Gerontology Evolve test Questions and
Answers Already Passed
An older person is a patient on a rehabilitation unit. She has an arm fracture and is feeling sad. She tells
the nurse, "I feel incapable of dressing and fe
...
Gerontology Evolve test Questions and
Answers Already Passed
An older person is a patient on a rehabilitation unit. She has an arm fracture and is feeling sad. She tells
the nurse, "I feel incapable of dressing and feeding myself." How can the nurse best promote wellness
for the patient?
A During bathing time, encourage the patient to do what she can and have the nurse assist her.
B Discourage the patient when she takes initiatives to help herself.
C Have the patient join a rehab patient focus group.
D Focus on the patient's illness and enable her to write her thoughts in a diary. Correct Answer-a
The patient is a middle-aged person who is caring for her ill mother. The patient arrives at the urgent
care clinic complaining of fatigue and depression. She says to the nurse, "There is no one who can help
me with my mother's illness; I'm caring for mom practically 24/7." Which principle of primary health
care can the nurse utilize to better assist the patient?
A Accessibility: Connect the patient with home care service
B Public participation: Have the patient fill out a survey on caregiver stress.
C Health promotion: Encourage the patient to eat a healthy diet and exercise regularly.
D Interprofessional collaboration: Inform the health care team of the patient's stress at home. Correct
Answer-a
What is the process of enabling people to increase control over and improve their health?A Coping
B Physical well-being
C Mental well-being
D Health promotion Correct Answer-d
The patient is an older person who has dementia and coronary artery disease. He is in a nursing home
and occasionally tries to climb out of bed. The nurse on duty has informed the team of the patient's risk
of falling and has put a mat near his bed. Which principle of primary health care did the nurse consider
in intervening for the patient?
A Primary care
B Appropriate skills and technology
C Health Promotion
D Public Participation Correct Answer-c
Which of the following scenarios will result in a dramatic increase in a certain population in the next 50
years?
A An increase in the ratio of older persons versus younger persons
B An increase in the ratio of children versus older persons
C A decrease in the ratio of older women versus older men
D An increase in the ratio of older women versus younger persons Correct Answer-aIntersectoral collaboration recognizes that ________________ and ___________________ are linked to
both economic and social policy.
A health; well-being
B care; treatments
C professionals; patients
D services; sectors Correct Answer-a
Well-being for people older than 60 years is strongly related to __________, but is also affected by
____________.
A income; employment
B genetics; biological endowment
C functional status; determinants of health
D health services; coping skills Correct Answer-c
Those born within the same decade and country may share a common historical context and are
referred to as ___________________.
A baby boomers
B a cohort
C older persons
D centenarians Correct Answer-bWhich one of the following is a geriatric nurse pioneer, and which model of care did they establish?
A Florence Nightingale; Hygiene Model
B Elaine Gallagher; Stone Model
C Vera McIver; Priory Method
D Terry Fulmer; Geriatric Model Correct Answer-c
Which one of the following journals is published by the Gerontological Nursing Association of Ontario
(GNA)?
A Perspectives
B The Gerontologist
C The Canadian Geriatrics Society
D Gerontology and Geriatrics Education Correct Answer-a
Which of the following organizations can assist registered nurses in certifying themselves in a specialized
area of interest?
A GERI
B CGNA
C AACN
D CNA Correct Answer-dWhat is the mission of the Canadian Geriatrics Society (CGS)?
A To promote leadership in geriatrics to all LTC homes
B To promote excellence in medical care to older Canadians
C To uphold the mission and values of all older Canadians
D To optimize the functional abilities of all older Canadians Correct Answer-b
Which one of the following gerontological organizations demonstrates the need for interdisciplinary and
interprofessional collaboration in research and practice?
A CAG
B GAC
C CAN
D GSA
E ONA Correct Answer-a
Which of the following standards of practice is examined by this competency: "This approach recognizes
that certain behaviours are not necessarily related to pathology but instead may be related to
circumstances within the physical or social environment surrounding well older persons and those with
dementia and may be an expression of unmet need."
A Standard IV: Relationship Care
B Standard III: Responsive CareC Standard VI: Safety and Security
D Standard I: Physiological Health
E Standard II: Optimizing Functional Health Correct Answer-b
A(n) __________, also referred to as a(n) _______________, performs all of the functions of a generalist
but has developed advanced clinical expertise as well as an understanding of health and social policy
and proficiency in planning, implementing, and evaluating health programs.
A NP; RN
B RN; RPN
C APN; CNS
D RN; CNS
E RN; APN Correct Answer-c
_________ is a means of assuring the public that the individual has pursued some specialized study in a
given area, successfully demonstrated the requisite knowledge, and been awarded recognition of this
achievement.
