BSN425: Gerontological
Nursing | Study Guide,
Practice Questions &
Exam Review
|Guaranteed success|
,Match the theory to its description. Cannot detect foreign substances nor protect itself from pathogens. Immunity
Cannot detect foreign substances nor protect itself theory
from pathogens. Mistakes happen at the transcription during protein synthesis from DNA. Error
Mistakes happen at the transcription during protein theory
synthesis from DNA. Byproducts of metabolism are retained, leading to cell membrane damage.
Byproducts of metabolism are retained, leading to cell Free radical theory
membrane damage. The number of cells contained within an organism is preset for life expectancy.
The number of cells contained within an organism is Programmed theory
preset for life expectancy.
Free radical theory
Wear-and-tear theory
Error theory
Cross-linkage theory
Programmed theory
Immunity theory
When researching biologic theories related to aging, Free radicals cause damage to cells as people age.
which statements are receiving increased acceptance? According to biologic theory, free radicals cause damage to cells over time.
Select all that apply. This is a biologic theory receiving increased acceptance.
Free radicals cause damage to cells as people age.
Errors in protein synthesis transcription leads to cellular Overexpression of damaged genes occurs from limited reproductive cellular
death. ability.
Overuse of the human body can cause joint and muscle Cells have a limited ability to replicate that can cause overexpression of
destruction. damaged genes, which leads to oxidative cellular damage.
Overexpression of damaged genes occurs from limited
reproductive cellular ability.
Normal metabolic processes are interrupted by
obstructing nutrient and waste movement.
NOT SURE
Which patient behavior indicates a maladaptive choice Refusing to take pain medication for cancer pain due to fear of addictionA
based on beliefs or past experiences? patient with cancer pain who refuses to take pain medication for fear of
Helping find meaning in life crises addiction is making this choice based on beliefs.
Demonstrating withdrawal from group activities
Declining to participate in spiritual or religious
activities
Refusing to take pain medication for cancer pain due
to fear of addiction
According to sociologic theory, which nursing Giving positive feedback regarding the patent's abilities
intervention would help an older patient maintain According to sociologic theory, it is important for the nurse to provide positive
independence? feedback and accentuate the person's abilities, not disabilities.
Providing an assistive device for ambulation
Taking away the car keys due to decreased vision
Discussing what the nurse can do to assist the patient
Giving positive feedback regarding the patent’s
abilities
,According to the Americans with Disabilities Act (ADA) Wider doorwaysDoorways should be wider to allow wheelchairs to move
of 1990, which interventions should be provided for through easily.
older adults with regard to assisted living facilities? Correct
Select all that apply. Working elevatorsFacilities with multiple levels would require a working
Wider doorways elevator according to the ADA.
Working elevators
Stairs at entry ways
Medical alert devices
Phones with large numbers
The nurse is working with patients of different ages in a StorytellingOlder adults can share life stories with younger group members.
support group for those who have lost a family This can provide information about life experiences for all members.
member. In which ways can the nurse use the older Correct
adults to help younger adults learn from the past? ReminiscenceThe nurse can ask older adults to reminisce about life and provide
Select all that apply. insight into life experiences.
Storytelling Correct
Reminiscence Oral historiesOlder adults can give an oral history of their life and describe
Oral histories ways to cope as a result of their having had more years of life experiences.
Music therapy
Guided imagery
Place in order Maslow's hierarchy of needs, beginning Physiological
with basic needs and ending with the highest level Safety and security
need. Love and belonging
Love and belonging Self-esteem
Self-esteem Self-actualization
Self-actualization According to Maslow, a person must have basic needs met prior to higher level
Physiological needs. Physiological needs such as food, fluids, oxygen, and shelter need to be
Safety and security met first. Then a person must feel safety and security. The next level is love and
NOT SURE belonging. A person should feel love and belonging prior to good self-esteem.
The last level is reaching self-actualization, when the person feels complete
and has met all of life's goals.
According to Peck, which stage goes beyond Erikson’s Body transcendence vs. body preoccupation
ego-integrity vs. despair and focuses on physical Body transcendence vs. body preoccupation occurs when the older adult
changes related to aging? adjusts to the changes in health that occur with aging.
Generativity vs. absorption
Ego transcendence vs. ego preoccupation
Ego differentiation vs. role preoccupation
Body transcendence vs. body preoccupation
Which model of care reports an increase in patient, GRN and ACE Combination Model
family, and nurse satisfaction? The GRN and ACE Combination Model reports greater independence in
ACE Model activities of daily living, shorter length of stay, and higher satisfaction among
GRN Model patients, family, clinicians, and nurses.
NICHE Model
GRN and ACE Combination Model
Which outcomes can be attributed to the ACE Model? Reduction in functional decline
Select all that apply. The ACE Model has led to a reduction in functional decline of older adults.
Reduction in functional decline
Increase in returns to homes post discharge Increase in returns to homes post discharge
Decreased rates of nursing home placement The ACE Model has documented an increase in the number of older adults
Increase in professional development of nursing staff who return home post discharge.
