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WorksheetsGerontological Nursing
Total questions: 135
Worksheet time: 1hrs 7mins
The nurse notes a change in the patients' cognitive status. Which of the following is best to use for proper screening?
MMSE (mini mental state exam)
Montreal Cognitive Assessment (MoCA)
Clock drawing test
Mini Cog
Fulmer SPICES: What does the final S represent?
Skin breakdown
Sleep disorders
Self-care deficit
Shortness of breath
Fulmer SPICES: What does the letter E represent?
Evidence of falls
Elder abuse screening
Edema evaluation
End-of-life planning
Fulmer SPICES: What does the letter C represent?
Confusion
Constipation
Caregiver strain
Cardiac symptoms
Fulmer SPICES: What does the letter I represent?
Incontinence
Insomnia
Immobility
Intake and output charting
Fulmer SPICES: What does the letter P represent?
Problems with eating or feeding
Pressure injury risk assessment
Pain with movement
Polypharmacy review
Fulmer SPICES: What does the letter S represent in the first position?
Sleep disorders
Skin breakdown
Self-harm risk
Social isolation
What is therapeutic communication?
Casual conversation with patients
A conscious process to gather information about health status
Only verbal communication techniques
Communication between healthcare providers
Why should you approach individuals with dementia from the front?
To avoid startling them
To give them a chance to process who you are
To maintain professional boundaries
To assess their visual acuity
When communicating with older adults, what should nurses do regarding topics?
Discuss multiple topics at once for efficiency
Stick to one topic at a time
Avoid sensitive topics completely
Only discuss medical information
What is a normal cognitive change in older adults that impacts communication?
Complete memory loss
Decline in information processing speed
Loss of all language abilities
Inability to recognize faces
What is abbreviated grief?
Grief that lasts for years without resolution
Brief but genuinely felt grief
Grief that is masked by physical symptoms
Intense, overwhelming grief reaction
When should advance medical directives become operative?
Immediately upon signing
When the patient requests it
When the patient is no longer capable of making decisions
Only after consultation with family
Which level of disease prevention involves screening tests?
Primary prevention
Secondary prevention
Tertiary prevention
Quaternary prevention
At what rate does body temperature decrease after death (algor mortis)?
0.5°C per hour
1°C per hour
2°C per hour
3°C per hour
What is rigor mortis?
Gradual decrease of body temperature
Bluish discoloration of skin
Stiffening of the body after death
Pooling of blood in dependent areas
What type of loss is retirement an example of?
Personal loss
Perceived loss
Maturational loss
Situational loss
Where was the first hospice program established?
Mayo Clinic, USA
St. Christopher's Hospice, London
Royal Victoria Hospital, Montreal
Massachusetts General Hospital, USA
What is the primary goal of palliative care?
Cure the underlying disease
Relieve pain and improve quality of life
Extend life as long as possible
Prepare for hospice care
How far apart should antacids and iron supplements or antibiotics be administered?
30 minutes apart
1 hour apart
2 hours apart
4 hours apart
What should nurses monitor when a patient is taking digoxin with diuretics?
Blood glucose levels
Potassium levels
Calcium levels
Sodium levels
Which food should be avoided when taking MAOIs (antidepressants)?
Dairy products
Grapefruit juice
Tyramine-rich foods
Leafy green vegetables
What serious risk occurs when warfarin is combined with aspirin or NSAIDs?
Liver toxicity
Kidney failure
Increased bleeding risk
Hypertensive crisis
Which phase of biotransformation involves combining the drug with substances like glucuronic acid?
Phase I (modification)
Phase II (conjugation)
Phase III (excretion)
Phase IV (elimination)
What does pharmacokinetics refer to?
What the drug does to the body
What the body does to the drug
Drug-drug interactions
Drug side effects
Which Republic Act is known as the 'Expanded Senior Citizen Act of 2010'?
RA 7432
RA 8425
RA 9994
RA 10868
In the Kubler-Ross grief model, which stage involves the person trying to make deals to change the situation?
Denial
Anger
Bargaining
Depression
Which ethical principle involves respecting a person's right to make their own decisions about their health?
