ANCC Gero Review Questions with Complete Solutions

ANCC Gero Review Questions with Complete Solutions When an older patient is hospitalized, Medicare reimburses for this inpatient care by which of the following mechanisms? A. Medicare B B. Medicare A C. Medicare D D. Medigap - Ans:-B. Medicare A Gerontological nurses are expected to evaluate research to implement evidence-based practice. Which of the following studies provides the strongest evidence to change practice? A. Randomized control clinical trial B. Qualitative phenomenological study ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/48 C. In-depth case study D. Cohort study - Ans:-A. Randomized control clinical trial A randomized clinical trial is considered the "gold standard" and the highest level of research evidence. The randomized design eliminates selection bias, and the control and experimental groups provide evidence that any differences in outcomes at the end of the study are due to the study intervention and not chance. phenomenological qualitative study and a case study enable understanding of one person's "lived experience" which may or may not be typical of others. Outcomes from a cohort study may reflect differences in age groups found as a result of historical events and not necessarily changes as a result of research interventions The landmark Institute of Medicine (IOM) report entitled "The Future of Nursing" advances which of the following positions? A. Nursing faculty will be required to pursue postdoctoral training B. Nursing curriculum will require advanced aging content C. Physicians will no longer be allowed to direct care in long-term-care facilities ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/48 D. Nurses should practice to the full extent of their education and training - Ans:-D. Nurses should practice to the full extent of their education and training Nurses should be full partners with other professionals when redesigning the healthcare system, nurses should achieve higher levels of education and have opportunities for seamless academic progression, and nurses should participate in effective workforce planning and policy-making with a better data collection and information infrastructure The biggest risk factor for developing a cognitive impairment is: A. socioeconomic status B. poor nutrition C. age D. female gender - Ans:-c. age Cognitive impairments become more common with advanced age across all categories of older people ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/48 A 76 year old woman presents at an ambulatory clinic. About 2 weeks ago, she had difficulty finding words, felt weak, and noticed her right hand felt numb for several hours. Although she has recovered most of her function, she continues to have difficulty with her short-term memory. The most likely cause of these symptoms A. Alzheimer's disease B. organic delusional syndrome C. vascular dementia D. acute depressive syndrome - Ans:-C. vascular dementia Is associated with sudden acute events, such as transient ischemic attacks or small strokes. Clinically, older patients suffering from vascular events will have sudden-onset presentation of their symptoms rather than slow, insidious onset An 85-year-old woman with advanced cancer asks the nurse, "what is wrong with me? My doctor won't tell me anything. The chemotherapy is making me sick and if I knew it wasn't helping, I would stop taking it." The nurse decides to tell the patient the truth. Which ethical principle is the nurse upholding? ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/48 A. Fidelity B. Autonomy C. Justice D. Nonmaleficence - Ans:-B. Autonomy By telling the patient the truth about the cancer diagnosis, the nurse is supporting autonomy by providing information that supports self-determination. Justice involves treating patients fairly, nonmaleficence involves doing no harm, and fidelity involves faithful performance of duties and obligation to meet the needs of patients Higher RN staffing levels in long-term-care settings are known to be associated with which of the following factors? A. lower costs to the facility B. higher fall rates C. lower rates of decubitus ulcers D. more medication use - Ans:-C. lower rates of decubitus ulcers ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 6/48 Based on a study published by AARP, long-term-care facilities with higher RN staffing levels have higher quality indicators, including lower rates of decubitus ulcers, indwelling catheter use, and patient mortality The process of gerontological nursing certification by the American Nurses Credentialing Center is best described as a(n) A. formal process to validate clinical competence in a speciality area of practice B. formal process to obtain a nursing license C. informal process necessary for those considering graduate study D. requirement only for those working in a long-term care - Ans:-A. formal process to validate clinical competence in a speciality area of practice Certification is a voluntary process that occurs when a nurse passes an examination developed by experts in the field, assuring the public and other healthcare professionals that the nurse possesses knowledge of speciality content in a given area ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 7/48 Mrs. Jones is a 78-year-old female with a history of severe degenerative arthritis of her lower back. She suffers from chronic pain much of time, rated between 4 and 6 on a 1-10 scale. She describes the pain as burning and tingling. Over the past few months, she has been on a variety of analgesics without much effect on her pain. Her current regimen includes tramadol 50 mg twice daily and gabapentin 300 mg at bedtime. She states that she sleeps well and that, for the most part, this regimen works better than previous ones that included hydrocodone. This scenario describes which of the following categories of pain? A. nociceptive B. neuropathic C. visceral D. unspecified - Ans:-B. neuropathic Mrs. Jones is a typical of the older client with chronic nonmalignant pain from inflammation of one or several spinal nerves. Her pain medication regimen include an anticonvulsant and a nonopiate analgesic An 80-year old man reports to his nurse that he is having trouble initiating the flow of urine, has to void every hour or so, and never feels his bladder is empty. The nurse realizes that these symptoms are most probably the result of which of the following conditions? ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 8/48 A. Prostate cancer B. Neurological changes of aging C. Anemia D. benign prostatic hypertrophy - Ans:-D. benign prostatic hypertrophy although the urinary symptoms listed could possibly suggest prostate cancer, benign prostatic hypertrophy is very commonly seen in older men and s more likely to be the cause. Anemia and urologic changes are unlikely to contribute to the symptoms in this question Which virus is spread by the fecal-oral rout, is usually transmitted by contaminated food or water, and has no chronic form? A. Hep A B. Hep B C. Hep