Before talking to a person with impaired hearing, check to see if the

hearing aid is in the person’s ear and it is turned off, so it will not be
dangerous to the ear of the patient.
*
1 point

a.True
b. False

The nurse is doing a follow-up clinic visit for a 75-year-old female post-
cerebrovascular accident (CVA) of two months. The nurse should be
prepared to discuss all of these possible complications except:
*
1 point

a. Neurogenic bladder
b. Depression
c. Financial concerns
d. Fecal incontinence

The nurse is interviewing a newly admitted psychiatric client. Which

nursing statement is an example of offering a "general lead"?
*
1 point

a. "Do you know why you are here?"

b. "Are you feeling depressed or anxious?"
c. "Yes, I see. Go on."
d. "Can you chronologically order the events that led to your admission?"

Three months ago, an older adult patient, who lives in an apartment in a

housing complex for senior citizens, began residing with an older adult
patient from the same complex. Upon learning of the situation, the
patient's adult child expresses concern to the housing administrator, who
reports that both residents have reported satisfaction with the
arrangement. When the child requests advice, the gerontological nurse's
initial response is:
*
1 point

a. "I can understand why you are upset. Has he or she ever done something like
this before
b. "Why don't we all talk to your parent to get his or her side of the story?"
c. "Your parent has the right to do what he or she wants because he or she is
mentally competent
d. "Your parent seems to be happy with the arrangement. Have you discussed
this situation with him or her?
The nurse recognizes the most common eye-related disease affecting the
older adult is:
*
1 point

a. glaucoma
b. cataracts
c. near-sighted visual disturbances
d. far-sighted visual disturbances

The primary reason for establishing quality improvement committees at

long-term care facilities is to:
*
1 point

a. facilitate staff participation.

b. initiate changes based on interdisciplinary exchange.
c. monitor and record incidents, accidents, and injuries.

What is one important consideration when dealing with the older

population when considering safety and medications?
*
1 point

a. The older adult is at risk for falls, leading to an increase in morbidity and death
b. A fractured arm is the highest risk for the older adult
c. Depression is common in older adults and needs not be treated with
medication
d. Most older adults are not as fragile as was previously thought

Which question does the gerontological nurse prioritize for an 86-year-old

patient with abdominal pain, muscle weakness, and leg cramps?
*
1 point

a. "Do you eat a lot of meat?"

b. "Do you have heart problems?"
c. "Do you take a diuretic?"
d. "Do you walk every day?"

An 80-year-old female asks the nurse about over-the-counter vitamin

supplements. The most appropriate advice would include:
*
1 point

a. No vitamin supplements are needed with a balanced diet

b. Any multivitamin will do
c. Take only a calcium supplement
d. Take a multivitamin for those over the age of 50, which should include the
recommended vitamins for the aging adult

Lolo Ambo, a 70-year-old presents to the clinic stating that his family
thinks he is losing his mind and they want to put him in a home. What
would be the initial role of the gerontological nurse?
*
1 point

a. Begin the process of finding a qualified nursing home

b. Do a complete history,physical, and assessment
c. Speak with the family about their concerns
d. Make light of the subject until the nurse can evaluate the situation

A 78-year-old patient calls a telephone triage nurse and reports several

falls after taking over-the-counter medication for a recent cold. Which
medication contributed to the falls?
*
1 point

a. Diphenhydramine (Benadryl)
b. Ferrous sulfate
c. Guaifenesin (Robitussin)
d. Loratadine (Claritin)

The communication process in general is complex and can be further

complicated by age. These are some problems in communicating older
person except.
*
1 point

a. Adults are more heterogeneous than younger people

b. hindered by the normal aging process, that may involve sensory loss, decline
in memory, slower processing of information
c. lessening of power and influence over their own lives
d. All of the above
e. none of the above

A patient diagnosed with terminal cancer says to the nurse "I'm going to
die, and I wish my family would stop hoping for a cure! I get so angry
when they carry on like this. After all, I'm the one who's dying." Which
response by the nurse is therapeutic?
*
1 point

a. "Have you shared your feelings with your family?"

b. "I think we should talk more about your anger with your family."
c. "You're feeling angry that your family continues to hope for you to be cured?"
d. "You are probably very depressed, which is understandable with such a
diagnosis."