Beneficence
Justice
Autonomy
Fidelity
According to the principles of gerontological nursing practice, what is aging described as?
A disease process requiring treatment
A natural process common to all living organisms
An inevitable decline in function
A preventable condition
Which organization developed the core competencies for gerontological nursing care?
WHO and CDC
ANA and NANDA
AACN and John A. Hartford Foundation
NIH and NIA
What is the primary challenge for gerontological nurses according to their scope of practice?
Managing multiple medications
Identifying and using the strengths of older adults
Preventing falls and injuries
Coordinating with family members
Which nursing care intervention should be avoided in glaucoma patients?
Regular eye examinations
Continued use of eye medications
Stooping and straining for bowel movements
Monitoring intraocular pressure
What is the most common hearing problem in older persons?
Otitis media
Tinnitus
Presbycusis
Acoustic neuroma
Which type of hearing loss can be treated with hearing aids that amplify sound?
Sensorineural hearing loss
Conductive hearing loss
Mixed hearing loss
Central hearing loss
What percentage of people aged 65-76 years experience hearing loss?
10%
20%
30%
50%
Which form of age-related macular degeneration (ARMD) is characterized by drusen accumulations and slow progression?
Wet (neovascular) ARMD
Dry (atrophic) ARMD
Exudative ARMD
Mixed ARMD
Which type of glaucoma involves the angle of the iris obstructing drainage of aqueous humor?
Open-angle glaucoma
Angle-closure glaucoma
Secondary glaucoma
Congenital glaucoma
What is the primary surgical procedure used for cataract removal that uses ultrasound waves?
Extracapsular cataract extraction
Intracapsular cataract extraction
Phacoemulsification
Laser-assisted cataract surgery
Which of the following is a common barrier to healthcare access for older adults?
Increased social support
Transportation difficulties
High levels of physical activity
Access to telehealth services
What is the primary focus of geriatric assessment?
To evaluate the financial status of the elderly
To provide a cure for chronic diseases
To assess the overall health and functional status of older adults
To determine the social activities of older adults
Which of the following is a common physical change associated with aging?
Increased muscle mass
Decreased bone density
Improved vision
Enhanced skin elasticity
Which of the following is a common nutritional concern for older adults?
High fiber diet
Increased protein intake
Dehydration
Excessive calorie consumption
What is the primary focus of palliative care for older adults?
Cure of diseases
Management of symptoms and quality of life
Rehabilitation and recovery
Preventive health measures
Which of the following is a common psychological change associated with aging?
Decreased emotional regulation
Enhanced creativity
Improved memory retention
Increased anxiety levels
Which of the following statements about the diets and nutritional status of older people is correct?
Reports suggest that older people consume less than the recommended contribution of fat to energy intake.
Multiple micronutrient deficiencies are widespread in older people in high-income countries.
Older people generally have a lower energy intake than younger adults.
There is little variation in the dietary intake between older peopl
The following nursing interventions are appropriate in the prevention of sores among bedridden elderly clients EXCEPT:
Massage bony prominence
Apply alcohol on the skin
Keep the skin clean and dry
Turn the client every 1 to 2 hours
A common aging change where there is claudification of the eye lens.
Cataract
glaucoma
Retinal detachment
The developmental task of the older adult according to Erikson is:
Identity vs. Role Diffusion
Intimacy vs. Isolation
Generativity vs. Stagnation
Ego Integrity vs. Despair
Which factor is NOT a normal part of aging and needs to be addressed to promote nutrition in the older adult client?
Loss of teeth
Increase in gastric pH
Xerostoma or dry mouth
Decline in basal metabolic rate
Which statement would be most appropriate to ask when assessing an aging adult for cognitive function?
What is today's date?
Can you count to 10 for me?
Have you noticed anything different about your memory or thinking in the past few months?
Who is the president of the Philippines?
In assessing the aging client, it is importnat for the nurse to recognize:
The client's ability to perform ADLs
The financial status of the client
The job that the client held prior to aging
All components of well-being, including biological function, psychological function, and social function
Which of the following contributes to reduced energy expenditure in older adults?
