Gerontology
Self-Study Examination
Instructions: After studying the text answer the following true/false or multiple choice questions. Remember, there's only one answer to each question.
a) 60-64 b) 65-74 c) 75-84 d) 85-100
a) They enjoy good health. b) They have multiple chronic illnesses. c) They rate their health as poor. d) They live in nursing homes.
a) encouraging older adults to ask for assistance to meet their personal needs and to provide home repairs. b) assessing alterations in capabilities and teaching needed about nutrition, safety, and teaching needed about nutrition, safety, and exercise information. c) assessing symptoms of medical problems and reviewing medical interventions. d) providing sensitive responsive nursing care during hospitalization of any older adult.
a) the number and severity of medical conditions the older adult has. b) the number and frequency of medications the older adult takes. c) the personal perspective of the older adult regarding his/her life satisfaction. d) the ability of the older adult to perform activities of daily living and instrumental activities of daily living.
a) Exercise routine, proper nutrition, peer support, and coping mechanisms. b) Proper nutrition, peer support, patience, and problem-solving skills. c) Exercise routine, patience, social activities, and problem-solving skills. d) Coping mechanisms, social activities, medical care, and exercise routine.
a) financial barriers b) strong self-motivation. c) strong capacity for change. d) good sense of humor.
a) Activity theory b) Disengagement theory c) Continuity theory d) Play theory
a) enhance quality of life for older adults by increasing their social support. b) cure medical problems experienced by older adults by providing information about their medical problems. c) assist older adults to maintain independence by connecting them with agencies in the community that will help them. d) prevent or delay onset of physical, functional, and social deficits in older adults.
a) Palpation b) Percussion c) Ausculation d) Observation
a) Verbal communication b) Nonverbal communication c) Noncongruent communication d) Active listening
a) Put pressure on the older adult to be truthful. b) Allow the older adult time to collect her thoughts. c) Allow herself time to think up her next question. d) Give the older adult's family a chance to join the conversation.
a) You hid your illness and allowed yourself to become very ill. b) I'm sure you hid your illness because you thought you would get better. c) You didn't want to be a bother? d) Did I understand you to say that you weren't feeling well?
a) Cataracts b) Arcus senilis c) Macular degeneration d) Presbyopia
a) Incontinence is a normal consequence of aging. b) Decrease in bladder capacity can cause urinary frequency. c) Benign prostatic hypertrophy causes frequency and retention. d) Dilute urine is a normal consequence of aging.
a) Reflexes b) Intelligence c) Creativity d) Problem solving
a) death of a spouse. b) death of best friend (same sex). c) move to retirement community. d) retirement from job of 30 years.
a) Nightingale Pledge b) International Code of Nursing Ethics c) American Nurses Association Code for Nurses d) Code of Nursing Behavior
a) Utilitarianism b) Deontology c) Natural law d) Ethical egoism
a) Autonomy b) Beneficence c) Paternalism d) Veracity
a) tell the client's family. b) chart the information. c) tell the doctor. d) not tell anyone.
a) tell the physician the client doesn't want to know her diagnosis. b) tell the physician the client refuses treatment and is embarrassed to discuss her condition. c) tell the physician that in the client's culture the family would make medical decisions. d) tell the physician that the client does not know her diagnosis or treatment options.
a) A Living Will b) A health care proxy c) A do-not-resuscitate order d) A will
a) Follow the rules of the institution to maintain your job. b) Follow your own beliefs because you have to live with yourself. c) Ask to be removed from the situation because of the complexity. d) Ask the client and client's family to accept your right to say no.
a) Food b) Oxygen c) Pain medication d) Mouth care
a) Call the MD and chart the reason for applying restraints. b) Communicate reason for applying restraints to family. c) Tie the restraints in such a manner that the client has maximum movement. d) Communicate with other clients why the person is being restrained.
