Geri test one chapters 1-10

In which context are members of a cohort described when using the age-stratification theory to explain the effect of similar events, conditions, and circumstances? a. Historical b. Biological c. Sociological d. Chronological

a. Historical

A nurse is caring for an older adult who asks the following: "I have heard that it is important to eat a diet that is high in fruits and vegetables to age successfully. Is that correct?" The nurse considers which of the following theories of aging when responding to the older adult's question? a. Oxidative stress theory b. Immunological theory c. Free radical theory d. Telomere theory

c. Free radical theory

Which of the following issues in the care of older adults are identified in Healthy People 2020? a. Delineating nursing staffing levels in long term care b. Eradicating pressure ulcers in all care settings c. Identifying minimum levels of training for people who care for older adults d. Instituting mandatory training in identification of elder abuse for all caregivers of older adults

c. Identifying minimum levels of training for people who care for older adults

The nurse plans care for older adults who are in good health but isolated from their families. If the nurse's goal is to move the adults toward gerotranscendence, which intervention should the nurse use in the plan of care? a. Give a daily tea party for the group. b. Call each family to encourage visiting. c. Assist them to resume midlife patterns. d. Help each person with individual activities.

d. Help each person with individual activities.

The gerontological nurse collaborates with the wound care team about an older patient who has an ulcer. How is this nurse demonstrating leadership in the care of older people? a. Assessing older adults effectively b. Facilitating access to eldercare programs c. Coordinating members of the health care team d. Empowering older adults to manage chronic illness

c. Coordinating members of the health care team

A nurse is caring for an older adult in the hospital who reports decreased hearing. Which of the following interventions should the nurse use when communicating with this patient? (Select all that apply.) a. Raise the pitch of the voice when speaking with the patient. b. Speak very slowly using simple words when speaking to the patient. c. Face the patient when speaking. d. Decrease background noise when speaking with the patient. e. Obtain a sign language interpreter to speak with the patient.

c. Face the patient when speaking. d. Decrease background noise when speaking with the patient.

The nurse provides opportunities for nursing home residents to read aloud to others. Which cognitive skill is this nursing intervention most likely to improve? a. Verbal fluency b. Logical analysis c. Object naming d. Visuospatial skills

a. Verbal fluency

Mandatory retirement at age 65 years is consistent with which theory of aging? a. Role theory b. Disengagement theory c. Age-stratification theory d. Social exchange theory

b. Disengagement theory

Which racial or ethnic group has the highest life expectancy in the United States? a. Native Americans b. African Americans c. Hispanic Americans d. Asian and Pacific Island Americans

c. Hispanic Americans

Which nursing intervention is a holistic approach to an older adult? a. Performs glucose testing during the weekly worship service b. Wheels ambulatory adults to exercise when running late c. Assigns female nurses to older women who are Islamic d. Allows older adults in a nursing home to eat meals alone

c. Assigns female nurses to older women who are Islamic

Which health belief system uses treatments to repair a body part? a. Holistic b. Biomedical c. Personalistic d. Magicoreligious

b. Biomedical

The nurse plans activities for older women born between 1920 and 1930 and who reside in an assisted-living facility. Which is the best intervention for the nurse to implement? a. Have them bake cookies twice a week. b. Conduct interviews for specific interests. c. Arrange dog and cat visits from volunteers. d. Take them to the library for guest speakers.

b. Conduct interviews for specific interests.

In differentiating between health and wellness in health care, which of the following statements is true? a. Health is a broad term encompassing attitudes and behaviors. b. The concept of illness prevention was never considered by previous generations. c. Wellness and self-actualization develop through learning and growth. d. Wellness is impossible when one's health is compromised.

a. Health is a broad term encompassing attitudes and behaviors.

