Geri Bible Questions and Correct
Answers
Mr. W was friendly and active as a young adult. Now, at 75 he enjoys visiting with neighbors and
attending sporting and cultural events. Mr. W's behavior is indicative of which theory of aging?
A. Activity Theory
B. Continuity Theory
C. Developmental Task Theory
D. Disengagement Theory - correct answers:B
Which of the following assessment or diagnostic findings warrants further investigation?
A. A 78 year-old man with new onset urinary incontinence.
B. A 78 year-old man with alopecia.
C. An 81 year-old woman with decreased glomerular filtration rate (GFR)
D. An 81 year old woman with ventricular hypertrophy - correct answers:A
Which of the following most likely accounts for progressive hearing loss in an 83 year-old man?
A. The effect of cognitive changes on the interpretation of auditory stimuli.
B. Multiple changes in the structure of the inner ear.
C. Cellular atrophy in the external auditory canal.
D. Age related deterioration of the small bones of the middle ear. - correct answers:B
The nurse is assessing the older adult using the SPICES tool. When assessing the S in the tool the nurse
collects data on which of the following? (BOTH ARE CORRECT)
A. Evidence of Falls
B. Evidence of Skin Lesions
C. Evidence of Abuse
D. Evidence of Insomnia - correct answers:B, D
,A 74-year-old woman sustained a hip fracture that required surgical repair. On the third day of her
hospital stay, the nursing assistant noticed that she was very lethargic and did not want to get out of
bed. Which of the following are potential causes of her lethargy? (select all that apply)
A.Drug interaction or over medication
B.Surgical site infection
C.Vertebral compression fracture
D.Dehydration - correct answers:A, B, D
70-year-old male in the post-anesthesia care unit (PACU) after an angioplasty. The nurse notices that he
is humming to himself and seems unaware of his surroundings. The nurse suspects that he may be
experiencing delirium. What is the best action for the nurse to take?
A. Assess mentation by using the 2 item ultra-brief assessment (UB-2)
B. Ask if he needs to void
C. Discontinue pain medication
D. Sing along to make him feel more comfortable - correct answers:A
Which of the following interventions should be considered to reduce delirium in a hospitalized older
adult (select all that apply)?
A. Assign a different nurse or CNA each day
B. Orient the individual to the environment
C. Remove tethers such as IVs as soon as possible
D. Discuss the events that are on a TV news show - correct answers:B, C, D
An older adult with delirium has an IV converted to intermittent access. What other interventions are
suitable during hospitalization to reduce delirium (Select all that apply)?
A. Assist the person to chair for meals
B. Permit the TV to remain on during the night
C. Encourage interactive activities with a family member
D. Provide a favorite beverage - correct answers:A, C, D
, A nurse is completing an admission assessment on a client being admitted to a long term care facility.
Which assessment finding indicates a deficit in activities of daily living?
A.The client can walk 60 feet with her walker and then needs to rest.
B.The client has chronic pain from osteoarthritis in her wrists.
C.The client needs assistance with dressing.
D.The client cannot explain why she takes her medications. - correct answers:C
Which of these age related musculoskeletal changes increases potential for falls (Select all that apply)?
A. Kyphosis
B. Maintenance of muscle mass
C. Increased muscle Fatigue
D. Loss of cartilage - correct answers:A, C, D
A nurse is conducting a study on the needs and living conditions of older adults in the community to
provide quality discharge planning for clients. Which of the statement(s) should the nurse take into
account (Select all that apply)?
A. Women live longer than men
B. More older men live alone than women
C. Most older Americans reside in some form of institutional arrangement
D. A majority of Americans will live in a nursing home at some point
E. Assisted living arrangements have become increasingly common alternatives to nursing homes -
correct answers:A, E
A nurse understands that older adults frequently present atypically. Common atypical presentations
include which of the following (Select all that apply)?
