A negative attitude towards aging and the aged is called:
A. geriatrics
B. racism
C. ageism
D. ethnocentrism
Answer: C
Which of the following is not
... [Show More] considered a core competency for nurses caring for older adults?
A. Analyze the impact of an aging society on the health care system
B. Obtain certification in gerontological nursing
C. Prevent or reduce common risk factors that contribute to functional decline
D. 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?
A. there is an experience requirement
B. one must pass an exam
C. one must have a BSN
D. 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:
A. teacher
B. manager
C. research consumer
D. 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?
A. Sally Smith, RN, BSN, BC
B. Mary Malloy, RN, MS, GNP
C. Andy Jones, LPN, CRRC
1D. Greg Reed, RN, MSN
Answer: B
The AACN/John A. Hartford Foundation Competencies are helpful to nurses because they:
A. offer suggestions about how to gain employment in geriatrics
B. provide a guideline for the knowledge that is expected to provide quality care to older adults
C. were designed to prepare nurses to pass the State Board Exam
D. 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?
A. the geropsychologist
B. the geropharmacist
C. the financial gerontologist
D. 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:
A. acute care hospital
B. assisted living
C. rehabilitation
D. 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. a group foster home
B. a transitional care unit
C. an independent unit in a senior living complex
D. assisted living in a nursing home
2Answer: C
Which of the following is not true about assisted living facilities?
A. if their care needs become too great, they may have to seek other living arrangements
B. persons pay for assistance out of pocket
C. the average resident is in his 60's
D. they have assumed about 15% of the previous nursing home population
Answer: C
A person aged 84 would be classified, according to current systems, as:
A. young
B. middle
C. old
D. very old
Answer: B
The clinical nurse specialist (CNS) in gerontology differs from the GNP in that:
A. the GNP usually works in a collaborative practice with a physician
B. the CNS has less education than the GNP
C. the GNP has a doctorate
D. the CNS does less consulting than the GNP
Answer: A
What is the most compelling reason for health professionals to be educated in the area of gerontology?
A. to address the comprehensive nursing shortage
B. to make an increase in salary
C. to prepare to be challenged by the educated baby boomers
D. to prepare to care for the growing number of older persons in the population
Answer: D
An intergenerational approach to care for the aging is advisable because of what fact?
A. baby boomers want their children to take of them in old age
B. Gen X and Gen Y persons do not know anything about aging
3C. most older persons are cared for by their children
D. 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. a shortage of nursing faculty
B. medical programs not including gerontology content
C. not enough health professionals choosing gero as a specialty
D. 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
A. TRUE
B. FALSE
Answer: A
Over half of women over the age of 85 are widowed
A. TRUE
B. FALSE
Answer: A
There are more males in the population than females
A. TRUE
B. FALSE
Answer: B
Most centenarians (people over the age of 100 years) are White and female
A. TRUE
B. FALSE
4Answer: A
Minority elderly groups are growing and thus present unique challenges for nurses today
A. TRUE
B. FALSE
Answer: A
The majority of older persons live alone
A. TRUE
B. FALSE
Answer: B
Older women who live alone tend to be more from lower income groups than those who are married
A. TRUE
B. FALSE
Answer: A
Elderly Hispanics rate their overall health significantly higher than those from other ethnic groups
A. TRUE
B. FALSE
Answer: B
Older persons tend to die from acute illnesses more than chronic diseases
A. TRUE
B. FALSE
Answer: B
The major causes of death in the older age group are heart disease, AIDS, and tuberculosis
5A. TRUE
B. FALSE
Answer: B (It's Heart Disease, Cancer and Strokes)
Which ethnic/cultural group has a higher rate of diabetes, hypertension, and chronic renal disease than other ethnic
groups?
A. African Americans
B. Hispanics
C. Asians and Pacific Islanders
D. American Indians and Alaskan natives
Answer: A
Which ethnic/cultural group is the most rapidly growing ethnic minority, and less likely to obtain preventive services such
as flu vaccines and mammograms?
A. African Americans
B. Hispanics
C. Asians and Pacific Islanders
D. American Indians and Alaskan natives
Answer: B
Which ethnic/cultural group is comprised of many subgroups and generally have a longer life expectancy than white
Americans?
