GERO EXAM FINAL QUESTIONS AND ANSWERS
Common causes of anxiety include: - Answers -Chronic medical conditions
Hypoxia
Financial concerns
Benzodiazepines
The following medications are implicated in falls: - Answers -Ativan
Valium
Alcoholic beverages
Diovan 50 mg w. 10 mg Hydrochlorothiazide
Risk factors for polypharmacy include: - Answers -Advanced in age
Prescribing cascade
Multiple prescribers
Transitions of care
The nurse is trying to take a hx from a cooperative but fearful older person w. mild
dementia. Which of the following would be the most therapeutic strategy to use for this
interaction? - Answers -Sit calmly in a chair next to the person & ask questions in a non-
threatening manner
Of the following sleep disorders in the elderly, which is the most common? - Answers -
Insomnia
Beer's Criteria identifies meds & doses that may be harmful to adult 65+. The key
principle in administering meds is less is more; start high and then go low - Answers -
False
While speaking w. a pt who is experiencing depression, which of the following strategies
might not be helpful? - Answers -Recording important info for them in a notebook to
refer to later
Diphenhydramine (Benadryl) is not recommended for use in older adults because of: -
Answers -Confusion & severe anticholinergic effects
In caring for a person w. middle to late stage or moderately severe Alzheimer's disease,
which of the following concerns takes priority? - Answers -Safety
The Up & Go Test is useful for assessment because it: - Answers -Provides a quick
measure of physical, especially walking, ability
A pt w. major depression will exhibit the following symptoms: - Answers -Feeling of
worthlessness
, Loss of appetite/weight
Depressed mood for over 6 months
Of the following nursing interventions for fall prevention, which are helpful? - Answers -
Minimize clutter in the environment
Strengthening exercises
Walking
Palliative care refers to care that is: - Answers -Comfort-based
Hospice care: - Answers -Helps the dying person to live until they die
Interdisciplinary team consist of a nurse specializing in thanatology
Pain management & comfort care
Settings include home care, skilled nursing, & independent hospice facility
If the nurse is assessing for extrinsic factors for falls, which of the following should be
included? - Answers -Throw rugs
Name 5 Leadership Roles in Caring for Older Adults: - Answers -Executive Roles
Director of Nursing
Charge Nurse
Gerontological NP
Staff Nurse
If the nurse suspects that a pt has delirium, which of the following factors should be
further investigated? - Answers -UTI
Meds
O2 sats
Assessment tool widely used to assess a pt for Risk for fall is: - Answers -Morse scale
Intrinsic factors for fall are r/t the pt's physiology & physical changes - Answers -True
Which of the following lab results would alert the nurse to an abnormality in an older
adult? - Answers -Albumin = 2.5
Your 66 y/o female admitted yesterday for ovarian cancer shared w. you that she's
writing a "goodbye" letter to her 2 daughters. She also mentioned that she's giving away
her favorite watches, earrings, & bracelets. What would you do w. the info she shared
w. you? - Answers -Ask her, "tell me more about your goodbye letter and why you're
giving away your jewelry." Then report to your charge nurse what she said because she
is exhibiting suicidal ideation
The evening charge nurse on a skilled nursing unit in a long-term care facility is having
trouble w. one of her CNAs sleeping on the job. What should the charge nurse's first
action be? - Answers -Talk to the CNA involved
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