A. A decrease in functional status
B. New onset of incontinence
C. A fall
D. Delirium
E. Increase in appetite - correct answers:A, B, C, D
Answers
Mr. W was friendly and active as a young adult. Now, at 75 he enjoys visiting with neighbors and
attending sporting and cultural events. Mr. W's behavior is indicative of which theory of aging?
A. Activity Theory
B. Continuity Theory
C. Developmental Task Theory
D. Disengagement Theory - correct answers:B
Which of the following assessment or diagnostic findings warrants further investigation?
A. A 78 year-old man with new onset urinary incontinence.
B. A 78 year-old man with alopecia.
C. An 81 year-old woman with decreased glomerular filtration rate (GFR)
D. An 81 year old woman with ventricular hypertrophy - correct answers:A
Which of the following most likely accounts for progressive hearing loss in an 83 year-old man?
A. The effect of cognitive changes on the interpretation of auditory stimuli.
B. Multiple changes in the structure of the inner ear.
C. Cellular atrophy in the external auditory canal.
D. Age related deterioration of the small bones of the middle ear. - correct answers:B
The nurse is assessing the older adult using the SPICES tool. When assessing the S in the tool the nurse
collects data on which of the following? (BOTH ARE CORRECT)
A. Evidence of Falls
B. Evidence of Skin Lesions
C. Evidence of Abuse
D. Evidence of Insomnia - correct answers:B, D
,A 74-year-old woman sustained a hip fracture that required surgical repair. On the third day of her
hospital stay, the nursing assistant noticed that she was very lethargic and did not want to get out of
bed. Which of the following are potential causes of her lethargy? (select all that apply)
A.Drug interaction or over medication
B.Surgical site infection
C.Vertebral compression fracture
D.Dehydration - correct answers:A, B, D
70-year-old male in the post-anesthesia care unit (PACU) after an angioplasty. The nurse notices that he
is humming to himself and seems unaware of his surroundings. The nurse suspects that he may be
experiencing delirium. What is the best action for the nurse to take?
A. Assess mentation by using the 2 item ultra-brief assessment (UB-2)
B. Ask if he needs to void
C. Discontinue pain medication
D. Sing along to make him feel more comfortable - correct answers:A
Which of the following interventions should be considered to reduce delirium in a hospitalized older
adult (select all that apply)?
A. Assign a different nurse or CNA each day
B. Orient the individual to the environment
C. Remove tethers such as IVs as soon as possible
D. Discuss the events that are on a TV news show - correct answers:B, C, D
An older adult with delirium has an IV converted to intermittent access. What other interventions are
suitable during hospitalization to reduce delirium (Select all that apply)?
A. Assist the person to chair for meals
B. Permit the TV to remain on during the night
C. Encourage interactive activities with a family member
D. Provide a favorite beverage - correct answers:A, C, D
, A nurse is completing an admission assessment on a client being admitted to a long term care facility.
Which assessment finding indicates a deficit in activities of daily living?
A.The client can walk 60 feet with her walker and then needs to rest.
B.The client has chronic pain from osteoarthritis in her wrists.
C.The client needs assistance with dressing.
D.The client cannot explain why she takes her medications. - correct answers:C
Which of these age related musculoskeletal changes increases potential for falls (Select all that apply)?
A. Kyphosis
B. Maintenance of muscle mass
C. Increased muscle Fatigue
D. Loss of cartilage - correct answers:A, C, D
A nurse is conducting a study on the needs and living conditions of older adults in the community to
provide quality discharge planning for clients. Which of the statement(s) should the nurse take into
account (Select all that apply)?
A. Women live longer than men
B. More older men live alone than women
C. Most older Americans reside in some form of institutional arrangement
D. A majority of Americans will live in a nursing home at some point
E. Assisted living arrangements have become increasingly common alternatives to nursing homes -
correct answers:A, E
A nurse understands that older adults frequently present atypically. Common atypical presentations
include which of the following (Select all that apply)?
A. A decrease in functional status
B. New onset of incontinence
C. A fall
D. Delirium
E. Increase in appetite - correct answers:A, B, C, D