Which therapeutic communication technique is being used in this nurse-

client interaction? Client: "When I get angry, I get into a fistfight with my
wife or I take it out on the kids. "Nurse: "I notice that you are smiling as
you talk about this physical violence."
*
1 point

a. Encouraging comparison
b. Exploring
c. Formulating a plan of action
d. Making observations

Explain what you are doing, for example, looking for something or putting
the wheelchair away. Describe walks in routine places. Use sound and
smell clues. Encourage familiarity and independence whenever possible.
Leave things where they are, unless the person asks you to move them to
another place,
*
1 point

True
False

An effective way to adequately provide nourishment to a patient with

moderate dementia is:
*
1 point

a. allowing the patient to choose foods from a varied menu.

b. hand feeding the patient's favorite foods.
c. routinely reminding the patient about the need for adequate nutrition.
d. serving soup in a mug and offering finger foods.

Call out the person’s name before touching. Touching lets a person know
that you are listening. Use the words "see" and "look" normally. Use large
movement, wide gestures and contrasting colors
*
1 point

True
False

The nurse recognizes that involuntary movements may appear in the

elderly patient and be normal. These normal involuntary movements may
present as which of the following?
*
1 point

a. Seizures
b. Tongue protrusions
c. Resting tremors
d. Eye twitches and spasms

The most reliable measure for assessing hydration in an older adult is:
*
1 point

a. Mucous membrane condition

b. Skin texture
c. Skin turgor
d. Urinary frequency
Which organ is responsible for drug metabolism and must be considered
when prescribing medicaiton for an older adult?
*
1 point

a. Kidney
b. Pancreas
c. Liver
d. Intestines

They help these patients develop, recover, improve, as well maintain the
skills needed for daily living and working.
*
1 point

a. Occupational Therapist
b. Speech Therapist
c. Physical Therapist
d. Psychotherapist

An 80-year-old female decides on a do not resuscitate (DNR) status for

herself after discussing her medical concerns with her physician. Which
statement best describes the reasoning behind this decision?
*
1 point

a. This is ethical reasoning based on self-determination and informed consent

b. This is not a medical decision
c. This discussion would be meaningless because the family members were not
involved
d. This is not an ethical decision
Which topic should NOT be omitted when assessing the aging client?
*
1 point

a. Sexual history
b. Cardiac history
c. History of abuse
d. All of the above

Communicating with deaf, utilize as many other methods of

communication as possible to convey your message (i.e. body language).
Spend time with the person, so you are not rushed or under pressure
*
1 point

True
False

The communication process is complete once the receiver has the

message of the sender
*
1 point

a. Understood
b. Interpret
c. Conveyed
d. None of the above

Speak in a normal fashion . If the person has difficulty understanding

something, find a different way of saying the same thing by speaking
louder than the usual tone of voice, rather than repeating the original
words
*
1 point

True
False

When caring for the older adult, it is important to consider the following
except:
*
1 point

a. Repeat oneself often because older adults are forgetful.

b. Treat the client as an individual with a unique history of his or her own
c. Be aware that older adults are no longer interested in sex.
d. Disregard the older adult's experiences because older people are too old-
fashioned to be of value today

The main reason that older adults with a chronic illness tolerate functional
impairments is that they:
*
1 point

a. are afraid to seek medical advice for fear of what they may find.
b. associate their symptoms with aging rather than an illness.
c. believe in home remedies and parental traditions.
d. relate their symptoms to conditions that resolved in the past without
treatment.

A resident in a nursing home requests a new room because he or she does

not like the view from the current room. While the resident is away from
the home on a provider visit, the staff moves the resident's belongings to
another room with a better view. The resident and the resident's family
later file a formal complaint regarding the move. Which statement gives
the best justification for the resident's complaint?
*
1 point

a. The change was made without a provider's order.

b. The resident was not included in the decision making.
c. The resident's belongings were moved without his or her assistance.
d. The resident's family was not included in the decision making.

