimen includes
|| || || || || || || || || || || || || ||
tramadol 50 mg twice daily and gabapentin 300 mg at bedtime. She states that she sleeps
|| || || || || || || || || || || || || || || ||
well and that, for the most part, this regimen works better than previous ones that included
|| || || || || || || || || || || || || || || ||
hydrocodone. This scenario describes which of the following categories of pain? || || || || || || || || || ||
ANCC Gero Review Questions with verified detailed answers
|| || || || || || ||
When an older patient is hospitalized, Medicare reimburses for this inpatient care by which
|| || || || || || || || || || || || || ||
of the following mechanisms?
|| || ||
A. Medicare B
|| ||
B. Medicare A
|| ||
C. Medicare D
|| ||
D. Medigap - ✔✔B. Medicare A
|| || || || ||
Gerontological nurses are expected to evaluate research to implement evidence-based || || || || || || || || || ||
practice. Which of the following studies provides the strongest evidence to change practice?
|| || || || || || || || || || || ||
A. Randomized control clinical trial
|| || || ||
B. Qualitative phenomenological study
|| || ||
C. In-depth case study
|| || ||
D. Cohort study - ✔✔A. Randomized control clinical trial
|| || || || || || || ||
A randomized clinical trial is considered the "gold standard" and the highest level of
|| || || || || || || || || || || || || ||
research evidence. The randomized design eliminates selection bias, and the control and
|| || || || || || || || || || || ||
experimental groups provide evidence that any differences in outcomes at the end of the
|| || || || || || || || || || || || || ||
study are due to the study intervention and not chance. phenomenological qualitative study
|| || || || || || || || || || || || ||
and a case study enable understanding of one person's "lived experience" which may or may
|| || || || || || || || || || || || || || ||
not be typical of others. Outcomes from a cohort study may reflect differences in age groups
|| || || || || || || || || || || || || || || ||
found as a result of historical events and not necessarily changes as a result of research
|| || || || || || || || || || || || || || || ||
interventions
,2
The landmark Institute of Medicine (IOM) report entitled "The Future of Nursing" advances
|| || || || || || || || || || || ||
which of the following positions?
|| || || || ||
A. Nursing faculty will be required to pursue postdoctoral training
|| || || || || || || || ||
B. Nursing curriculum will require advanced aging content
|| || || || || || ||
C. Physicians will no longer be allowed to direct care in long-term-care facilities
|| || || || || || || || || || || ||
D. Nurses should practice to the full extent of their education and training - ✔✔D. Nurses
|| || || || || || || || || || || || || || || ||
should practice to the full extent of their education and training
|| || || || || || || || || ||
Nurses should be full partners with other professionals when redesigning the healthcare
|| || || || || || || || || || || ||
system, nurses should achieve higher levels of education and have opportunities for
|| || || || || || || || || || || ||
seamless academic progression, and nurses should participate in effective workforce
|| || || || || || || || || ||
planning and policy-making with a better data collection and information infrastructure
|| || || || || || || || || ||
The biggest risk factor for developing a cognitive impairment is:
|| || || || || || || || ||
A. socioeconomic status
|| ||
B. poor nutrition
|| ||
C. age ||
D. female gender - ✔✔c. age
|| || || || || ||
Cognitive impairments become more common with advanced age across all categories of
|| || || || || || || || || || || ||
older people ||
A 76 year old woman presents at an ambulatory clinic. About 2 weeks ago, she had
|| || || || || || || || || || || || || || || ||
difficulty finding words, felt weak, and noticed her right hand felt numb for several hours.
|| || || || || || || || || || || || || || ||
Although she has recovered most of her function, she continues to have difficulty with her
|| || || || || || || || || || || || || || ||
short-term memory. The most likely cause of these symptoms|| || || || || || || ||
,2
A. Alzheimer's disease
|| ||
B. organic delusional syndrome
|| || ||
C. vascular dementia
|| ||
D. acute depressive syndrome - ✔✔C. vascular dementia
|| || || || || || ||
Is associated with sudden acute events, such as transient ischemic attacks or small strokes.
|| || || || || || || || || || || || || ||
Clinically, older patients suffering from vascular events will have sudden-onset presentation
|| || || || || || || || || ||
of their symptoms rather than slow, insidious onset
|| || || || || || || ||
An 85-year-old woman with advanced cancer asks the nurse, "what is wrong with me? My
|| || || || || || || || || || || || || || ||
doctor won't tell me anything. The chemotherapy is making me sick and if I knew it wasn't
|| || || || || || || || || || || || || || || || ||
helping, I would stop taking it." The nurse decides to tell the patient the truth. Which
|| || || || || || || || || || || || || || || ||
ethical principle is the nurse upholding?
|| || || || ||
A. Fidelity
||
B. Autonomy
||
C. Justice||
D. Nonmaleficence - ✔✔B. Autonomy
|| || || ||
By telling the patient the truth about the cancer diagnosis, the nurse is supporting
|| || || || || || || || || || || || || ||
autonomy by providing information that supports self-determination. Justice involves
|| || || || || || || || ||
treating patients fairly, nonmaleficence involves doing no harm, and fidelity involves
|| || || || || || || || || || ||
faithful performance of duties and obligation to meet the needs of patients
|| || || || || || || || || || ||
Higher RN staffing levels in long-term-care settings are known to be associated with which
|| || || || || || || || || || || || || ||
of the following factors?
|| || ||
, 2
A. lower costs to the facility
|| || || || ||
B. higher fall rates
|| || ||
C. lower rates of decubitus ulcers
|| || || || ||
D. more medication use - ✔✔C. lower rates of decubitus ulcers
|| || || || || || || || || ||
Based on a study published by AARP, long-term-care facilities with higher RN staffing
|| || || || || || || || || || || || ||
levels have higher quality indicators, including lower rates of decubitus ulcers, indwelling
|| || || || || || || || || || || ||
catheter use, and patient mortality || || || ||
The process of gerontological nursing certification by the American Nurses Credentialing
|| || || || || || || || || || ||
Center is best described as a(n)|| || || || ||
A. formal process to validate clinical competence in a speciality area of practice
|| || || || || || || || || || || ||
B. formal process to obtain a nursing license
|| || || || || || ||
C. informal process necessary for those considering graduate study
|| || || || || || || ||
D. requirement only for those working in a long-term care - ✔✔A. formal process to
|| || || || || || || || || || || || || || ||
validate clinical competence in a speciality area of practice
|| || || || || || || ||
Certification is a voluntary process that occurs when a nurse passes an examination || || || || || || || || || || || || ||
developed by experts in the field, assuring the public and other healthcare professionals that
|| || || || || || || || || || || || ||
the nurse possesses knowledge of speciality content in a given area
|| || || || || || || || || || ||
Mrs. Jones is a 78-year-old female with a history of severe degenerative arthritis of her lower
|| || || || || || || || || || || || || || ||
back. She suffers from chronic pain much of time, rated between 4 and 6 on a 1-10 scale.
|| || || || || || || || || || || || || || || || || || ||
She describes the pain as burning and tingling. Over the past few months, she has been on a
|| || || || || || || || || || || || || || || || ||
variety of analgesics without much effect on her pain. Her current regimen includes
|| || || || || || || || || || || || || ||
tramadol 50 mg twice daily and gabapentin 300 mg at bedtime. She states that she sleeps
|| || || || || || || || || || || || || || || ||
well and that, for the most part, this regimen works better than previous ones that included
|| || || || || || || || || || || || || || || ||
hydrocodone. This scenario describes which of the following categories of pain? || || || || || || || || || ||
