VERSIONS WITH ACCURATE REAL EXAM QUESTIONS AND ANSWERS
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Question 1
According to statistical data, what percentage of the elderly population is institutionalized in
long-term care facilities?
A) 25%
B) 15%
C) 5%
D) 50%
E) 10%
Correct Answer: C) 5%
Rationale: Contrary to common belief, only a small fraction, specifically 5%, of the elderly
population resides in institutional settings like nursing homes. The majority of older adults
live in the community.
Question 2
What is the concept of "Ageism"?
A) A government program providing financial support to seniors.
B) The scientific study of the biological processes of aging.
C) A form of respect and reverence for one's elders.
D) Discrimination or negative attitudes directed at individuals based on their old age.
E) A type of chronic illness common in the elderly.
Correct Answer: D) Discrimination or negative attitudes directed at individuals based on
their old age.
Rationale: Ageism is defined as prejudice, discrimination, or stereotyping based on a
person's age. It involves holding negative attitudes or beliefs about older adults, which can
lead to discriminatory actions.
Question 3
A 68-year-old client asks the nurse what is most important to understand about Medicare. Which
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statement is the most accurate response?
A) It covers all medical and long-term care expenses for anyone over 65.
B) It is a single, comprehensive insurance plan with no parts.
C) It is only available to those with low income.
D) It does not cover all healthcare costs and consists of several different parts (A, B, C, D).
E) It is primarily designed to cover prescription medications only.
Correct Answer: D) It does not cover all healthcare costs and consists of several different
parts (A, B, C, D).
Rationale: A key point about Medicare is that it is not all-inclusive; there are gaps in
coverage. It is a complex federal program for individuals over 65 or with certain
disabilities, divided into distinct parts: Part A (Hospital Insurance), Part B (Medical
Insurance), Part C (Medicare Advantage), and Part D (Prescription Drug Coverage).
Question 4
Which of the following is the most comprehensive definition of elder abuse?
A) Only physical harm inflicted on an older adult.
B) Financial exploitation by a stranger.
C) Withholding affection from an elderly parent.
D) Physical, psychological, neglect, sexual, and financial abuse of an older adult.
E) Disagreeing with an older adult's decisions.
Correct Answer: D) Physical, psychological, neglect, sexual, and financial abuse of an older
adult.
Rationale: Elder abuse is a broad term that encompasses multiple forms of mistreatment. It
is not limited to one type but includes a range of harmful actions, including physical
violence, emotional torment (psychological abuse), failure to provide necessary care
(neglect), non-consensual sexual contact, and illegal or improper use of their funds or assets
(financial abuse).
Question 5
A nurse is assessing an elderly patient and notes bruising on the upper arms in various stages of
healing, several healed fractures on their medical history, and a circular burn mark on the
forearm. These findings are most indicative of which issue?
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A) Accidental falls due to poor balance.
B) A dermatological condition.
C) Evidence of elder abuse.
D) Complications from anticoagulant therapy.
E) Self-inflicted injuries due to dementia.
Correct Answer: C) Evidence of elder abuse.
Rationale: The combination of these specific injuries is a classic pattern of potential physical
abuse. Bruising in different stages of healing suggests repeated trauma over time, repetitive
fractures can be suspicious, and cigarette burns are a specific indicator of inflicted injury,
not accidental falls.
Question 6
Statistically, who is the most likely perpetrator of elder abuse?
A) A home health aide.
B) The primary caregiver.
C) A neighbor.
D) A stranger in the community.
E) A financial advisor.
Correct Answer: B) The primary caregiver.
Rationale: The primary caregiver, often a family member, is most frequently identified as
the abuser. This is often associated with factors such as the caregiver being financially
dependent on the elder, experiencing high levels of stress, or having pre-existing mental
health issues.
Question 7
An older adult reports that their son constantly threatens to put them in a nursing home if they
don't sign over their social security checks. This is an example of which type of abuse?
A) Financial abuse.
B) Physical abuse.
C) Neglect.
D) Sexual abuse.
E) Psychological abuse.
, [Type here]
Correct Answer: E) Psychological abuse.
Rationale: Psychological (or emotional) abuse involves inflicting mental pain, anguish, or
distress through verbal or nonverbal acts. This includes intimidation, humiliation,
manipulation, and threats, such as the one described in the scenario.
Question 8
A home health nurse finds an 85-year-old client who is malnourished, has poor hygiene, is living
in a soiled environment, and has several stage 2 pressure ulcers. The client's caregiver states they
are "too busy" to provide more care. This situation is a clear example of what?
A) Financial abuse.
B) Psychological abuse.
C) Neglect.
D) Self-neglect.
E) Physical abuse.
Correct Answer: C) Neglect.
Rationale: Neglect is the failure of a caregiver to provide the goods or services necessary to
avoid physical harm, mental anguish, or mental illness. The signs described—malnutrition,
pressure ulcers, and poor hygiene—are hallmark indicators that the elder's basic needs are
not being met by their caregiver.
Question 9
An older adult has a Power of Attorney (POA) who has been reported for using the elder's bank
account for personal vacations and purchases. This is an example of:
A) Psychological abuse.
B) Guardianship.
C) Neglect.
D) Financial abuse.
E) Physical abuse.
Correct Answer: D) Financial abuse.
Rationale: Financial abuse involves the illegal, unauthorized, or improper use of an elder's
funds, property, or assets. A person with POA acting unlawfully by taking money or assets
for personal gain is a classic example of this type of abuse.