Geri midterm Questions and Answers

Geri midterm Questions and Answers Match the team members with the best description of their function on the geriatric team. occupational therapist (f) a. works with gait and balance activities physical therapist (a) b. assessment, planning, care coordination nurse (b) c. discharge planning, social assessment social worker (c) d. counseling of patient and family psychologist (d) e. diagnosis and treatment of medical problems geriatrician (e) f. works with home maintenance and ADLs occupational therapist (f) a. works with gait and balance activities physical therapist (a) b. assessment, planning, care coordination nurse (b) c. discharge planning, social assessment social worker (c) d. counseling of patient and family psychologist (d) e. diagnosis and treatment of medical problems geriatrician (e) f. works with home maintenance and ADLs 2. A negative attitude towards aging and the aged is called: a. geriatrics b. racism c. ageism d. ethnocentrism c. ageism Which of the following is not considered a core competency for nurses caring for older adults? a. Analyze the impact of an aging society on the health care system b. Obtain certification in gerontological nursing c. Prevent or reduce common risk factors that contribute to functional decline d. Recognize one's own attitudes about aging b. Obtain certification in gerontological nursing The nurse wishes to obtain basic certification in the specialty of gerontological nursing. Which of the following is true about this credential? a. there is an experience requirement b. one must pass an exam c. one must have a BSN d. a and b only a and b only When the nurse reads an article and uses the findings of a study to improve the quality of the patients for whom she cares, she is implementing the role of: a. teacher b. manager c. research consumer d. advocate c. research consumer A lawyer wishes to hire a nurse consultant who has advanced education and certification in gerontology. Based on their listed credentials, which of the following nurses best fits his wishes? a. Sally Smith, RN, BSN, BC b. Mary Malloy, RN, MS, GNP c. Andy Jones, LPN, CRRC d. Greg Reed, RN, MSN b. Mary Malloy, RN, MS, GNP The AACN/John A. Hartford Foundation Competencies are helpful to nurses because they: a. offer suggestions about how to gain employment in geriatrics b. provide a guideline for the knowledge that is expected to provide quality care to older adults c. were designed to prepare nurses to pass the State Board Exam d. were written for nurses working on a graduate degree in gerontology b. provide a guideline for the knowledge that is expected to provide quality care to older adults The nurse has a question about the appropriateness of an older patient's medication dose. Which of the following professionals would be best qualified to answer such a question? a. the geropsychologist b. the geropharmacist c. the financial gerontologist d. the gerontological rehabilitation nurse b. the geropharmacist 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 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 c. an independent unit in a senior living complex When the nurse reads an article and uses the findings of a study to improve the quality of the patients for whom she cares, she is implementing the role of: a. teacher b. manager c. research consumer d. advocate d. research consumer 12. 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 c) the average resident is in his 60's 13. A person aged 84 would be classified, according to current systems, as: a) young old b) middle old c) old old d) very old b) middle old 14. The clinical nurse specialist (CNS) in gerontology differs from the GNP in that: a) the GNP usually works in a collaborative practice with a physician b) the CNS has less education than the GNP c) the GNP has a doctorate d) the CNS does less consulting than the GNP a) the GNP usually works in a collaborative practice with a physician 15. What is the most compelling reason for health professionals to be educated in the area of gerontology? a. to address the comprehensive nursing shortage b. to make an increase in salary c. to prepare to be challenged by the educated baby boomers d. to prepare to care for the growing number of older persons in the population to prepare to care for the growing number of older persons in the population 16. An intergenerational approach to care for the aging is advisable because of what fact? a) baby boomers want their children to take of them in old age b) Gen X and Gen Y persons do not know anything about aging c) most older persons are cared for by their children d) nearly a half million grandparents are raising their grandchildren d) nearly a half million grandparents are raising their grandchildren 17. What best explains the lack of prepared, qualified health professionals to care for the aged? a) a shortage of nursing faculty b) medical programs not including gerontology content c) not enough health professionals choosing gero as a specialty d) the current nursing shortage c) not enough health professionals choosing gero as a specialty Chapter3: 1. The theory of aging that says that personality and coping patterns remain consistent through life is: a. continuity b. gerotranscendence c. human needs d. life course a. continuity 2. 