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Gerontology Final Exam Study Guide Solutions

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Gerontology Final Exam Study Guide Solutions T or F: Aging does not affect our ability to learn. Older persons may learn differently, thinking things out or taking more time to process information - ANSWER-T T or F: When nurses conduct a health history on an older adult, more time is needed to answer questions - ANSWER-T Ageism - ANSWER-A stereotyping or discriminating against a person due to age T or F: Older adults are the smallest consumers of prescription and OTC medicatons - ANSWER-F - largest group When nurses care for the older adult, is more or less time needed for assignments and medication administration? - ANSWER-More time Why do nurses perform position changes slowly? - ANSWER-To prevent older adults from falling because of a decreased CV response to environmental stressors When nurses talk with an older adult, how should he/she sit? - ANSWER-It is best to sit at eye level and speak clearly and allow extra time to answer questions ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/21 T or F: When an older patient is climbing over the bed rail during the night shift, a nurse should begin by talking with the patient about behavior - ANSWER-T T or F: An increased immune response occurs as we age - ANSWER-F - decreased T or F: Age related changes can result in drug toxicities and increased adverse drug events - ANSWER-T What puts older adults at risk of dehydration? - ANSWER-Multiple physiological changes of aging When an older adult has a disease (ex. UTI), do they present with typical or atypical signs and symptoms - ANSWER-Atypical - no increased temp when have a UTI T or F: Older adults often respond the same to medications or treatments as adults do - ANSWER-F - differently What are some normal age related changes to the CV system? - ANSWER--Isolated systolic hypertension -Decreased exercise tolerance -Hypotension with rapid position changes -Thickening of the left ventricle wall -Decreased cardiac output ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/21 -Stiffening of the myocardium and blood vessel walls What are some normal age related changes to the MSK system that may increase falls? - ANSWER-- Gait changes -Decreased vision -Decreased joint ROM What are some common age related physical changes in older adults that affect digestion and food intake? - ANSWER--Decreased number of taste bud

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©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Gerontology Final Exam Study Guide

Solutions


T or F: Aging does not affect our ability to learn. Older persons may learn differently, thinking things out

or taking more time to process information - ANSWER✔✔-T


T or F: When nurses conduct a health history on an older adult, more time is needed to answer

questions - ANSWER✔✔-T


Ageism - ANSWER✔✔-A stereotyping or discriminating against a person due to age


T or F: Older adults are the smallest consumers of prescription and OTC medicatons - ANSWER✔✔-F -

largest group


When nurses care for the older adult, is more or less time needed for assignments and medication

administration? - ANSWER✔✔-More time


Why do nurses perform position changes slowly? - ANSWER✔✔-To prevent older adults from falling

because of a decreased CV response to environmental stressors


When nurses talk with an older adult, how should he/she sit? - ANSWER✔✔-It is best to sit at eye level

and speak clearly and allow extra time to answer questions

Page 1/21

, ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




T or F: When an older patient is climbing over the bed rail during the night shift, a nurse should begin by

talking with the patient about behavior - ANSWER✔✔-T


T or F: An increased immune response occurs as we age - ANSWER✔✔-F - decreased


T or F: Age related changes can result in drug toxicities and increased adverse drug events -

ANSWER✔✔-T


What puts older adults at risk of dehydration? - ANSWER✔✔-Multiple physiological changes of aging


When an older adult has a disease (ex. UTI), do they present with typical or atypical signs and symptoms

- ANSWER✔✔-Atypical - no increased temp when have a UTI


T or F: Older adults often respond the same to medications or treatments as adults do - ANSWER✔✔-F -

differently


What are some normal age related changes to the CV system? - ANSWER✔✔--Isolated systolic

hypertension


-Decreased exercise tolerance


-Hypotension with rapid position changes


-Thickening of the left ventricle wall


-Decreased cardiac output

Page 2/21

, ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




-Stiffening of the myocardium and blood vessel walls


What are some normal age related changes to the MSK system that may increase falls? - ANSWER✔✔--

Gait changes


-Decreased vision


-Decreased joint ROM


What are some common age related physical changes in older adults that affect digestion and food

intake? - ANSWER✔✔--Decreased number of taste buds


-A diminished sense of smell


-Reduction in saliva production


T or F: Pharmacokinetic property of absorption is affected by a decreased intestinal motility related to

the aging process - ANSWER✔✔-T


Which medications will have an increased risk of falling? - ANSWER✔✔-Alprazolam, zolpidem & seroquel


What is reduced drug elimination in the older adult a result of? - ANSWER✔✔-Decreased glomerular

filtration rate in the kidneys


What is a general principle of medication administration in the older adult when starting a new

medication? - ANSWER✔✔-Start low and go slow


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