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Worksheets475 Week 3: Nursing and Geriatric Care Quiz
Total questions: 24
Worksheet time: 12mins
A nurse is discussing the various theories of aging with a group of nursing students. Which theory suggests that the biological clock acts through hormones to regulate aging?
Wear and Tear Theory
Immunological Theory
Endocrine Theory
Free Radicals Theory
An older adult client is concerned about their skin becoming thinner, more fragile, and less elastic. The nurse explains that these are normal age-related changes due to which of the following?
Increased subcutaneous fat and sweat gland production
Decline in connective tissue and oils, and loss of subcutaneous fat
Increased skin turgor and body hair
Enhanced skin elasticity and regeneration
A 90-year-old resident in a long-term care facility is exhibiting new-onset incontinence and increased confusion. The nurse suspects a urinary tract infection (UTI). Which of these findings is considered an atypical presentation of a UTI in older adults?
Dysuria
Fever
Suprapubic pain
New or increased confusion
When providing education to an older adult client with age-related vision changes, which nursing intervention is most appropriate to facilitate communication and understanding?
Speak loudly and quickly to ensure attention
Provide all instructions verbally at the bedside
Sit directly in front of the patient within 3 feet and write instructions in large font
Angle lights directly at the patient's face to improve visibility
What is the primary goal of a Comprehensive Geriatric Assessment (CGA) for an older adult?
To identify all potential medical diagnoses for the patient
To develop an individualized plan of care
To ensure the patient receives all necessary medications
To provide a detailed family history
An older adult client reports forgetting birthdays and occasionally misplacing keys but can strategize to improve efficiency. What should the nurse identify this as?
Chronic Confusion / Dementia
Acute Confusion / Delirium
Normal cognitive changes with aging
Atypical presentation of an underlying illness
Which factor significantly increases an older adult's risk for an atypical presentation of illness?
Engagement in regular physical activity
Being under 70 years of age
Presence of multiple comorbidities and polypharmacy
Strong social support networks
A nurse is reviewing the medication list for an older adult client with new onset high-pitched hearing loss (presbycusis). Which medication from the client's current list is known to be ototoxic and could exacerbate hearing loss?
Furosemide (Lasix) via IV
Metformin
Lisinopril
Acetaminophen
An 85-year-old patient presents to the emergency department with new-onset fatigue, dizziness, and a diminished ability to manage daily tasks at home. They deny chest pain. The nurse should be concerned about an atypical presentation of which acute condition?
Myocardial Infarction
Pneumonia
Urinary Tract Infection
Acute Abdomen
Which of the following is a normal age-related change in the pulmonary system?
Increased respiratory muscle strength and vital capacity.
Enhanced elasticity of lung tissue and increased cilia.
Decreased respiratory muscle strength and less elastic lung tissue.
Increased response to hypoxia and hypercapnia.
An older adult client reports gradual loss of peripheral vision, describing it as "tunnel vision." The nurse recognizes this as a characteristic symptom of which eye condition?
Cataracts
Age-related macular degeneration (AMD)
Glaucoma
Diabetic retinopathy
A major consequence of failing to recognize atypical presentations of illness in older adults is:
Decreased incidence of delirium.
Improved quality of life due to less aggressive treatment.
Delayed or missed diagnosis and worsened clinical outcomes.
Shorter hospital stays and reduced healthcare costs.
An older adult client's family expresses concern that the client has become withdrawn, is sleeping more, and has a decreased appetite, but denies feeling sad. The nurse recognizes this as a potential atypical presentation of:
Acute Confusion
Myocardial Infarction
Depression
Heart Failure Exacerbation
To best promote musculoskeletal health and prevent deconditioning in an older adult, the nurse should encourage:
Strict bedrest to preserve joint integrity.
Limited mobility to prevent falls.
Walking and weight-bearing exercises to ability.
Decreased protein and calcium intake.
A client's family reports a sudden onset of confusion, disorientation to time and place, and difficulty maintaining attention. These symptoms fluctuate throughout the day. The nurse immediately suspects:
Normal age-related cognitive decline.
Chronic Dementia.
Delirium (Acute Confusion).
Depression.
Which of the following is a common age-related change in the gastrointestinal system that can contribute to constipation in older adults?
Increased peristalsis and gastric acid secretions.
Decreased muscle strength and peristalsis.
Enhanced absorption of nutrients.
Increased taste and smell sensations.
When administering medications to an older adult, the nurse must consider age-related changes in pharmacokinetics, specifically noting:
Increased GFR and drug clearance.
Decreased drug clearance due to reduced GFR and creatinine clearance time.
Enhanced ability to concentrate urine.
Increased bladder capacity and muscle tone.
When caring for an older adult with age-related cardiovascular changes, which nursing intervention is essential to address the risk of orthostatic hypotension?
Encourage vigorous exercise immediately after waking.
Caution the patient when getting out of bed (OOB).
Instruct the patient to get out of bed quickly.
Provide a high-sodium diet to increase blood volume.
To prevent skin breakdown and promote skin health in an older adult, which intervention should be prioritized?
Encourage frequent hot baths with strong soaps.
Promote the use of SPF and keep the skin lubricated.
Advise against fluid intake to prevent edema.
Recommend vigorous scrubbing during skin care.
Which of the following is considered a "geriatric syndrome" that often signals an underlying problem and can present atypically in older adults?
Hypertension
Diabetes Mellitus
Acute Confusion (Cognitive Decline)
Osteoarthritis
When assessing the respiratory system of an older adult, the nurse anticipates which common age-related finding?
Strong cough reflex and increased vital capacity.
Diminished breath sounds, especially in the bases.
Increased elasticity of lung tissue.
Absence of barrel chest in all individuals.
Which factor places older adults at a high risk for malnourishment?
Robust social engagement and regular physical activity.
Dental problems, social isolation, and polypharmacy.
Increased taste and smell sensations.
Absence of chronic illnesses.
According to the Confusion Assessment Method (CAM) diagnostic algorithm, which combination of features is required to identify a patient as positive for delirium?
Acute onset and fluctuating course, with inattention only.
Acute onset and fluctuating course, with inattention and either disorganized thinking or altered level of consciousness.
Disorganized thinking and altered level of consciousness, regardless of onset.
Memory impairment and reduced level of consciousness.
Which of the following is highlighted as the #1 indicator of atypical presentation in older adults?
Persistent fever
Productive cough
Falls
Localized pain