a) Durable Power of Attorney b) Durable Power of Attorney for Health Care c) Guardian d) Proxy or surrogate
a) Uniform Durable Power of Attorney b) Patient Self-Determination Act c) Patient's Bill of Rights d) Older Americans Act
a) Tell the son his mother is competent. b) Chart information supporting the resident's competence. c) Tell the physician the resident is competent. d) Have a patient care conference to discuss the situation.
a) Legal rules are always rigid, and ethical rules vary with the situation. b) Legal rules vary with the law, and ethical rules vary with the person. c) Legal rules vary with the state, and ethical rules vary with the country. d) Legal rules are rigid, and ethical rules vary with the institution.
a) Native Americans b) Hispanic Americans c) African Americans d) Asian Americans
a) The client's oldest daughter b) The client's sister c) The client's oldest son d) The client's youngest daughter
a) in nursing homes. b) in a relative's home. c) in state institutions. d) in religious institutions.
a) Don't make eye contact. b) Firmly shake hands. c) Stand at a distance. d) Bow to the client.
a) become very quiet and withdrawn. b) report pain to family members who will tell you. c) try to control the pain with self-treatment before reporting. d) tell the nurse, speaking emphatically with hand gestures.
a) Pat her hand and maintain close physical contact. b) Avoid prolonged eye contact and physical contact. c) Maintain prolonged eye contact to show respect and caring. d) Spend a long time talking to her in order to improve your relationship.
a) Financial resources b) Healthy environment c) Social support d) Positive self-image
a) A stressful event depends on the person's perception of the event. b) A stressful event is defined by religious beliefs. c) A stressful event is defined by cultural beliefs. d) A stressful event is defined by a person's support system.
a) The caregiver feels stressed because of the physical demands from providing care. b) The caregiver feels stressed because of the mental distress related to providing care. c) The caregiver feels stressed because of the physical and psychological demands from providing care. d) Caregivers feel stressed because they have less personal time to meet their own needs.
a) Respite care is temporary care provided to allow the caregiver a release from caregiving tasks. b) Respite care is permanent care provided to decrease the caregiver's responsibility for providing caregiving. c) Respite care is temporary care provided to decrease the caregiver's responsibility for providing caregiving. d) Respite care is permanent care provided to allow the caregiver a release from caregiving task.
a) Peritoneal dialysis isn't considered extraordinary means. b) I didn't think you were that old. How old are you? c) Peritoneal dialysis will allow you to continue your usual activities. d) What do you already know about peritoneal dialysis?
a) You have made so many changes in you life, this is just one more. b) You can do anything you want to do; you are in control. c) I know that you have the ability to make the necessary changes. d) You can learn to make changes as you go through life.
a) Sexual desires diminish with old age. b) Sexual desires and function continue into old age. c) Sexual desire continues, but sexual function diminishes. d) Sexual activities in older adults are limited to kissing.
a) You are too old to be having sexual relationships; you are expecting too much of your body. b) Have your partner provide more manual stimulation and you will have an erection. c) There are many ways to improve your ability to have an erection. What have you tried? d) At your age, sexual needs should be met by kissing and touching your partner, not by intercourse.
a) Skipping a meal on a daily basis. b) Taking medications that interact with food. c) Eating a well-balanced diet on a daily basis. d) Eating most meals alone.
a) Waist smaller than buttocks. b) Waist and buttocks equally large. c) Extremely heavy arms and legs. d) All of the above
a) Alzheimer's disease b) Stroke c) Parkinson's disease d) Myocardial infarction
a) Ninety percent of nursing home residents have dysphagia. b) Approximately 60% of nursing home residents have dysphagia. c) Approximately 25% of nursing home residents have dysphagia. d) Most nursing home residents do not have dysphagia.
