1
Gerontology is unique because of which of the following characteristics?
a. It is the oldest branch of medicine.
b. It is the study of diseases in older people.
c.It is a common specialty in medicine.
d. It is a holistic, multi-disciplinary approach to the study of aging.
d. It is a holistic, multi-disciplinary approach to the study of aging.
A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful lately, and she is concerned that he might be “senile.” The advanced practice nurse administers the Mini-Cog (clock-drawing test) and the patient is unsuccessful on the test. Based on his performance, the nurse concludes that the client:
a.has Alzheimer's disease
b.has Delirium
c.needs further evaluation
d.needs a functional status assessment
c.needs further evaluation
Which activity engaged in by a 79-year-old demonstrates the ability to appropriately engage in independent activities of daily living (IADLs)? (Select all that apply.)
a.Makes a telephone call to wish granddaughter “Happy Birthday”.
b.Watches the local news each evening
c.Is observed ‘balancing’ their checking account bank book
d.Washes the breakfast dishes
e.Sets out their daily medications each morning
a.Makes a telephone call to wish granddaughter “Happy Birthday”.
d.Washes the breakfast dishes
e.Sets out their daily medications each morning
While taking a health history, a client reveals that she has been experiencing tunnel vision. The nurse's further assessments would include:
a.Use of an Amsler grid to test for macular degeneration.
b.Assessing for risk factors of glaucoma to include frequency of routine eye exams.
c.Monitoring of capillary blood glucose levels.
d.Asking about ability to differentiate colors.
b.Assessing for risk factors of glaucoma to include frequency of routine eye exams.
A nurse caring for an older adult knows that they are at risk for polypharmacy because of the following factors. (select all that apply)
a.Inadequate communication among medical care providers.
b.Implementation of Medicare Part D prescription drug benefit.
c.Use of generic medications.
d.Frequent hospitalizations.
a.Inadequate communication among medical care providers.
d.Frequent hospitalizations.
Which of the following people would most likely be considered a member of "the sandwich generation"?
a.A 45-year old woman who cares for her school-aged children and her 70-year old father.
b.A 30-year old woman caring for her pre-schooler.
c.A 65-year old man who is retiring from his job.
d.An 85-year old woman who is moving to a nursing home
a.A 45-year old woman who cares for her school-aged children and her 70-year old father.
The nurse is preparing to teach about new medications to an older adult patient prior to discharge. Which of the following should they consider in their preparation?
a.Processing time increases, therefore it may take them longer to respond to questions.
b.Conductive hearing loss is common and may make it difficult to communicate.
c.Visual acuity decreases, therefore providing written teaching materials is unnecessary.
d.Processing time decreases, therefore it may take them longer to respond to questions.
a.Processing time increases, therefore it may take them longer to respond to questions.
A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?
a.Administer the medications by touching the tip of the dropper to the sclera of the eye.
b.Hold pressure on the conjunctiva sac for 2 min following application of drops.
c.Administer the medications 5 min apart.
d.It is not necessary to remove contact lenses before administering medications.
c.Administer the medications 5 min apart.
The nurse is concerned that a 77-year old client, who is quiet and withdrawn, may have a hearing deficit related to impacted cerumen. Which of the following supports the presence of impacted cerumen?
a.Frothy drainage from the client's ears.
b.Client complaints of dizziness.
c.Client states having a feeling of fullness in his ears.
d.Gray, metallic-appearing tympanic membrane.
c.Client states having a feeling of fullness in his ears.
The Beer's Criteria is an effective tool for health care professionals prescribing and/or managing the medication therapy of older adults since it identifies medications that for this population:
a.are not typically covered by drug benefit plans.
b.have a higher than usual risk for injury.
c.are likely to be abused.
d.generally cause allergic reactions.
b.have a higher than usual risk for injury.
Which of the following is an example of ageism?
a.The nurse who asks her 85 year old patient if she would like to take a walk down the hall.
b.The nurse who asks the daughter of an 85 year old patient if the patient would like to take a walk down the hall.
c.The nurse who calls the physician when her 79 year old patient exhibits high blood pressure.
d.The nurse who teaches her 80 year old female patients how to perform self-breast exams.
b. The nurse who asks the daughter of an 85 year old patient if the patient would like to take a walk down the hall.
What is the rationale for a nurse being concerned when an older adult presents with a temperature of 100° F, a history of medically controlled hypertension and presbycusis, as well as currently being treated for basal cell cancer on the forehead?
Question 8Answer
a.
Hypertension is difficult to manage medically
b.Among this population, even a low-grade fever could be an indication of a serious illness
c.Presbycusis can negatively affect the quality of life
d.Basal cell cancer presents a risk for metastatic lung cancer
b.Among this population, even a low-grade fever could be an indication of a serious illness
A nurse is providing education for a client who has glaucoma. Which of the following statements should the nurse include in the teaching?
a."Without treatment, glaucoma can cause blindness."
b."Double vision is common with glaucoma."
c."Glaucoma is caused by inadequate fluid in the eyes."
d."Use of eye drops should improve vision over time."
a."Without treatment, glaucoma can cause blindness."
While caring for someone with Meniere’s disease, the nurse’s most important consideration is:
a.Assuring the client is wearing a hearing aid.
b.Decreasing the amount of endolymph in the ear.
c.Treat the tinnitus.
d.Safety.
d.Safety.
Factors that affect the pharmacokinetics of lipophilic medications in older adults include:
a.greater body fat (adipose tissue) ratio to body mass
b.decreased total body water
c.increased glomerular filtration rate
d.increased creatinine clearance
a.greater body fat (adipose tissue) ratio to body mass
To ensure a successful health interview with an older adult, the nurse should do which of the following?
a.Discourage the client from reminiscing.
b.Focus on what matters to them.
c.Touch the client often.
d.Move quickly to complete the interview in one session.
b. Focus on what matters to them.
A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?
a.The medication should be used when experiencing eye pain.
b.The medication should be used until the client's intraocular pressure returns to normal.
c.The medication should be used on a regular schedule for the rest of the person's life.
d.The medication requires a dosing schedule that is tapered after 10 days.
c.The medication should be used on a regular schedule for the rest of the person's life.
During a clinic visit with an older client who is experiencing age related vision and hearing impairments, which of the following would enhance the teaching process? (Select all that apply)
a.Sit facing the client
b.Shout loudly at the client
c.Minimize background noise
d.Provide written instructions in large clear print.
a.Sit facing the client
c.Minimize background noise
d.Provide written instructions in large clear print.
A nurse is teaching a client who has macular degeneration about how to use an Amsler grid. Which of the following statements should the nurse include in the teaching?
a."Watch for floating dark spots on the grid."
b."Note if you see any flashing bright lights on the grid."
c."Check to see if the lines on the grid are blurry or distorted."
d."Monitor for the lines on the grid to change in color or brightness."
c."Check to see if the lines on the grid are blurry or distorted."
A nurse is administering an oral medication to an older adult client. The client states, “The pill I always take is green. I don’t take an orange pill.” Which of the following responses should the nurse make?
a."Sometimes the same pill comes in a different color."
b."This is the medication that your doctor wants you to take."
c."Let me explain the purpose of the medication."
d."I will check your medication order again."
d."I will check your medication order again."
An 80-year old client is being treated in an acute care setting. His nurse needs to assess his self-care ability as part of their functional assessment this morning, to determine the effects of the last week’s treatment. In this case, which of the following is the most useful tool for the nurse to use?
a.Instrumental Activities of Daily Living Scale
b.The Katz Index of Activities of Daily Living
c.The Short Portable Functional Status Questionnaire
d.The Braden Scale of Functional Status
b.The Katz Index of Activities of Daily Living
A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?
a.Electrical cords are placed alongside the walls.
b.Scatter rugs are used in the kitchen.
c.Handrails are present in the bathroom.
d.A microwave is used for cooking
b.Scatter rugs are used in the kitchen.
A client states that when she turned 40 she found she needed to wear reading glasses. Which of the following normal changes of aging is this client experiencing?
a.Macular degeneration
b.Presbyopia
c.Diabetic retinopathy
d.Glaucoma
b.Presbyopia
A nurse is assessing a client who is experiencing a change in vision. Which of the following statements indicates that the client might be developing cataracts?
a."I can't see objects from the sides of my eyes."
b."My vision is blurry and objects are hazy."
c."I can't see anything in the middle part of my eye."
d."There are dark spots moving around in my eye."
b."My vision is blurry and objects are hazy."
Because glomerular filtration rate (GFR) declines with age, the nurse knows that when taking care of an 85-year old client in the hospital setting:
a.incontinence will be expected.
b.medication dosages might require adjustment.
c.a foley catheter is necessary to monitor intake and output.
d.fluid restrictions are necessary to prevent fluid overload.
b.medication dosages might require adjustment.