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Care_of_The_Older_Adult_TEST_BANK.docx (1), Exams of Nursing

Utah Valley University (UVU)Nursing

A negative attitude towards aging and the aged is called: geriatrics racism ageism ethnocentrism Answer: C Which of the following is not considered a core competency for nurses caring for older adults? Analyze the impact of an aging society on the health care system Obtain certification in gerontological nursing Prevent or reduce common risk factors that contribute to functional decline Recognize one's own attitudes about aging

Typology: Exams

2023/2024

Available from 08/12/2023

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A negative attitude towards aging and the aged is called:

• geriatrics

• racism

• ageism

• ethnocentrism

Answer: C

Which of the following is not considered a core competency for nurses caring for older adults?

• Analyze the impact of an aging society on the health care system

• Obtain certification in gerontological nursing

• Prevent or reduce common risk factors that contribute to functional decline

• Recognize one's own attitudes about aging

Answer: B

The nurse wishes to obtain basic certification in the specialty of gerontological nursing. Which of the

following is true about this credential?

• there is an experience requirement

• one must pass an exam

• one must have a BSN

• a and b only

Answer: D

When the nurse reads an article and uses the findings of a study to improve the quality of the patients

for whom she cares, she is implementing the role of:

• teacher

• manager

• research consumer

• advocate

Answer: C

A lawyer wishes to hire a nurse consultant who has advanced education and certification in

gerontology. Based on their listed credentials, which of the following nurses best fits his wishes?

• Sally Smith, RN, BSN, BC

• Mary Malloy, RN, MS, GNP

• Andy Jones, LPN, CRRC

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A negative attitude towards aging and the aged is called:

geriatrics
racism
ageism
ethnocentrism Answer: C Which of the following is not considered a core competency for nurses caring for older adults?
Analyze the impact of an aging society on the health care system
Obtain certification in gerontological nursing
Prevent or reduce common risk factors that contribute to functional decline
Recognize one's own attitudes about aging Answer: B The nurse wishes to obtain basic certification in the specialty of gerontological nursing. Which of the following is true about this credential?
there is an experience requirement
one must pass an exam
one must have a BSN
a and b only Answer: D When the nurse reads an article and uses the findings of a study to improve the quality of the patients for whom she cares, she is implementing the role of:
teacher
manager
research consumer
advocate Answer: C A lawyer wishes to hire a nurse consultant who has advanced education and certification in gerontology. Based on their listed credentials, which of the following nurses best fits his wishes?
Sally Smith, RN, BSN, BC
Mary Malloy, RN, MS, GNP
Andy Jones, LPN, CRRC

Greg Reed, RN, MSN Answer: B The AACN/John A. Hartford Foundation Competencies are helpful to nurses because they:
offer suggestions about how to gain employment in geriatrics
provide a guideline for the knowledge that is expected to provide quality care to older adults
were designed to prepare nurses to pass the State Board Exam
were written for nurses working on a graduate degree in gerontology Answer: B The nurse has a question about the appropriateness of an older patient's medication dose. Which of the following professionals would be best qualified to answer such a question?
the geropsychologist
the geropharmacist
the financial gerontologist
the gerontological rehabilitation nurse Answer: B The health care professional who wants to gain experience in working with older adults who are post- acutely recovering from serious illness or injury, have challenging medical issues needing 24 hour per day nursing, but who cannot yet tolerate a full rehabilitation program may be best suited for employment in what setting:
acute care hospital
assisted living
rehabilitation
subacute care Answer: D Which of the following levels of care would be most appropriate for a healthy 84 year old man who can take care of himself, but wants to live in a place where he can socialize and have help available if needed?
a group foster home
a transitional care unit
an independent unit in a senior living complex

most older persons are cared for by their children
nearly a half million grandparents are raising their grandchildren Answer: D What best explains the lack of prepared, qualified health professionals to care for the aged?
a shortage of nursing faculty
medical programs not including gerontology content
not enough health professionals choosing gero as a specialty
the current nursing shortage Answer: C There were approximately 36 million Americans over the age of 65 years in 2000 and this number is expected to grow to 71 million by 2030
TRUE
FALSE Answer: A Over half of women over the age of 85 are widowed
TRUE
FALSE Answer: A There are more males in the population than females
TRUE
FALSE Answer: B Most centenarians (people over the age of 100 years) are White and female
TRUE
FALSE

Answer: A Minority elderly groups are growing and thus present unique challenges for nurses today