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 b) integrity versus despair 3. A biological theory of aging that is based on random events that cause cellular damage versus genetically programmed events is called: a) nonstochastic b) Orgel/error c) selective optimization d) stochastic b) Orgel/error 4. A scientist who believes that people have a genetic programming that determines or predicts longevity is a supporter of which theory? a. age stratification b. cross-link c. free radical d. gene/biological gene/biological 5. When a Native American Indian elder goes out into the woods to die and the tribe does not search for him, but allows him to withdraw, this could be an example of: a) activity theory b) disengagement theory c) subculture d) person-environment fit b) disengagement theory 6. A 99 year old widow who has lived alone in her own home for 40 years experiences a fall and is sent by her children and grandchildren to a nursing home. The woman refuses to eat and exhibits signs and symptoms of depression and withdrawal. Which theory does this most describe? a) functional consequences b) theory of thriving c) neuroedncorine d) immunological b) theory of thriving 7. The physician tells his 81 year old male patient that his health has deteriorated due to the exogenous sources of free radicals to which he has exposed himself for many years. To what is the physician most likely referring? a) the ozone layer b) the patient's cigarette smoking c) the patient's alcohol consumption d) radiation from the patient's microwave b) the patient's cigarette smoking Chapter 4: 1. Which of the following visual changes is not usually associated with normal aging? a. presbyopia b. yellowing of the lens c. night blindness d. decreased accommodation night blindness 2. All of the following are considered IADLs except: a. toileting b. balancing the checkbook c. using the phone d. shopping toileting In assessing IADLs, the nurse will ask questions about all but which of the following patient activities? a. cooking b. shopping c. using the phone d. bathing d. bathing 3. Old persons may have difficulty picking up their pills from a medicine cup because of: a. macular degeneration b. decreased touch sensation that comes with old age c. peripheral neuropathy d. all of the above all of the above 4. An older adult who complains of a dark spot in the center of the visual field is showing signs of: a. cataracts b. macular degeneration c. acute glaucoma d. diabetic retinopathy b. macular degeneration 5. An older adult who complains of seeing dark shadows around the center of the visual field is showing signs of: a. cataracts b. macular degeneration c. glaucoma d. diabetic retinopathy c. glaucoma 6. An older adult who complains of blurry vision and has a bluish-white coating that can be seen on the lens is showing signs of: a. cataracts b. macular degeneration c. acute glaucoma d. diabetic retinopathy a. cataracts 7. Which of the following factors could contribute to an older person's inability to hear instructions given by the nurse? a. cerumen impaction b. nurse not facing the person when giving directions c. loss of high frequency pitches d. all of the above d. all of the above 8. 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 a. sit calmly in a chair next to the person and ask questions in a non- threatening manner 9. 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 recording important information for them in a notebook to refer to later 10. 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 c. use physical restraints to control anxious behavior Chapter 5: 1. If an older person with hearing impairment complains of not being able to hear what the nurse is saying, what could be a contributing cause of this? a) normal age-related changes b) build up of cerumen c) the nurse not facing the person when speaking d) all of the above d) all of the above 2. Which of the following is the best example of an open-ended question/statement that would promote verbalization from an older person? a) tell me about your major problem today b) do you have any complaints today? c) are you having any major problems? d) do you want to talk about your major complaint? a) tell me about your major problem today 3. An older patient has had a stroke that resulted in Broca's aphasia. Which of the following would be most typical of Broca's aphasia? a) fluent speech b) impaired comprehension c) broken speech d) global problems c) broken speech Chapter 6: 1. 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 urinary incontinence 2. 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 less useful oxygen available with each breath 3. One of the most significant changes in the reproductive system for older females that are sexually active is: a. decreased vaginal lubrication b. atrophy of uterus c. decreased libido d. lack of male partners decreased vaginal lubrication 4. 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 what her usual temperature is 5. Changes in which of the following body systems are generally most noticeable to the naked eye? a. respiratory b. integumentary c. gastrointestional d. neurological integumentary 6. Which of the following would be an abnormal finding in assessment of an 80 year old male? a. decreased cardiac output b. decreased stage IV sleep c. loss of hearing of low frequency tones d. age spots on the hands and face loss of hearing of low frequency tones 7. Which of the following changes in the skeletal system is least characteristic of normal aging? a. decreased range of motion b. loss of height up to 10 cm c. chronic inflammation of joints d. loss of some muscle mass c. chronic inflammation of joints 8. 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 a. increased skin temperature 9. 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 d. all of the above 10. 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 d. a and b 11. The aging eye shows all of the following changes except: a. better ability to focus on near objects b. decreased lens accommodation c. decreased peripheral vision d. presbyopia a. better ability to focus on near objects 12. A 72 year old female with the following assessment factors is admitted to the acute care for elderly (ACE) unit. Which of the following requires the most immediate treatment? a. BP = 140/ 90 mm Hg b. Hgb (hemoglobin) = 7 g/dl c. hypogeusia d. presbycusis b. Hgb (hemoglobin) = 7 g/dl 13. Mrs. Jones is a 50 year old female who complains of hot flashes, moodiness, and skipping menstrual periods. She tells you that the physician suggests she is going through menopause, and asks, "aren't I too young for menopause?" What is your best response? a. Yes, you are too young. Your symptoms must be something else. b. The average age for menopause is 51, but many women experience these symptoms earlier. c. I think you should get a second opinion in case it is something serious. d. No. You are not too young for menopause, but the average age is 56. b. The average age for menopause is 51, but many women experience these symptoms earlier. 