SESSION 1 INTRODUCTION TO GERONTOLOGIC NURSING 8.

A primary care provider’s order indicate that a consent form

needs to be signed. Since the nurse was not present when
1. Which of the following improves attitudes toward aging and the primary care provider discussed the procedure, which
older adults? statement best illustrates the nurse fulfilled the client
a. Staying away from older adults advocate role?
b. Education about older adults a. “The doctor has asked that you sign this consent form.”
c. Travelling to older communities b. “Do you have any questions about the procedure?”
d. Watching the portrayals of older adults in movies and on TV c. “What were you told about the procedure you are going to
have?”
2. What best describes nurses as a care provider? d. “Remember that you can change your mind and cancel the
a. Determine client’s need procedure.”
b. Provide direct nursing care
c. Help client recognize and cope with stressful psychological 9. A nurse who reads research articles and incorporates
situation research findings into nursing practice would demonstrate
d. Works in combined effort with all those involved in patient’s which of the following roles?
care a. Collaborator
b. Primary Investigator
3. As a student nurse, you understand that it is important to c. Producer
study Gerontological Nursing because: d. Consumer
a. it is fixed and unchanging.
b. it provides a way to understand the aging process and 10. The nurse clarifies to a group of clients that the field of
provide quality care to older adults nursing interest that specializes in disease prevention,
c. it can help predict the responses that the body can do in increasing autonomy and self-care, and maintenance of
during aging. function for older adults is
d. it gives positive outlook to older adults. a. gerontology.
b. geriatrics.
4. Nurse Beth told Mr. Dela Cruz about ways to decrease the c. developmental psychology.
risk of heart disease. What role of a gerontologic nurse did d. public health.
Nurse Beth portray?
a. Manager S2 STANDARDS AND GERONTOLOGIC NURSING
b. Advocate PRACTICE/PERSPECTIVE OF AGING
c. Teacher 1. An 80-year-old patient, who lives at home with a spouse, is
d. Provider of Care instructed to follow a 2 g sodium diet. The patient states, "I've
always eaten the same way all my life, and I'm not going to
5. Nurse Beth explains medical and nursing procedures to Mr. change now." To promote optimal dietary adherence, the
Dela Cruz’s family members. What role did Nurse Beth play gerontological nurse's initial approach is to:
in this situation? a. informs the patient about the need to follow the diet.
a. Manager b. inquiries about the patient's current food preferences and
b. Advocate eating habits.
c. Teacher c. list the variety of foods that are allowed on the diet.
d. Provider of Care d. provides dietary instruction to the patient's spouse, who
prepares the meals
6. What role involves gerontological nurses being aware of
current research literature, continuing to read and put into 2. Which best describes what guides the appropriate nursing care
practice the results of reliable and valid studies? of an aging adult?
a. Research Consumer a. Evidence-based practice developed with ongoing research
b. Advocate into the needs and outcomes of older adults
c. Teacher b. General nursing care previously practices
d. Provider of Care c. Facility policies and procedures
d. Physician orders for patient complaints
7. As a nurse manager, Nurse Beth knows that she needs to
develop the following skills except; 3. When teaching an independent older adult patient how to self-
a. Time management administer insulin, the most productive approach is to:
b. Assertiveness a. facilitate involvement in a small group where the skill is
c. Staff insubordination being taught.
d. Communication b. gathers information about the patient's family health history.
c. provides frequent, competitive skills testing to enhance
learning.
d. use repeated return demonstrations to promote the
patient's retention of the involved tasks
4. A 90-year-old patient comes to the clinic with a family 10. Members of a family are caring for their father at home.
member. During the health history, the patient is unable to Which statement by a family member indicates a need for
respond to questions in a logical manner. The gerontological teaching and caregiver instruction?
nurse's action is to: a. "Dad has gotten lazy about his bathroom habits. He blames
a. asks the family member to answer the questions. his arthritis medication for his toileting accidents."
b. asks the same questions in a louder and lower voice. b. "Dad's room is close to the bathroom and we keep a light on
c. determines if the patient knows the name of the current for him at night."
president c. "It's inconvenient, but we stop other activities to remind Dad
d. rephrases the questions slightly, and slowly repeat them in to go to the bathroom on a regular schedule."
a lower voice. d. "We try to avoid coffee and tea at night, but Dad really likes
a cup of coffee for breakfast.
5. The American Nurses Association's Gerontological Nursing:
Scope and Standards of Practice emphasizes: S3 BIOLOGICAL & PSYCHOSOCIAL THEORIES OG AGING/
a. those abnormal responses to the aging process determine NURSING THEORIES OF AGING
the appropriate nursing diagnoses. 1. Nurse Bianca is aware that the theory of aging most likely to
b. that the health status data of older adult patients be explain why the older population is at risk for autoimmune
documented in a retrievable form. disorder is known as
c. the role of the older adult patient as the sole decision maker a. cross-link theory.    
in planning his or her care. b. free radical       
d. the unchanging nature of the goals and plans of care for c. error theory.                            
older adult patients. d. autoimmune theory.

6. The nurse is aware that the majority of older adults: 2. The family member of a patient asks if vitamin C will prevent
a. Live alone aging. In formulating an appropriate response, the nurse
b. Live in institutional settings considers what theory?
c. Are unable to care for themselves a. free radical theory.  
d. Are actively involved in their community b. autoimmune theory.          
c. wear-and-tear theory.                          
7. Which choice best explains the practice setting for the d. continuity theory.
gerontological nurse?
a. In the home of the client 3. Nurse Maria implements the concepts of the activity theory of
b. Only in acute care settings aging when instructing the older client with osteoarthritis to:  
c. Clinics and long-term care facilities a. continue her daily walking routine.         
d. Home of the client, acute care facilities, long-term care b. curtail further increases in physical activity.    
settings, and clinics or anywhere clients over the age of 65 c. document preferred end-of-life interventions.
seek health care and health education d. avoid exposing herself to crowds.