TRUE
FALSE Answer: A The majority of older persons live alone
TRUE
FALSE Answer: B Older women who live alone tend to be more from lower income groups than those who are married
TRUE
FALSE Answer: A Elderly Hispanics rate their overall health significantly higher than those from other ethnic groups
TRUE
FALSE Answer: B Older persons tend to die from acute illnesses more than chronic diseases
TRUE
FALSE Answer: B The major causes of death in the older age group are heart disease, AIDS, and tuberculosis
TRUE
FALSE

Answer: Heart disease, Cancer, Stroke The theory of aging that says that personality and coping patterns remain consistent through life is:

continuity
gerotranscendence
human needs
life course Answer: A Erikson's stages of personality development for a person that is 76 years old would be:
autonomy versus shame
integrity versus despair
generativity versus isolation
trust versus mistrust Answer: B A biological theory of aging that is based on random events that cause cellular damage versus genetically programmed events is called:
nonstochastic
Orgel / error
selective optimization
stochastic Answer: B A scientist who believes that people have a genetic programming that determines or predicts longevity is a supporter of which theory?
age stratification
cross-link
free radical
gene/biological Answer: D

When a Native American Indian elder goes out into the woods to die and the tribe does not search for him, but allows him to withdraw, this could be an example of:

activity theory
disengagement theory
subculture
person-environment fit Answer: B A 99 year old widow who has lived alone in her own home for 40 years experiences a fall and is sent by her children and grandchildren to a nursing home. The woman refuses to eat and exhibits signs and symptoms of depression and withdrawal. Which theory does this most describe?
functional consequences
theory of thriving
neuroedncorine
immunological Answer: B The physician tells his 81-year-old male patient that his health has deteriorated due to the exogenous sources of free radicals to which he has exposed himself for many years. To what is the physician most likely referring?
the ozone layer
the patient's cigarette smoking
the patient's alcohol consumption
radiation from the patient's microwave A n s w e r :

human needs theory (E) H. genetically programmed events cause cellular damage that lead to aging
functional consequences theory (J) I. failure to thrive is from discord in relationships
wear and tear theory (D) J. (Miller’s Theory) nurse’s role is risk reduction to enhance safety Which of the following visual changes is not usually associated with normal aging?
presbyopia
yellowing of the lens
night blindness
decreased accommodation Answer: C All of the following are considered IADLs (Instrumental Activities of Daily Living) except:
toileting
balancing the checkbook
using the phone
shopping Answer: A (this is considered an ADL) Old persons may have difficulty picking up their pills from a medicine cup because of:
macular degeneration
decreased touch sensation that comes with old age
peripheral neuropathy
all of the above Answer: D An older adult who complains of a dark spot in the center of the visual field is showing signs of:
cataracts
macular degeneration
acute glaucoma
diabetic retinopathy Answer: B An older adult who complains of seeing dark shadows around the center of the visual field is showing signs of:
cataracts

macular degeneration
glaucoma
diabetic retinopathy Answer: C An older adult who complains of blurry vision and has a bluish-white coating that can be seen on the lens is showing signs of:
cataracts
macular degeneration
acute glaucoma
diabetic retinopathy Answer: A Which of the following factors could contribute to an older person's inability to hear instructions given by the nurse?
cerumen impaction
nurse not facing the person when giving directions
loss of high frequency pitches
all of the above Answer: D The nurse is trying to take a history from a cooperative but fearful older person with mild dementia. Which of the following would be the most therapeutic strategy to use for this interaction?
sit calmly in a chair next to the person and ask questions in a non-threatening manner
ask loud, direct questions
have the person write down the information on the chart
ask the family member instead of the person Answer: A While speaking with a patient who is experiencing depression, which of the following strategies might be most helpful?
speaking very loudly since they are certainly hard of hearing
recording important information for them in a notebook to refer to later

Which of the following signs would you consider an abnormal finding for a 75 year old female?

blood pressure of 110/
Hct (hematocrit) of.
resting pulse of 80
urinary incontinence Answer: D A significant result of changes in the respiratory system with advanced age is:
lower carbon dioxide levels in the bloodstream
less useful oxygen available with each breath
more efficient gas exchange at the alveolar level
the ability to hold one's breath longer Answer: B One of the most significant changes in the reproductive system for older females who are sexually active is:
decreased vaginal lubrication
atrophy of uterus
decreased libido
lack of male partners Answer: A You are helping care for your 89 year old grandmother who is sick with "the flu". Her temperature is 101.2. What other information would be most useful to better assess your grandmother's condition?
what her temperature was yesterday
how long she has felt sick
what her usual temperature is
how much she ate today Answer: C Which of the following would be an abnormal finding in assessment of an 80 year old male?
decreased cardiac output
decreased stage IV sleep
loss of hearing of low frequency tones
age spots on the hands and face