14. Immunosenescence refers to: a. acquired immunity b. innate immunity c. aging of the immune cells d. better replication of the cells that fight infection c. aging of the immune cells 15. Which of the following is a reason why older females may develop vaginitis? a. lower estrogen levels b. atrophy of the vaginal canal c. decreased lubrication of the vagina d. all of the above d. all of the above Chapter 8 1. Of the following lab results, which of the following is most desirable for a healthy older adult? a. Total cholesterol of 300 mg/dl b. LDL of 60 mg/dl c. Triglycerides of 400 mg/dl d. FBS of 235 LDL of 60 mg/dl 2. The nurse is administering medications in the nursing home to over 40 residents. Which of the following is not one of the five rights that she should check on each person? a. right patient b. right route c. right time d. right place d. right place 3. Which of the following lab results would alert the nurse to an abnormality in an older adult? a. glucose = 100 b. albumin = 2.5 c. TSH = 4.0 d. blood culture = negative b. albumin = 2.5 4. The physician orders a peak and trough to be drawn on a patient receiving Vancomycin. The nurse correctly draws the peak: a. when the highest level of medication is in the blood b. when the lowest level of medication is in the blood c. two minutes after the medication is given d. three hours prior to the medication being given a. when the highest level of medication is in the blood 5. Which of the following normal aging changes affects the way medications are processed in the body of an older adult? a. decreased renal clearance b. decreased cardiac output c. impaired absorption in the gut d. all of the above d. all of the above 6. Opioids are rarely prescribed for persons with dementia because of what adverse reaction? a. dry mouth b. sedation c. confusion d. constipation c. confusion 7. Which of the following is true about the elderly and medications? a. about 1/6 of all medications are for the elderly b. medications may stay in the body longer c. there is a decreased risk of side effects with aging d. dosing should be the same for young and old adults b. medications may stay in the body longer 8. Polypharmacy is a significant problem for the elderly because: a. the more medications one takes, the greater the risk of side effects b. older persons are unable to take medications correctly c. older adults are not accustomed to taking multiple medications d. a and c only a. the more medications one takes, the greater the risk of side effects 9. Diphenhyrdramine (Benadryl) is not recommended for use in older adults because of: a. confusion and severe anticholinergic effects b. risk of seizures c. prolonged half life d. dosage problems a. confusion and severe anticholinergic effects 10. Which of the following questions is least appropriate to ask when taking a medication history? a. use of over the counter medications b. drug allergies c. home remedies used d. all of the above are appropriate d. all of the above are appropriate Chapter 9: The nurse is preparing a teaching session about diabetes to a group of older adults in assisted living. Which of the following is most essential to consider for this audience? a. whether they are part of the Baby boomer generation b. the accommodations needed for them to participate in the presentation c. literacy level if there are handouts d. b and c d. b and c 3. Which of the following strategies used by the nurse in teaching older adults is a principle of adult learning? a. Adults need a motivation to learn. b. Adults are independent learners. c. Adults learn best through lecture. d. a and b d. a and b 4. The nurse plans his educational program to enhance learning of the older adult audience through all the following except: a. avoiding glare from windows b. facing the audience when speaking c. using handouts with larger print d. using PowerPoint slides with large amounts of material on them d. using PowerPoint slides with large amounts of material on them 5. The nurse is working with a culturally diverse group of older adults in an impoverished geographic area. Which of the following would be most important to first consider when choosing what educational topics to teach them related to health? a. what they wish to learn about b. the number of people who will attend c. the time of day of the presentation d. what the nurse thinks they should know a. what they wish to learn about 6. Of the following techniques, which is the most essential to meet the long-term goal of increasing the health literacy of minority elders through the introduction of computer technology? a. recruiting large numbers of participants for the first session b. offering rewards to participants c. assuring access to the technology d. limiting the age group of participants to the young old c. assuring access to the technology 7. Which of the following titles of presentations that the nurse may give to a group of seniors who are members of a wellness center would be most likely to attract attention? a. Hypoglycemia and Hyperglycemia b. Understanding HemoglobinA1C c. Preventing a Stroke: Knowing This Could Save Your Life! d. Information about Advance Directives c. Preventing a Stroke: Knowing This Could Save Your Life! 8. In conducting a one-to-one teaching session about the role of nutrition in preventing osteoporosis, the nurse should first: a. establish rapport with the person b. assess readiness to learn c. evaluate outcomes d. provide information a. establish rapport with the person 9. Which of the following aging changes could pose a barrier to learning? a. hearing loss b. visual impairment c. literacy level d. all of the above d. all of the above