Chapter 14: Advanced Old-Age and Geriatrics Test
Bank
MULTIPLE CHOICE
1. The term geriatrics refers to the study of:
a. the elderly.
b. care of aging persons.
c. human adaptation to aging.
d. biological, psychological, physiological, and sociological aspects of aging.
ANS: D
Geriatrics refers to the study of the biological, psychological, physiological, and sociological
aspects of aging.
DIF: Cognitive Level: Application REF: p. 213 OBJ: 1
TOP: Geriatrics KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
2. The theory of aging that attributes the age-related cellular changes to an unpaired ion is the
theory of:
a. wear and tear.
b. free radical.
c. immune.
d. apoptosis.
ANS: B
The free radical theory proposes that the unpaired ion, or free radical, attacks the body,
which results in cell damage that cannot be repaired.
DIF: Cognitive Level: Application REF: p. 214 OBJ: 1
TOP: Free radical KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: growth and development
3. Columbia University developed an assessment tool for persons with Alzheimer’s that:
a. aids in the planning of care for the person with Alzheimer’s disease.
b. sets a drug protocol for the treatment of Alzheimer’s.
c. lists specific effective interventions for care of a person with Alzheimer’s.
d. measures the deterioration of the cerebral cortex.
ANS: A
Columbia University’s tool uses age of onset, presenting signs, gender, and results of a mini
mental test to predict the progress of the disease and is an aid in planning care for the person
with Alzheimer’s disease.
DIF: Cognitive Level: Comprehension REF: p. 221 OBJ: 11
, TOP: Columbia University’s Alzheimer’s prediction tool KEY: Nursing Process Step: NA MSC: NCLEX: NA
4. In cultures where ageism prevails, the elderly are:
a. respected and are valued for their contribution to society.
b. used as role models for the younger generation.
c. avoided and made to feel useless.
d. disallowed to take part in community and civic organizations.
ANS: C
Ageism is avoidance of and negative attitudes toward the elderly based on age.
DIF: Cognitive Level: Comprehension REF: p. 220 OBJ: 1
TOP: Ageism KEY: Nursing Process Step: Implementation MSC: NCLEX: Health
Promotion and Maintenance: growth and development
5. The White House Conference of 2005 stimulated the:
a. broadening of the definition of elder abuse.
b. increase in the number of assisted living facilities.
c. development of training programs for caregivers.
d. passing of the Older American Act, which supported long-term care strategies.
ANS: D
The White House Conference of 2005 made recommendations to Congress about the aging
population, which resulted in the passing of the Older Americans Act in 2008 supporting
longterm care strategies for the United States.
DIF: Cognitive Level: Knowledge REF: p. 221 OBJ: 2
TOP: White House Conference of 2005 KEY: Nursing Process Step: NA MSC: NCLEX:
NA
6. A woman tells the health-care worker that her 85-year-old father is frequently confused
about medication doses and frequently forgets to take his medicines. He usually eats crackers
for dinner and sweet snacks for lunch. The daughter lives in a two-bedroom apartment with
her two children and works full time. The health-care worker suggests that the most
appropriate placement for him would be in:
a. the daughter’s home.
b. a nursing home.
c. an assisted-living home.
d. a retirement center.
ANS: C
The assisted living home provides care for persons with minimal supervision and care.
DIF: Cognitive Level: Comprehension REF: p. 224 OBJ: 11
TOP: Placement alternatives KEY: Nursing Process Step: Implementation MSC: NCLEX:
Psychosocial Integrity: coping and adaptation
, 7. The health-care worker recommends the utilization of a senior center for a 79-year-old
widow because in addition to a meal, a senior center can provide:
a. transportation to and from the center.
b. prescription drugs.
c. a venue for socialization.
d. a nurse counselor.
ANS: C
Senior centers offer a venue for socialization and frequently have activities such as crafts, line
dancing, and board games. Many centers offer other services, such as health screening or
counseling. Transportation is not part of most senior centers’ services.
DIF: Cognitive Level: Knowledge REF: p. 222 OBJ: 2
TOP: Senior centers KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial
Integrity: coping and adaptation
8. A health-care worker passing an open door sees a nursing home resident having sexual
intercourse with another resident. The most appropriate response is to say:
a. “What are you doing? Please remember where you are!”
b. “Let me shut the door to give you more privacy.”
c. “I need to notify your physician. Remember your heart condition.”
d. “You should wait until all the other residents are in their rooms.”
ANS: B
The elder adult may continue to have sexual feelings well into advanced old age. Health-care
workers must consider that the geriatric adult has the right to express these feelings without
shame or guilt, in the privacy of their home setting.
DIF: Cognitive Level: Application REF: p. 219 OBJ: 9
TOP: Sexuality KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: coping and adaptation
9. A 70-year-old man retired 6 months ago after a long career as a newsman. His wife tells the
health-care worker that she is concerned because her husband has stopped going to church,
turned over the bill-paying duties to her, and spends most of the time listening to the radio.
The health-care worker recognizes this as:
a. normal in the newly retired.
b. necessary for adjustment to retirement.
c. signs of disengagement and possible early depression.
d. preparation for transition to advanced old age.
ANS: C
A major developmental task of old age is adjustment to retirement. If the self-worth of the
retiree is dependent upon his or her previous occupation, this loss may lead to
disengagement or depression.