A Certification
B Graduation
C Registration
D Accreditation
E Documentation Correct Answer-aWhich form of ageism presents a barrier to effectively communicating with older persons?
a Ethnocentrism
b Elderspeak
c Prejudice
d Racism Correct Answer-b
A nurse working in a four-bed ward notices a patient in an adjacent bed, grimacing. The nurse asks her,
"Are you experiencing pain?" The patient responds softly, "I'm not in pain," and looks away from the
nurse. What is the most appropriate response for this nurse?
a The nurse should say, "Dear, are you in pain?" and administer pain medication.
b The nurse should position herself at the patient's level and clarify the patient's response.
c The nurse should reflect on the patient's response and come back later
d The nurse should stay silent and allow the patient to speak when she is ready Correct Answer-b
What is the most common form of sensorineural hearing loss in older persons, and how is it treated?
a Otosclerosis; treated with hearing aids
b Cerumen impaction; treated with mineral oil
c Presbycusis; treated with cochlear implants
d Vertigo; treated with antibiotics Correct Answer-cWhat is a major cause of vision impairment and blindness among older persons?
a Cataracts
b Myopia
c Presbycusis
d Macular generation Correct Answer-a
A 75-year-old patient is in a palliative unit. The nurse asks the patient, "How are you feeling today?" The
patient replies, "Coatly is floating above ball skyrooky all day ball." The nurse identifies that this is
characteristic of which neurological disorder?
a Broca's aphasia
b Verbal apraxia
c Nominal aphasia
d Wernicke's aphasia Correct Answer-d
What is an effective communication strategy that nurses can implement in their care of patients with
dementia?
a Ask open-ended questions.
b Ask task-focused questions.
c Use active listening strategies.d Provide object-oriented communication. Correct Answer-b
How can the nurse encourage reminiscence in an older person who is experiencing a life transition?
a Listen actively, maintain eye contact, and encourage the patient to continue.
b Change the topic and ask a task-focused question.
c Discourage wavering topics and give negative feedback.
d Give constructive criticism and provide assurance. Correct Answer-a
Identify an appropriate group leadership skill that nurses can cultivate in group settings.
a Linking members to each other
b Dismissing group participants' opinions
c Maintaining group focus
d Using task-focused questions Correct Answer-a
Why are patients' life stories significant in managing care for older persons? Choose the most
appropriate statement.
a Patients' life stories provide their background information and are helpful in treating their illness.
b Patients' life stories are a critical source of information regarding diagnosis, treatment, and prognosis.
c Patients' life stories are important for managing their emotional health and well-being.d Patients' life stories establish a major developmental task of older persons based on Erik Erikson's
(1963) theory Correct Answer-b
Which following age-related change in the nervous system is paired with the correct associated risk in
the older person population?
a Proprioception; increased risk of falling
b Presbyopia; enhanced vision
c Myopia; decreased spatial orientation
d Proprioception; increased risk of glaucoma Correct Answer-a
Identify the biological theory which proposes that, with aging, the damage caused by free radicals
occurs faster than the rate at which the cells can repair themselves, and cell death occurs.
a Oxidative Stress Theory
b Neuroendocrine Theory
c Wear-and-Tear Theory
d Cross Link Theory Correct Answer-a
An older person resident at an assisted living facility complains, "I'm cold and no one around here fixes
the heating system." The nurse notes that the thermostat shows the temperature to be 21.5°C and
assures the resident that the heating system is working properly. At which level of the integumentary
system is he likely experiencing physical changes?
a Hypodermis: sebaceous gland atrophyb Hypodermis: sweat gland fibrosis
c Epidermis: melanocyte atrophy
d Dermis: collagen atrophy Correct Answer-b
Which of the following refers to age-related sensorineural hearing loss that affects 10 million older
persons worldwide?
a Prosbycusis
b Prebyopia
c Probyopia
d Presbycusis Correct Answer-d
Many age-related changes in the skin are functionally inconsequential. However, skin changes occur due
to both _____________ (intrinsic) and ___________ (extrinsic) factors, such as wind, sun, and pollution.
a aging; physical
b genetic; environmental
c hydration; environmental
d heredity; ecological Correct Answer-b
Which of the following sets of theories views older people as members of a specific birth cohort?
a Sociological; modernization theoryb Sociological; age-stratification theory
c Psychological; developmental theory
d Psychological; geoconformist theory Correct Answer-b
An older person is a volunteer at a long-term care home. He assists the residents with reading the daily
newspaper, accompanies them on their outings, and
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