NCOA Final Exam Questions with Verified
Correct Answers
What is health promotion?
Actions focused on preventing disease and maintaining or improving health rather than
treating an existing disease.
When caring for an older adult, what should generally be the nurse's first priority?
Safety.
An older adult reports a new problem. What should the nurse generally do before
implementing an intervention?
Assess the patient first.
What is an important priority when caring for an older adult experiencing pain?
Assess and appropriately manage the patient's pain.
What methods can be used to assess sleep quality in an older adult?
Self-reported subjective tools, clinical questionnaires, and objective physiological monitoring
devices.
What are common risk factors for obstructive sleep apnea (OSA)?
Obesity, older age, large neck circumference, small jaw, male sex, family history, alcohol
use, sedatives, smoking, chronic nasal congestion, hypertension, and type 2 diabetes.
An older adult who is obese, has hypertension, and snores loudly should be assessed for
what sleep disorder?
Obstructive sleep apnea.
, Why can sedative medications increase the risk associated with obstructive sleep apnea?
They can further relax the upper airway and worsen airway obstruction during sleep.
What nonpharmacologic interventions can help an older adult with restless leg
syndrome?
Warm baths, leg massage, hot or cold packs, and physical activity several hours before
bedtime.
An older adult with restless leg syndrome asks what they can do before bed. What
should the nurse recommend?
Try a warm bath, leg massage, or hot/cold packs and perform physical activity earlier in the
day.
What are the 4Ms of age-friendly care?
What Matters, Medication, Mentation, and Mobility.
What does "What Matters" mean in the 4Ms framework?
Know and align care with the older adult's individual health goals and preferences.
What does "Medication" mean in the 4Ms framework?
Use age-appropriate medications and avoid medications that interfere with the other 4Ms
when possible.
What does "Mentation" mean in the 4Ms framework?
Prevent, identify, treat, and manage dementia, delirium, and depression.
What does "Mobility" mean in the 4Ms framework?
Correct Answers
What is health promotion?
Actions focused on preventing disease and maintaining or improving health rather than
treating an existing disease.
When caring for an older adult, what should generally be the nurse's first priority?
Safety.
An older adult reports a new problem. What should the nurse generally do before
implementing an intervention?
Assess the patient first.
What is an important priority when caring for an older adult experiencing pain?
Assess and appropriately manage the patient's pain.
What methods can be used to assess sleep quality in an older adult?
Self-reported subjective tools, clinical questionnaires, and objective physiological monitoring
devices.
What are common risk factors for obstructive sleep apnea (OSA)?
Obesity, older age, large neck circumference, small jaw, male sex, family history, alcohol
use, sedatives, smoking, chronic nasal congestion, hypertension, and type 2 diabetes.
An older adult who is obese, has hypertension, and snores loudly should be assessed for
what sleep disorder?
Obstructive sleep apnea.
, Why can sedative medications increase the risk associated with obstructive sleep apnea?
They can further relax the upper airway and worsen airway obstruction during sleep.
What nonpharmacologic interventions can help an older adult with restless leg
syndrome?
Warm baths, leg massage, hot or cold packs, and physical activity several hours before
bedtime.
An older adult with restless leg syndrome asks what they can do before bed. What
should the nurse recommend?
Try a warm bath, leg massage, or hot/cold packs and perform physical activity earlier in the
day.
What are the 4Ms of age-friendly care?
What Matters, Medication, Mentation, and Mobility.
What does "What Matters" mean in the 4Ms framework?
Know and align care with the older adult's individual health goals and preferences.
What does "Medication" mean in the 4Ms framework?
Use age-appropriate medications and avoid medications that interfere with the other 4Ms
when possible.
What does "Mentation" mean in the 4Ms framework?
Prevent, identify, treat, and manage dementia, delirium, and depression.
What does "Mobility" mean in the 4Ms framework?