Wait until you are directly in front of the person, you have that individual’s
attention and you are close enough to the person before you begin
speaking.
*
1 point

True
False

A physician has just informed an older adult patient that test results
indicate that the patient has cancer and will require extensive surgery.
The patient says, "I know the tests are wrong. I feel fine." The
gerontological nurse's most appropriate response is to:
*
1 point

a. acknowledge that the patient looks healthy and encourage seeking a second
opinion
b. advise the patient to join a support group.
c. convey availability to talk to the patient.
d. tell the patient that the tests are reliable and accurate

A 76-year-old patient with osteoarthritis complains of pain, stiffness, and

deformities of the fingers. The gerontological nurse recommends
*
1 point

a. Cold packs
b. Meditation therapy
c. exercise
d. Vitamin therapy
Which factor is NOT a normal part of aging and needs to be addressed to
promote nutrition in the older adult client?
*
1 point

a. Loss of teeth
b. Increase in gastric pH
c. Xerostoma or dry mouth
d. Decline in basal metabolic rate

An 82-year-old patient has a painful, vesicular rash that burns over the left
abdomen. The patient indicates that he or she has tried multiple creams
that have not helped. Which question does the gerontological nurse first
ask?
*
1 point

a. "Did you have the pain before the rash appeared?"

b. "Do you have any food or drug allergies?"
c. "Have you been around anyone with a rash?"
d. "Have your grandchildren visited recently?"
Option 5

To validate if the message has been understood is to allow the receiver:

*
1 point

a. to re-state the message

b. sender ask question that allow the receiver for clarification
c. asks question from the sender
d. A and B only

Enable the sender to determine whether the message was correctly

interpreted simply by the receiver.
*
1 point
a. Receiver
b. Feedback
c. Sender
d. Message

Face the person as you talk to him/her. Avoid a setting with a lot of
sensory stimulation, like a big room where many people sitting or talking,
a high-traffic area or a very noisy place can make them confuse and
hardly understand the message
*
1 point

True
False

What benefit does evidence-based practice offer clients over the age of
60?
*
1 point

a. No actual benefits have been noted when evidence-based practice is the

model for geriatric care
b. Evidence-based practice offers the client improved health care in all settings
c. Evidence-based practice is only used as a model in acute care settings
d. Minimal changes in geriatric care have arisen from the use of evidnece-baseed
practice models

In assessing the aging client, it is important for the nurse to recognize:

*
1 point

a. The client's ability to perform ADLs

b. The financial status of the client
c. The job that the client held prior to aging
d. All components of well-being, including biological function, psychological
function, and social function

Recognize and consider that hard-of-hearing people hear and understand

less when they are tired or ill. Reduce or eliminate background noise as
much as possible .
*
1 point

True
False

The role of the gerontology nurse includes all of the following except:
*
1 point

a. To facilitate the establishment of social support for the older adults

b. To promote independent living as much as possible
c. To educate and refer older adults to the appropriate resources
d. All of the above

The most common cause of chronic pain in older adults is:

*
1 point

a. Arthritis
b. Headache
c. Fracture
d. Neuropathy

Which ethical principle underlies nursing actions respecting each patient's

values and beliefs?
*
1 point

a. Autonomy.
b. Beneficence.
c. Justice.
d. Responsibility.

In communicating with the visually impaired person, describing the room

layout is not included anyways he/she can’t see it, but include other
people who are in the room, and what is happening. Tell the person if you
are leaving. Let him/her know if others will remain in the room or if he/she
will be alone.
*
1 point

True
False

When the community health nurse visits a patient at home, the patient
states, "I haven't slept the last couple of nights." Which response by the
nurse illustrates a therapeutic communication response to this patient.
*
1 point

a. "I see."
b. "Really?"
c. "You're having difficulty sleeping?"
d. "Sometimes, I have trouble sleeping too.
A nurse states to a client, "Things will look better tomorrow after a good
night's sleep." This is an example of which communication technique?
*
1 point

a. The therapeutic technique of "giving advice"

b. The therapeutic technique of "defending"
c. The nontherapeutic technique of "presenting reality"
d. The nontherapeutic technique of "giving false reassurance"

Which is the main principal age-related change that causes alteration in

drug distribution in older adults?
*
1 point

a. A decrease in absorption
b. An increase in body water
c. A decrease in total body weight
d. An increase in the ratio of body fat to lean body mass

Use simple, short sentences to make your conversation easier to

understand. Write messages if necessary. Allow time to converse with a
hearing impaired person.
*
1 point

