ANCC Gero Review Questions
Study online at https://quizlet.com/_5x8xcv
1. When an older patient is hospitalized, B. Medicare A
Medicare reimburses for this inpatient
care by which of the following mecha-
nisms?
A. Medicare B
B. Medicare A
C. Medicare D
D. Medigap
2. Gerontological nurses are expected to A. Randomized control clinical trial
evaluate research to implement evi-
dence-based practice. Which of the fol- A randomized clinical trial is considered the "gold
lowing studies provides the strongest standard" and the highest level of research ev-
evidence to change practice? idence. The randomized design eliminates se-
lection bias, and the control and experimental
A. Randomized control clinical trial groups provide evidence that any differences in
B. Qualitative phenomenological outcomes at the end of the study are due to the
study study intervention and not chance. phenomeno-
C. In-depth case study logical qualitative study and a case study enable
D. Cohort study understanding of one person's "lived experience"
which may or may not be typical of others. Out-
comes 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
3. The landmark Institute of Medicine D. Nurses should practice to the full extent of their
(IOM) report entitled "The Future of education and training
Nursing" advances which of the follow-
ing positions? Nurses should be full partners with other pro-
fessionals when redesigning the healthcare sys-
, ANCC Gero Review Questions
Study online at https://quizlet.com/_5x8xcv
A. Nursing faculty will be required to tem, nurses should achieve higher levels of edu-
pursue postdoctoral training cation and have opportunities for seamless acad-
B. Nursing curriculum will require ad- emic progression, and nurses should participate
vanced aging content in effective workforce planning and policy-making
C. Physicians will no longer be allowed with a better data collection and information in-
to direct care in long-term-care facili- frastructure
ties
D. Nurses should practice to the full
extent of their education and training
4. The biggest risk factor for developing a c. age
cognitive impairment is:
Cognitive impairments become more common
A. socioeconomic status with advanced age across all categories of older
B. poor nutrition people
C. age
D. female gender
5. A 76 year old woman presents at an C. vascular dementia
ambulatory clinic. About 2 weeks ago,
she had difficulty finding words, felt Is associated with sudden acute events, such
weak, and noticed her right hand felt as transient ischemic attacks or small strokes.
numb for several hours. Although she Clinically, older patients suffering from vascular
has recovered most of her function, events will have sudden-onset presentation of
she continues to have difficulty with their symptoms rather than slow, insidious onset
her short-term memory. The most like-
ly cause of these symptoms
A. Alzheimer's disease
B. organic delusional syndrome
C. vascular dementia
D. acute depressive syndrome
, ANCC Gero Review Questions
Study online at https://quizlet.com/_5x8xcv
6. An 85-year-old woman with advanced B. Autonomy
cancer asks the nurse, "what is wrong
with me? My doctor won't tell me any- By telling the patient the truth about the cancer
thing. The chemotherapy is making me diagnosis, the nurse is supporting autonomy by
sick and if I knew it wasn't helping, I providing information that supports self-deter-
would stop taking it." The nurse de- mination. Justice involves treating patients fairly,
cides to tell the patient the truth. Which nonmaleficence involves doing no harm, and fi-
ethical principle is the nurse uphold- delity involves faithful performance of duties and
ing? obligation to meet the needs of patients
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
7. Higher RN staffing levels in C. lower rates of decubitus ulcers
long-term-care settings are known to
be associated with which of the follow- Based on a study published by AARP,
ing factors? long-term-care facilities with higher RN staffing
levels have higher quality indicators, includ-
A. lower costs to the facility ing lower rates of decubitus ulcers, indwelling
B. higher fall rates catheter use, and patient mortality
C. lower rates of decubitus ulcers
D. more medication use
8. The process of gerontological nursing A. formal process to validate clinical competence
certification by the American Nurses in a speciality area of practice
Credentialing Center is best described
as a(n) Certification is a voluntary process that occurs
when a nurse passes an examination developed
A. formal process to validate clinical by experts in the field, assuring the public and
competence in a speciality area of prac- other healthcare professionals that the nurse pos-
tice
, ANCC Gero Review Questions
Study online at https://quizlet.com/_5x8xcv
B. formal process to obtain a nursing sesses knowledge of speciality content in a given
license area
C. informal process necessary for those
considering graduate study
D. requirement only for those working
in a long-term care
9. Mrs. Jones is a 78-year-old female with B. neuropathic
a history of severe degenerative arthri-
tis of her lower back. She suffers from Mrs. Jones is a typical of the older client with
chronic pain much of time, rated be- chronic nonmalignant pain from inflammation of
tween 4 and 6 on a 1-10 scale. She one or several spinal nerves. Her pain medication
describes the pain as burning and tin- regimen include an anticonvulsant and a nonopi-
gling. Over the past few months, she ate analgesic
has been on a variety of analgesics
without much effect on her pain. Her
current regimen includes tramadol 50
mg twice daily and gabapentin 300 mg
at bedtime. She states that she sleeps
well and that, for the most part, this
regimen works better than previous
ones that included hydrocodone. This
scenario describes which of the follow-
ing categories of pain?