a) Constipation b) Kidney stones c) Diarrhea d) Polyuria
a) 20-30 b) 22-27 c) 24-34 d) None of the above
a) Pilocarpine b) Timoptic c) Diamox d) None of the above
a) Flashing lights b) Floaters c) Tunnel vision d) Diminished vision
a) talk as loud and possible. b) talk in a low-tone voice. c) talk in a high-tone voice. d) talk in a soft voice.
a) hearing deficits due to neuron malfunction. b) hearing deficits due to decreased conduction. c) hearing deficits due to old age. d) hearing deficits due to presbycusis.
a) artificial saliva. b) sugar-free candy. c) lemon juice. d) liquid or soft foods.
a) Olfactory b) Gustatory c) Vision d) Oculomotor
a) Vision b) Balance c) Strength d) Cognitive
a) Eye movement occurs and biological body is restored b) Eye movement occurs and the body is mentally restored. c) Eye movement is absent and the biological body is restored. d) Eye movement is absent and the body is mentally restored.
a) 5% b) 0.1 c) 0.25 d) 50%
a) Medication b) Food c) Stress d) Disease
a) Sleep apnea disturbs the person's sleep but is not a medical concern. b) Sleep apnea not only disturbs a person's sleep, but can also threaten his/her life. c) Sleep apnea seldom disrupts a person's sleep and is not a medical concern. d) Sleep apnea not only disturbs a person's sleep, but also is a minimal medical threat.
a) Turn the resident on his side. b) Monitor the resident's blood pressure. c) Monitor the resident's heart rate d) Wake him and keep him awake.
a) Older adults require adjusted medication dosage because of increased total body fluid. b) Older adults require adjusted medication dosage because of albumin concentration. c) Older adults require adjusted medication dosage because of increased muscle mass. d) Older adults require adjusted medication dosage because of increased body fat.
a) Nausea, headache, and bradycardia b) Diarrhea, drooling, and tachycardia c) Diarrhea, fever, and bradycardia d) Vomiting, ringing in the ears, and fever
a) Weakness b) Dry hot skin c) Perfuse perspiration d) Arm pain
a) Low beds b) High toilet seats c) Grab bars d) Low chair seats
a) Restraints involve numerous risks, direct and indirect. b) Restraints involve numerous direct risks. c) Restraints involve numerous indirect risks. d) Restraints protect older adults from harming themselves.
a) Home robbery b) Public robbery c) Rape d) Homicide
a) Neglect b) Physical abuse c) Abandonment d) Exploitation
a) Caloric intake for older adults is the same for a middle-aged person. b) Caloric intake for older adults is more than for a middle-aged person. c) Caloric intake for older adults is less than for a middle-aged person. d) Caloric intake for older adults depends on their height.
a) Fat b) Carbohydrates c) Fiber d) Vitamins
a) Autonomy means the person has a mind of his or her own. b) Autonomy means preferring to be alone rather than in a group. c) Autonomy means that information and conversations are kept confidential. d) Autonomy means having the ability to be independent and make decisions.
a) nursing homes. b) their own home. c) assisted living. d) apartments.
a) Daily b) Weekly c) Monthly d) Occasionally
a) Home health care b) Day care c) Senior center d) Hospice
a) Preference b) Oversight c) Disgust d) Ageism
a) The nurse said to the disruptive older adult, "Please sit down, you are disrupting the group." b) The nurse places a hand on the disruptive older adult’s shoulder and said, “I really like the craft you are making.” c) The nurse said to the group, "Please ignore him; he is just showing off." d) The nurse sat down next to the disruptive older adult and said, “Do you need some help with your craft?”
a) Yes, if the older adult is competent. b) Yes, if the older adult has a guardian. c) No, it is a medical judgment. d) No, the hospital is responsible for maintaining his/her safety.
a) Start high and go slow. b) Start low and go fast. c) Start low and go slow. d) Start high and go fast.