Answer: C Which of the following changes in the skeletal system is least characteristic of normal aging?

decreased range of motion
loss of height up to 10 cm
chronic inflammation of joints
loss of some muscle mass Answer: C All of the following are intrinsic changes in the integumentary system except:
increased skin temperature
sagging and wrinkling
age spots
increased risk of bruising Answer: A Which of the following is true about normal aging changes in the GI system?
absorption of nutrients does not change with age
absorption of certain vitamins does change with age
small intestine transit rate is relatively unchanged with age
all of the above Answer: D Which of the following aging changes is most significant to renal efficiency?
loss of up to half of functioning nephrons
decreased cardiac output
nocturia
a and b Answer: D The aging eye shows all of the following changes except:
better ability to focus on near objects

Answer: D The nurse wishes to use a tool to help assess the functional status of the older residents in the nursing home where she works. Which of the following would be least appropriate for this purpose?

Katz index
MDS
Barthel Index
Gibson self-care scale Answer: D Which of the following is the best example of an open-ended question/statement that would promote verbalization from an older person?
tell me about your major problem today
do you have any complaints today?
are you having any major problems?
do you want to talk about your major complaint? Answer: Name four essential areas to address to promote communication as discussed in this chapter. Answer: Invite-respect, Environment, Understanding, Communication Changes in which of the following body systems are generally most noticeable to the naked eye?
respiratory
integumentary
gastrointestional
neurological Answer: The nurse working in rehabilitation would most likely see what measure used to evaluate progress of patients in rehabilitation?
Katz index
MDS
FIM
OASIS

Answer: C In assessing IADLs, the nurse will ask questions about all but which of the following patient activities?

cooking
shopping C. using the phone D. bathing Answer: D In assessing the circulatory system of an older adult, the nurse would recognize which of the following as abnormal?
resting pulse rate of 120
blood pressure of 118/
respirations of 26
a and c Answer: D When assessing the respiratory system of an older person, which of the following is the least essential to ask during history taking?
use of tobacco products
feelings of shortness of breath
exposure to environmental toxins
all are important to ask about Answer: D All of the following may contribute to an older patient complaining of constipation except…..
decreased thirst mechanism
changes in peristalsis with age
lack of fiber in diet
increased physical activity Answer: D 7) It is important to include sexuality in a comprehensive assessment of older persons because:
changes occur with normal aging that may impact performance

Answer: D Of the following lab results, which of the following is most desirable for a healthy older adult?

Total cholesterol of 300 mg/dl
LDL of 60 mg/dl
Triglycerides of 400 mg/dl
FBS of 235 Answer: B The nurse is administering medications in the nursing home to over 40 residents. Which of the following is not one of the five rights that she should check on each person?
right patient
right route
right time
right place Answer: D Which of the following lab results would alert the nurse to an abnormality in an older adult?
glucose = 100
albumin = 2.
TSH = 4.
blood culture = negative Answer: B The physician orders a peak and trough to be drawn on a patient receiving Vancomycin. The nurse correctly draws the peak:
when the highest level of medication is in the blood
when the lowest level of medication is in the blood
two minutes after the medication is given
three hours prior to the medication being given Answer: A

Which of the following normal aging changes affects the way medications are processed in the body of an older adult? a. decreased renal clearance

decreased cardiac output

impaired absorption in the gut
all of the above Answer: D Opioids are rarely prescribed for persons with dementia because of what adverse reaction?
dry mouth
sedation
confusion
constipation Answer: C Which of the following is true about the elderly and medications?
about 1/6 of all medications are for the elderly
medications may stay in the body longer
there is a decreased risk of side effects with aging
dosing should be the same for young and old adults Answer: B Polypharmacy is a significant problem for the elderly because:
the more medications one takes, the greater the risk of side effects
older persons are unable to take medications correctly
older adults are not accustomed to taking multiple medications
a and c only Answer: A Diphenhyrdramine (Benadryl) is not recommended for use in older adults because of:
confusion and severe anticholinergic effects
risk of seizures
prolonged half life
dosage problems