A reduction in lean body mass
A reduction in physical activity
A reduction in basal metabolic rate
All of the above
in order to achieve optimal nutritional status it is recommended that older adults consume:
A high energy content diet.
A high nutrient dense diet.
A low energy content diet.
A daily antioxidant supplement.
Which of the following statements about the diets and nutritional status of older people is correct?
Reports suggest that older people consume less than the recommended contribution of fat to energy intake.
Multiple micronutrient deficiencies are widespread in older people in high-income countries.
Older people generally have a lower energy intake than younger adults.
There is little variation in the dietary intake between older peopl
The role of the gerontological nurse, wherein effective communication involves listening, interacting, clarifying, coaching, validating and evaluating is essential,
advocate
healer
educator
innovator
The role in which gerontological nurse recognizes that most human beings value health, are responsible and active participants in their health maintenance and illness management, and desires harmony and wholeness with their environment.
advocate
caregiver
healer
innovator
The middle ages is
40-64 years old
65-74 years of age
75-84 years of age
85-100 years of age
The study of the aging process including biological, psychological, & sociological
Gerontology
Anatomy
Ageology
Genetics
What should you do regarding eye contact when communicating with older adults?
Avoid all eye contact
Maintain eye contact and drop to their eye level
Stand above them looking down
Only make brief glances
Why is music and dance beneficial for dementia patients?
It replaces medication
It can spark memories of happy times
It cures cognitive impairment
It prevents further decline
What is the purpose of informal or social communication?
Gather medical history
Build rapport and establish relationships
Conduct formal assessments
What should nurses do when communicating with older patients?
Speak very loudly at all times
Use complex medical terminology
Allow extra time and avoid distractions
Stand behind them when speaking
What psychological factor can impact communication in older adults?
Increased energy levels
Depression causing slowed response
Enhanced memory
Improved attention span
How does Parkinson's disease affect communication?
It only affects speech
Reduces velocity and accuracy of movement
Improves nonverbal communication
Has no effect on communication
What normal change in touch occurs with aging?
Increased sensitivity
Reduction in number of receptors and tactile sensation
Enhanced temperature discrimination
Improved vibration sense
Which group is described by the following options?
Completely dependent older adults
Older adults who can remain independent but need some help
Only dementia patients
Post-surgical patients only
Assisted living communities are designed for:
elderly individuals who need help with daily activities
children with special needs
young adults seeking independent living
patients requiring intensive medical care
What is a major responsibility of gerontological nurses in long-term care?
Diagnosing medical conditions
Prescribing medications
Assessing and developing individualized care plans
Managing facility finances
What must nursing homes provide according to standards?
Only medical care
Services to attain highest practicable physical, mental, and psychosocial well-being
Basic housing only
Meals and medication only
Which level of disease prevention involves physical therapy and rehabilitation?
Primary prevention
Secondary prevention
Tertiary prevention
Quaternary prevention
What should be placed under the chin of a deceased body?
Pillow
Rolled-up towel
Gauze pad
Ice pack
What is the last sense to disappear in dying patients?
Vision
Taste
Smell
Hearing
When does rigor mortis begin?
Immediately after death
About 2 to 4 hours after death
12 hours after death
24 hours after death
What is livor mortis?
Stiffening of the body
Decrease in body temperature
Bluish discoloration of the skin
Loss of reflexes
What is closure in the grieving process?
The funeral ceremony
The point where loss is resolved and person moves on
Forgetting the deceased
Avoiding memories
What is bereavement?
The funeral service
The subjective response after death of someone significant
The legal process after death
The medical care before death
Which type of grief persists for years without resolution?
Abbreviated grief
Anticipatory grief
Chronic (prolonged) grief
Masked grief
What is a perceived loss?
Death of a loved one
Loss of a limb
Loss of confidence or independence
Loss of home in a fire
What does hospice care include for families?
Financial assistance only
Bereavement follow-up and counseling
Home cleaning services
Legal consultation
How many main goals does palliative care have?
2
3
4
5
What is the focus of the Nursing "Ethics of Care"?