a) Confusion b) Falling c) Incontinence d) Drug interactions
a) Lower cost b) Smaller, friendlier environment c) Quality staff d) Acute care
a) 1915 b) 1925 c) 1935 d) 1945
a) Resource utilization group (RUG) b) Diagnostic resource group (RUG) c) Medical diagnosis d) Functional disability
a) Medicaid b) Medicare c) Veterans' Administration d) Long-term care insurance
a) Nursing homes b) A continuum of services c) Multiple community settings d) Nonacute care
a) congestive heart failure. b) myocardial infarction. c) angina. d) stroke.
a) Decreased pulse rate b) Increased pulse rate c) Increased respirations d) Decreased urinary output
a) Any difference is abnormal b) 5 mm Hg c) 10 mm Hg d) 20 mm Hg
a) Provide frequent orientation to time and place. b) Teach isometric exercises. c) Maintain supplemental oxygen. d) Teach about disease process.
a) the activity that precipitates the pain. b) the rating of pain. c) the site of pain. d) the number of nitroglycerin tablets that relieve pain.
a) Nicotine is not addictive and increases metabolism. b) Nicotine is addictive and increases metabolism. c) Nicotine is not addictive and decreases metabolism. d) Nicotine is nonaddictive and decreases metabolism.
a) pneumonia. b) tuberculosis. c) lung Cancer. d) COPD.
a) verify a positive PPD reading. b) be sure the PPD was administered correctly. c) give the immune system a second chance to respond. d) determine if the size of the induraion increases.
a) Emphysema b) Pneumonia c) Tuberculosis d) Asthma
a) 80-84% b) 85-89% c) 90-94% d) 95-100%
a) Radius b) Humerus c) Femur d) Vertebrae
a) Bowing and bending of legs b) Cyst formation c) Bone masses d) Skeletal pain
a) Osteoarthritis b) Rheumatoid arthritis c) Gouty arthritis d) Spondylosis
a) Osteoarthritis b) Spondylosis c) Rheumatoid arthritis d) Paget's disease
a) Pain and tenderness in hip area b) Swelling and bruising in hip area c) Lack of alignment of femur d) Witnessing the older adult fall
a) Parkinson's disease b) Mild cerebral dysfunction c) Mild extrapyramidal dysfunction d) Mild epilepsy
a) Tremor, rigidity, and bradykinesia b) Rigidity, slowness, and weak voluntary movements c) Tremor, slowness, and weak voluntary movements d) Tremor, bradykinesia, and slowness
a) Brain tumor b) Stroke (CVA) c) Myocardial infarction d) Brain hemorrhage
a) prevent depression. b) prevent further disability. c) maintain self-esteem. d) reteach ADL (activities of daily living).
a) Once b) Three times c) Five times d) Daily
a) Skin with scattered red lesion b) Skin with exudate and crusting c) Skin with dry, hard bumps d) Skin with multiple white spots
a) the chickenpox virus. b) acquiring AIDS. c) acquiring a lymphoma. d) the measles virus.
a) Glucometer (blood sugar 100) b) Glucometer (blood sugar 200) c) Urine test for sugar d) Urine test for ketones
a) Angina b) Congestive heart failure c) Myocardial infarction d) Heart palpitations
a) Thyroid cancer in older adults is usually not encapsulated. b) Thyroid cancer in older adults is usually associated with few symptoms. c) Thyroid cancer in older adults is associated with high mortality rates. d) Thyroid cancer in older adults is associated with long recuperation.
a) Parathyroid b) Adrenal c) Thyroid d) Pancreas
a) 100 mg/dL b) 113 mg/dL c) 126 mg/dL d) 139 mg/dL
a) IgM b) IgA c) IgC d) IgG
a) have no difficulty maintaining homeostasis during an infection. b) have an atypical inflammation response with low-grade fever. c) have an effective response to influenza vaccine. d) have better memory for antigens after age 60.
a) T cells decrease in number. b) T cells decrease in strength. c) T cells decrease in specificity. d) T cells decrease in ability to reproduce.
