Geriatrics Exam Practice Questions and Answers, Exams of Nursing

Download Geriatrics Exam Practice Questions and Answers and more Exams Nursing in PDF only on Docsity! Exam 1 Practice Questions- GERO Exam Question & Answers 2024 A nurse is counseling an older adult who describes having difficulty dealing with several issues. Which of the following problems should the nurse identify as the priority? a. "I spent my whole life dreaming about retirement, and now I wish I had my job back" b. It's been so stressful for me to have to depend on my child to help around the house" c. "I just heard my friend Al died. That's the third one in three months" d. I keep forgetting which medications I have taken during the day" - Correct Answers ✅d. I keep forgetting which medications I have taken during the day" A nurse is providing teaching for an older adult who had lost 4.5 kg (9.9 lb) since the last admission 6 months ago. Which of the following instructions should the nurse include in the teaching? (Select all the apply) a. "Eat three large meals a day" b. "Eat your meals in front of the television" c. "Eat foods that are easy to eat, such as finger foods" d. "Invite family members to eat meals with you" Exam 1 Practice Questions- GERO Exam Question & Answers 2024 e. "Exercise every day to increase appetite" - Correct Answers ✅c. "Eat foods that are easy to eat, such as finger foods" d. "Invite family members to eat meals with you" e. "Exercise every day to increase appetite" A nurse is planning a presentation for a group of older adults about health promotion and disease prevention. Which of the following interventions should the nurse plan to recommend? (Select all the apply) a. HPV immunization b. Pneumococcal immunization c. Yearly eye examination d. Periodic mental health screening e. Annual fecal occult blood test - Correct Answers ✅b. Pneumococcal immunization c. Yearly eye examination d. Periodic mental health screening e. Annual fecal occult blood test (HPV recommended for adolescents/young adults) Exam 1 Practice Questions- GERO Exam Question & Answers 2024 c. Have the client use a straw d. Encourage the client to lie down and rest after meals - Correct Answers ✅b. Instruct the client to tuck their chin when swallowing A nurse is caring for a client who requires a low-residue diet. The nurse should expect to see which of the following foods on the client's meal tray? a. cooked barley b. pureed broccoli c. vanilla custard d. lentil soup - Correct Answers ✅c. vanilla custard *Low-residue diet = low in fiber and easy to digest. Dairy products and eggs are appropriate for a low-residue diet A nurse in a senior center is counseling a group of older adults about their nutritional needs & considerations. Which of the following info should the nurse include? (Select all that apply) a. Older adults are more prone to dehydration than younger adults are b. Older adults need the same amount of most vitamins and minerals as younger adults do Exam 1 Practice Questions- GERO Exam Question & Answers 2024 c. Many older men and women need calcium supplementation d. Older adults need more calories than they did when they were younger e. Older adults should consume a diet low in carbohydrates - Correct Answers ✅a. Older adults are more prone to dehydration than younger adults are b. Older adults need the same amount of most vitamins and minerals as younger adults do c. Many older men and women need calcium supplementation Which person is most likely to experience health disparities? a. A 65-year-old affluent Hispanic man living in a city b. A 70-year-old married white man living in a rural area c. A 75-year-old widowed African American woman living alone d. A 80-year-old Asian woman living with her daughter and family - Correct Answers ✅c. A 75-year-old widowed African American woman living alone *has more than one risk factor What should the nurse do when providing nursing care to an older adult with a different cultural background? Exam 1 Practice Questions- GERO Exam Question & Answers 2024 a. Have the family provide care so no customs are violated b. Assess how cultural variables affect the patient's health c. Focus only on the patient's needs and ignore the nurse's beliefs d. Overlook the differences and provide the patient generalized care - Correct Answers ✅b. Assess how cultural variables affect the patient's health *nursing process (first step), but also best answer- have to talk to patient, have to assess how culture impacts patient care A 75-year-old patient has remained unmarried and childless. She shares with you that she feels her life has little meaning and no one cares if she lives or dies. She wishes she had made different choices so that she was now not alone. The issue the patient needs to resolve is: a. premature disengagement. b. ego integrity versus despair. c. inability to provide continuity. d. overinvolvement in gerotranscendence. - Correct Answers ✅b. ego integrity versus despair. Exam 1 Practice Questions- GERO Exam Question & Answers 2024 A nurse who needs to assess a patient's ability to perform ADLs will choose which tool for this assessment? a. OASIS b. Katz Index c. Fulmer SPICES d. Global Deterioration Scale - Correct Answers ✅b. Katz Index In performing a physical assessment for an older adult, the nurse anticipates finding which of the following normal physiological changes of aging? (Select all that apply.) a. Irregular heart rate b. Increased salivation c. Reduced muscle mass d. Decreased lower leg hair e. Diminished bowel sounds - Correct Answers ✅c. Reduced muscle mass d. Decreased lower leg hair Exam 1 Practice Questions- GERO Exam Question & Answers 2024 A nurse performing a health history on an older adult patient determines that further follow-up is required for which non-age-related finding? a. Early feelings of satiety b. Occasional constipation c. Seeing halos around lights d. Difficulty hearing some conversations - Correct Answers ✅c. Seeing halos around lights *symptom of glaucoma, further follow-up needed When assessing a long-term care resident who has been experiencing diarrhea, which of the following findings would lead the nurse to suspect the person is dehydrated? a. Heart rate of 48 beats/min b. Blood pressure 170/90 mm Hg c. Urine output of 100 mL/4 hours d. Hyperactive bowel sounds in all quadrants - Correct Answers ✅c. Urine output of 100 mL/4 hours Exam 1 Practice Questions- GERO Exam Question & Answers 2024 *The urine output is low, consistent with dehydration. The blood pressure would be low and the heart rate elevated. Bowel sounds are not affected. After teaching an older adult about oral hygiene, which statement reflects a need for further teaching? a. "I will use toothpaste to clean my dentures." b. "It would be best to visit the dentist twice a year." c. "Dentures should be kept in cleaning solution