Test bank for Geri Exam 1 all |! |! |! |! |! |! |!
questions with precise |! |! |!
detailed solutions |!
Which of the following phenomena should the nurse take into account when
|! |! |! |! |! |! |! |! |! |! |! |!
planning for the future? |! |! |!
a. While life expectancy will continue to rise, the percentage of older adults
|! |! |! |! |! |! |! |! |! |! |! |! |!
in the United States relative to the overall population will decrease.
|! |! |! |! |! |! |! |! |! |!
b. By 2020, it is expected that over one-third of Americans will be over the
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
age of 65. |! |!
c. Both life expectancy and the percentage of people over 65 in the population
|! |! |! |! |! |! |! |! |! |! |! |! |!
will increase in coming decades.
|! |! |! |! |!
d. Chronic conditions, such as diabetes, are expected to bring a gradual
|! |! |! |! |! |! |! |! |! |! |! |!
decrease in the number of older adults by 2020. - Correct answer ✔c. Both
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
life expectancy and the percentage of people over 65 in the population will
|! |! |! |! |! |! |! |! |! |! |! |! |!
increase in coming decades. |! |! |!
The board of a large chain of hospitals has commissioned a strategic plan in
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
order to meet the care needs of baby boomers in coming years. Which of the
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
following trends constitute a sound basis for understanding the baby boomer
|! |! |! |! |! |! |! |! |! |! |!
generation and conducting future planning? Select all that apply. |! |! |! |! |! |! |! |!
a. Baby boomers tend to have fewer children than members of earlier
|! |! |! |! |! |! |! |! |! |! |! |!
generations. |!
b. Adjusted for inflation, baby boomers have lower incomes than their
|! |! |! |! |! |! |! |! |! |! |!
parents had. |! |!
,c. Due to technology, baby boomers have more leisure time than other adults.
|! |! |! |! |! |! |! |! |! |! |! |!
|!
d. Baby boomers perform physical exercise more frequently than older adults
|! |! |! |! |! |! |! |! |! |! |!
e. Baby boomers are more informed healthcare consumers than other older
|! |! |! |! |! |! |! |! |! |! |!
adults - Correct answer ✔a. Baby boomers tend to have fewer children than
|! |! |! |! |! |! |! |! |! |! |! |! |!
members of earlier generations. |! |! |! |!
d. Baby boomers perform physical exercise more frequently than older adults
|! |! |! |! |! |! |! |! |! |! |!
e. Baby boomers are more informed healthcare consumers than other older
|! |! |! |! |! |! |! |! |! |! |!
adults
A 78-year-old man has received a recent diagnosis of community-acquired
|! |! |! |! |! |! |! |! |! |!
pneumonia. Potential pathological findings on a recent chest x-ray have
|! |! |! |! |! |! |! |! |! |!
prompted his physician to order a bronchoscopy and lung function tests.
|! |! |! |! |! |! |! |! |! |! |!
Which of the following findings would be most likely suggestive of
|! |! |! |! |! |! |! |! |! |! |!
pathological processes rather than normal, age-related respiratory changes?
|! |! |! |! |! |! |!
a. The client has fewer cilia than would be found in a younger client.
|! |! |! |! |! |! |! |! |! |! |! |! |!
b. Lung function tests reveal that both maximum breathing and vital capacity
|! |! |! |! |! |! |! |! |! |! |! |!
are diminished since his last test.
|! |! |! |! |!
c. There is an accumulation of serous fluid between the lungs and the pleural
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
membrane.
d. The lungs are smaller than younger adults' and there are fewer alveoli. -
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔c. There is an accumulation of serous fluid between the
|! |! |! |! |! |! |! |! |! |! |! |!
lungs and the pleural membrane.
|! |! |! |!
An 80-year-old resident of an assisted living facility is proud of the fact that
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
he was an elite athlete during his younger years. Despite his concerted efforts
|! |! |! |! |! |! |! |! |! |! |! |! |!
to remain physically active and maintain his stamina, he is lamenting his loss
|! |! |! |! |! |! |! |! |! |! |! |!
, |! of exercise tolerance in recent years. How can his nurse best respond to these
|! |! |! |! |! |! |! |! |! |! |! |! |!
|! concerns?
a. "It's inevitable that your heart increases in size as you age, and this is
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
associated with a loss of cardiac efficiency." |! |! |! |! |! |!
b. "It's normal for your heart to contract less strongly as you age, and this
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
makes you somewhat less able to exercise vigorously."
|! |! |! |! |! |! |!
c. "As you age, it's common for your heart rate becomes less regular and this
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
often results in fatigue." |! |! |!
d. "The normal increase in blood pressure that accompanies aging leaves you
|! |! |! |! |! |! |! |! |! |! |! |!
with less cardiac reserve capacity than when you were young." - Correct
|! |! |! |! |! |! |! |! |! |! |! |!
answer ✔b. "It's normal for your heart to contract less strongly as you age,
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
and this makes you somewhat less able to exercise vigorously."
|! |! |! |! |! |! |! |! |!
Which of the following diagnostic and assessment findings from among the
|! |! |! |! |! |! |! |! |! |! |!
patients on a geriatric medical unit most warrants further investigation?
|! |! |! |! |! |! |! |! |!
a. An 81-year-old woman's glomerular filtration rate (GFR) is low.
|! |! |! |! |! |! |! |! |!
b. A 78-year-old male's stomach pH is increased.
|! |! |! |! |! |! |!
c. A 71-year-old male client's echocardiogram reveals slight left ventricular
|! |! |! |! |! |! |! |! |! |!
hypertrophy.
d. A 78-year-old man has recently developed urinary incontinence. - Correct
|! |! |! |! |! |! |! |! |! |! |!
answer ✔d. A 78-year-old man has recently developed urinary incontinence.
|! |! |! |! |! |! |! |! |!
Bone fractures are a serious risk to the elderly. Which of the following is a
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
contributing factor? |!
a. Diminished calcium absorption
|! |! |!
b. Shortening of the long bones in the lower extremities
|! |! |! |! |! |! |! |! |!
questions with precise |! |! |!
detailed solutions |!
Which of the following phenomena should the nurse take into account when
|! |! |! |! |! |! |! |! |! |! |! |!
planning for the future? |! |! |!
a. While life expectancy will continue to rise, the percentage of older adults
|! |! |! |! |! |! |! |! |! |! |! |! |!
in the United States relative to the overall population will decrease.
|! |! |! |! |! |! |! |! |! |!
b. By 2020, it is expected that over one-third of Americans will be over the
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
age of 65. |! |!
c. Both life expectancy and the percentage of people over 65 in the population
|! |! |! |! |! |! |! |! |! |! |! |! |!
will increase in coming decades.
|! |! |! |! |!
d. Chronic conditions, such as diabetes, are expected to bring a gradual
|! |! |! |! |! |! |! |! |! |! |! |!
decrease in the number of older adults by 2020. - Correct answer ✔c. Both
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
life expectancy and the percentage of people over 65 in the population will
|! |! |! |! |! |! |! |! |! |! |! |! |!
increase in coming decades. |! |! |!
The board of a large chain of hospitals has commissioned a strategic plan in
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
order to meet the care needs of baby boomers in coming years. Which of the
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
following trends constitute a sound basis for understanding the baby boomer
|! |! |! |! |! |! |! |! |! |! |!
generation and conducting future planning? Select all that apply. |! |! |! |! |! |! |! |!
a. Baby boomers tend to have fewer children than members of earlier
|! |! |! |! |! |! |! |! |! |! |! |!
generations. |!
b. Adjusted for inflation, baby boomers have lower incomes than their
|! |! |! |! |! |! |! |! |! |! |!
parents had. |! |!