A. nociceptive
B. neuropathic
C. visceral
D. unspecified
10. An 80-year old man reports to his nurse D. benign prostatic hypertrophy
that he is having trouble initiating the
Study online at https://quizlet.com/_5x8xcv
1. When an older patient is hospitalized, B. Medicare A
Medicare reimburses for this inpatient
care by which of the following mecha-
nisms?
A. Medicare B
B. Medicare A
C. Medicare D
D. Medigap
2. Gerontological nurses are expected to A. Randomized control clinical trial
evaluate research to implement evi-
dence-based practice. Which of the fol- A randomized clinical trial is considered the "gold
lowing studies provides the strongest standard" and the highest level of research ev-
evidence to change practice? idence. The randomized design eliminates se-
lection bias, and the control and experimental
A. Randomized control clinical trial groups provide evidence that any differences in
B. Qualitative phenomenological outcomes at the end of the study are due to the
study study intervention and not chance. phenomeno-
C. In-depth case study logical qualitative study and a case study enable
D. Cohort study understanding of one person's "lived experience"
which may or may not be typical of others. Out-
comes 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
3. The landmark Institute of Medicine D. Nurses should practice to the full extent of their
(IOM) report entitled "The Future of education and training
Nursing" advances which of the follow-
ing positions? Nurses should be full partners with other pro-
fessionals when redesigning the healthcare sys-
, ANCC Gero Review Questions
Study online at https://quizlet.com/_5x8xcv
A. Nursing faculty will be required to tem, nurses should achieve higher levels of edu-
pursue postdoctoral training cation and have opportunities for seamless acad-
B. Nursing curriculum will require ad- emic progression, and nurses should participate
vanced aging content in effective workforce planning and policy-making
C. Physicians will no longer be allowed with a better data collection and information in-
to direct care in long-term-care facili- frastructure
ties
D. Nurses should practice to the full
extent of their education and training
4. The biggest risk factor for developing a c. age
cognitive impairment is:
Cognitive impairments become more common
A. socioeconomic status with advanced age across all categories of older
B. poor nutrition people
C. age
D. female gender
5. A 76 year old woman presents at an C. vascular dementia
ambulatory clinic. About 2 weeks ago,
she had difficulty finding words, felt Is associated with sudden acute events, such
weak, and noticed her right hand felt as transient ischemic attacks or small strokes.
numb for several hours. Although she Clinically, older patients suffering from vascular
has recovered most of her function, events will have sudden-onset presentation of
she continues to have difficulty with their symptoms rather than slow, insidious onset
her short-term memory. The most like-
ly cause of these symptoms
A. Alzheimer's disease
B. organic delusional syndrome
C. vascular dementia
D. acute depressive syndrome
, ANCC Gero Review Questions
Study online at https://quizlet.com/_5x8xcv
6. An 85-year-old woman with advanced B. Autonomy
cancer asks the nurse, "what is wrong
with me? My doctor won't tell me any- By telling the patient the truth about the cancer
thing. The chemotherapy is making me diagnosis, the nurse is supporting autonomy by
sick and if I knew it wasn't helping, I providing information that supports self-deter-
would stop taking it." The nurse de- mination. Justice involves treating patients fairly,
cides to tell the patient the truth. Which nonmaleficence involves doing no harm, and fi-
ethical principle is the nurse uphold- delity involves faithful performance of duties and
ing? obligation to meet the needs of patients
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
7. Higher RN staffing levels in C. lower rates of decubitus ulcers
long-term-care settings are known to
be associated with which of the follow- Based on a study published by AARP,
ing factors? long-term-care facilities with higher RN staffing
levels have higher quality indicators, includ-
A. lower costs to the facility ing lower rates of decubitus ulcers, indwelling
B. higher fall rates catheter use, and patient mortality
C. lower rates of decubitus ulcers
D. more medication use
8. The process of gerontological nursing A. formal process to validate clinical competence
certification by the American Nurses in a speciality area of practice
Credentialing Center is best described
as a(n) Certification is a voluntary process that occurs
when a nurse passes an examination developed
A. formal process to validate clinical by experts in the field, assuring the public and
competence in a speciality area of prac- other healthcare professionals that the nurse pos-
tice
, ANCC Gero Review Questions
Study online at https://quizlet.com/_5x8xcv
B. formal process to obtain a nursing sesses knowledge of speciality content in a given
license area
C. informal process necessary for those
considering graduate study
D. requirement only for those working
in a long-term care
9. Mrs. Jones is a 78-year-old female with B. neuropathic
a history of severe degenerative arthri-
tis of her lower back. She suffers from Mrs. Jones is a typical of the older client with
chronic pain much of time, rated be- chronic nonmalignant pain from inflammation of
tween 4 and 6 on a 1-10 scale. She one or several spinal nerves. Her pain medication
describes the pain as burning and tin- regimen include an anticonvulsant and a nonopi-
gling. Over the past few months, she ate analgesic
has been on a variety of analgesics
without much effect on her pain. Her
current regimen includes tramadol 50
mg twice daily and gabapentin 300 mg
at bedtime. She states that she sleeps
well and that, for the most part, this
regimen works better than previous
ones that included hydrocodone. This
scenario describes which of the follow-
ing categories of pain?
A. nociceptive
B. neuropathic
C. visceral
D. unspecified
10. An 80-year old man reports to his nurse D. benign prostatic hypertrophy
that he is having trouble initiating the
