Gerontology Exam practice questions Latest

Gerontology Exam practice questions Latest Update 125 Questions and 100% Verified Correct Answers Guaranteed A+ At First Attempt A 63-year-old patient is returning home after being hospitalized for injuries received during a robbery and home invasion. Although neighborhood robberies are rampant, the patient has lived in the same house for 50 years and does not want to move. The patient receives a monthly social security check. The gerontological nurse's most

appropriate step is to:

• advise the patient to arrange for someone to visit regularly or move into the

home.

• advise the patient to have the social security check deposited directly to the bank

and to get a dog.

• assume that the patient is incompetent and initiate commitment proceedings.
• take no action since the patient has a right to autonomy. - CORRECT ANSWER: 2

A 68-year-old man calls his daughter every night to talk about his beloved wife who died four weeks ago. During the day, he is sad and goes out frequently to get away from the

empty house. The man's most probable state is:

• depression.
• mourning.
• neurosis.

4. prolonged grief. - CORRECT ANSWER: 2

A 69-year-old female presents with knee pain. The nurse hears a dry crackling or grating sound and the client feels the same sensation on exam. The nurse reconizes

this as:

• Nothing abnormal for the age of the client
• Crepitation, the sound of osteoarthritis in the knee joint
• Osteoporosis and a softening of the knee joint

d. Fluid-filled spaces in the knee joint - CORRECT ANSWER: B

A 70-year-old presents to the clinic stating that his family things he is losing his mind and they want to put him in a home. What would be the intial role of the gerontological nurse?

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 - CORRECT

ANSWER: B

A 73-year-old patient is admitted to a rehabilitation facility after sustaining a mild stroke.After three nights in the facility, the patient begins to sleep only four to five hours a night and to awaken frequently during the night. The patient then complains of not feeling rested and begins to nap during the day. Which is the most appropriate nursing action? 1 / 3

• Completing an assessment of the patient's sleep-wake cycle to determine

necessary interventions

• Doing nothing since this type of sleep pattern is associated with normal aging
• Inquiring if the patient takes a medication at bedtime and requesting that the

physician order it

• Moving the patient further away from the nurse's station to minimize disturbances -

CORRECT ANSWER: 1

A 73-year-old patient reports "dizzy spells" for the past several weeks. The patient describes three similar episodes during which the patient experienced "a swimming in my head," loss of balance without falling, and numbness in the left arm. These episodes

lasted 10 to 30 minutes. This patient is experiencing:

• carotid artery stenosis

b) Meniere's disease

• postural hypotension

d) transient ischemic attacks - CORRECT ANSWER: D

A 75-year-old patient who sustained a stroke has residual left-sided weakness. From the first day of hospitalization, the patient has been combative and demanding, and has

refused to swallow any medication. The most constructive nursing action is to:

• continue to attempt to follow the physician's orders.
• determine the patient's premorbid personality.
• restrain the patient and request a change in the route of medication.

4. wait for the patient to become more cooperative. - CORRECT ANSWER: 2

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

the fingers. The gerontological nurse recommends:

• cold packs.
• exercise.
• meditation therapy.

4. vitamin therapy. - CORRECT ANSWER: 2

A 78-year-old male resident at a long-term care facility, who is a former business executive, has been smoking and extinguishing cigarettes in a paper cup in areas where smoking is prohibited. He has been informed repeatedly of the designated

smoking areas. The resident's behavior indicates an attempt to:

• express self-transcendence.
• maintain autonomy by exercising control.
• maintain his previous professional role.

4. react against the facility's ageism. - CORRECT ANSWER: 2

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?

• Diphenhydramine (Benadryl)
• Ferrous sulfate
• Guaifenesin (Robitussin) 2 / 3

4. Loratadine (Claritin) - CORRECT ANSWER: 1

A 92-year old patient, who recently underwent a below-the-knee leg amputation, is resisting attempts at rehabilitation. The most likely reason for the resistance is that the

patient:

• has goals that differ from the rehabilitation care plan.
• has too many disabilities to realistically plan for rehabilitation.
• is too old to undergo rehabilitation.
• requires a psychiatrist's assistance to deal with the loss. - CORRECT ANSWER: 1

A gerontological clinical nurse specialist is administering a mental status examination to an 80-year-old patient. The patient answers the more complicated questions by saying "I don't know." Which test is included in a further assessment?

a) Barthel Index

b) Functional Independence Measure

c) Geriatric Depression Scale

d) Lawton Life Satisfaction Scale - CORRECT ANSWER: C

A gerontological clinical specialist is conducting a study on risk factors for osteoporosis and has developed a questionnaire covering risk-reducing and risk-increasing behaviors of older women. The clinical specialist asks experts in the area of osteoporosis to

review the tool to establish:

• concurrent validity
• content validity
• interrater reliability

d) test-retest reliability - CORRECT ANSWER: B

A gerontological nurse at a nursing home conducts a reminiscence therapy group for residents with confusion. A member of the group stands up and says, "I just heard my cow. I have to go and milk her now." The nurse's most therapeutic response is:

• "All right, you may leave the group now."
• "Please tell us about your cow."
• "That wasn't a cow; maybe you heard a vacuum cleaner."
• "You live here at the nursing home now, not on the farm." - CORRECT ANSWER: 2

A gerontological nurse in a daycare program for older adults observes that the participants have long toenails, corns, calluses, and other problems indicating a need for better foot care. What is the nurse's best action?

• Developing an educational program on foot health and arranging for podiatry

services at the site

• Establishing a regular foot care plan whereby the participants' toenails would be

cut and corns and calluses shaved

• Instructing competent family members in the proper methods of cutting toenails

and using commercial foot care products.

• Recommending that the participants soak their feet for 10 minutes before cutting

their toenails using safe toenail clippers - CORRECT ANSWER: 1

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