GERONTOLOGY NCLEX REVIEW EXAM 1

A mental-status assessment of the older adult is especially important in determining: a) potential for independent living b) eligibility for federal health programs c) service and placement needs of the individual d) whether the person should be classified as frail - answer-a) potential for independent living A nurse is assessing a patient following cataract surgery. The patient reports nausea and severe eye pain. Which of the following action should the nurse take? a) notify the healthcare provider b) administer an analgesic medication c) administer an antiemetic medication d) turn the patient onto the operative side - answer-a) notify the healthcare provider A nurse who is interested in providing care for older adults should identify that most chronic illnesses are managed in: a) hospice care b) homeless shelters c) the community setting d) an acute care hospital - answer-c) the community setting A nursing instructor teaching classes in gerontology to nursing students discusses myths related to the aging of adults. Which statement is a MYTH about older adults? a) most older adults live in their own homes b) healthy older adults enjoy sexual activity c) old age means mental deterioration d) older adults want to be attractive to others - answer-c) old age means mental deterioration A nursing intervention directed toward primary prevention in the older adult focuses on: a) disease management b) routine health screenings c) controlling symptoms of illness d) teaching positive health behaviors - answer-d) teaching positive health behaviors A patient is being prepared for outpatient cataract surgery. The nurse would expect the patient to report a history of: a) a painless, sudden, severe loss of vision b) blurred vision, colored halos around lights and eye pain c) a gradual loss of vision with abnormal color perception and glare d) light flashes, floaters, and a "cobweb" in the field of vision - answer-c) a gradual loss of vision with abnormal color perception and glare A patient tells the nurse that he recently has been classified as legally blind. The nurse recognizes that the patient: a) has lost all usable vision but has some light percepption b) will need time for adjusting to living with total blindness c) will be completely dependent on others to ensure a safe environment for functioning d) may be able to perform many activities with vision enhancement services - answer-d) may be able to perform many activities with vision enhancement services An 82-year-old woman with chronic heart failure is cared for in the home by her only child. What problem is indicated by the caregiver's failure to provide companionship or social stimulation? a) neglect b) sexual abuse c) abandonment d) violation of personal rights - answer-a) neglect An appropriate care choice for an older adult who lives with an employed daughter, but requires help with activities of daily living is a/an: a) nursing home b) adult day care center c) assisted living facility d) acute rehabilitation facility - answer-b) adult day care center An experienced nurse tells a younger nurse who is working in a retirement home that older adults have "outlived their usefulness." What is the term for this type of prejudice? a) racism b) agism c) harassment d) whistle blowing - answer-b) agism An important nursing action to help a chronically ill older adult is to: a) avoid discussing future lifestyle changes b) assure the patient that the condition is stable c) treat the patient as a competent manager of the disease d) encourage the patient to "fight" the disease as long as possible - answer-c) treat the patient as a competent manager of the disease Chronological age is your age based on: a) how well you feel b) the passage of time c) if you floss your teeth d) how fabulous you look - answer-b) the passage of time In caring for the patient with age-related, dry macular degeneration, it is important for the nurse to: a) teach the patient how to use topical eye drops b) emphasize the use of low-vision aids c) encourage the patient to wear eye patches d) prepare the patient for sudden onset of blindness - answer-b) emphasize the use of low-vision aids Myopia is when: a) you can only see far (farsightedness) b) you can only see near (nearsightedness) c) distorted vision occurs at all distances d) nearsightedness occurs due to aging - answer-b) you can only see near (nearsightedness) Older adults who become ill are more likely than younger adults to: a) complain abt symptoms of their problems b) refuse to carry out lifestyle changes to promote recovery c) seek medical attention because of limitation on their lifestyle d) alter their daily living activities to accommodate new symptoms - answer-d) alter their daily living activities to accommodate new symptoms Patients with a permanent visual impairment: a) feel most comfortable with other visually impaired people b) may feel threatened when others make eye contact during a conversation c) usually need others to speak louder so they can communicate properly d) may experience the same grieving process that is associated with other losses - answer-d) may experience the same grieving process that is associated with other losses Presbyopia occurs in older adults because a) the eyeball elongates b) the lens becomes inflexible c) the corneal curve curvature becomes irregular d) light rays are focusing in front of the retina - answer-b) the lens becomes inflexible The nurse assess an older adult's living arrangements and care needs with the knowledge that elder abuse often occurs in situations in which: