no PAIN, no gain
The percentage of older adults in nursing homes who are in pain has been reported to be as high as:
A) 10%
B) 30%
C) 50%
D) 85%
D) 85%
A respiratory assessment of an older adult should include which of the following?
A) Inspection, Palpation and Auscultation
B) Inspection and Auscultation
C) Inspection, Palpation, Percussion and Auscultation
D) Palpation and Auscultation
C) Inspection, Palpation, Percussion and Auscultation
The guideline used to determine the relative safety of medication for older adults is:
A) Cogs Criteria
B) Glasgow Scale
C) BEER'S Criteria
D) Ramsey's Scale
C) BEER'S Criteria
A characteristic of delirium is:
A) Intellectual dysfunction that occurs slowly and lasts for longer than 6 months
B) Decreased severity of nighttime disorientation
C) A progressive decline in memory
D) Disorientation
D) Disorientation
Tertiary prevention activities are designed to:
A) Prevent disease before it occurs
B) Detect disease at an earlier, more treatable stage
C) Manage disease so it does not get worse
D) Eradicate all disease from the nation
C) Manage disease so it does not get worse
The degree to which a patient follows a treatment regimen could best be defined as:
A) Adherence
B) Health literacy
C) Deliverance
D) Holism
A) Adherence
Older adults often don't report pain because:
A) They believe that pain is a normal part of aging
B) They are afraid of what the pain might mean
C) They don't want to bother the nurse
D) All of the above
D) All of the above
When assessing an older adult's mobility and overall function, the Timed Up and Go (TUG) Test is quite comprehensive and a normal result should only take about:
A) 2 minutes
B) 1 minute
C) 30 seconds
D) 10 seconds
D) 10 seconds
Many older adults take NSAID's for discomfort. It is extremely important to monitor which of the following systems for serious side effects?
A) Integumentary
B) Neurological
C) Reproductive
D) Gastrointestinal
D) Gastrointestinal
An 81-year-old man has been experiencing some memory loss over the past year, but today he got lost driving to his son's home. He has had various lab tests, neuroimaging and cognitive testing and has been diagnosed with Alzheimer's Disease. Due to his increasing dementia, he is being discharged to his son's home. The priority intervention that must be promoted is:
A) Protection from injury
B) Behavior modification
C) Independence with ADL's
D) Memory restoration
A) Protection from injury
Primary prevention activities are designed to:
A) Prevent disease before it occurs
B) Detect disease at an earlier, more treatable stage
C) Manage disease so it does not get worse
D) Eradicate all diseases from the nation
A) Prevent disease before it occurs
The study of the actions and effects of drugs is:
A) Pharmacokinetics
B) Pharmacology
C) Pharmacodynamics
D) Pharmacogenomics
C) Pharmacodynamics
Many older adults have osteoarthritis resulting in painful hips and knees. An appropriate intervention for them is:
A) Application of heat and/or cold, whichever is effective
B) NSAID's with food every 2 hours
C) Steroids twice daily
D) Cortisone injections twice daily
A) Application of heat and/or cold, whichever is effective
Which assessment tool has been used in assessing functional status in older adults?
A) BEERS criteria
B) Maslow guidelines
C) Katz Index
D) Mini-Mental State Exam
C) Katz Index
Older adults are prone to which of the following side effects of opiates, tricyclics, antidepressants and anticholinergics?
A) Diarrhea
B) Abdominal cramping
C) Muscular cramping
D) Constipation
D) Constipation
An 86-year-old man was admitted to the critical care unit and is now exhibiting signs of delirium. It is important to explain to concerned family members that delirium _______ that is often caused by ______ in the hospitalized elderly.
A) Is reversible / medications
B) Is irreversible / COPD
C) Is part of the normal aging process / stress
D) Develops over a long period of time / genetic factors
A) Is reversible / medications
An example of primary care is:
A) Breast cancer screening
B) Diabetes disease management
C) Annual PSA (prostate) testing
D) Smoking cessation
D) Smoking cessation
A) Anxiety
B) Cough
C) Shortness of breath
D) Pain
A) Anxiety
A 68-year-old resident of an assisted living facility complains of muscle aches and loss of range of motion in multiple joints, especially his left knee. He reports he is sexually active and has multiple partners. His temperature is 99.0 F, he has no tophi on his left knee, but it is warm and swollen.
The etiology of his knee pain is:
A) Severe osteopenia or osteoporosis
B) Septic arthritis secondary to gonorrhea and chlamydia
C) Sarcoidosis
D) Osteomyelitis
B) Septic arthritis secondary to gonorrhea and chlamydia
An 88 y/o man complains of burning ion the soles of his feet. He has a complete physical examination and has no other significant findings. His laboratory work returns with a decrease in:
A) Vitamin C
B) Vitamin B12
C) Iron
D) Potassium
B) Vitamin B12
Glomerular filtration rate (GFR) decreases as a result of aging and can be further decreased by:
A) Increased blood flow to the kidneys
B) Some medications
C) Penicillin sensitivity
D) Stress
B) Some medications
One of the main causes of delirium is:
A) Age
B) COPD
C) Medications
D) Participation in treatment decision making
C) Medications
Immunization is an example of which type of prevention?
A) Primary
B) Secondary
C) Tertiary
D) Preventative
A) Primary
What is the greatest risk factor for a fall?
A) Age
B) Cognitive impairment
C) Osteoporosis
D) Previous history of a fall
D) Previous history of a fall
An 88-year-old woman complains of shoulder pain that has been increasing over the past 6 months. She is assessed and diagnosed with impingement syndrome, which is most likely a result of:
A) Frozen shoulder
B) Wearing and arm sling for longer than 3 months
C) Rotator cuff tendonitis
D) Thoracic outlet syndrome
C) Rotator cuff tendonitis
Symptoms of macular degeneration include:
A) Floater and blind spots
B) Blurred vision and difficulty reading
C) Blind spots and diplopia
D) Trouble with night vision and astigmatism
B) Blurred vision and difficulty reading
Neuropathic pain, such as that which is experienced in postherpetic neuralgia, is common among older adults. Which of the following drug categories is frequently used for treatment of neuropathic pain?
A) Anticonvulsants
B) Opiates
C) NSAIDS
D) Acetaminophen
A) Anticonvulsants
A 79-year-old woman had a hysterectomy last night. She was transferred to your unit from recovery this morning and has been yelling and trying to remove her bandages all day long. The reason for this is most likely:
A) Dementia
B) Delirium
C) Depression
D) Bipolar disorder
B) Delirium
Secondary prevention activities are designed to:
A) Prevent disease before it occurs
B) Detect at an earlier, more treatable stage
C) Manage disease so it does not get worse
D) Eradicate all disease from the nation
B) Detect at an earlier, more treatable stage
The Five Rights of Delegation was developed by which nursing organization?
A) American Nurses Association
B) National League for Nursing
C) American Association of Critical Care Nurses
D) National Council of State Board of Nursing
D) National Council of State Board of Nursing