Medications, slower mobility, lack of proper fluid intake, and poor diet can contribute to what
common symptom in the elder population?
a) Urinary incontinence
b) Skin changes
c) Mental changes
d) Depression - AnswerA
Which statement would be most appropriate to ask when assessing an aging adult for cognitive
function?
a) What is today's date?
b) Can you count to 10 for me?
c) Have you noticed anything different about your memory or thinking in the past few months?
d) Who is the president of the United States? - AnswerC
Which disease or ailment is often under diagnosed and undertreated in the aging population?
a) Schizpphrenia
b) Depression
c) Associative disorders
d) Attention deficit disorder - AnswerB
Which statement demonstrates normal cognitive function for an aging adult?
a) Occasional memory lapses
b) Unable to recall the names of their children or siblings
c) Unable to recall current address or phone number
d) Unable to count to 10 or repeat a series of consecutive numbers - AnswerA
Denmentia and depression are strongly related to:
a) Clients over the age of 60
,b) Clients over the age of 65
c) A decreased quality of life and functional deficits
d) Past economic status and job performance - AnswerC
Which organ is responsible for drug metabolism and must be considered when prescribing
medicaiton for an older adult?
a) Kidneys
b) Pancreas
c) Intestines
d) Liver - AnswerD
An older adult on digoxin and furosemide is showing signs of toxicity. The gerontology nurse
understands that:
a) Digoxin and furosemide are excreted by the kidneys, and the doses may need to be decreased due
to impaired kidney function
b) Digoxin and furosemide are excreted through the intestinal tract, and dose changes would be
ineffective
c) An increase in fluid intake will fix the symptoms, and no change in dose is needed
d) How a drug is excreted is not a consideration when dosing an older adult - AnswerA
An 80-year-old female asks the nurse about over-the-counter vitamin supplements. The most
appropriate advice would include:
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 - AnswerD
What benefit does evidnce-based practice offer clients over the age of 60?
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 pracrice 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 -
AnswerB
What is the purpose of Rogers' diffusion of innovation model in relation to evidnece-based practice
(EBP)?
a) There is no relation to EBP
b) It offers an explanation of aging
c) It is used to open communication around issues of implementing changes in practice when EBP
research has shown that change would improve outcomes
d) It is the model that contradicts the EBP theory - AnswerC
Which choice best explains the practice setting for the gerontological nurse?
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 - AnswerD
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 - AnswerB
Which item would not be a focus of a cognitive-perceptual pattern assessment for the older client?
a) Cognition--Have you experienced any changes in your memory?
b) Communication--Have you had any difficulty speaking or forming ideas?
c) FInancial--Have you had any financial hardships over the past several months?
d) Orientation--Do you know what day, month, and year it is? - AnswerC
Which topic should NOT be omitted when assessign the aging client?
a) Sexual history
common symptom in the elder population?
a) Urinary incontinence
b) Skin changes
c) Mental changes
d) Depression - AnswerA
Which statement would be most appropriate to ask when assessing an aging adult for cognitive
function?
a) What is today's date?
b) Can you count to 10 for me?
c) Have you noticed anything different about your memory or thinking in the past few months?
d) Who is the president of the United States? - AnswerC
Which disease or ailment is often under diagnosed and undertreated in the aging population?
a) Schizpphrenia
b) Depression
c) Associative disorders
d) Attention deficit disorder - AnswerB
Which statement demonstrates normal cognitive function for an aging adult?
a) Occasional memory lapses
b) Unable to recall the names of their children or siblings
c) Unable to recall current address or phone number
d) Unable to count to 10 or repeat a series of consecutive numbers - AnswerA
Denmentia and depression are strongly related to:
a) Clients over the age of 60
,b) Clients over the age of 65
c) A decreased quality of life and functional deficits
d) Past economic status and job performance - AnswerC
Which organ is responsible for drug metabolism and must be considered when prescribing
medicaiton for an older adult?
a) Kidneys
b) Pancreas
c) Intestines
d) Liver - AnswerD
An older adult on digoxin and furosemide is showing signs of toxicity. The gerontology nurse
understands that:
a) Digoxin and furosemide are excreted by the kidneys, and the doses may need to be decreased due
to impaired kidney function
b) Digoxin and furosemide are excreted through the intestinal tract, and dose changes would be
ineffective
c) An increase in fluid intake will fix the symptoms, and no change in dose is needed
d) How a drug is excreted is not a consideration when dosing an older adult - AnswerA
An 80-year-old female asks the nurse about over-the-counter vitamin supplements. The most
appropriate advice would include:
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 - AnswerD
What benefit does evidnce-based practice offer clients over the age of 60?
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 pracrice 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 -
AnswerB
What is the purpose of Rogers' diffusion of innovation model in relation to evidnece-based practice
(EBP)?
a) There is no relation to EBP
b) It offers an explanation of aging
c) It is used to open communication around issues of implementing changes in practice when EBP
research has shown that change would improve outcomes
d) It is the model that contradicts the EBP theory - AnswerC
Which choice best explains the practice setting for the gerontological nurse?
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 - AnswerD
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 - AnswerB
Which item would not be a focus of a cognitive-perceptual pattern assessment for the older client?
a) Cognition--Have you experienced any changes in your memory?
b) Communication--Have you had any difficulty speaking or forming ideas?
c) FInancial--Have you had any financial hardships over the past several months?
d) Orientation--Do you know what day, month, and year it is? - AnswerC
Which topic should NOT be omitted when assessign the aging client?
a) Sexual history