overnight." d. "Petroleum jelly will help keep my lips from cracking." - Correct Answers ✅a. "I will use toothpaste to clean my dentures." *Persons should not use toothpaste on dentures because it abrades denture surfaces. The nurse is feeding an older adult patient with dysphagia after a stroke. Which intervention is most important when feeding this patient? a. Serve only pureed foods b. Offer small sips of fluid with each bite c. Place food on the impaired side of the mouth Exam 1 Practice Questions- GERO Exam Question & Answers 2024 An 86-year-old Asian American woman tells the gerontological nurse she immigrated to the United States from China in 1940. The woman speaks English but has lived in a Chinese neighborhood since she arrived in the United States. The gerontological nurse plans care for the patient with the knowledge that: A. the patient will have special needs because she practices Buddhism. B. the care that the family provides for the patient will be more important to her than the care the gerontological nurse provides. C. the patient should be questioned with regard to health practices she uses that may be different from those of the American culture. D. because the patient has lived in the United States for many years, it will not be necessary to make special considerations in her care. - Correct Answers ✅C. the patient should be questioned with regard to health practices she uses that may be different from those of the American culture. In predicting the cultural profile of future populations of older adults, it would be accurate to say: A. greater diversity will be apparent. B. there will be little difference among various groups. C. few individuals will speak a language other than English. Exam 1 Practice Questions- GERO Exam Question & Answers 2024 D. full assimilation will be completed. - Correct Answers ✅A. greater diversity will be apparent. The belief that "all old people are forgetful" is an example of which of the following obstacles to cross-cultural caring? A. Cultural blindness B. Ethnocentrism C. Disparities D. Stereotyping - Correct Answers ✅D. Stereotyping Depression is the most common mental health problem in later life and among the most treatable, but it can be life threatening if left unrecognized and untreated. A. True B. False - Correct Answers ✅A. True The gerontological nurse is evaluating the plan of care for an alcoholic- dependent older adult client. Which of the following entries in his chart indicates a need for further client monitoring, exploration, or education? Exam 1 Practice Questions- GERO Exam Question & Answers 2024 A. The client states that he understands the need for continued treatment. B. The client states that he intends to decrease his alcohol consumption. C. The client showered and shaved and attended group session. D. The client stated, "I am an alcoholic." - Correct Answers ✅B. The client states that he intends to decrease his alcohol consumption. A 76-year-old Hispanic woman is seen at the clinic where she is diagnosed with protein malnutrition. She is 5'1" tall and weighs 94 lb. To teach the older adult about meeting dietary needs, the gerontological nurse should: A. ask the older adult to describe her typical dietary intake. B. focus on the use of protein combinations of beans and rice. C. stress the need for using liquid protein supplements. D. encourage the older adult to increase milk and meat intake as primary protein sources. - Correct Answers ✅A. ask the older adult to describe her typical dietary intake. To determine the underlying factors relating to the undernourishment of an older adult client, the most appropriate question by the gerontological nurse is which of the following? Exam 1 Practice Questions- GERO Exam Question & Answers 2024 D. can be prevented with healthy lifestyle behaviors. - Correct Answers ✅B. begin at birth and is universal, progressive, and intrinsic. 1. In planning care for an older adult, the gerontological nurse recognizes that a major goal of health promotion and prevention of health problems in older adults is: A. adequate planning for post hospital care. B. preventing the physiologic degeneration of aging. C. teaching older adults about alternative care options. D. increasing personal participation and responsibility in health. - Correct Answers ✅D. increasing personal participation and responsibility in health. The nurse develops a community program to promote exercise for older adults. Which should the nurse include in the exercise program? a. Reinforce the ease of exercising every day. b. Use exercise to relax any dietary restrictions. c. Describe ways to resume exercise after lapses. d. Participate because exercise achieves wellness. - Correct Answers ✅c. Describe ways to resume exercise after lapses. Exam 1 Practice Questions- GERO Exam Question & Answers 2024 Because the path to wellness includes progression, as well as regression, the nurse shares information to help participants anticipate these events. The nurse encourages participants by telling them to expect periods of regression; he or she emphasizes that progress made up to a point is not lost and explains how to approach resumption in progress toward wellness with exercise Which describes the older man who is likely to experience the best overall health and well-being? a. Resides in assisted-living facility, watches television alone, uses herbal remedies, is underweight b. Resides alone, was moved to a new city recently by his family members for their convenience, has osteoarthritis c. Has prostate cancer with metastasis to the lungs, is receiving radiation therapy, is wealthy, has a large family d. Uses a wheelchair, has peripheral arterial disease, attends weekly baseball games with three friends - Correct Answers ✅d. Uses a wheelchair, has peripheral arterial disease, attends weekly baseball games with three friends Despite a serious chronic illness and mobility restrictions, this older man has a social network and planned activities with friends. Further, he overcomes mobility issues to pursue personal interests; thus this Exam 1 Practice Questions- GERO Exam Question & Answers 2024 person is most likely to experience the best health and well-being because of an optimal functional status. Which are the major factors influencing the experience of aging? a. Health, history, and sex b. Self-care needs and culture c. Self-fulfillment and self-esteem d. Society, culture, and marital status - Correct Answers ✅a. Health, history, and sex According to Healthy People 2020, older adults have been identified as a priority, with a goal to improve their health, function, and quality of life. Identify the targeted chronic focus areas for improvement. (Select all that apply.) a. Diabetes b. Arthritis c. Congestive heart failure d. Dementia e. Cancer f. Pressure ulcers - Correct Answers ✅a. Diabetes