a) Urinary tract infections and skin infections b) Urinary tract infections and pneumonia c) Skin infections and influenza d) Pneumonia and influenza
a) Fever and crackles b) Fever and pleuritic chest pain c) Anorexia and change in activity pattern d) Anorexia and wheezes in lower lungs
a) Frequency b) Urgency c) Incontinence d) Urinating small amounts
a) nausea and vomiting. b) overfeeding the client. c) getting food stuck in his throat. d) aspiration.
a) Lay down after meals. b) Sleep on a soft, flat bed. c) Eat spicy food. d) Eat small, frequent meals.
a) Milk increases gastric secretion and is contraindicated with an ulcer. b) Milk decreases gastric secretion and is useful for an ulcer. c) Milk protects the stomach mucosa by coating it and is useful for an ulcer. d) Milk is not effectively broken down by hydrochloric acid and is contraindicated for an ulcer.
a) nausea, vomiting, and diarrhea. b) severe epigastric pain and dry heaves. c) uncontrolled belching and diarrhea. d) severe epigastric pain and belching.
a) an abdominal x-ray reveals them. b) acute pain occurs. c) they leave the gallbladder. d) the gallbladder ruptures.
a) Bladder empties completely b) Able to postpone voiding c) Decreased urinary infections d) Decreased capacity
a) Orange b) Grape c) Lemon d) Walnut
a) itchy, moist skin. b) oliguria. c) clear mental state. d) low blood urea nitrogen.
a) Alcohol b) Soft drinks c) Coffee d) Smoking
a) Bladder b) Prostate c) Lung d) Kidney
a) Urge incontinence b) Overflow incontinence c) Stress incontinence d) Functional incontinence
a) Excluding other conditions b) Computed tomography (CT) scan c) Lumbar puncture d) Magnetic resonance imaging (MRI)
a) Loss of long-term memory b) Short attention span c) Loss of short-term memory d) Unable to use sound judgment
a) Encourage the older adult to walk as desired. b) Leave doors open to increase walking path. c) Have older adult wear identification. d) Have three meals a day with no snacks.
a) Scold him for his behavior. b) Divert his attention. c) Set limits to his behavior. d) Ignore his behavior.
a) Disorientation b) Pseudodementia c) Delirium d) Dementia Chapter 24: Supporting Mental Health
a) share their problems. b) have social support. c) control their lives. d) cope with problems.
a) not be changed. b) be modified by health practices. c) be totally changed by health practices. d) be modified by medical treatment.
a) Using several over-the-counter drugs b) Participating in daily exercise c) Skipping meals d) Ignoring friends
a) increase environmental stimuli. b) decrease structured activities. c) implement behavior modification. d) allow behavior to continue.
a) check pulse of the patient. b) maintain clean, fresh bedding. c) listen to the patient. d) check respirations for a patient.
a) to keep pain at a low level. b) to provide intermittent relief. c) to keep patient semicomatose. d) to keep pain from occurring
a) provide support and care for terminally ill. b) provide curative care and provide emotional support. c) provide in-home services for older adult. d) provide nursing care for terminally ill.
a) Family and caregiver b) Caregiver and nursing staff c) Health care staff and family d) Nursing staff and family
a) 3 months b) 6 months c) 9 months d) A year
a) Medicare Part A b) Medicare Part B c) Social Security d) Veterans' Association Chapter 26: Choices in Gerontological Nursing
a) revitalize the image of the specialty area. b) focus on holistic approach rather than disease. c) focus on the health care term approach. d) Respond to reports of poor care in nursing homes.
a) 12% b) 0.25 c) 0.5 d) 75%
a) a person recovering from an acute illness. b) a chronically ill person who can no longer live independently. c) a chronically ill person who is dying. d) an older adult who needs help with activities of daily living.
a) The number of employees under the supervisor. b) The area of the institution that is under the supervisor. c) The role responsibility the supervisor has for clients. d) The area of control specified in the job description.