ANCC Gero Review Questions And Correct
Answers
When an older patient is hospitalized, Medicare reimburses for this inpatient care by which of
the following mechanisms?
A. Medicare B
B. Medicare A
C. Medicare D
D. Medigap - answerB. Medicare A
Gerontological nurses are expected to evaluate r...
When an older patient is hospitalized, Medicare reimburses for this inpatient care by which of
the following mechanisms?
A. Medicare B
B. Medicare A
C. Medicare D
D. Medigap - answer✔B. Medicare A
Gerontological nurses are expected to evaluate research to implement evidence-based practice.
Which of the following studies provides the strongest evidence to change practice?
A. Randomized control clinical trial
B. Qualitative phenomenological study
C. In-depth case study
D. Cohort study - answer✔A. Randomized control clinical trial
A randomized clinical trial is considered the "gold standard" and the highest level of research
evidence. The randomized design eliminates selection bias, and the control and experimental
groups provide evidence that any differences in outcomes at the end of the study are due to the
study intervention and not chance. phenomenological qualitative study and a case study enable
understanding of one person's "lived experience" which may or may not be typical of others.
Outcomes from a cohort study may reflect differences in age groups found as a result of
historical events and not necessarily changes as a result of research interventions
A. Nursing faculty will be required to pursue postdoctoral training
B. Nursing curriculum will require advanced aging content
C. Physicians will no longer be allowed to direct care in long-term-care facilities
D. Nurses should practice to the full extent of their education and training - answer✔D. Nurses
should practice to the full extent of their education and training
Nurses should be full partners with other professionals when redesigning the healthcare system,
nurses should achieve higher levels of education and have opportunities for seamless academic
progression, and nurses should participate in effective workforce planning and policy-making
with a better data collection and information infrastructure
The biggest risk factor for developing a cognitive impairment is:
A. socioeconomic status
B. poor nutrition
C. age
D. female gender - answer✔c. age
Cognitive impairments become more common with advanced age across all categories of older
people
A 76 year old woman presents at an ambulatory clinic. About 2 weeks ago, she had difficulty
finding words, felt weak, and noticed her right hand felt numb for several hours. Although she
has recovered most of her function, she continues to have difficulty with her short-term memory.
The most likely cause of these symptoms
A. Alzheimer's disease
B. organic delusional syndrome
D. acute depressive syndrome - answer✔C. vascular dementia
Is associated with sudden acute events, such as transient ischemic attacks or small strokes.
Clinically, older patients suffering from vascular events will have sudden-onset presentation of
their symptoms rather than slow, insidious onset
An 85-year-old woman with advanced cancer asks the nurse, "what is wrong with me? My
doctor won't tell me anything. The chemotherapy is making me sick and if I knew it wasn't
helping, I would stop taking it." The nurse decides to tell the patient the truth. Which ethical
principle is the nurse upholding?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - answer✔B. Autonomy
By telling the patient the truth about the cancer diagnosis, the nurse is supporting autonomy by
providing information that supports self-determination. Justice involves treating patients fairly,
nonmaleficence involves doing no harm, and fidelity involves faithful performance of duties and
obligation to meet the needs of patients
Higher RN staffing levels in long-term-care settings are known to be associated with which of
the following factors?
A. lower costs to the facility
B. higher fall rates
C. lower rates of decubitus ulcers
D. more medication use - answer✔C. lower rates of decubitus ulcers
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