Strict adherence to hospital policies
Rule-based decision making
The nurse-patient relationship and compassionate care
Cost-effective treatment
Which stage of grief involves feelings of "Why me?"
Denial
Anger
Bargaining
Depression
What does RA 10868 "Centenarians Act of 2016" provide?
Free healthcare for all seniors
Cash gift of 100,000 pesos for centenarians
Monthly pension for seniors
Free housing for elderly
What does the ethical principle of veracity mean?
What is polypharmacy?
Taking medications as prescribed
Use of more medications than clinically indicated
Switching between different pharmacies
Taking herbal supplements
What condition can metformin cause in patients with kidney disease?
Hyperglycemia
Hypertension
Lactic acidosis
Liver failure
Which drug-food interaction involves vitamin K reducing drug effectiveness?
Grapefruit juice with statins
Leafy green vegetables with warfarin
Milk with tetracycline
Tyramine-rich foods with MAOIs
What increases the risk of drug toxicity when hepatic blood flow is reduced?
Decreased drug absorption
More active drug stays in the body
Faster drug elimination
Reduced side effects
An adverse drug reaction (ADR) is:
an unwanted or harmful reaction experienced following the administration of a drug
a positive effect of a drug
a reaction that only occurs with overdose
a reaction that occurs only in children
What is the most important pharmacokinetic parameter that changes with age?
Drug absorption
Drug distribution
Renal excretion
Protein binding
Which liver function test indicates liver cell injury?
Bilirubin
Albumin
SGPT (ALT)
Alkaline phosphatase
What happens to fat-soluble drugs in the body?
They are quickly excreted by kidneys
They easily cross cell membranes and stay longer in the body
They cannot be absorbed
They are eliminated unchanged
Where does biotransformation primarily occur?
A. Kidneys
B. Liver
C. Lungs
D. Intestines
According to gerontological nursing principles, what do older adults share with all human beings?
A. The same diseases
B. Similar self-care and human needs
C. Identical aging processes
D. Same medication responses
What should nurses recognize about sensation and perception in older adults?
They remain constant throughout life
They are mediated by functional, physical, cognitive, psychological, and social changes
They only decline due to disease
They are unrelated to quality of care
Which competency involves using valid and reliable tools to assess older adults?
Communication
Technical skills
Assessment
Critical thinking
What is Standard 1 of Clinical Gerontological Nursing Care?
Diagnosis
Assessment
Planning
Implementation
Which is NOT a role of the gerontological nurse?
Provider of care
Teacher/educator
Primary physician
Advocate
Which physiologic stress factor can cause acute confusional states?
Mild exercise
Pain and surgery
Adequate sleep
Proper nutrition
What type of aphasia occurs when a client cannot receive or interpret messages?
Expressive aphasia
Receptive aphasia
Global aphasia
Which metabolic disturbance can cause acute confusional states?
Hyperglycemia only
Hyponatremia and hypernatremia
Elevated albumin levels
Normal calcium levels
Which is an example of a primary cerebral disease causing acute confusional states?
Pneumonia
Myocardial infarction
Stroke or head trauma
Urinary tract infection
In olfactory dysfunction, which gender is more commonly affected?
Females more than males
Males more than females
Equal distribution
Only post-menopausal females
Which assessment finding indicates difficulty with vision in older adults?
Increased blinking
Squinting or tilting head to see
Rapid eye movements
Excessive tearing
What can cause xerostomia (dry mouth) that affects taste?
Excessive fluid intake
High-protein diet
Which racial group has the highest prevalence of hearing loss in older adults?
African American men and women
Asian men and women
Caucasian men and women
Hispanic men and women
What causes sensorineural hearing loss?
Impacted cerumen
Otitis externa
Problems with cochlea and auditory nerve
Perforated tympanic membrane
Which symptom is characteristic of cataracts?
Eye pain and redness
Sudden vision loss
Halos around objects and glare
Floaters in visual field
What is the primary cause of senile cataracts?