A. African Americans
B. Hispanics
C. Asians and Pacific Islanders
D. American Indians and Alaskan natives
Answer: C
Which ethnic/cultural group makes up a small percentage of America's elderly population and have increased morbidity
and mortality related to diabetes and renal disease?
A. African Americans
B. Hispanics
C. Asians and Pacific Islanders
D. American Indians and Alaskan natives
6Answer: D
List the three leading causes of death in the elderly:
Answer: Heart disease, Cancer, Stroke
The theory of aging that says that personality and coping patterns remain consistent through life is:
A. continuity
B. gerotranscendence
C. human needs
D. life course
Answer: A
Erikson's stages of personality development for a person that is 76 years old would be:
A. autonomy versus shame
B. integrity versus despair
C. generativity versus isolation
D. 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:
A. nonstochastic
B. Orgel / error
C. selective optimization
D. stochastic
Answer: B
A scientist who believes that people have a genetic programming that determines or predicts longevity is a supporter of
which theory?
A. age stratification
B. cross-link
C. free radical
7D. 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:
A. activity theory
B. disengagement theory
C. subculture
D. 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?
A. functional consequences
B. theory of thriving
C. neuroedncorine
D. 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?
A. the ozone layer
B. the patient's cigarette smoking
C. the patient's alcohol consumption
D. radiation from the patient's microwave
Answer: B
MATCHING
1) continuity theory A. personality and coping patterns remain consistent through life
2) stochastic theories B. remaining active and involved promotes life satisfaction in later year
3) neuroendocrine theory C. transformation towards oneness with the universe
4) activity theory D. cells wear out with age
5) gerotranscendence theory E. five basic needs that motivate behavior
6) nonstochastic theories F. problems with gland feedback leads to disease
87) theory of thriving G. based on random events that cause cellular damage
8) human needs theory H. genetically programmed events cause cellular damage that lead to aging
9) functional consequences theory I. failure to thrive is from discord in relationships
10) wear and tear theory J. (Miller’s Theory) nurse’s role is risk reduction to enhance safety
Answer:
1) continuity theory (A) A. personality and coping patterns remain consistent through life
2) stochastic theories (G) B. remaining active and involved promotes life satisfaction in later year
3) neuroendocrine theory (F) C. transformation towards oneness with the universe
4) activity theory (B) D. cells wear out with age
5) gerotranscendence theory (C) e. five basic needs that motivate behavior
6) nonstochastic theories (H) F. problems with gland feedback leads to disease
7) theory of thriving (I) G. based on random events that cause cellular damage
8) human needs theory (E) H. genetically programmed events cause cellular damage that lead to aging
9) functional consequences theory (J) I. failure to thrive is from discord in relationships
10) 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?
a. presbyopia
b. yellowing of the lens
c. night blindness
d. decreased accommodation
Answer: C
All of the following are considered IADLs (Instrumental Activities of Daily Living) except:
a. toileting
b. balancing the checkbook
c. using the phone
d. shopping
Answer: A (this is considered an ADL)
Old persons may have difficulty picking up their pills from a medicine cup because of:
a. macular degeneration
b. decreased touch sensation that comes with old age
c. peripheral neuropathy
d. all of the above
9Answer: D
An older adult who complains of a dark spot in the center of the visual field is showing signs of:
A. cataracts
B. macular degeneration
C. acute glaucoma
D. diabetic retinopathy
Answer: B
An older adult who complains of seeing dark shadows around the center of the visual field is showing signs of:
A. cataracts
B. macular degeneration
C. glaucoma
D. 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:
A. cataracts
B. macular degeneration
C. acute glaucoma
D. diabetic retinopathy
Answer: A
Which of the following factors could contribute to an older person's inability to hear instructions given by the nurse?
A. cerumen impaction
B. nurse not facing the person when giving directions
C. loss of high frequency pitches
D. 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?
A. sit calmly in a chair next to the person and ask questions in a non-threatening manner
10B. ask loud, direct questions
C. have the person write down the information on the chart
D. ask the family member instead of the person [Show Less]