,c. Due to technology, baby boomers have more leisure time than other adults.
|! |! |! |! |! |! |! |! |! |! |! |!
|!
d. Baby boomers perform physical exercise more frequently than older adults
|! |! |! |! |! |! |! |! |! |! |!
e. Baby boomers are more informed healthcare consumers than other older
|! |! |! |! |! |! |! |! |! |! |!
adults - Correct answer ✔a. Baby boomers tend to have fewer children than
|! |! |! |! |! |! |! |! |! |! |! |! |!
members of earlier generations. |! |! |! |!
d. Baby boomers perform physical exercise more frequently than older adults
|! |! |! |! |! |! |! |! |! |! |!
e. Baby boomers are more informed healthcare consumers than other older
|! |! |! |! |! |! |! |! |! |! |!
adults
A 78-year-old man has received a recent diagnosis of community-acquired
|! |! |! |! |! |! |! |! |! |!
pneumonia. Potential pathological findings on a recent chest x-ray have
|! |! |! |! |! |! |! |! |! |!
prompted his physician to order a bronchoscopy and lung function tests.
|! |! |! |! |! |! |! |! |! |! |!
Which of the following findings would be most likely suggestive of
|! |! |! |! |! |! |! |! |! |! |!
pathological processes rather than normal, age-related respiratory changes?
|! |! |! |! |! |! |!
a. The client has fewer cilia than would be found in a younger client.
|! |! |! |! |! |! |! |! |! |! |! |! |!
b. Lung function tests reveal that both maximum breathing and vital capacity
|! |! |! |! |! |! |! |! |! |! |! |!
are diminished since his last test.
|! |! |! |! |!
c. There is an accumulation of serous fluid between the lungs and the pleural
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
membrane.
d. The lungs are smaller than younger adults' and there are fewer alveoli. -
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔c. There is an accumulation of serous fluid between the
|! |! |! |! |! |! |! |! |! |! |! |!
lungs and the pleural membrane.
|! |! |! |!
An 80-year-old resident of an assisted living facility is proud of the fact that
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
he was an elite athlete during his younger years. Despite his concerted efforts
|! |! |! |! |! |! |! |! |! |! |! |! |!
to remain physically active and maintain his stamina, he is lamenting his loss
|! |! |! |! |! |! |! |! |! |! |! |!
, |! of exercise tolerance in recent years. How can his nurse best respond to these
|! |! |! |! |! |! |! |! |! |! |! |! |!
|! concerns?
a. "It's inevitable that your heart increases in size as you age, and this is
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
associated with a loss of cardiac efficiency." |! |! |! |! |! |!
b. "It's normal for your heart to contract less strongly as you age, and this
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
makes you somewhat less able to exercise vigorously."
|! |! |! |! |! |! |!
c. "As you age, it's common for your heart rate becomes less regular and this
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
often results in fatigue." |! |! |!
d. "The normal increase in blood pressure that accompanies aging leaves you
|! |! |! |! |! |! |! |! |! |! |! |!
with less cardiac reserve capacity than when you were young." - Correct
|! |! |! |! |! |! |! |! |! |! |! |!
answer ✔b. "It's normal for your heart to contract less strongly as you age,
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
and this makes you somewhat less able to exercise vigorously."
|! |! |! |! |! |! |! |! |!
Which of the following diagnostic and assessment findings from among the
|! |! |! |! |! |! |! |! |! |! |!
patients on a geriatric medical unit most warrants further investigation?
|! |! |! |! |! |! |! |! |!
a. An 81-year-old woman's glomerular filtration rate (GFR) is low.
|! |! |! |! |! |! |! |! |!
b. A 78-year-old male's stomach pH is increased.
|! |! |! |! |! |! |!
c. A 71-year-old male client's echocardiogram reveals slight left ventricular
|! |! |! |! |! |! |! |! |! |!
hypertrophy.
d. A 78-year-old man has recently developed urinary incontinence. - Correct
|! |! |! |! |! |! |! |! |! |! |!
answer ✔d. A 78-year-old man has recently developed urinary incontinence.
|! |! |! |! |! |! |! |! |!
Bone fractures are a serious risk to the elderly. Which of the following is a
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
contributing factor? |!
a. Diminished calcium absorption
|! |! |!
b. Shortening of the long bones in the lower extremities
|! |! |! |! |! |! |! |! |!
