C475 Care of the Older Adult -TEST BANK.
ACTUAL EXAM 2026/2027 COMPLETE
QUESTIONS WITH CORRECT DETAILED
ANSWERS || GUARANTEED PASS
1. Patient Self-Determination Act of 1990 - ANSWER ✅ this law requires that
patients are provided the opportunity to express their preferences regarding
lifesaving or life-sustaining care on entering any health care service,
including hospitals, long-term care centers, and home care agencies. The law
also requires that adequate information be supplied to the patient so that he
or she can make informed decisions regarding self-determination
2. advanced directives - ANSWER ✅ Decisions regarding life-saving or life-
sustaining care are recorded in legal documents known as__________
3. living will - ANSWER ✅ alternative documents that direct preferences for
end-of-life care issues, providing an "if...then..." plan
4. informed consent - ANSWER ✅ means that the person clearly understands
the choices offered.
5. autonomy - ANSWER ✅ independent; not controlled by others; self-
governing
6. self-determination - ANSWER ✅ The patient right that is the right to decide
,7. healthy aging - ANSWER ✅ the ability to maintain three key behaviors:
low risk of disease and disease-related disability, high mental and physical
function, and active engagement of life
8. Baby Boomers - ANSWER ✅ are aging adults born from 1946-1964. They
will reach retirement starting around 2011-2030.
9. Geriatrician - ANSWER ✅ a physician, board certified in geriatrics, who
specializes in the care of the elderly
10.Geriatrics - ANSWER ✅ The branch of medicine concerned with the
problems of aging
11.Gerontology - ANSWER ✅ Study of aging; broad category that includes
several areas (sociology of aging, psychology, economics of aging
12.Ageism - ANSWER ✅ Prejudice towards elderly
13.Alzheimer's - ANSWER ✅ betaamyloid plaques and neurofibrillary plaques
14.Age - ANSWER ✅ Old Old= 85+ years
Older Adult= 65 years of age or older
15.Physical Assessment - ANSWER ✅ is assessing the patient's physical
health. It included vital signs, assessing for pain, blood pressure problems,
irregular heartbeat, abnormal breath sounds, etc. you know these because as
, a nurse you are always assessing the patient. In addition, for older adults you
want to assess cognitive function.
16.The Katz Index of ADLs - ANSWER ✅ Developed by Dr. Katz.
Distinguished between independence and dependence. Bathing, eating,
dressing, transfer, toileting, and continence
17.Functional Assessment - ANSWER ✅ is assessing what the older adult can
still for themselves. Bathing, eating, getting dress, brushing their teeth and
more are functional abilities. Functional abilities can be altered due to
physical impairment and illness. Dr. Katz and Dr. Barthel developed
ADL/IADL indexes to measure the patient's functional abilities. You should
have noticed that ADL is used throughout the book. This is because the
ADL's can determine the patient's care plan. It determines whether they are
safe in the current environment. It impacts their ability to participate in
health promotion and disease prevention.
18.Barthel Index - ANSWER ✅ This index was designed to measure functional
levels of self-care and mobility and it rates the ability to feed and groom
oneself, bathe, go to the toilet, walk (or propel a wheelchair), climb stairs,
and control bowel and bladder.
19.Cognitive Assessment - ANSWER ✅ thought processing, thinking and
reasoning skills. Know the normal cognitive changes as a result of aging.
Dementia is not normal. You will need to understand the difference between
delirium & dementia.
20.IADLS (Instrumental Activities of Daily Living) - ANSWER ✅ more
complex activities. Laundry, shopping for groceries, using a telephone,
cooking, shopping, housekeeping, finances, taking medications, preparing
meals, fixing things around the house, lawn care,
, 21.AADLs (Advanced Activities of Daily Living)- - ANSWER ✅ social,
family, and community roles, occupation
22.MMSE (Mini Mental State Examination)- - ANSWER ✅ differentiate
organic from functional disorders and to measure change in cognitive
impairment. It is not used for diagnostics. It measures orientation,
registration, attention and calculation, short-term recall, language, and
visuospatial function
23.Mini-Cog - ANSWER ✅ is another screening tool that can be administered
in 5 minutes or less and requires minimal training. 3 item recall, clock
drawing test (CDT)
24.GDS (Geriatric Depression Scale) - ANSWER ✅ a set of 30 questions to
assess for geriatric depression. A "negative" response which, depending on
the question may be a yes or no answer, is scored as one point; a higher
score indicates more symptoms of depression
25.SPICES - ANSWER ✅ An overall Assessment Tool of Older Adults. S is
for Sleep Disorders. P is for Problems with Bathing or Feeding, I
Incontinence, C is for Confusion, E is for Evidence of Falls, S is for Skin
Breakdown
26.MCSI (Modified Caregiver Strain Index): - ANSWER ✅ tool that can be
used to quickly screen for caregiver strain with long-term family caregivers.
