Geriatric Nursing Principles

~ Exam ~

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This test has 35 questions.

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1. The major reason for the lengthening life span today is:
  a. Better nutrition
  b. Better medical care
  c. Better use of prevention measures
  d. All of these
2. The medical and nursing professions have __________________to plan for and implement health care to meet the unique needs of the elderly.
  a. Move quickly
  b. Ignored the need
  c. Not been quick
  d. Passed the amendments necessary
3. How important are you, the nurse to your elderly patients?
  a. Very
  b. Somewhat

  c. A little
  d. Not at all
4. Later maturity refers to the last developmental stage of life, usually beginning after retirement at about the ages of ____ to ____.
  a. 60-64
  b. 75-80
  c. 65-70
  d. 80-85
5. “Aged” is: that point in the life span of a person when changes of aging…
  a. Associated with declining function
  b. Make dependency on others necessary
  c. Markedly interfere with functioning
  d. Make no difference in life span

6. No other developmental era (the elderly) is so rigidly_____________________.
  a. Biased in attitude
  b. Victorian
  c. Set in their ways

  d. Stereotyped
7. In order to perceive the senior as a unique person, you must consider:
  a. Your personal definitions about aging
  b. Your values about aging

  c. Your attitudes about aging
  d. Your feelings about old age

  e. All of these

8. First level assessment is done on ______________with the elderly person to determine the perceived health threat.

  a. Initial contact
  b. Second visit
  c. Admission

  d. Discharge
9. A nursing history form or assessment tool is ____________information obtained in 1st and 2nd level assessment.
  a. Never used for
  b. An organized means of recording
  c. A comprehensive view of

  d. All of these
10. The nursing history should include the following information:
  a. Developmental status and level of behavior
  b. Previous experience with illness
  c. Educational level and intellectual capacity
  d. All of these
11. Adhering to a senior’s established pattern promotes their wellness and their feeling of:

  a. Being cared for
  b. Security
  c. Well being
  d. Uniqueness
12. Obtaining a lengthy assessment or history is a necessary activity for:
  a. Making a nursing diagnosis
  b. Individualizing care
  c. Improving communication skills

  d. Making realistic discharge plans
13. When taking a nursing history, asking a barrage of questions will tend to ________the senior’s expression.
  a. Enhance
  b. Minimize
  c. Expand
  d. Stifle

14. The more skillful you are a communicator, the better your assessment data will be as the basis for:
  a. Nursing care plans
  b. Continued care
  c. Nursing diagnosis
  d. Behavioral objectives
15. Nursing diagnoses __________label medical entities.
  a. Do
  b. Do not
  c. Never
  d. Always

16. Nursing diagnoses refer to conditions that can be helped by nursing __________.
  a. Action

  b. Care
  c. Assessment
  d. Intervention

17. Nursing diagnoses that may be applicable to the psychological and physical status of the elderly, include:
  a. Impaired mobility
  b. Anxiety, confusion
  c. Negative self-image
  d. Impaired sensory process
  e. All of these
18. Statements about a predicted or desired patient outcome formulated with the person or family are called:
  a. Long-term goal

  b. Short-term goal
  c. Patient-care goal
  d. Nursing diagnoses
19. Priorities of patient-care goals are affected by which of the following:
  a. Potential for recovery or susceptibility to relapse
  b. Can be accomplished in a short period of time
  c. Outcome can be predicted with certainty
  d. The demise of the patient
20. The written nursing care plan include the:
  a. Patient’s needs, problems
  b. Priorities of care

  c. Patient care goals
  d. Nursing orders
  e. All of these

21. The purpose of the nursing care plan includes;
  a. To communicate information about the person or family
  b. To provide individualized and comprehensive care
  c. To provide coordination and continuity of care
  d. To facilitate ongoing and accurate evaluation of care
  e. All of these
22. Nursing intervention refers to all of the actions that the nurse engages in, as well as the approach used to promote the patient’s________________.
  a. Holism
  b. Well being
  c. Death
  d. Marriage

23. Nursing interventions with the elderly person or family include:
  a. Encouraging the senior to use energy-saving devices
  b. Maintaining communication with the senior
  c. Giving wellness care
  d. Not enabling the senior to give his or her own hygiene
  e. a and b

24. The elderly person may have many needs which need to be met, such as:
  a. Physical needs

  b. Social needs

  c. Emotional needs

  d. a, b

  e. a,b,c

25. Bower classifies intervention into three actions: supportive, generative and_______.
  a. Helping

  b. Collaborative

  c. Protective

  d. Encouraging

26. Supportive nursing actions provide:
  a. Comfort
  b. Restoration
  c. Treatment
  d. a and b

  e. a,b,c

27. Evaluation of nursing care is directly related to:
  a. Results
  b. Effect
  c. Accountability

  d. Outcome

28. When approaching an elderly patient for an interview, when usually is the optional time to talk to him/her?
  a. After lunch
  b. Late in the day
  c. After exercise
  d. Early in the day
29. ____________is the key to communicating with the elderly.
  a. Patronizing behavior
  b. Patience

  c. Attitude

  d. Understanding

30. A geriatric patient’s past history is likely to be ________________.
  a. Minimal
  b. Extensive
  c. Larger than life
  d. Voluminous

31. During review of the female reproductive system, include questions about:
  a. Thyroid replacement therapy

  b. Menopause
  c. Testosterone therapy

32. The most common psychogenic problems found in elderly patients is:
  a. Anxiety

  b. Depression
  c. Paranoia

  d. Confusion

33. In the elderly, osteoporosis most commonly occurs after age ________.

  a. 60

  b. 75
  c. 80

  d. 50

34. Characteristics of being a helping person include:
  a. Secure

  b. Positive

  c. Strong

  d. All of these

35. The elderly person cannot survive, emotionally or physically, unless someone:

  a. Cares
  b. Reaches out
  c. Loves
  d. Neglects