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Gerontologic Nursing STUDY TEST GUIDE QUESTIONS
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Gerontologic Nursing STUDY TEST GUIDE QUESTIONS
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Gerontologic Nursing STUDY TEST GUIDEQUESTIONS
What are normal memory changes that occur as one ages? - ANS *Short term memory
declines
*Long term memory stays the same
What three physiologic changes are clinically significant in older adults? - ANS 1. Loss in
compensatory reserve
2. Progressive loss in efficiency of the body to repair damaged tissue
3. Decreased functioning of the immune system processes
Why can the BP of older adults be expected to increase? - ANS The heart's work increases
in response to increased peripheral resistance
What is the major cause of respiratory disability in older adults? - ANS COPD
List five nursing interventions to promote adequate bowel functioning for older people - ANS
1. Determine what is "normal" GI functioning for each individual
2. Increase fiber and bulk in diet
3. Provide adequate hydration
4. Encourage regular exercise
5. Encourage eating small meals frequently
What lifestyle factors negatively affect nearly every system in the older adult's body? - ANS
*Smoking
*Excessive alcohol intake
*Sedentary lifestyle
*Excessive dietary intake versus energy output
What visual problem most commonly occurs in older adults? - ANS Cataracts
What are the three most common disorders that result from changes in the neurologic system? -
ANS 1. Dementia occurs
2. Cerebrovascular disorders
3. Movement disorders (Parkinson's disease)
What is the difference between delirium and dementia? - ANS *Delirium has a sudden
onset and is reversible
*Dementia is a slowly progressive, irreversible disease
, Falls are the result of what physiologic changes? - ANS *Cardiovascular
*Musculoskeletal
*Neurologic
What are two factors that cause a decrease in the excretion of drugs by the kidneys? - ANS
1. Decrease in glomerular filtration
2. Slowed organ functioning
What areas of care are important for end-of-life care? - ANS Pain, dyspnea, anxiety,
gastrointestinal symptoms, psychiatric symptoms, spirituality, support for family caregivers, and
family support during bereavement period
Your older female patient is complaining because she is having frequent UTIs. Which normal
age-related change is most likely to be a contributing factor?
ch. 3 - ANS Decreased bladder muscle tone
Which are normal age-related changes? (Select all that apply.)
ch. 3 - ANS 1 Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all that
apply.)
ch. 3 - ANS 1 Rigidity and tremors when at rest
3 Dementia
An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment would
the nurse expect to be ordered?
ch.3 - ANS Antibiotics
What should the nurse explain when discussing expected changes in the female reproductive
system to an older adult?
ch. 3 - ANS Production of vaginal secretions decreases
The nurse performs a skin assessment of an older adult. Which finding is abnormal and needs
to be reported?
ch. 3 - ANS A dark, elevated patch that bleeds when touched
The nurse encourages the patient to maintain a steady weight in the recommended range to
decrease risk of which common endocrine disease observed in older adults?
ch. 3 - ANS Diabetes mellitus
What is the activity that best promotes health maintenance for the typical older adult?
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