It is a 13 question tool that measures strain related to care provision
27.Types of Care Facilities - ANSWER ✅ Acute Care Hospital (ACH)
Acute Rehabilitation (Rehab)
ACTUAL EXAM 2026/2027 COMPLETE
QUESTIONS WITH CORRECT DETAILED
ANSWERS || GUARANTEED PASS
1. Patient Self-Determination Act of 1990 - ANSWER ✅ this law requires that
patients are provided the opportunity to express their preferences regarding
lifesaving or life-sustaining care on entering any health care service,
including hospitals, long-term care centers, and home care agencies. The law
also requires that adequate information be supplied to the patient so that he
or she can make informed decisions regarding self-determination
2. advanced directives - ANSWER ✅ Decisions regarding life-saving or life-
sustaining care are recorded in legal documents known as__________
3. living will - ANSWER ✅ alternative documents that direct preferences for
end-of-life care issues, providing an "if...then..." plan
4. informed consent - ANSWER ✅ means that the person clearly understands
the choices offered.
5. autonomy - ANSWER ✅ independent; not controlled by others; self-
governing
6. self-determination - ANSWER ✅ The patient right that is the right to decide
,7. healthy aging - ANSWER ✅ the ability to maintain three key behaviors:
low risk of disease and disease-related disability, high mental and physical
function, and active engagement of life
8. Baby Boomers - ANSWER ✅ are aging adults born from 1946-1964. They
will reach retirement starting around 2011-2030.
9. Geriatrician - ANSWER ✅ a physician, board certified in geriatrics, who
specializes in the care of the elderly
10.Geriatrics - ANSWER ✅ The branch of medicine concerned with the
problems of aging
11.Gerontology - ANSWER ✅ Study of aging; broad category that includes
several areas (sociology of aging, psychology, economics of aging
12.Ageism - ANSWER ✅ Prejudice towards elderly
13.Alzheimer's - ANSWER ✅ betaamyloid plaques and neurofibrillary plaques
14.Age - ANSWER ✅ Old Old= 85+ years
Older Adult= 65 years of age or older
15.Physical Assessment - ANSWER ✅ is assessing the patient's physical
health. It included vital signs, assessing for pain, blood pressure problems,
irregular heartbeat, abnormal breath sounds, etc. you know these because as
, a nurse you are always assessing the patient. In addition, for older adults you
want to assess cognitive function.
16.The Katz Index of ADLs - ANSWER ✅ Developed by Dr. Katz.
Distinguished between independence and dependence. Bathing, eating,
dressing, transfer, toileting, and continence
17.Functional Assessment - ANSWER ✅ is assessing what the older adult can
still for themselves. Bathing, eating, getting dress, brushing their teeth and
more are functional abilities. Functional abilities can be altered due to
physical impairment and illness. Dr. Katz and Dr. Barthel developed
ADL/IADL indexes to measure the patient's functional abilities. You should
have noticed that ADL is used throughout the book. This is because the
ADL's can determine the patient's care plan. It determines whether they are
safe in the current environment. It impacts their ability to participate in
health promotion and disease prevention.
18.Barthel Index - ANSWER ✅ This index was designed to measure functional
levels of self-care and mobility and it rates the ability to feed and groom
oneself, bathe, go to the toilet, walk (or propel a wheelchair), climb stairs,
and control bowel and bladder.
19.Cognitive Assessment - ANSWER ✅ thought processing, thinking and
reasoning skills. Know the normal cognitive changes as a result of aging.
Dementia is not normal. You will need to understand the difference between
delirium & dementia.
20.IADLS (Instrumental Activities of Daily Living) - ANSWER ✅ more
complex activities. Laundry, shopping for groceries, using a telephone,
cooking, shopping, housekeeping, finances, taking medications, preparing
meals, fixing things around the house, lawn care,
, 21.AADLs (Advanced Activities of Daily Living)- - ANSWER ✅ social,
family, and community roles, occupation
22.MMSE (Mini Mental State Examination)- - ANSWER ✅ differentiate
organic from functional disorders and to measure change in cognitive
impairment. It is not used for diagnostics. It measures orientation,
registration, attention and calculation, short-term recall, language, and
visuospatial function
23.Mini-Cog - ANSWER ✅ is another screening tool that can be administered
in 5 minutes or less and requires minimal training. 3 item recall, clock
drawing test (CDT)
24.GDS (Geriatric Depression Scale) - ANSWER ✅ a set of 30 questions to
assess for geriatric depression. A "negative" response which, depending on
the question may be a yes or no answer, is scored as one point; a higher
score indicates more symptoms of depression
25.SPICES - ANSWER ✅ An overall Assessment Tool of Older Adults. S is
for Sleep Disorders. P is for Problems with Bathing or Feeding, I
Incontinence, C is for Confusion, E is for Evidence of Falls, S is for Skin
Breakdown
26.MCSI (Modified Caregiver Strain Index): - ANSWER ✅ tool that can be
used to quickly screen for caregiver strain with long-term family caregivers.
It is a 13 question tool that measures strain related to care provision
27.Types of Care Facilities - ANSWER ✅ Acute Care Hospital (ACH)
Acute Rehabilitation (Rehab)