True
False

The primary risk factor for the development of pressure ulcers in older
adult patients is:
*
1 point

a. Immobility
b. Impaired circulation
c. Incontenence
d. Malnutrition

Allows the sender to remains in control situation and the receiver remains
passive. It is not the most effective type of communication
*
1 point

a. one-way communication
b. 2-way communication
c. verbal communication
d. non-verbal communication
The nurse caring for the elderly population understands that movement
slows with aging. This is most likely due to:
*
1 point

a. Cognitive function
b. Laziness and a feeling that life is over
c. Changes in musculoskeletal and nervous systems
d. A recent change in medical condition

An 87-year-old man, who has been living independently, is entering a

nursing home. To help him adjust, the most effective action is to:
*
1 point

a. involve him in as many activities as possible so he can meet other residents.

b. move him as quickly as possible so that he does not have time to think.
c. restrict family visits for the first two weeks to give him time to adjust.
d. suggest that he bring his favorite things from home to make his room seem
familiar

A branch of medicine that focuses on health promotion and the prevention

and treatment of disease and disability in later life
*
1 point

a. Gerontology
b. Geriatrics
c. Palliative
d. Aging Process
Which statement is true regarding adverse drug reactions (ADRs) in older
adults?
*
1 point

a. The rate of ADRs in geriatric clients is seven times that of younger adults and
poses serious health problems
b. Older adults rarely have adverse reactions to prescribed medications becuase
they are monitored
c. Adverse reactions are minimal in older adults and require no intervention
d. Only about 1% of older adults require hospitalization for ADRs

Be sure that the individual sees you approach.Just keep on the side of the
hard-of-hearing person and be on the same level with him/her whenever
possible. .Keep your hands away from your face while talking
*
1 point
True
False

They may have a background in healthcare, health services management,

nursing, social work, or psychology, provide therapy, care, recreation or
improved living conditions for the elderly.
*
1 point

a. Geriatrics
b. Gerontologist
c. Geriatrician
d. Gerontologician

They are assigned to assist in practical tasks such as connecting a client

to welfare services if they are struggling financially or a rehabilitation
program if they are injured
*
1 point

a. Case Managers
b. Speech Therapist
c. Occupational Therapist
d. Psychotherapist
Which statement reflects the state of drug absorption in the geriatric
patient?
*
1 point

a. The rate of absorption is slowed

b. The rate of absorption is faster due to thinning of the mucosa
c. The percentage of the medication that is absorbed is decreased
d. There is a decrease in gastric pH as we age

Which choice best explains the practice setting for the gerontological
nurse?
*
1 point

a. In the home of the client

b. Only in acute care settings
c. Clinics and long-term care facilities
d. Home of the client, acute care facilities, long-term care settings, and clinics or
anywhere clients over the age of 65 seek health care and health education

Allow the person to take your arm for guidance. Ask how you may help:
increasing the light, reading the menu, describing where things are, or in
some other way.
*
1 point

True
False

A 90-year-old patient comes to the clinic with a family member. During

the health history, the patient is unable to respond to questions in a
logical manner. The gerontological nurse's action is to:
*
1 point

a. ask the family member to answer the questions.

b. ask the same questions in a louder and lower voice.
c. determine if the patient knows the name of the current president.
d. rephrase the questions slightly, and slowly repeat them in a lower voice.

The gerontological nurse is monitoring signs of suspected abuse in an 89-

year-old patient who was admitted from home. When planning for the
patient's discharge, the nurse's first action is to:
*
1 point

a. delay discharge by informing the provider of the suspected abuse.

b. enlist the help of family members with transitioning the patient home.
c. notify Adult Protective Services of the patient's discharge.
d. restrict the family members' access to the patient prior to discharge.

What is the most significant change in vital organs in the aging client?
*
1 point

a. No change in organ tissue is noted

b. The outer appearance of an organ changes, but the functional component
does not change
c. Organs show signs of decrease in function during the aging process
d. The aging process speeds up the functional capacity of major organs

A factor that contributes to hypothermia in older adults is:

*
1 point

a. decreased activity
b. decreased vulnerability to cold.
c. increased perception of cold.
d. increased subcutaneous fat.
Age-related changes in which two organs most affect an older adult's
reaction to medication?
*
1 point

a. Heart and lungs

b. Intestines and spleen
c. Liver and kidneys
d. Pancreas and gall bladder