CARE OF THE ELDERLY C475 test-bank | Care of The Older Adult TEST BANK

Care of The Older Adult TEST BANK A negative attitude towards aging and the aged is called: A. geriatrics B. racism C. ageism D. ethnocentrism Which of the following is not considered a core competency for nurses caring for older adults? A. Analyze the impact of an aging society on the health care system B. Obtain certification in gerontological nursing C. Prevent or reduce common risk factors that contribute to functional decline D. Recognize one's own attitudes about aging The nurse wishes to obtain basic certification in the specialty of gerontological nursing. Which of the following is true about this credential? A. there is an experience requirement B. one must pass an exam C. one must have a BSN D. a and b only When the nurse reads an article and uses the findings of a study to improve the quality of the patients for whom she cares, she is implementing the role of: A. teacher B. manager C. research consumer D. advocate A lawyer wishes to hire a nurse consultant who has advanced education and certification in gerontology. Based on their listed credentials, which of the following nurses best fits his wishes? A. Sally Smith, RN, BSN, BC B. Mary Malloy, RN, MS, GNP C. Andy Jones, LPN, CRRC D. Greg Reed, RN, MSN The AACN/John A. Hartford Foundation Competencies are helpful to nurses because they: A. offer suggestions about how to gain employment in geriatrics B. provide a guideline for the knowledge that is expected to provide quality care to older adults C. were designed to prepare nurses to pass the State Board Exam D. were written for nurses working on a graduate degree in gerontology The nurse has a question about the appropriateness of an older patient's medication dose. Which of the following professionals would be best qualified to answer such a question? A. the geropsychologist B. the geropharmacist C. the financial gerontologist D. the gerontological rehabilitation nurse The health care professional who wants to gain experience in working with older adults who are post-acutely recovering from serious illness or injury, have challenging medical issues needing 24 hour per day nursing, but who cannot yet tolerate a full rehabilitation program may be best suited for employment in what setting: A. acute care hospital B. assisted living C. rehabilitation D. subacute care Which of the following levels of care would be most appropriate for a healthy 84 year old man who can take care of himself, but wants to live in a place where he can socialize and have help available if needed? A. a group foster home B. a transitional care unit C. an independent unit in a senior living complex D. assisted living in a nursing home Which of the following is not true about assisted living facilities? A. if their care needs become too great, they may have to seek other living arrangements B. persons pay for assistance out of pocket C. the average resident is in his 60's D. they have assumed about 15% of the previous nursing home population A person aged 84 would be classified, according to current systems, as: A. young B. middle C. old D. very old The clinical nurse specialist (CNS) in gerontology differs from the GNP in that: A. the GNP usually works in a collaborative practice with a physician B. the CNS has less education than the GNP C. the GNP has a doctorate D. the CNS does less consulting than the GNP What is the most compelling reason for health professionals to be educated in the area of gerontology? A. to address the comprehensive nursing shortage B. to make an increase in salary C. to prepare to be challenged by the educated baby boomers D. to prepare to care for the growing number of older persons in the population An intergenerational approach to care for the aging is advisable because of what fact? A. baby boomers want their children to take of them in old age B. Gen X and Gen Y persons do not know anything about aging C. most older persons are cared for by their children D. nearly a half million grandparents are raising their grandchildren What best explains the lack of prepared, qualified health professionals to care for the aged? A. a shortage of nursing faculty B. medical programs not including gerontology content C. not enough health professionals choosing gero as a specialty D. the current nursing shortage There were approximately 36 million Americans over the age of 65 years in 2000 and this number is expected to grow to 71 million by 2030 A. TRUE B. FALSE Over half of women over the age of 85 are widowed A. TRUE B. FALSE There are more males in the population than females A. TRUE B. FALSE Most centenarians (people over the age of 100 years) are White and female A. TRUE B. FALSE Minority elderly groups are growing and thus present unique challenges for nurses today A. TRUE B. FALSE The majority of older persons live alone A. TRUE B. FALSE Older women who live alone tend to be more from lower income groups than those who are married A. TRUE B. FALSE Elderly Hispanics rate their overall health significantly higher than those from other ethnic groups A. TRUE B. FALSE Older persons tend to die from acute illnesses more than