Development of a structure that supports
interdisciplinary collaboration Decreased rates of nursing home placement
The ACE Model has shown a decreased rate of nursing home placements.
, Which organizational strategies are facilitated by Provision of administrative supportThe NICHE Model addresses the need of
evidence-based practices at the bedside promoted by administrative support; it provides a structure for interdisciplinary
the NICHE Model? collaboration.
Select all that apply. Correct
Provision of administrative support System-wide geriatric clinical protocolsSystem-wide geriatric clinical
System-wide geriatric clinical protocols protocols may result from the application of evidence-based practice at the
Focusing on care management for geriatric syndromes bedside.
Specific guidelines for the provision of clinical care for Specific guidelines for the provision of clinical care for the older adult
the older adult Specific guidelines for the provision of clinical care for the older adult may
Inclusion of environmental adaptations to assist in stem from the application of evidence-based practice at the bedside.
independent activities
Which outcomes can be attributed to the Decrease in fall rateThe implementation of the HELP model may result in a
implementation of the HELP model? decrease in fall rates.
Select all that apply. Correct
Decrease in fall rate Decrease in sitter useUtilization of the HELP model can decrease the need for
Decrease in sitter use sitters.
Prevention of delirium Correct
Decrease in functional decline Prevention of deliriumThe HELP model has been shown to prevent the
Prevention of hospital-acquired infections development of delirium in hospitalized patients.
Correct
Decrease in functional declineThe implementation of the HELP model
decreases the functional decline experienced by hospitalized older adults.
Which interventions might you expect to see Encouraging mobilityEncouraging and assisting with mobility is an intervention
implemented on a HELP unit? frequently initiated on a HELP Unit.
Select all that apply. Correct
Independent meals Managing patient painManaging the older adult’s pain is an important
Encouraging mobility intervention seen on a HELP Unit.
Managing patient pain Correct
A daily visitor program A daily visitor programA daily visitor program provides cognitive orientation,
Decreasing noise levels at night communication, and social support, and the program is incorporated into a
HELP Unit.
Correct
Decreasing noise levels at nightKeeping the unit quiet at night promotes sleep
and is frequently implemented on a HELP Unit.
Which risk factors for delirium are focuses of the HELP DehydrationDehydration is one of six risk factors that are addressed by the
program? HELP program.
Select all that apply. Correct
Dehydration Sleep deprivationSleep deprivation is one of six risk factors addressed by the
Sleep deprivation HELP program.
Cardiac dysrhythmias Cognitive impairment
Cognitive impairment Cognitive impairment is one of six risk factors addressed by the HELP program.
Electrolyte imbalances
NOT SURE
Nursing | Study Guide,
Practice Questions &
Exam Review
|Guaranteed success|
,Match the theory to its description. Cannot detect foreign substances nor protect itself from pathogens. Immunity
Cannot detect foreign substances nor protect itself theory
from pathogens. Mistakes happen at the transcription during protein synthesis from DNA. Error
Mistakes happen at the transcription during protein theory
synthesis from DNA. Byproducts of metabolism are retained, leading to cell membrane damage.
Byproducts of metabolism are retained, leading to cell Free radical theory
membrane damage. The number of cells contained within an organism is preset for life expectancy.
The number of cells contained within an organism is Programmed theory
preset for life expectancy.
Free radical theory
Wear-and-tear theory
Error theory
Cross-linkage theory
Programmed theory
Immunity theory
When researching biologic theories related to aging, Free radicals cause damage to cells as people age.
which statements are receiving increased acceptance? According to biologic theory, free radicals cause damage to cells over time.
Select all that apply. This is a biologic theory receiving increased acceptance.
Free radicals cause damage to cells as people age.
Errors in protein synthesis transcription leads to cellular Overexpression of damaged genes occurs from limited reproductive cellular
death. ability.
Overuse of the human body can cause joint and muscle Cells have a limited ability to replicate that can cause overexpression of
destruction. damaged genes, which leads to oxidative cellular damage.
Overexpression of damaged genes occurs from limited
reproductive cellular ability.
Normal metabolic processes are interrupted by
obstructing nutrient and waste movement.
NOT SURE
Which patient behavior indicates a maladaptive choice Refusing to take pain medication for cancer pain due to fear of addictionA
based on beliefs or past experiences? patient with cancer pain who refuses to take pain medication for fear of
Helping find meaning in life crises addiction is making this choice based on beliefs.
Demonstrating withdrawal from group activities
Declining to participate in spiritual or religious
activities
Refusing to take pain medication for cancer pain due
to fear of addiction
According to sociologic theory, which nursing Giving positive feedback regarding the patent's abilities
intervention would help an older patient maintain According to sociologic theory, it is important for the nurse to provide positive
independence? feedback and accentuate the person's abilities, not disabilities.
Providing an assistive device for ambulation
Taking away the car keys due to decreased vision
Discussing what the nurse can do to assist the patient
Giving positive feedback regarding the patent’s
abilities
,According to the Americans with Disabilities Act (ADA) Wider doorwaysDoorways should be wider to allow wheelchairs to move
of 1990, which interventions should be provided for through easily.
older adults with regard to assisted living facilities? Correct
Select all that apply. Working elevatorsFacilities with multiple levels would require a working
Wider doorways elevator according to the ADA.
