FINAL EXAM REVIEW FOR CARE OF THE OLDER ADULT
QUESTIONS AND ANSWERS | CARE OF THE OLDER ADULT
FINAL EXAM STUDY GUIDE & PRACTICE TEST 2026/2027
is the following statement true or false?
After the establishment of Medicare and Medicaid in 1965 few new models of care emerged to address
diverse health care needs of older adults - correct answer ✔✔False
is the following statement true or false?
Subacute care for elders units address the complex needs of hospitalized older adults through
multidisciplinary assessments and interventions - correct answer ✔✔False
What setting provides a combination of skilled nursing for short term post hospital residents and
intermediate care services for long term reidents
A. Acute care for elders
B. Subacute care unit
C. Hospital at home
D. Nursing home - correct answer ✔✔nursing homes
is the following statement true or false?
skilled home care services provide long term skilled nursing or rehabilitative services for homebound
people who meet specific criteria. - correct answer ✔✔False
What model of care is focused on the coordination and continuity of care as individuals transfers
between locations of care within the same care facility
A. Evercare
B. Transitional care
C. Geriatric care management
D. Case management services - correct answer ✔✔transitional care
which statement is true about age-related changes affecting the action of medications in the older adult
A. Renal changes may affect the concentrations of medications in the body
B. Liver metabolism of medications is increased in older adults
C. Water-soluble substances have a less intense effect in the older adult
D. Fat-soluble substances may have a decreased duration of action - correct answer ✔✔Renal changes
may affect the concentrations of medications in the body
Which risk factor may have negative effect on bioactive substances as the older adult
A. Appropriate prescribing practices
B. Increased prevalence of chronic conditions
C. Knowledge of medications
D. Avoidance of over-the-counter preparations - correct answer ✔✔increased prevalence of chronic
conditions
, which medication is inappropriate for use in the older adult population according to Beers criteria
A. Nonsteroidal anti-inflammatory drugs
B. Anticonvulsants
C. Opioid analgesics
D. Anticholinergic drugs - correct answer ✔✔Anticholinergic drugs
Mrs. N is prescribed a complex medication regiment for the chronic condition of diabetes mellitus. In
addition to the prescribed regimen, another factor for non adherence may include:
A. Living with her daughter
B. Knowledge of the medications
C. Adverse effects of the medication
D. Cognitive wellness - correct answer ✔✔Adverse effects of the medications
which mechanism may affect medications by altering absorption in the stomach
A. Increased transit time
B. Competitive binding of molecules
C. Increased stomach secretions
D. Decreased time to reach peak serum levels - correct answer ✔✔competitive binding of molecules
Tardive dyskinesia has developed in an 88 year old patient being cared for in long term care setting. The
nurse evaluates the medications knowing that which of the following may cause tar dive dyskinesia?
A. Lorazepam
B. Haloperidol
C. Morphine sulfate
D. Chloroquinine - correct answer ✔✔Antipsychotics such as Haloperidol and thioridazine
Describe autonomy - correct answer ✔✔personal freedom to direct ones own life if it does not infringe
on others rights
Decision- making capacity is best determined based on which criteria?
A. Medical diagnosis on admission
B. Chronologic age
C. Ability to understand pertinent issues
D. Feelings of the surrogate - correct answer ✔✔ability to understand pertinent issues
Which is a limitation of a living will
A. It allows a surrogate to make health care decisions
B. It is not a legal document
C. It applies only to the end of life or terminal illness
D. It cannot be revoked - correct answer ✔✔It applies only to the end of life or terminal illness
how can a nurse support family focused decisions related to care for the client with advanced directives
in place? (select all that apply)
A.Providing accurate information on rights and statutes
B.Addressing questions about care options
C.Listening to the needs and concerns of all involved
D.Attending to concerns about treatment options and end-of-life care
E.Deferring to the primary care providers when decision making is required - correct answer ✔✔A,B,C,D
QUESTIONS AND ANSWERS | CARE OF THE OLDER ADULT
FINAL EXAM STUDY GUIDE & PRACTICE TEST 2026/2027
is the following statement true or false?
After the establishment of Medicare and Medicaid in 1965 few new models of care emerged to address
diverse health care needs of older adults - correct answer ✔✔False
is the following statement true or false?
Subacute care for elders units address the complex needs of hospitalized older adults through
multidisciplinary assessments and interventions - correct answer ✔✔False
What setting provides a combination of skilled nursing for short term post hospital residents and
intermediate care services for long term reidents
A. Acute care for elders
B. Subacute care unit
C. Hospital at home
D. Nursing home - correct answer ✔✔nursing homes
is the following statement true or false?
skilled home care services provide long term skilled nursing or rehabilitative services for homebound
people who meet specific criteria. - correct answer ✔✔False
What model of care is focused on the coordination and continuity of care as individuals transfers
between locations of care within the same care facility
A. Evercare
B. Transitional care
C. Geriatric care management
D. Case management services - correct answer ✔✔transitional care
which statement is true about age-related changes affecting the action of medications in the older adult
A. Renal changes may affect the concentrations of medications in the body
B. Liver metabolism of medications is increased in older adults
C. Water-soluble substances have a less intense effect in the older adult
D. Fat-soluble substances may have a decreased duration of action - correct answer ✔✔Renal changes
may affect the concentrations of medications in the body
Which risk factor may have negative effect on bioactive substances as the older adult
A. Appropriate prescribing practices
B. Increased prevalence of chronic conditions
C. Knowledge of medications
D. Avoidance of over-the-counter preparations - correct answer ✔✔increased prevalence of chronic
conditions
, which medication is inappropriate for use in the older adult population according to Beers criteria
A. Nonsteroidal anti-inflammatory drugs
B. Anticonvulsants
C. Opioid analgesics
D. Anticholinergic drugs - correct answer ✔✔Anticholinergic drugs
Mrs. N is prescribed a complex medication regiment for the chronic condition of diabetes mellitus. In
addition to the prescribed regimen, another factor for non adherence may include:
A. Living with her daughter
B. Knowledge of the medications
C. Adverse effects of the medication
D. Cognitive wellness - correct answer ✔✔Adverse effects of the medications
which mechanism may affect medications by altering absorption in the stomach
A. Increased transit time
B. Competitive binding of molecules
C. Increased stomach secretions
D. Decreased time to reach peak serum levels - correct answer ✔✔competitive binding of molecules
Tardive dyskinesia has developed in an 88 year old patient being cared for in long term care setting. The
nurse evaluates the medications knowing that which of the following may cause tar dive dyskinesia?
A. Lorazepam
B. Haloperidol
C. Morphine sulfate
D. Chloroquinine - correct answer ✔✔Antipsychotics such as Haloperidol and thioridazine
Describe autonomy - correct answer ✔✔personal freedom to direct ones own life if it does not infringe
on others rights
Decision- making capacity is best determined based on which criteria?
A. Medical diagnosis on admission
B. Chronologic age
C. Ability to understand pertinent issues
D. Feelings of the surrogate - correct answer ✔✔ability to understand pertinent issues
Which is a limitation of a living will
A. It allows a surrogate to make health care decisions
B. It is not a legal document
C. It applies only to the end of life or terminal illness
D. It cannot be revoked - correct answer ✔✔It applies only to the end of life or terminal illness
how can a nurse support family focused decisions related to care for the client with advanced directives
in place? (select all that apply)
A.Providing accurate information on rights and statutes
B.Addressing questions about care options
C.Listening to the needs and concerns of all involved
D.Attending to concerns about treatment options and end-of-life care
E.Deferring to the primary care providers when decision making is required - correct answer ✔✔A,B,C,D
