GERONTOLOGY NCLEX REVIEW EXAM 1 WITH

GERONTOLOGY NCLEX REVIEW EXAM 1 WITH

QUESTIONS AND ANSWERS

Chronological age is your age based on:

• how well you feel
• the passage of time
• if you floss your teeth
• how fabulous you look - Answerb) the passage of time

An experienced nurse tells a younger nurse who is working in a retirement home that older adults have "outlived their usefulness." What is the term for this type of prejudice?

• racism
• agism
• harassment
• whistle blowing - Answerb) agism

A nursing instructor teaching classes in gerontology to nursing students discusses myths related to the aging of adults. Which statement is a MYTH about older adults?

• most older adults live in their own homes
• healthy older adults enjoy sexual activity
• old age means mental deterioration
• older adults want to be attractive to others - Answerc) old age means mental

deterioration Why do we separate the young-old from the old-old?

• to determine social security costs
• needs and resource use differs
• the young-old are more heterogenous
• we love statistics and graphs - Answerb) needs and resource use differs

A nursing intervention directed toward primary prevention in the older adult focuses on:

• disease management
• routine health screenings
• controlling symptoms of illness
• teaching positive health behaviors - Answerd) teaching positive health behaviors

Which of the following are characteristics of a chronic illness (select all that apply)

• has reversible pathologic changes
• has a consistent, predictable clinical course
• results in permanent deviation from normal
• is associated with stable and unstable phases
• always starts with an acute illness and then progresses slowly - Answerc) results in

permanent deviation from normal

• is associated with stable and unstable phases

An important nursing action to help a chronically ill older adult is to:

• avoid discussing future lifestyle changes
• assure the patient that the condition is stable
• treat the patient as a competent manager of the disease
• encourage the patient to "fight" the disease as long as possible - Answerc) treat the

patient as a competent manager of the disease The nurse teaches a student nurse about health care disparities and older adult women.Which statement, if made by the student nurse, would indicate an understanding of the teaching?

• "Women tend to have a shorter life expectancy than men."
• "Women tend to have fewer financial resources than men."
• "Women are less likely to be a caregiver to their spouses."
• "Women are more likely to have age-related cognitive impairments." - Answerb)

women tend to have fewer financial resources than men Why do some older adults not seek healthcare for their complaints?

• prefer to be left alone
• poor health literacy

• think it's a normal part of aging
• hate clinic appointments - Answerc) think it's a normal part of aging

What is one reason polypharmacy exists among older adults?

• counter act side effects
• older adults are very good at taking medication
• older adults like taking medication
• health care providers don't coordinate the medication regimes - Answerd) health care

providers don't coordinate the medication regimes The nurse identifies the presence of age-associated memory impairment in the old adult

who says:

• "I just can't seem to remember the name of my new granddaugther."
• "I make out lists to help me remember what I need to do, but I can't seem to use them."
• "I forget movie stars' names more often now, but I can remember them later after the

conversation is over."

• "I forgot that I went to the grocery store this morning and didn't realize it until I went

again this afternoon." - Answerc) "I forget movie stars' names more often now, but I can remember them later after the conversation is over."

Older adults who become ill are more likely than younger adults to:

• complain abt symptoms of their problems
• refuse to carry out lifestyle changes to promote recovery
• seek medical attention because of limitation on their lifestyle
• alter their daily living activities to accommodate new symptoms - Answerd) alter their

daily living activities to accommodate new symptoms A nurse who is interested in providing care for older adults should identify that most

chronic illnesses are managed in:

• hospice care
• homeless shelters
• the community setting
• an acute care hospital - Answerc) the community setting

An appropriate care choice for an older adult who lives with an employed daughter, but

requires help with activities of daily living is a/an:

• nursing home
• adult day care center
• assisted living facility
• acute rehabilitation facility - Answerb) adult day care center

To reduce the risk of stress relocation syndrome upon admission to a long-term care

facility, the nurse should encourage the caregiver to:

• give the patient a tour of the facility
• bring in some familiar items from home
• leave right away to allow time for adjustment
• make all decisions for the patient to reduce stress - Answerb) bring in some familiar

items from home A mental-status assessment of the older adult is especially important in determining:

• potential for independent living
• eligibility for federal health programs
• service and placement needs of the individual
• whether the person should be classified as frail - Answera) potential for independent

living What is critically important to assess in older adults as it provides the most accurate portrayal of the older adult's status?

• nutrition status
• functional status
• medication history
• past medical history - Answerb) functional status

What is most appropriate for the nurse to do when interviewing an older patient?

• ensure all assistive devices are in place
• interview the patient and caregiver together
• perform the interview before administering analgesics
• move on to the next question if the patient does not respond quickly - Answera) ensure