NR601 Midterm exam Questions with Correct Answers
Question 1.
Chapter
Correct Answer: 1: Principles of Primary Care of Older Adults
Question 2.
Which one of the following is most true about the rule of fourths?
Correct Answer: What used to be called normal aging can be largely explained
by processes that are
not normal.
Question 3.
Which one of the following is most true about aging changes?
Correct Answer: Stage 3 and 4 sleep decreases.
Question 4.
An old woman who is cared for by attentive, cautious, concerned family is particularly
likely to suffer from which one of the following complications after an episode of
gastroenteritis?
Correct Answer: Immobility related to overconcern
Question 5.
Which one of the following is most true about psychological aging?
Correct Answer: Ageism can lead to isolation and depression.
Question 6.
Of the following conditions, which one is most common and most often preventable?
Correct Answer: Iatrogenic disease
Question 7.
Based on current demographic data, which statement identifies a predictive trend
regarding the health care needs of society?
Correct Answer: More nursing services will be required to serve the needs of
the population 85
years of age and older
,Question 8.
An older adult client shares with the nurse that, "I don't know what it is but it seems
that
I need more light for reading or even watching television as I get older." The nurse
explains
that aging may cause this change due to the:
Correct Answer: Slower ability of the pupil to adjust to changes in lighting
Question 9.
An 86-year-old male who lives in an assisted living facility is at the clinic. He has a
history of hypertension and manages his own medications. He admits he takes them
sometimes. After
speaking to him, you find it unclear if he understands the questions and discussions.
Which of the
following evidences that the patient has adequate health literacy?
Correct Answer: He knows the names and doses of his medications and can
explain why he takes
them.
Question 10.
You are performing a geriatric assessment on an 82-year-old female. At the end of the
visit, which of the following would require top priority over the others?
Correct Answer: The death of the patient's caregiver
Question 11.
Ms. M's family has noticed memory loss for the past 6 months. She continues to drive
but recently had a fender bender and was caught speeding on a 35-mph road. She
insists that she is
safe and needs to drive to church and for shopping. What is the best next step?
Correct Answer: Get a driving evaluation.
Question 12.
The following are true statements about bipolar disorders in older adults except
Correct Answer: Bipolar disorder is the most commonly diagnosed psychiatric
disorder in older
adults.
Question 13.
The US Advisory Committee on Immunization Practices and the Centers for Disease
Control currently recommend which one of the following?
Correct Answer: a. All older adults be immunized against influenza annually
and that they receive at least one pneumococcal vaccination. b. All high-risk
, older adults should receive an
additional pneumococcal vaccination 5 years or more after their first
immunization. c. Older adults
should receive a one-time revaccination for pneumonia if they were initially
vaccinated more than 5
years previously and were less than 65 years of age at the time of the initial
vaccination. d. All of
these are recommended.
Question 14.
Healthcare providers should recommend that older adults engage in which one of the
following?
Correct Answer: 150 minutes of moderate intensity physical activity weekly
Question 15.
Guidelines for the primary prevention of stroke recommend that aspirin be used in
which one of the following?
Correct Answer: Individuals whose risk is high enough for the benefits to
outweigh the risks
Question 16.
Even though older adults are less likely to get counseled for smoking cessation, they
have which one of the following?
Correct Answer: The same quit rates as younger individuals
Question 17.
When educating the older adult population about the risks to physical health that
chronic alcohol abuse presents, the nurse practitioner is especially careful to include
the:
Correct Answer: Identification of the signs and symptoms of gastrointestinal
bleeding
Question 18.
An older adult client has been voluntarily admitted for treatment of alcohol
dependency. In implementing care, the nurse plans which intervention based upon
knowledge about
alcohol and aging?
Correct Answer: Assessing the client for both depression and anxiety
Question 19.
The nurse practitioner shows an understanding of appropriate influenza vaccination
guidelines for a client over the age of 65 when stating:
Question 1.
Chapter
Correct Answer: 1: Principles of Primary Care of Older Adults
Question 2.
Which one of the following is most true about the rule of fourths?
Correct Answer: What used to be called normal aging can be largely explained
by processes that are
not normal.
Question 3.
Which one of the following is most true about aging changes?
Correct Answer: Stage 3 and 4 sleep decreases.
Question 4.
An old woman who is cared for by attentive, cautious, concerned family is particularly
likely to suffer from which one of the following complications after an episode of
gastroenteritis?
Correct Answer: Immobility related to overconcern
Question 5.
Which one of the following is most true about psychological aging?
Correct Answer: Ageism can lead to isolation and depression.
Question 6.
Of the following conditions, which one is most common and most often preventable?
Correct Answer: Iatrogenic disease
Question 7.
Based on current demographic data, which statement identifies a predictive trend
regarding the health care needs of society?
Correct Answer: More nursing services will be required to serve the needs of
the population 85
years of age and older
,Question 8.
An older adult client shares with the nurse that, "I don't know what it is but it seems
that
I need more light for reading or even watching television as I get older." The nurse
explains
that aging may cause this change due to the:
Correct Answer: Slower ability of the pupil to adjust to changes in lighting
Question 9.
An 86-year-old male who lives in an assisted living facility is at the clinic. He has a
history of hypertension and manages his own medications. He admits he takes them
sometimes. After
speaking to him, you find it unclear if he understands the questions and discussions.
Which of the
following evidences that the patient has adequate health literacy?
Correct Answer: He knows the names and doses of his medications and can
explain why he takes
them.
Question 10.
You are performing a geriatric assessment on an 82-year-old female. At the end of the
visit, which of the following would require top priority over the others?
Correct Answer: The death of the patient's caregiver
Question 11.
Ms. M's family has noticed memory loss for the past 6 months. She continues to drive
but recently had a fender bender and was caught speeding on a 35-mph road. She
insists that she is
safe and needs to drive to church and for shopping. What is the best next step?
Correct Answer: Get a driving evaluation.
Question 12.
The following are true statements about bipolar disorders in older adults except
Correct Answer: Bipolar disorder is the most commonly diagnosed psychiatric
disorder in older
adults.
Question 13.
The US Advisory Committee on Immunization Practices and the Centers for Disease
Control currently recommend which one of the following?
Correct Answer: a. All older adults be immunized against influenza annually
and that they receive at least one pneumococcal vaccination. b. All high-risk
, older adults should receive an
additional pneumococcal vaccination 5 years or more after their first
immunization. c. Older adults
should receive a one-time revaccination for pneumonia if they were initially
vaccinated more than 5
years previously and were less than 65 years of age at the time of the initial
vaccination. d. All of
these are recommended.
Question 14.
Healthcare providers should recommend that older adults engage in which one of the
following?
Correct Answer: 150 minutes of moderate intensity physical activity weekly
Question 15.
Guidelines for the primary prevention of stroke recommend that aspirin be used in
which one of the following?
Correct Answer: Individuals whose risk is high enough for the benefits to
outweigh the risks
Question 16.
Even though older adults are less likely to get counseled for smoking cessation, they
have which one of the following?
Correct Answer: The same quit rates as younger individuals
Question 17.
When educating the older adult population about the risks to physical health that
chronic alcohol abuse presents, the nurse practitioner is especially careful to include
the:
Correct Answer: Identification of the signs and symptoms of gastrointestinal
bleeding
Question 18.
An older adult client has been voluntarily admitted for treatment of alcohol
dependency. In implementing care, the nurse plans which intervention based upon
knowledge about
alcohol and aging?
Correct Answer: Assessing the client for both depression and anxiety
Question 19.
The nurse practitioner shows an understanding of appropriate influenza vaccination
guidelines for a client over the age of 65 when stating: