Geri Exam 1
Which of the following phenomena should the nurse take into account when planning for the future?
a. While life expectancy will continue to rise, the percentage of older adults in the United States relative
to the overall population will decrease.
b. By 2020, it is expected that over one-third of Americans will be over the age of 65.
c. Both life expectancy and the percentage of people over 65 in the population will increase in coming
decades.
d. Chronic conditions, such as diabetes, are expected to bring a gradual decrease in the number of older
adults by 2020. - Answer-c. Both life expectancy and the percentage of people over 65 in the population
will increase in coming decades.
The board of a large chain of hospitals has commissioned a strategic plan in order to meet the care
needs of baby boomers in coming years. Which of the following trends constitute a sound basis for
understanding the baby boomer generation and conducting future planning? Select all that apply.
a. Baby boomers tend to have fewer children than members of earlier generations.
b. Adjusted for inflation, baby boomers have lower incomes than their parents had.
c. Due to technology, baby boomers have more leisure time than other adults.
d. Baby boomers perform physical exercise more frequently than older adults
e. Baby boomers are more informed healthcare consumers than other older adults - Answer-a. Baby
boomers tend to have fewer children than members of earlier generations.
d. Baby boomers perform physical exercise more frequently than older adults
e. Baby boomers are more informed healthcare consumers than other older adults
A 78-year-old man has received a recent diagnosis of community-acquired pneumonia. Potential
pathological findings on a recent chest x-ray have prompted his physician to order a bronchoscopy and
lung function tests. Which of the following findings would be most likely suggestive of pathological
processes rather than normal, age-related respiratory changes?
, a. The client has fewer cilia than would be found in a younger client.
b. Lung function tests reveal that both maximum breathing and vital capacity are diminished since his
last test.
c. There is an accumulation of serous fluid between the lungs and the pleural membrane.
d. The lungs are smaller than younger adults' and there are fewer alveoli. - Answer-c. There is an
accumulation of serous fluid between the lungs and the pleural membrane.
An 80-year-old resident of an assisted living facility is proud of the fact that he was an elite athlete
during his younger years. Despite his concerted efforts to remain physically active and maintain his
stamina, he is lamenting his loss of exercise tolerance in recent years. How can his nurse best respond to
these concerns?
a. "It's inevitable that your heart increases in size as you age, and this is associated with a loss of cardiac
efficiency."
b. "It's normal for your heart to contract less strongly as you age, and this makes you somewhat less
able to exercise vigorously."
c. "As you age, it's common for your heart rate becomes less regular and this often results in fatigue."
d. "The normal increase in blood pressure that accompanies aging leaves you with less cardiac reserve
capacity than when you were young." - Answer-b. "It's normal for your heart to contract less strongly as
you age, and this makes you somewhat less able to exercise vigorously."
Which of the following diagnostic and assessment findings from among the patients on a geriatric
medical unit most warrants further investigation?
a. An 81-year-old woman's glomerular filtration rate (GFR) is low.
b. A 78-year-old male's stomach pH is increased.
c. A 71-year-old male client's echocardiogram reveals slight left ventricular hypertrophy.
d. A 78-year-old man has recently developed urinary incontinence. - Answer-d. A 78-year-old man has
recently developed urinary incontinence.
Bone fractures are a serious risk to the elderly. Which of the following is a contributing factor?
a. Diminished calcium absorption
Which of the following phenomena should the nurse take into account when planning for the future?
a. While life expectancy will continue to rise, the percentage of older adults in the United States relative
to the overall population will decrease.
b. By 2020, it is expected that over one-third of Americans will be over the age of 65.
c. Both life expectancy and the percentage of people over 65 in the population will increase in coming
decades.
d. Chronic conditions, such as diabetes, are expected to bring a gradual decrease in the number of older
adults by 2020. - Answer-c. Both life expectancy and the percentage of people over 65 in the population
will increase in coming decades.
The board of a large chain of hospitals has commissioned a strategic plan in order to meet the care
needs of baby boomers in coming years. Which of the following trends constitute a sound basis for
understanding the baby boomer generation and conducting future planning? Select all that apply.
a. Baby boomers tend to have fewer children than members of earlier generations.
b. Adjusted for inflation, baby boomers have lower incomes than their parents had.
c. Due to technology, baby boomers have more leisure time than other adults.
d. Baby boomers perform physical exercise more frequently than older adults
e. Baby boomers are more informed healthcare consumers than other older adults - Answer-a. Baby
boomers tend to have fewer children than members of earlier generations.
d. Baby boomers perform physical exercise more frequently than older adults
e. Baby boomers are more informed healthcare consumers than other older adults
A 78-year-old man has received a recent diagnosis of community-acquired pneumonia. Potential
pathological findings on a recent chest x-ray have prompted his physician to order a bronchoscopy and
lung function tests. Which of the following findings would be most likely suggestive of pathological
processes rather than normal, age-related respiratory changes?
, a. The client has fewer cilia than would be found in a younger client.
b. Lung function tests reveal that both maximum breathing and vital capacity are diminished since his
last test.
c. There is an accumulation of serous fluid between the lungs and the pleural membrane.
d. The lungs are smaller than younger adults' and there are fewer alveoli. - Answer-c. There is an
accumulation of serous fluid between the lungs and the pleural membrane.
An 80-year-old resident of an assisted living facility is proud of the fact that he was an elite athlete
during his younger years. Despite his concerted efforts to remain physically active and maintain his
stamina, he is lamenting his loss of exercise tolerance in recent years. How can his nurse best respond to
these concerns?
a. "It's inevitable that your heart increases in size as you age, and this is associated with a loss of cardiac
efficiency."
b. "It's normal for your heart to contract less strongly as you age, and this makes you somewhat less
able to exercise vigorously."
c. "As you age, it's common for your heart rate becomes less regular and this often results in fatigue."
d. "The normal increase in blood pressure that accompanies aging leaves you with less cardiac reserve
capacity than when you were young." - Answer-b. "It's normal for your heart to contract less strongly as
you age, and this makes you somewhat less able to exercise vigorously."
Which of the following diagnostic and assessment findings from among the patients on a geriatric
medical unit most warrants further investigation?
a. An 81-year-old woman's glomerular filtration rate (GFR) is low.
b. A 78-year-old male's stomach pH is increased.
c. A 71-year-old male client's echocardiogram reveals slight left ventricular hypertrophy.
d. A 78-year-old man has recently developed urinary incontinence. - Answer-d. A 78-year-old man has
recently developed urinary incontinence.
Bone fractures are a serious risk to the elderly. Which of the following is a contributing factor?
a. Diminished calcium absorption