chronic diseases A. TRUE B. FALSE The major causes of death in the older age group are heart disease, AIDS, and tuberculosis A. TRUE B. FALSE (It's Heart Disease, Cancer and Strokes) Which ethnic/cultural group has a higher rate of diabetes, hypertension, and chronic renal disease than other ethnic groups? A. African Americans B. Hispanics C. Asians and Pacific Islanders D. American Indians and Alaskan natives Which ethnic/cultural group is the most rapidly growing ethnic minority, and less likely to obtain preventive services such as flu vaccines and mammograms? A. African Americans B. Hispanics C. Asians and Pacific Islanders D. American Indians and Alaskan natives Which ethnic/cultural group is comprised of many subgroups and generally have a longer life expectancy than white Americans? A. African Americans B. Hispanics C. Asians and Pacific Islanders D. American Indians and Alaskan natives Which ethnic/cultural group makes up a small percentage of America's elderly population and have increased morbidity and mortality related to diabetes and renal disease? A. African Americans B. Hispanics C. Asians and Pacific Islanders D. American Indians and Alaskan natives List the three leading causes of death in the elderly: The theory of aging that says that personality and coping patterns remain consistent through life is: A. continuity B. gerotranscendence C. human needs D. life course Erikson's stages of personality development for a person that is 76 years old would be: A. autonomy versus shame B. integrity versus despair C. generativity versus isolation D. trust versus mistrust A biological theory of aging that is based on random events that cause cellular damage versus genetically programmed events is called: A. nonstochastic B. Orgel / error C. selective optimization D. stochastic A scientist who believes that people have a genetic programming that determines or predicts longevity is a supporter of which theory? A. age stratification B. cross-link C. free radical D. gene/biological When a Native American Indian elder goes out into the woods to die and the tribe does not search for him, but allows him to withdraw, this could be an example of: A. activity theory B. disengagement theory C. subculture D. person-environment fit A 99 year old widow who has lived alone in her own home for 40 years experiences a fall and is sent by her children and grandchildren to a nursing home. The woman refuses to eat and exhibits signs and symptoms of depression and withdrawal. Which theory does this most describe? A. functional consequences B. theory of thriving C. neuroedncorine D. immunological The physician tells his 81-year-old male patient that his health has deteriorated due to the exogenous sources of free radicals to which he has exposed himself for many years. To what is the physician most likely referring? A. the ozone layer B. the patient's cigarette smoking C. the patient's alcohol consumption D. radiation from the patient's microwave MATCHING 1) continuity theory A. personality and coping patterns remain consistent through life 2) stochastic theories B. remaining active and involved promotes life satisfaction in later year 3) neuroendocrine theory C. transformation towards oneness with the universe 4) activity theory D. cells wear out with age 5) gerotranscendence theory E. five basic needs that motivate behavior 6) nonstochastic theories F. problems with gland feedback leads to disease 7) theory of thriving G. based on random events that cause cellular damage 8) human needs theory H. genetically programmed events cause cellular damage that lead to aging 9) functional consequences theory I. failure to thrive is from discord in relationships 10) wear and tear theory J. (Miller’s Theory) nurse’s role is risk reduction to enhance safety Answer: 1) continuity theory (A) A. personality and coping patterns remain consistent through life 2) stochastic theories (G) B. remaining active and involved promotes life satisfaction in later year 3) neuroendocrine theory (F) C. transformation towards oneness with the universe 4) activity theory (B) D. cells wear out with age 5) gerotranscendence theory (C) e. five basic needs that motivate behavior 6) nonstochastic theories (H) F. problems with gland feedback leads to disease 7) theory of thriving (I) G. based on random events that cause cellular damage 8) human needs theory (E) H. genetically programmed events cause cellular damage that lead to aging 9) functional consequences theory (J) I. failure to thrive is from discord in relationships 10) wear and tear theory (D) J. (Miller’s Theory) nurse’s role is risk reduction to enhance safety Which of the following visual changes is not usually associated with normal aging? a. presbyopia b. yellowing of the lens c. night blindness d. decreased accommodation All of the following are considered IADLs (Instrumental Activities of Daily Living) except: a. toileting b. balancing the checkbook c. using the phone d. shopping (this is considered an ADL) Old persons may have difficulty picking up their pills from a medicine cup because of: a. macular degeneration b. decreased touch sensation that comes with old age c. peripheral neuropat