8. A 70-year-old presents to the clinic stating that his family 4. The 45-year-old patient reports to the nurse he feels he is
thinks he is losing his mind and they want to put him in a home. going through a "mid-life crisis." The nurse recognizes this
What would be the initial role of the gerontological nurse? phenomenon refers to the theory developed by which
a. Begin the process of finding a qualified nursing home psychologist? 
b. Do a complete history, physical, and assessment a. Jung              
c. Speak with the family about their concerns b. Erikson     
d. Make light of the subject until the nurse can evaluate the c. Newman                      
situation d. Havighurst

9. An 87-year-old man, who has been living independently, is 5. The patient in the clinic tells the nurse she can "feel her
entering a nursing home. To help him adjust, the most effective biologic clock ticking." The nurse knows the patient views aging
action is to: based on which theory?
a. involve him in as many activities as possible so he can meet a. Gene theory  
other residents. b. Programmed theory      
b. move him as quickly as possible so that he does not have c. Rate of living theory        
time to think. d. Somatic mutation theory
c. restrict family visits for the first two weeks to give him time
to adjust.
d. suggest that he bring his favorite things from home to
make his room seem familiar
6. An 80-year-old female who enjoys good health explains to her a. Review of medications at each office visit, to ensure an
primary provider that she attributed her health status to her accurate med list.
regular intake of berries, fruit, green tea, which she states “help b. Limit your patients’ medication list to no more than 4
cleanse the damaging molecules out of my body. ”Which of the medicines.
following theories of aging underlies the client’s health c. Regularly assess patient adherence to the medication
behaviors?         regimen.
a. Free radical theory       d. (a) and (c)
b. Biogerontology        
c. Disposable soma theory                           3. Oral drugs may be absorbed less quickly in older people
d. Cross-linking theory because:
a. Of increased number of receptors in the heart
7. The nurse would recognize successful aging according to Jung’s b. Of increased liver metabolism
theory when a long-term care facility resident demonstrates c. Of increased kidney function
which of the following behaviors?       d. Of decreased gastrointestinal motility
a. The resident takes special care to dress for dinner in a manner
that pleases his tablemates.   4. Enteric coated tablets are designed to avoid being dissolved in
b. The resident asks permission to sit on the patio with other the highly acidic stomach. Instead, they dissolve in the intestine.
residents.               Knowing this and what you know about gastrointestinal changes
c. The resident asks persons in his hall if his television is associated with age, what can you conclude about enteric coated
bothering them.                           tablets and older patients?
d. The resident wears a large cowboy hat at all times because a. The tablets will need to be given intravenously instead
he likes it.     b. These tablets will probably dissolve more slowly
c. The enteric coated tablets are unaffected by changes
8. The nurse in the long-term care facility who cares for primarily associated with age
order adults knows these adults are in which stage of Erikson’s d. These tablets may dissolve more quickly
developmental tasks?   
a. Trust vs mistrust     5. In an older population we can expect that drugs will be:
b. Integrity vs Despair   a. Absorbed more quickly
c. Industry vs Inferiority   b. Metabolized more quickly
d. Generativity vs stagnation c. Excreted more rapidly by the kidneys
d. Excreted less readily
9. Which theory suggests that older people who have low levels
of social activity have a high degree of life satisfaction?   6. Which of the following is an age-related physiologic change
a. Activity           that may affect the absorption of drugs?
b. Age stratification         a. Xerostomia
c. Disengagement                             b. Faster stomach emptying
d. Exchange c. Altered pH of the stomach contents
d. Increased gastrointestinal tract motility
10. Based on the free theory of aging, what would be an
appropriate behavior that might increase one’s life expectancy?   7. The nurse is caring for a group of older adult patients who are
a. Exercise for 45 minutes at least three times a week. all receiving multiple medications. The nurse understands that it
b. Eat food rich in antioxidants. is essential to individualize each patient's therapy. Which is the
c. Eat a low-calorie, high protein diet.           best rationale for this practice?
d. Do nothing. Life expectancy is determined through genetic A. The percentage of drug absorbed often is decreased in older
programming adults.
B. Most older adults have decreased body fat and increased
S4 MEDICATIONS OF OLDER ADULTS lean mass.
1. Which is the best example of polypharmacy? C. Hepatic metabolism tends to increase in older adults,
a. Your patient is filling her medications at more than 1 resulting in decreased drug levels.
drugstore. D. Renal function declines with age, leading to decreased drug
b. Your patient is taking more than 2 medications. excretion
c. Your patient is taking more than 9 medications.
d. Your patient is taking a potentially inappropriate 8. When assessing for drug effects in the older adult, which phase
combination of medicines of pharmacokinetics is the greatest concern?
A. Absorption
B. Distribution
C. Metabolism
D. Excretion
2. Which is the most effective method of managing
polypharmacy? 9. All of the following are impacts of polypharmacy EXCEPT.
 a. Increased communication between care teams
b. Adverse drug events
c. Increased healthcare costs
d. Medication non-adherence

10. The single most important thing we can do as healthcare

providers to prevent polypharmacy is:
a. Encourage our patients to carry a list of home medications in
their wallet
b. Tell our patient to appoint a lead doctor
c. Educate our patients on each of their new medications
d. Tell our patients to Google all of their medications