Advanced practice nurses have demonstrated the most significant impact in improving which of the following for older adults? (Select all that apply.) a. Health outcomes b. Length of stay c. Cost effectiveness d. Reimbursement measures e. Interprofessional communication

a. Health outcomes c. Cost effectiveness

Which approach requires the nurse to integrate and balance all aspects of an individual's life into the plan of care? a. Holistic nursing b. Healthy People 2020 c. Maslow's hierarchy of human needs d. Orem's self-care requirements

a. Holistic nursing

A nurse performs an assessment of an older adult's oral cavity. Which of the following findings are normal age related changes? (Select all that apply.) a. Missing teeth b. Recession of gums c. A white film on the tongue d. Decreased saliva production e. Gums that bleed easily

a. Missing teeth b. Recession of gums d. Decreased saliva production

Which statements are true about aging and the brain? (Select all that apply.) a. Most areas of the brain do not lose brain cells. b. Memory decline is inevitable as people age. c. Basic intelligence remains unchanged with age. d. The brain does not continue to make new brain cells. e. There are decrements in the ability to process information.

a. Most areas of the brain do not lose brain cells. c. Basic intelligence remains unchanged with age. e. There are decrements in the ability to process information.

A nurse is caring for an older patient in the hospital who reports: "I am worried because simple tasks such as balancing my checkbook seem to take me longer. Is there something wrong with me?" The best response by the nurse is: a. "As you age, normal changes in the brain occur that make central processing take longer, so don't worry." b. "You have every reason to be concerned. This is an abnormal finding; we need to contact your physician." c. "As you age, changes in the brain lead to decreased intellectual performance, so don't worry." d. "Any changes in function are a cause for worry. You need to be evaluated immediately."

a. "As you age, normal changes in the brain occur that make central processing take longer, so don't worry."

An older patient who was just diagnosed with a terminal disease states, "All my life I attended church, but I am still worried about what will happen after death." The nurse's best response is which of the following? a. "The unknown may be frightening. Do you want to talk about this?" b. "Religious people know that God is a good God." c. "People that have had near-death experiences say it is peaceful." d. "You must feel good about attending church most of your life."

a. "The unknown may be frightening. Do you want to talk about this?"

Identify the Healthy People 2020 emerging issues in the health of older adults. (Select all that apply.) a. Coordinating care for the older adult population b. Assisting older adults in the management of their own care c. Identifying levels of training for those caring for older adults d. Making community resources available for older adults e. Increase in health disparities for rural older adults

a. Coordinating care for the older adult population b. Assisting older adults in the management of their own care c. Identifying levels of training for those caring for older adults

Which factor(s) is/are associated with the provision of culturally competent care? (Select all that apply.) a. Cultural awareness b. Cultural knowledge c. Cultural skills d. Cultural connections e. Knowledge of specific details of traditions and practices of all the different cultures

a. Cultural awareness b. Cultural knowledge

According to Healthy People 2020, older adults have been identified as a priority, with a goal to improve their health, function, and quality of life. Identify the targeted chronic focus areas for improvement. (Select all that apply.) a. Diabetes b. Arthritis c. Congestive heart failure d. Dementia e. Cancer f. Pressure ulcers

a. Diabetes b. Arthritis c. Congestive heart failure d. Dementia

According to researchers, which characteristic do most centenarians share? a. Female b. Hispanic c. Living in rural areas d. Located in the Midwestern states

a. Female

The family member of a patient asks a nurse if vitamin C will prevent aging. In formulating a response, the nurse considers which of the following theories? a. Free radical theory b. Immunological theory c. Oxidative stress theory d. Telomere theory

a. Free radical theory

The latest trends in medicine encourage health care providers to prescribe nutrient-dense foods and exercise to prevent or delay the shortening of telomeres. On which biological theory of aging are these practices based? a. Genetic research b. Caloric restriction c. Oxidative stress d. Cross-link

a. Genetic research

Which of the following organizations have interdisciplinary membership? (Select all that apply.) a. Gerontological Society of America b. National Gerontological Nurses Association c. American Society on Aging d. Association of Gerontology in Higher Education e. National Association Directors of Nursing Administration in Long-Term Care

a. Gerontological Society of America c. American Society on Aging d. Association of Gerontology in Higher Education

Which of the following are true statements about older adults and use of computer technology? (Select all that apply.) a. Older adults comprise the fastest growing population using computers and the Internet. b. Older adults tend to be reluctant to use social networking sites. c. Older adults perceive the Internet as a valuable resource. d. Older adults do not routinely use the Internet to connect with their health care providers. e. Older adults have much difficulty learning to use technology.

a. Older adults comprise the fastest growing population using computers and the Internet. c. Older adults perceive the Internet as a valuable resource.