Diabetes mellitus
Aging (over 55 years old)
Trauma to the eye
Smoking and alcoholism
Handover communications can also be referred to as handoff communication, all EXCEPT:
From inpatient units to diagnostic or other departments
Between health care practitioners
Between different levels of care in the other hospital
Between staff and patients families
What is the role of a gerontological nurse as an advocate?
Advocating for legal advice
Advocating for financial assistance
Advocating for emotional support
Advocating for health care
What is the role of a gerontological nurse as a manager?
Managing legal matters
Managing health care
Managing household chores
Managing finances
What is the role of a gerontological nurse as a teacher?
Teaching health care
Teaching personal hygiene and grooming
Teaching cooking and cleaning
Teaching public transportation and handling finances
What is the role of a gerontological nurse as a provider of care?
Providing legal advice
Providing health care
Providing emotional support
Providing financial assistance
What are the factors affecting aging?
Only lifestyle
Only environmental influences
Genetic endowment, environmental influences, and lifestyle
Only genetic endowment
What are instrumental activities of daily living?
Personal hygiene and grooming
Bathing and dressing
Cooking and cleaning
Using public transportation and handling finances
What are activities of daily living?
Taking medicine and doing laundry
Personal hygiene, bathing, dressing, and grooming
Using public transportation and handling finances
Cooking, cleaning, and shopping
What does functional age refer to?
Only mental age
Combination of chronological, physiological, mental, and emotional ages
Only emotional age
Only chronological age
What is the age range for a person to be considered elderly?
50 years or more
60 years or more
80 years or more
70 years or more
What is the main focus of geriatrics?
Dental care
Mental health care
Health care of elderly people
Child care
It utilizes the collective efforts of members of the nursing staff, including auxiliary nursing personnel, and directs them so that the nursing care plan can be carried out.
Assessment
Diagnosis
Planning
Implementation
Evaluation
A patient’s physical, verbal and behavioral responses, informal caregivers’ reports, and observations by healthcare providers from other disciplines are important aspects of the feedback mechanism that helps the nursing staff to maintain a dynamic, flexible care plan.
Assessment
Diagnosis
Planning
Implementation
Evaluation
This is the collecting biophysical data about geriatric patients by means of interviews, record reviews, direct observations and other approaches.
Assessment
Diagnosis
Planning
Implementation
Evaluation
The following are Primary Prevention for elderly chronic illnesses, except;
Regular Check-up
Immunization
Cancer Screening
Control of Blood Glucose Level
Appropriate nursing care for a patient with urinary incontinence is to:
insert an indwelling Foley catheter.
order oxybutynin chloride (Ditropan).
encourage fluids to decrease the urine concentration so it is less irritating.
recommend herbal approaches to reduce incontinence.
A nursing intervention for a patient with constipation is to:
avoid the urge to defecate.
limit fluid intake.
give prune juice with a noncarbonated drink.
encourage bran cereal or whole-grain breads
A patient with dysphagia is:
fed only for pleasure.
at low risk for nutritional deficits.
at higher risk for pneumonia.
able to drink thin liquids.
The nurse is performing an assessment on an older client who is having difficulty sleeping at night. Which statement by the client indicates the need for further teaching regarding measures to improve sleep?
"I swim three times a week."
"I have stopped smoking cigars."
"I drink hot chocolate before bedtime"
"I read for 40 minutes before bedtime."
The following are "Anti-Aging" Lifestyle choices, except:
Optimism
Alcohol Consumption
Keep Learning new skills
Sleep 7-8 hours a day
True or False: Tackling health inequalities should be at the core of any healthy ageing strategies.
True
False
True or False: Older people are extrinsic value to the community.
True
False
In our Comprehensive Geriatric Assessment, below are components of Medical Status except;
Physical Examination
History of Present Illness
Immunization History
Chief Complaint
As a Gerontological Nurse assigned in a long term care facility your approach to geriatric care should be?
Interdisciplinary
Multidisciplinary
Transdisciplinary
Intradisciplinary
A principle of Geriatric Assessment which involves Physical, Cognition, Psychological and Social Domains?
Goal
Focus
Scope
Approach
The following are principles of Geriatric Assessment, except;
Goal
Focus
Scope
Variability