DIF: Cognitive Level: Application REF: p. 220 OBJ: 4
Bank
MULTIPLE CHOICE
1. The term geriatrics refers to the study of:
a. the elderly.
b. care of aging persons.
c. human adaptation to aging.
d. biological, psychological, physiological, and sociological aspects of aging.
ANS: D
Geriatrics refers to the study of the biological, psychological, physiological, and sociological
aspects of aging.
DIF: Cognitive Level: Application REF: p. 213 OBJ: 1
TOP: Geriatrics KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
2. The theory of aging that attributes the age-related cellular changes to an unpaired ion is the
theory of:
a. wear and tear.
b. free radical.
c. immune.
d. apoptosis.
ANS: B
The free radical theory proposes that the unpaired ion, or free radical, attacks the body,
which results in cell damage that cannot be repaired.
DIF: Cognitive Level: Application REF: p. 214 OBJ: 1
TOP: Free radical KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: growth and development
3. Columbia University developed an assessment tool for persons with Alzheimer’s that:
a. aids in the planning of care for the person with Alzheimer’s disease.
b. sets a drug protocol for the treatment of Alzheimer’s.
c. lists specific effective interventions for care of a person with Alzheimer’s.
d. measures the deterioration of the cerebral cortex.
ANS: A
Columbia University’s tool uses age of onset, presenting signs, gender, and results of a mini
mental test to predict the progress of the disease and is an aid in planning care for the person
with Alzheimer’s disease.
DIF: Cognitive Level: Comprehension REF: p. 221 OBJ: 11
, TOP: Columbia University’s Alzheimer’s prediction tool KEY: Nursing Process Step: NA MSC: NCLEX: NA
4. In cultures where ageism prevails, the elderly are:
a. respected and are valued for their contribution to society.
b. used as role models for the younger generation.
c. avoided and made to feel useless.
d. disallowed to take part in community and civic organizations.
ANS: C
Ageism is avoidance of and negative attitudes toward the elderly based on age.
DIF: Cognitive Level: Comprehension REF: p. 220 OBJ: 1
TOP: Ageism KEY: Nursing Process Step: Implementation MSC: NCLEX: Health
Promotion and Maintenance: growth and development
5. The White House Conference of 2005 stimulated the:
a. broadening of the definition of elder abuse.
b. increase in the number of assisted living facilities.
c. development of training programs for caregivers.
d. passing of the Older American Act, which supported long-term care strategies.
ANS: D
The White House Conference of 2005 made recommendations to Congress about the aging
population, which resulted in the passing of the Older Americans Act in 2008 supporting
longterm care strategies for the United States.
DIF: Cognitive Level: Knowledge REF: p. 221 OBJ: 2
TOP: White House Conference of 2005 KEY: Nursing Process Step: NA MSC: NCLEX:
NA
6. A woman tells the health-care worker that her 85-year-old father is frequently confused
about medication doses and frequently forgets to take his medicines. He usually eats crackers
for dinner and sweet snacks for lunch. The daughter lives in a two-bedroom apartment with
her two children and works full time. The health-care worker suggests that the most
appropriate placement for him would be in:
a. the daughter’s home.
b. a nursing home.
c. an assisted-living home.
d. a retirement center.
ANS: C
The assisted living home provides care for persons with minimal supervision and care.
DIF: Cognitive Level: Comprehension REF: p. 224 OBJ: 11
TOP: Placement alternatives KEY: Nursing Process Step: Implementation MSC: NCLEX:
Psychosocial Integrity: coping and adaptation
, 7. The health-care worker recommends the utilization of a senior center for a 79-year-old
widow because in addition to a meal, a senior center can provide:
a. transportation to and from the center.
b. prescription drugs.
c. a venue for socialization.
d. a nurse counselor.
ANS: C
Senior centers offer a venue for socialization and frequently have activities such as crafts, line
dancing, and board games. Many centers offer other services, such as health screening or
counseling. Transportation is not part of most senior centers’ services.
DIF: Cognitive Level: Knowledge REF: p. 222 OBJ: 2
TOP: Senior centers KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial
Integrity: coping and adaptation
8. A health-care worker passing an open door sees a nursing home resident having sexual
intercourse with another resident. The most appropriate response is to say:
a. “What are you doing? Please remember where you are!”
b. “Let me shut the door to give you more privacy.”
c. “I need to notify your physician. Remember your heart condition.”
d. “You should wait until all the other residents are in their rooms.”
ANS: B
The elder adult may continue to have sexual feelings well into advanced old age. Health-care
workers must consider that the geriatric adult has the right to express these feelings without
shame or guilt, in the privacy of their home setting.
DIF: Cognitive Level: Application REF: p. 219 OBJ: 9
TOP: Sexuality KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: coping and adaptation
9. A 70-year-old man retired 6 months ago after a long career as a newsman. His wife tells the
health-care worker that she is concerned because her husband has stopped going to church,
turned over the bill-paying duties to her, and spends most of the time listening to the radio.
The health-care worker recognizes this as:
a. normal in the newly retired.
b. necessary for adjustment to retirement.
c. signs of disengagement and possible early depression.
d. preparation for transition to advanced old age.
ANS: C
A major developmental task of old age is adjustment to retirement. If the self-worth of the
retiree is dependent upon his or her previous occupation, this loss may lead to
disengagement or depression.
DIF: Cognitive Level: Application REF: p. 220 OBJ: 4