Working elevators
Stairs at entry ways
Medical alert devices
Phones with large numbers
The nurse is working with patients of different ages in a StorytellingOlder adults can share life stories with younger group members.
support group for those who have lost a family This can provide information about life experiences for all members.
member. In which ways can the nurse use the older Correct
adults to help younger adults learn from the past? ReminiscenceThe nurse can ask older adults to reminisce about life and provide
Select all that apply. insight into life experiences.
Storytelling Correct
Reminiscence Oral historiesOlder adults can give an oral history of their life and describe
Oral histories ways to cope as a result of their having had more years of life experiences.
Music therapy
Guided imagery
Place in order Maslow's hierarchy of needs, beginning Physiological
with basic needs and ending with the highest level Safety and security
need. Love and belonging
Love and belonging Self-esteem
Self-esteem Self-actualization
Self-actualization According to Maslow, a person must have basic needs met prior to higher level
Physiological needs. Physiological needs such as food, fluids, oxygen, and shelter need to be
Safety and security met first. Then a person must feel safety and security. The next level is love and
NOT SURE belonging. A person should feel love and belonging prior to good self-esteem.
The last level is reaching self-actualization, when the person feels complete
and has met all of life's goals.
According to Peck, which stage goes beyond Erikson’s Body transcendence vs. body preoccupation
ego-integrity vs. despair and focuses on physical Body transcendence vs. body preoccupation occurs when the older adult
changes related to aging? adjusts to the changes in health that occur with aging.
Generativity vs. absorption
Ego transcendence vs. ego preoccupation
Ego differentiation vs. role preoccupation
Body transcendence vs. body preoccupation
Which model of care reports an increase in patient, GRN and ACE Combination Model
family, and nurse satisfaction? The GRN and ACE Combination Model reports greater independence in
ACE Model activities of daily living, shorter length of stay, and higher satisfaction among
GRN Model patients, family, clinicians, and nurses.
NICHE Model
GRN and ACE Combination Model
Which outcomes can be attributed to the ACE Model? Reduction in functional decline
Select all that apply. The ACE Model has led to a reduction in functional decline of older adults.
Reduction in functional decline
Increase in returns to homes post discharge Increase in returns to homes post discharge
Decreased rates of nursing home placement The ACE Model has documented an increase in the number of older adults
Increase in professional development of nursing staff who return home post discharge.
Development of a structure that supports
interdisciplinary collaboration Decreased rates of nursing home placement
The ACE Model has shown a decreased rate of nursing home placements.
, Which organizational strategies are facilitated by Provision of administrative supportThe NICHE Model addresses the need of
evidence-based practices at the bedside promoted by administrative support; it provides a structure for interdisciplinary
the NICHE Model? collaboration.
Select all that apply. Correct
Provision of administrative support System-wide geriatric clinical protocolsSystem-wide geriatric clinical
System-wide geriatric clinical protocols protocols may result from the application of evidence-based practice at the
Focusing on care management for geriatric syndromes bedside.
Specific guidelines for the provision of clinical care for Specific guidelines for the provision of clinical care for the older adult
the older adult Specific guidelines for the provision of clinical care for the older adult may
Inclusion of environmental adaptations to assist in stem from the application of evidence-based practice at the bedside.
independent activities
Which outcomes can be attributed to the Decrease in fall rateThe implementation of the HELP model may result in a
implementation of the HELP model? decrease in fall rates.
Select all that apply. Correct
Decrease in fall rate Decrease in sitter useUtilization of the HELP model can decrease the need for
Decrease in sitter use sitters.
Prevention of delirium Correct
Decrease in functional decline Prevention of deliriumThe HELP model has been shown to prevent the
Prevention of hospital-acquired infections development of delirium in hospitalized patients.
Correct
Decrease in functional declineThe implementation of the HELP model
decreases the functional decline experienced by hospitalized older adults.
Which interventions might you expect to see Encouraging mobilityEncouraging and assisting with mobility is an intervention
implemented on a HELP unit? frequently initiated on a HELP Unit.
Select all that apply. Correct
Independent meals Managing patient painManaging the older adult’s pain is an important
Encouraging mobility intervention seen on a HELP Unit.
Managing patient pain Correct
A daily visitor program A daily visitor programA daily visitor program provides cognitive orientation,
Decreasing noise levels at night communication, and social support, and the program is incorporated into a
HELP Unit.
Correct
Decreasing noise levels at nightKeeping the unit quiet at night promotes sleep
and is frequently implemented on a HELP Unit.
Which risk factors for delirium are focuses of the HELP DehydrationDehydration is one of six risk factors that are addressed by the
program? HELP program.
Select all that apply. Correct
Dehydration Sleep deprivationSleep deprivation is one of six risk factors addressed by the
Sleep deprivation HELP program.
Cardiac dysrhythmias Cognitive impairment
Cognitive impairment Cognitive impairment is one of six risk factors addressed by the HELP program.
Electrolyte imbalances
NOT SURE
