ANCC GERO REVIEW QUESTIONS AND
ANSWERS 100% CORRECT.
,When an older patient is hospitalized, Medicare reimburses for this inpatient care by
which of the following mechanisms?
A. Medicare B
B. Medicare A
C. Medicare D
D. Medigap - ANSWERB. Medicare A
Gerontological nurses are expected to evaluate research to implement evidence-based
practice. Which of the following studies provides the strongest evidence to change
practice?
A. Randomized control clinical trial
B. Qualitative phenomenological study
C. In-depth case study
D. Cohort study - ANSWERA. Randomized control clinical trial
A randomized clinical trial is considered the "gold standard" and the highest level of
research evidence. The randomized design eliminates selection bias, and the control
and experimental groups provide evidence that any differences in outcomes at the end
of the study are due to the study intervention and not chance. phenomenological
qualitative study and a case study enable understanding of one person's "lived
experience" which may or may not be typical of others. Outcomes from a cohort study
may reflect differences in age groups found as a result of historical events and not
necessarily changes as a result of research interventions
The landmark Institute of Medicine (IOM) report entitled "The Future of Nursing"
advances which of the following positions?
A. Nursing faculty will be required to pursue postdoctoral training
B. Nursing curriculum will require advanced aging content
C. Physicians will no longer be allowed to direct care in long-term-care facilities
D. Nurses should practice to the full extent of their education and training - ANSWERD.
Nurses should practice to the full extent of their education and training
Nurses should be full partners with other professionals when redesigning the healthcare
system, nurses should achieve higher levels of education and have opportunities for
seamless academic progression, and nurses should participate in effective workforce
planning and policy-making with a better data collection and information infrastructure
The biggest risk factor for developing a cognitive impairment is:
A. socioeconomic status
, B. poor nutrition
C. age
D. female gender - ANSWERc. age
Cognitive impairments become more common with advanced age across all categories
of older people
A 76 year old woman presents at an ambulatory clinic. About 2 weeks ago, she had
difficulty finding words, felt weak, and noticed her right hand felt numb for several hours.
Although she has recovered most of her function, she continues to have difficulty with
her short-term memory. The most likely cause of these symptoms
A. Alzheimer's disease
B. organic delusional syndrome
C. vascular dementia
D. acute depressive syndrome - ANSWERC. vascular dementia
Is associated with sudden acute events, such as transient ischemic attacks or small
strokes. Clinically, older patients suffering from vascular events will have sudden-onset
presentation of their symptoms rather than slow, insidious onset
An 85-year-old woman with advanced cancer asks the nurse, "what is wrong with me?
My doctor won't tell me anything. The chemotherapy is making me sick and if I knew it
wasn't helping, I would stop taking it." The nurse decides to tell the patient the truth.
Which ethical principle is the nurse upholding?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWERB. Autonomy
By telling the patient the truth about the cancer diagnosis, the nurse is supporting
autonomy by providing information that supports self-determination. Justice involves
treating patients fairly, nonmaleficence involves doing no harm, and fidelity involves
faithful performance of duties and obligation to meet the needs of patients
Higher RN staffing levels in long-term-care settings are known to be associated with
which of the following factors?
A. lower costs to the facility
B. higher fall rates
C. lower rates of decubitus ulcers
D. more medication use - ANSWERC. lower rates of decubitus ulcers
ANSWERS 100% CORRECT.
,When an older patient is hospitalized, Medicare reimburses for this inpatient care by
which of the following mechanisms?
A. Medicare B
B. Medicare A
C. Medicare D
D. Medigap - ANSWERB. Medicare A
Gerontological nurses are expected to evaluate research to implement evidence-based
practice. Which of the following studies provides the strongest evidence to change
practice?
A. Randomized control clinical trial
B. Qualitative phenomenological study
C. In-depth case study
D. Cohort study - ANSWERA. Randomized control clinical trial
A randomized clinical trial is considered the "gold standard" and the highest level of
research evidence. The randomized design eliminates selection bias, and the control
and experimental groups provide evidence that any differences in outcomes at the end
of the study are due to the study intervention and not chance. phenomenological
qualitative study and a case study enable understanding of one person's "lived
experience" which may or may not be typical of others. Outcomes from a cohort study
may reflect differences in age groups found as a result of historical events and not
necessarily changes as a result of research interventions
The landmark Institute of Medicine (IOM) report entitled "The Future of Nursing"
advances which of the following positions?
A. Nursing faculty will be required to pursue postdoctoral training
B. Nursing curriculum will require advanced aging content
C. Physicians will no longer be allowed to direct care in long-term-care facilities
D. Nurses should practice to the full extent of their education and training - ANSWERD.
Nurses should practice to the full extent of their education and training
Nurses should be full partners with other professionals when redesigning the healthcare
system, nurses should achieve higher levels of education and have opportunities for
seamless academic progression, and nurses should participate in effective workforce
planning and policy-making with a better data collection and information infrastructure
The biggest risk factor for developing a cognitive impairment is:
A. socioeconomic status
, B. poor nutrition
C. age
D. female gender - ANSWERc. age
Cognitive impairments become more common with advanced age across all categories
of older people
A 76 year old woman presents at an ambulatory clinic. About 2 weeks ago, she had
difficulty finding words, felt weak, and noticed her right hand felt numb for several hours.
Although she has recovered most of her function, she continues to have difficulty with
her short-term memory. The most likely cause of these symptoms
A. Alzheimer's disease
B. organic delusional syndrome
C. vascular dementia
D. acute depressive syndrome - ANSWERC. vascular dementia
Is associated with sudden acute events, such as transient ischemic attacks or small
strokes. Clinically, older patients suffering from vascular events will have sudden-onset
presentation of their symptoms rather than slow, insidious onset
An 85-year-old woman with advanced cancer asks the nurse, "what is wrong with me?
My doctor won't tell me anything. The chemotherapy is making me sick and if I knew it
wasn't helping, I would stop taking it." The nurse decides to tell the patient the truth.
Which ethical principle is the nurse upholding?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWERB. Autonomy
By telling the patient the truth about the cancer diagnosis, the nurse is supporting
autonomy by providing information that supports self-determination. Justice involves
treating patients fairly, nonmaleficence involves doing no harm, and fidelity involves
faithful performance of duties and obligation to meet the needs of patients
Higher RN staffing levels in long-term-care settings are known to be associated with
which of the following factors?
A. lower costs to the facility
B. higher fall rates
C. lower rates of decubitus ulcers
D. more medication use - ANSWERC. lower rates of decubitus ulcers
