Basic Geriatrics Units 1,2,3 Revised Exam Test Bank
question and answers 2023/2024 VERIFIED
international_____ occurs whinny person deliberately plans to mistreat or harm another person. correct
answers ABUSE
The group responsible for the rapid growth in the older adult population is the group known as the
_______. correct answers BABY BOOMERS
Population size, distribution, and vital statistics would be included in the statistical study of human
populations known as_____. correct answers DEMOGRAPHICS
_____ is the medical specialty that deals with the physiology of aging and with the diagnosis and
treatment of diseases affecting older adults. correct answers GERIATRICS
Nurses are _______ of elder abuse, which means it is against the law if you suspect elder abuse and do
not report it. correct answers MANDATED REPORTERS
_____ is a passive form of abuse in which caregivers fail to provide for the needs of the older person
under their care. correct answers NEGLECT
_____ allows the primary caregiver to have time away from the demands of caregiving, thereby
decreasing stress and risk for abuse. correct answers RESPITE
Citizens of the United States (US) have a relatively lower life expectancy (US ranks 42nd of 223 countries,
according to the Central Intelligence Agency). Higher levels of accidental and violent deaths, obesity,
relatively high infant mortality, and the high cost of health care may be contributing factors. How can
nurses intervene to decrease the impact of these factors that adversely affect life expectancy in the US?
correct answers The nurse can help decrease the impact of these factors by educating the patients. To
motivate and encourage them to take a "health life-style" aspect.
Describe the type of older adult who would be an appropriate candidate for a skilled care facility. correct
answers If the patient requires daily nursing care, assistance with daily living activities, and therapy
services. The patient is an appropriate candidate for skilled care.
Explain what happens to women in their forties and fifties who are part of the "sandwich" generation.
correct answers They are between the obligation of taking care of their aging parents. Their parents may
be ill, or are unable to perform various tasks, or need financial help. These women are caring for children
and older relatives.
The home health nurse is talking to an older adult patient who is considering the option of a reverse
mortgage. What facts could the nurse discuss with the patient about this option? correct answers That
there are CONS to a reverse mortgage such as the interest will increase loans and fees overtime. They
would have fewer assists to leave as inheritance to their children.
,Identify signs of abuse that the nurse could see among older adult patients. correct answers Injuries,
bruises, cuts, broken bones, malnutrition, poor hygiene, significant weight loss, signs of anxiety,
depression, or concussion.
What could the charge nurse of a long-term care facility do to decrease incidents of abuse of patients by
staffmembers? correct answers Improve staff training to identify and defuse potential abuse situations.
The charge nurse can also try to create a positive work environment with a full staffing team.
Which personal behavior is a demonstration of gerontophobia? correct answers a 43-year-old woman
wears her teenage daughter's clothes
Several nursing students are discussing career options. Which student statement demonstrates ageism?
correct answers "working with older adults could be rewarding, but I couldn't really use all of my skills"
An older adult widow who lives alone in her own home is having difficulty with driving, grocery
shopping, cooking, and home maintenance. What type of living arrangement would be most suitable for
her? correct answers Assisted Living
An older adult patient is having an argument with her daughter. Which statement represents the most
significant issue that older adult patients and their families must face? correct answers "You can't tell me
what to do. I'm your mother."
The police bring an older adult patient to the hospital because he was wandering in the street and
unable to remember his address. His clothing is soiled and he appears malnourished and dehydrated.
What would the nurse do first? correct answers Notify social services about potential abuse and/or
neglect.
An older adult suffers a stroke and arrives in the emergency department in a comatose state. Several
days later, the patient remains in a coma with a poor prognosis. Family members are distraught and
cannot agree on how to proceed. What is the best action to help the family to reach consensus? correct
answers Help the family to review the patient's living will to find out what the patient would want
_____ therapy is a proposed method of neutralizing free radicals, which may contribute to aging and
disease processes. correct answers ANTIOXIDANT
_____ theories of aging attempt to explain the physical changes of aging. correct answers BIOLOGIC
______ are unstable molecules produced by the body during the normal processes of respiration and
metabolism or following exposure to radiation and pollution. correct answers FREE RADICALS
The premise of the ____ theory is that there is an increase in autoimmune diseases and allergies with
aging, because of the changes in the immune system. correct answers IMMUNOLOGIC
The disengagement theory and the activity there are the two examples of ____ theory. correct answers
PSYCHOSOCIAL
, There is no single unified rationale for why we age or why different people lie for different lengths of
time, but ____ help to explain and give some logical order to our observations. correct answers
THEORIES
In your own words, explain why theories of aging are important to nursing practice. correct answers
Theories are created and used to explain and organize observations of what happens in the world
around us. Nurses use biopsychosocial theories to understand patients, to improve care, and do
research.
Identify one of the biologic theories of aging that you would like to know more about and describe why
that theory appeals to you. correct answers Various programmed theories allow for some predictability
in changes of aging, coping and adoption skills would be encouraged.
Describe the advantages and disadvantages of antioxidants therapy. correct answers Supplements are
available at a reasonable price, but there is a potential for problems because high doses of antioxidants
may cause more harm than be beneficial. There is no proof that antioxidants are effective; but
consuming fruits and vegetables these nutrients would be on the safer side.
Discuss some of the limitations of hormone therapy. correct answers Hormone therapy may cause more
harm than benefits. Hormone therapy requires a prescription or supervised medical administration,
which is most likely to not be covered by health insurance.
A 53-year-old woman (5′2″ and 120 pounds) tells you that she has decided to follow a calorie-restricted
diet to improve longevity. What could you tell her? correct answers Inform the patient that she is not
overweight and advise her to consult a nutritionist or her health care provider to ensure that adequate
nutrition is maintained.
Discuss two or three reasons that may contribute to the older adult's personal decision to try nutritional
supplements. correct answers Many nutritional supplements are marketed as "natural" remedies to may
enhance their nutritional status. Also many older and younger patients will take over-the-counter for
adequate health care natural supplements are most always more affordable than prescriptions.
Identify the main points of Newman's theory of aging. correct answers (1) Coping with the physical
changes of aging (2) redirecting energy to new activities and roles , including retirement, grand-
parenting, and widow; (3) Accepting one's own life (4) developing a point of view about death.
Identify the main points of Havighurt's theory of aging. correct answers (1) Adjusting to decreased
physical strength and health (2) Adjusting to retirement and decreased income (3) Adjusting to loss of a
spouse (4) Establishing a relationship with one's age group (5) Adapting to social roles in a flexible way
(6) Establishing satisfactory living arrangements
Based on your observations of an older adult whom you know or have cared for during a clinical
experience, give an example of how that older adult is achieving (of failing) the developmental task of
integrity versus despair. correct answers Note whether he/she has pride an satisfaction with past
accomplishments or whether events are remembered with regret and unhappiness
The nurse is doing patient teaching for a 50-year-old woman. Based on the application of the