The nurse is admitting a patient to a long-term care facility. During the admission, the patient verbalizes a concern about getting dementia now that he is in a nursing home. In which activities should the nurse encourage the patient to participate to maintain brain health? (Select all that apply.) a. Physical exercise b. Stimulating mental activity c. Socialization d. Increasing dietary intake e. Crossword puzzles

a. Physical exercise b. Stimulating mental activity c. Socialization e. Crossword puzzles

A nurse in a long-term care facility is using the TimeSlips program with a group of cognitively impaired older adults. The nurse is using which of the following techniques? (Select all that apply.) a. Provides a picture for all group members to look at and use to create a story b. Records the number of correct answers that each participant provides c. Records the responses of all participants d. Compliments each member for his or her contribution to the story e. Reads the story back during the session, noting the contributions of each participant

a. Provides a picture for all group members to look at and use to create a story c. Records the responses of all participants d. Compliments each member for his or her contribution to the story e. Reads the story back during the session, noting the contributions of each participant

In the document "Recommended Baccalaureate Competencies and Curricular Guidelines for the Nursing Care of Older Adults" developed by the American Association of Colleges of Nursing and the Hartford Institute for Geriatric Nursing, New York University, recommendations include which of the following? (Select all that apply.) a. Provision of a free-standing course in gerontology within the curriculum b. Integration of gerontological content throughout the curriculum c. Requirement of gerontological certification for all students before completion of a BSN program d. Structured clinical experiences with older adults across the continuum of care e. Faculty with expertise in gerontological nursing

a. Provision of a free-standing course in gerontology within the curriculum b. Integration of gerontological content throughout the curriculum d. Structured clinical experiences with older adults across the continuum of care e. Faculty with expertise in gerontological nursing

An older female patient is reading a large-print magazine and states that reading is difficult for her in the evening. Which intervention should the nurse implement? a. Put a high-intensity lamp at the head of her bed. b. Explain to her that the gray-yellow ring around her cornea, arcus senilis, is interfering with visual acuity. c. Put more powerful tubes in the fluorescent room lights. d. Examine her retinas for signs of damage.

a. Put a high-intensity lamp at the head of her bed.

A nurse caring for older adults must be aware of which consequences of ageism in language? (Select all that apply.) a. Reduced sense of self b. Poor nutritional intake c. Lowered sense of self-competence d. Decreased memory performance

a. Reduced sense of self c. Lowered sense of self-competence d. Decreased memory performance

When caring for an older man patient, the nurse is aware that which changes are associated with the male reproductive system and aging? (Select all that apply.) a. Testes soften. b. Seminiferous tubules thicken. c. Sperm count decreases. d. Ejaculation is slower. e. Incontinence is common.

a. Testes soften. b. Seminiferous tubules thicken. d. Ejaculation is slower.

Which gerontological nursing organization welcomes nurses from all educational backgrounds? a. The National Gerontological Nursing Association (NGNA) b. The National Conference of Gerontological Nurse Practitioners (NCGNP) c. The National Association of Directors of Nursing Administration in Long-Term Care (NADONA/LTC) d. The American Society on Aging (ASA)

a. The National Gerontological Nursing Association (NGNA)

An older man asks a nurse: "How do you define aging? Do I meet the criteria of a senior citizen?" The nurse understands that one can define aging in many different manners. If the nurse chooses to define aging as "social aging," the nurse would consider which of the following aspects? a. The man retired from his job as a police officer. b. The man takes six different medications multiple times over the course of the day. c. The man walks with a rolling walker. d. The man celebrated his 65th birthday.

a. The man retired from his job as a police officer.

The ANA Scope and Standards of Gerontological Nursing (2010) addresses which of the following? (Select all that apply.) a. The skills and knowledge required to address gerontological patient needs b. The levels of gerontological nursing practice c. Requirements for certification as a gerontological nurse d. Standards of gerontological nursing practice e. Continuing education requirements for gerontological nurses

a. The skills and knowledge required to address gerontological patient needs b. The levels of gerontological nursing practice d. Standards of gerontological nursing practice

A nurse completes a cultural assessment of an older adult who is being admitted to an assisted living facility. Reasons for completing a cultural assessment include (Select all that apply.) a. culture guides decision making about health, illness, and preventive care. b. culture provides direction for individuals on how to interact during health care encounters. c. culture impacts attitudes toward aging. d. all members of a culture react in the same way in similar situations. e. knowledge of culture eliminates health care disparities.

a. culture guides decision making about health, illness, and preventive care. b. culture provides direction for individuals on how to interact during health care encounters. c. culture impacts attitudes toward aging.

Common iatrogenic complications for hospitalized older adults include (Select all that apply.) a. delirium. b. new-onset incontinence. c. acute myocardial infarction. d. hip fracture. e. falls.

a. delirium. b. new-onset incontinence. e. falls.

The nurse in an assisted living facility (ALF) is preparing a lecture on aging for the residents. The philosophy of the ALF is to approach aging from the viewpoint of health. Based on this philosophy, the nurse includes which of the following topics? (Select all that apply.) a. "The Many Chronic Illnesses of Aging" b. "Channeling Your Inner Strength Toward Wellness" c. "Maximizing Function As You Age" d. "Conserving Your Strength As You Age" e. "Keep Moving, Maintain Your Mobility"

b. "Channeling Your Inner Strength Toward Wellness" c. "Maximizing Function As You Age" d. "Conserving Your Strength As You Age"

The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes that she becomes tense during the instructions about elimination. Which intervention should the nurse implement? a. Move on to the discussion about medication. b. Ask the older woman how she feels about this topic. c. Instruct the interpreter to repeat the instructions. d. Have the older woman repeat the instructions for clarity.

b. Ask the older woman how she feels about this topic.

An older married couple move to a continuing care retirement community. The older woman who was always very social and outgoing quickly joins an exercise group, a book club, and a knitting circle. The older man who was always very solitary adopts a routine of a long daily walk and registers for an online course in creative writing. The behaviors of the older couple are consistent with which theory of aging? a. Activity theory b. Continuity theory c. Social exchange theory d. Disengagement theory

b. Continuity theory

Which age-related change contributes to anorexia and weight loss in older adults? a. Excessive saliva b. Fewer taste buds c. Wearing dentures d. Softened tooth enamel

b. Fewer taste buds

A community health nurse provides an annual flu prevention workshop at a local senior center. The activities include a lecture on preventing infections, which includes hand washing and limiting exposure to individuals who are ill, as well as an influenza immunization clinic. The nurse is basing her activities on what theory of aging? a. Free radical theory b. Immunologic theory c. Oxidative stress theory d. Telomere theory

b. Immunologic theory

Which of the following is a true statement about differing health belief systems? a. Personalistic or magicoreligious beliefs have been superseded in Western minds by biomedical principles. b. In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals. c. Ayurvedic medicine is another name for traditional Chinese medicine. d. The belief that health depends on maintaining a balance among opposite qualities is characteristic of a magicoreligious belief system.

b. In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals.

Which of the following is true about the Nurse Competence in Aging (NCA) initiative? a. It was developed to support the professional development and leadership growth of nurses who provide care to older adults in long-term care. b. It developed resources for nurses to access evidence-based information on topics related to the care of older adults. c. It provides predoctoral and postdoctoral scholarships for study and research in geriatric nursing. d. It developed the first certification in gerontological nursing.

b. It developed resources for nurses to access evidence-based information on topics related to the care of older adults.

