©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Gerontological Nursing Exam 2 Questions and
Answers
In the US, most older adults die:
A. At home
B. In the hospital
C. In the nursing home
D. Other - Ans:✔✔-*B. In the hospital*
What percent of Medicare spending is spent on 5% of older adults during the last year of life? - Ans:✔✔-
25% of Medicare spending
Informed consent - Ans:✔✔-The process by which competent individuals are provided with information
that enables them to make a reasonable decision about any treatment or intervention that is to be
performed on them
-Applies to the decision-making capability of those that are competent to make a decision
Page 1/56
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What does the right to self determination include? - Ans:✔✔-*Covers all decisions about one's care and
treatment, including:*
-Removal of life support or life-sustaining treatments
-Life-prolonging or lifesaving measures
Right to self determination: Competence - Ans:✔✔-Refers to the ability to understand proposed
treatments/ procedures enough to be able to make an informed decision
Advance Medical Directives (AMDs) - Ans:✔✔-Documents that permit people to set forth in writing their
wishes and preferences regarding health care
-States wishes and preferences for future care that healthcare professionals can follow
-Can appoint a surrogate decision maker
When are advance medical directives active? - Ans:✔✔-Not operational until the person is *no longer
able to speak for themselves*
T/F: If you are under the age of 25, your surrogate decision maker (DPOA-HC) is automatically your
parents if you are unable to speak for yourself - Ans:✔✔-FALSE
Durable Power of Attorney for Health Care (AKA Medical Power of Attorney) - Ans:✔✔-Legal document
that designates an individual (health care agent or proxy) to make medical decisions for you in the event
that you are unable to do so
Page 2/56
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
*Different from a power of attorney authorizing someone to make financial transactions for you*
Living will - Ans:✔✔-Legal document
*Has vague terminology* ("terminal illness", "pervasive vegetative state")
-References future events
Do not require involvement of appointed surrogate decision maker-POA-HC
*Not available at time of healthcare crisis*
T/F if a patient has a DNR order on file, that means they do no want any further treatment - Ans:✔✔-
FALSE
DNR orders - Ans:✔✔-Do not resuscitate *does NOT mean do not treat*
-Facility specific
-Does not advise on how to treat a patient that has a pulse and is breathing
*Out of hospital DNR*- not honored by EMS
*Limited for pediatric patients*
Dignified death - Ans:✔✔--A good death
-Dying well
Page 3/56
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-Natural part of life
-Opportunity for growth
-A profoundly personal experience
-Different for every individual
Aspects of Quality of Life - Ans:✔✔-Physical
Social
Psychological
Spiritual
Physical aspects of Quality of Life - Ans:✔✔-Functional Ability
Strength/Fatigue
Sleep & rest
Nausea
Appetite
Constipation
Page 4/56
FIRST PUBLISH OCTOBER 2024
Gerontological Nursing Exam 2 Questions and
Answers
In the US, most older adults die:
A. At home
B. In the hospital
C. In the nursing home
D. Other - Ans:✔✔-*B. In the hospital*
What percent of Medicare spending is spent on 5% of older adults during the last year of life? - Ans:✔✔-
25% of Medicare spending
Informed consent - Ans:✔✔-The process by which competent individuals are provided with information
that enables them to make a reasonable decision about any treatment or intervention that is to be
performed on them
-Applies to the decision-making capability of those that are competent to make a decision
Page 1/56
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What does the right to self determination include? - Ans:✔✔-*Covers all decisions about one's care and
treatment, including:*
-Removal of life support or life-sustaining treatments
-Life-prolonging or lifesaving measures
Right to self determination: Competence - Ans:✔✔-Refers to the ability to understand proposed
treatments/ procedures enough to be able to make an informed decision
Advance Medical Directives (AMDs) - Ans:✔✔-Documents that permit people to set forth in writing their
wishes and preferences regarding health care
-States wishes and preferences for future care that healthcare professionals can follow
-Can appoint a surrogate decision maker
When are advance medical directives active? - Ans:✔✔-Not operational until the person is *no longer
able to speak for themselves*
T/F: If you are under the age of 25, your surrogate decision maker (DPOA-HC) is automatically your
parents if you are unable to speak for yourself - Ans:✔✔-FALSE
Durable Power of Attorney for Health Care (AKA Medical Power of Attorney) - Ans:✔✔-Legal document
that designates an individual (health care agent or proxy) to make medical decisions for you in the event
that you are unable to do so
Page 2/56
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
*Different from a power of attorney authorizing someone to make financial transactions for you*
Living will - Ans:✔✔-Legal document
*Has vague terminology* ("terminal illness", "pervasive vegetative state")
-References future events
Do not require involvement of appointed surrogate decision maker-POA-HC
*Not available at time of healthcare crisis*
T/F if a patient has a DNR order on file, that means they do no want any further treatment - Ans:✔✔-
FALSE
DNR orders - Ans:✔✔-Do not resuscitate *does NOT mean do not treat*
-Facility specific
-Does not advise on how to treat a patient that has a pulse and is breathing
*Out of hospital DNR*- not honored by EMS
*Limited for pediatric patients*
Dignified death - Ans:✔✔--A good death
-Dying well
Page 3/56
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-Natural part of life
-Opportunity for growth
-A profoundly personal experience
-Different for every individual
Aspects of Quality of Life - Ans:✔✔-Physical
Social
Psychological
Spiritual
Physical aspects of Quality of Life - Ans:✔✔-Functional Ability
Strength/Fatigue
Sleep & rest
Nausea
Appetite
Constipation
Page 4/56
