Geri Final Exam Questions and Answers
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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) subacute care - ANSWER - d) subacute 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
b) a transitional care unit
c) an independent unit in a senior living complex
d) assisted living in a nursing home - ANSWER - c) an independent unit in a senior living
complex
Which of the following is not true about assisted living facilities?
a) if their care needs become too great, they may have to seek other living arrangements
b) persons pay for assistance out of pocket
c) the average resident is in his 60's
d) they have assumed about 15% of the previous nursing home population - ANSWER - c) the
average resident is in his 60's
Erikson's stages of personality development for a person that is 76 years old would be:
a) autonomy versus shame
b) integrity versus despair
,c) generativity versus isolation
d) trust versus mistrust - ANSWER - b) integrity versus despair
A significant result of changes in the respiratory system with advanced age is:
a. lower carbon dioxide levels in the bloodstream
b. less useful oxygen available with each breath
c. more efficient gas exchange at the alveolar level
d. the ability to hold one's breath longer - ANSWER - b. less useful oxygen available with each
breath
You are helping care for your 89 year old grandmother who is sick with "the flu".
Her temperature is 101.2. What other information would be most useful to better
assess your grandmother's condition?
a. what her temperature was yesterday
b. how long she has felt sick
c. what her usual temperature is
d. how much she ate today - ANSWER - c. what her usual temperature is
Changes in which of the following body systems are generally most noticeable to the
naked eye?
a. respiratory
b. integumentary
c. gastrointestional
d. neurological - ANSWER - b. integumentary
All of the following are considered IADLs except:
,a. toileting
b. balancing the checkbook
c. using the phone
d. shopping - ANSWER - a. toileting
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 - ANSWER - a. sit calmly in a chair next to the
person and ask questions in a non-threatening manner
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 - ANSWER -
b. recording important information for them in a notebook to refer to later
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 - ANSWER - c. use physical restraints to control anxious
behavior
. List five nursing strategies for enhancing memory in the older adults with mild dementia. -
ANSWER - journaling, keeping a record of the day, using familiar items, posting reminders,
using calendars and clocks
, Which of the following signs would you consider an abnormal finding for a 75 year old female?
a. blood pressure of 110/78
b. Hct (hematocrit) of .41
c. resting pulse of 80
d. urinary incontinence - ANSWER - d. urinary incontinence
All of the following are intrinsic changes in the integumentary system except:
a. increased skin temperature
b. sagging and wrinkling
c. age spots
d. increased risk of bruising - ANSWER - a. increased skin temperature
Which of the following is true about normal aging changes in the GI system?
a. absorption of nutrients does not change with age
b. absorption of certain vitamins does change with age
c. small intestine transit rate is relatively unchanged with age
d. all of the above - ANSWER - d. all of the above
Which of the following aging changes is most significant to renal efficiency?
a. loss of up to half of functioning nephrons
b. decreased cardiac output
c. nocturia
d. a and b - ANSWER - d. a and b
The nurse wishes to use a tool to help assess the functional status of the older residents in the
nursing home where she works. Which of the following would be least appropriate for this
purpose?
a. Katz index
b. MDS
100% Accurate
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) subacute care - ANSWER - d) subacute 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
b) a transitional care unit
c) an independent unit in a senior living complex
d) assisted living in a nursing home - ANSWER - c) an independent unit in a senior living
complex
Which of the following is not true about assisted living facilities?
a) if their care needs become too great, they may have to seek other living arrangements
b) persons pay for assistance out of pocket
c) the average resident is in his 60's
d) they have assumed about 15% of the previous nursing home population - ANSWER - c) the
average resident is in his 60's
Erikson's stages of personality development for a person that is 76 years old would be:
a) autonomy versus shame
b) integrity versus despair
,c) generativity versus isolation
d) trust versus mistrust - ANSWER - b) integrity versus despair
A significant result of changes in the respiratory system with advanced age is:
a. lower carbon dioxide levels in the bloodstream
b. less useful oxygen available with each breath
c. more efficient gas exchange at the alveolar level
d. the ability to hold one's breath longer - ANSWER - b. less useful oxygen available with each
breath
You are helping care for your 89 year old grandmother who is sick with "the flu".
Her temperature is 101.2. What other information would be most useful to better
assess your grandmother's condition?
a. what her temperature was yesterday
b. how long she has felt sick
c. what her usual temperature is
d. how much she ate today - ANSWER - c. what her usual temperature is
Changes in which of the following body systems are generally most noticeable to the
naked eye?
a. respiratory
b. integumentary
c. gastrointestional
d. neurological - ANSWER - b. integumentary
All of the following are considered IADLs except:
,a. toileting
b. balancing the checkbook
c. using the phone
d. shopping - ANSWER - a. toileting
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 - ANSWER - a. sit calmly in a chair next to the
person and ask questions in a non-threatening manner
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 - ANSWER -
b. recording important information for them in a notebook to refer to later
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 - ANSWER - c. use physical restraints to control anxious
behavior
. List five nursing strategies for enhancing memory in the older adults with mild dementia. -
ANSWER - journaling, keeping a record of the day, using familiar items, posting reminders,
using calendars and clocks
, Which of the following signs would you consider an abnormal finding for a 75 year old female?
a. blood pressure of 110/78
b. Hct (hematocrit) of .41
c. resting pulse of 80
d. urinary incontinence - ANSWER - d. urinary incontinence
All of the following are intrinsic changes in the integumentary system except:
a. increased skin temperature
b. sagging and wrinkling
c. age spots
d. increased risk of bruising - ANSWER - a. increased skin temperature
Which of the following is true about normal aging changes in the GI system?
a. absorption of nutrients does not change with age
b. absorption of certain vitamins does change with age
c. small intestine transit rate is relatively unchanged with age
d. all of the above - ANSWER - d. all of the above
Which of the following aging changes is most significant to renal efficiency?
a. loss of up to half of functioning nephrons
b. decreased cardiac output
c. nocturia
d. a and b - ANSWER - d. a and b
The nurse wishes to use a tool to help assess the functional status of the older residents in the
nursing home where she works. Which of the following would be least appropriate for this
purpose?
a. Katz index
b. MDS
