GRNS 412 Geri Chapter 13 Complete Study Guide and Geriatric Nursing Revision
Notes
Neurological assessment of the older adult requires specific tools and considerations to assess
patient mental status. Which of the following should be used to assess patient cognition?
1. Administer SLUMS, a short dementia assessment.
2. Administer MoCA v 7.1, a 12-item assessment to detect mild neurocognitive disorders.
3. Administer testing of cranial nerve III.
4. Administer Mini-Cog, a three-word recall with clock drawing capability. - correct answer
✔✔4. Administer Mini-Cog, a three-word recall with clock drawing capability.
A clinician is performing sensory assessment on a patient presenting signs and symptoms of
neurological disease. During the assessment, the clinician notices that the patient has a
decreased sense of both pain and temperature. Which of the following may be affected?
1. Spinothalamic tract
2. Cranial nerve VII
3. Posterior column
4. Posterior horn - correct answer ✔✔1. Spinothalamic tract
Gayle is a 55-year-old woman who is suspected of having a brain tumor. The clinician orders
diagnostic testing for thyroid-stimulating hormone (TSH) and magnetic resonance imaging (MRI)
to confirm this. Which of the following statements is true regarding a brain tumor?
1. The symptom of headache is rare.
2. A brain tumor can be a malignant or benign neoplasm.
3. The etiology of brain tumors is often known.
, 4. Brain tumors occur more commonly in females than males. - correct answer ✔✔2. A brain
tumor can be a malignant or benign neoplasm.
Parkinson's disease (PD) is a chronic progressive neurodegenerative disorder resulting in the
loss of dopamine-producing cells in the brain. Which part of the brain is affected with PD?
1. Substantia nigra
2. Cingulate gyrus
3. Hippocampus
4. Hypothalamus - correct answer ✔✔1. Substantia nigra
Which of the following is a neurological disorder characterized by leg cramping, pulling,
and tugging sensations, and may have a genetic component?
1. Radiculopathy
2. Nerve compression
3. Restless legs syndrome (RLS)
4. Sleep impairment - correct answer ✔✔3. Restless legs syndrome (RLS)
According to studies, which of the following is true regarding cerebrovascular disease?
1. It accounts for 20% to 50% of seizures in older adults.
2. It accounts for 10% of seizures in older adults.
3. Sixty percent of patients with stroke are at risk of developing seizures within 5 years.
4. Transient ischemic attacks have a relatively high incidence of seizures. - correct answer ✔✔1.
It accounts for 20% to 50% of seizures in older adults.
Notes
Neurological assessment of the older adult requires specific tools and considerations to assess
patient mental status. Which of the following should be used to assess patient cognition?
1. Administer SLUMS, a short dementia assessment.
2. Administer MoCA v 7.1, a 12-item assessment to detect mild neurocognitive disorders.
3. Administer testing of cranial nerve III.
4. Administer Mini-Cog, a three-word recall with clock drawing capability. - correct answer
✔✔4. Administer Mini-Cog, a three-word recall with clock drawing capability.
A clinician is performing sensory assessment on a patient presenting signs and symptoms of
neurological disease. During the assessment, the clinician notices that the patient has a
decreased sense of both pain and temperature. Which of the following may be affected?
1. Spinothalamic tract
2. Cranial nerve VII
3. Posterior column
4. Posterior horn - correct answer ✔✔1. Spinothalamic tract
Gayle is a 55-year-old woman who is suspected of having a brain tumor. The clinician orders
diagnostic testing for thyroid-stimulating hormone (TSH) and magnetic resonance imaging (MRI)
to confirm this. Which of the following statements is true regarding a brain tumor?
1. The symptom of headache is rare.
2. A brain tumor can be a malignant or benign neoplasm.
3. The etiology of brain tumors is often known.
, 4. Brain tumors occur more commonly in females than males. - correct answer ✔✔2. A brain
tumor can be a malignant or benign neoplasm.
Parkinson's disease (PD) is a chronic progressive neurodegenerative disorder resulting in the
loss of dopamine-producing cells in the brain. Which part of the brain is affected with PD?
1. Substantia nigra
2. Cingulate gyrus
3. Hippocampus
4. Hypothalamus - correct answer ✔✔1. Substantia nigra
Which of the following is a neurological disorder characterized by leg cramping, pulling,
and tugging sensations, and may have a genetic component?
1. Radiculopathy
2. Nerve compression
3. Restless legs syndrome (RLS)
4. Sleep impairment - correct answer ✔✔3. Restless legs syndrome (RLS)
According to studies, which of the following is true regarding cerebrovascular disease?
1. It accounts for 20% to 50% of seizures in older adults.
2. It accounts for 10% of seizures in older adults.
3. Sixty percent of patients with stroke are at risk of developing seizures within 5 years.
4. Transient ischemic attacks have a relatively high incidence of seizures. - correct answer ✔✔1.
It accounts for 20% to 50% of seizures in older adults.