The holistic health movement has impacted health care in which of the following ways? a. It has focused health care on disease prevention. b. It has reshaped how health and health care are perceived. c. It has improved access to health care. d. It has introduced numerous alternative modalities into health care.

b. It has reshaped how health and health care are perceived

Which organization had the largest role in enhancing the specialty of gerontological nursing? a. American Association of Retired Persons (AARP) b. John Hartford Foundation c. Medicare d. Mutual of Omaha Insurance

b. John Hartford Foundation

A nurse in an assisted living facility is planning an educational program on exercise for the residents. The nurse needs to consider which of the following when planning the activity? (Select all that apply.) a. Very simple language must be used so that the residents will understand the material. b. Large size fonts must be used on all written material provided to the residents. c. The educational program should be provided in a quiet area without excessive background noise. d. The material discussed should focus only on the consequences of failure to exercise. e. The material discussed should build on the prior knowledge of the residents.

b. Large size fonts must be used on all written material provided to the residents. c. The educational program should be provided in a quiet area without excessive background noise. e. The material discussed should build on the prior knowledge of the residents.

Which factor(s) associated with aging contribute(s) to the high incidence of type 2 diabetes mellitus in older adults? (Select all that apply.) a. Fewer T lymphocytes b. Less lean muscle mass c. Decreased thyroid function d. Decreased physical activity e. Left ventricular hypertrophy f. Decreased insulin sensitivity

b. Less lean muscle mass c. Decreased thyroid function d. Decreased physical activity f. Decreased insulin sensitivity

An older patient learns that she has metastatic cancer. The patient states: "I must have angered God." This is an example of which type of belief? a. Biomedical b. Magicoreligious c. Naturalistic d. Ayurvedic

b. Magicoreligious

Based on current demographic data, which of the following statements identifies a predictive trend regarding the health care needs of society? a. Most nurses will not need to care for older persons. b. More nursing services will be required to serve the needs of the population older than 85 years of age. c. Fewer nurses will be needed to care for older adults. d. Older adults expect their quality of life to be less than that of earlier generations at their ages.

b. More nursing services will be required to serve the needs of the population older than 85 years of age.

A nursing home executive interviews registered nurses to fill a full-time position for direct patient care to maintain the standards of eldercare. Which nurse should the nursing home hire? a. Nurse from a certified college b. Nurse with 15 years of experience c. Certified gerontological nurse d. Gerontological nurse practitioner

b. Nurse with 15 years of experience

Which change in the skin is abnormal in an older person? a. Thinner and more fragile skin b. Red, swollen 3-day-old wound c. Greater number of freckles d. Loss of hair on the extremities

b. Red, swollen 3-day-old wound

During a nursing assessment, an older adult tells the nurse about increasing loss of balance. Further assessment indicates musculoskeletal changes. Which patient teaching should the nurse implement to address musculoskeletal reasons for the loss of balance? a. Exercise with light weights. b. Stand on one foot at a time while supported. c. Train with the use of sit-ups. d. Work out in a swimming pool.

b. Stand on one foot at a time while supported.

A nurse is caring for a culturally diverse patient who has missed follow-up appointments with the primary care provider three times over the past year. The patient has a chronic illness that requires periodic monitoring of blood test values. The patient tells the nurse: "You don't understand—in my culture, we don't do things like that. I cannot be troubled with worrying about appointments in the future; I deal with each day as it comes." The nurse understands which of the following about the patient's culture? a. The culture does not value Western medicine. b. The culture has a different orientation to time than Western medicine. c. The culture is an interdependent culture. d. The culture does not believe in preventative care.

b. The culture has a different orientation to time than Western medicine.

Mezey and Fulmer (2002) justify gerontological nursing research and the work of gerontological advanced practice nurses by concluding the following: a. Other scientists devalue gerontological nursing research. b. The research influences outcomes from nursing care in a positive way. c. Gerontological care is expensive but required in long-term care. d. Gerontological nursing research is well known to practicing nurses.

b. The research influences outcomes from nursing care in a positive way.

Decreased functioning of which physical structure is likely to result in decreased metabolism in older adults? a. Kidney b. Thyroid gland c. Brain d. Skeleton

b. Thyroid gland

The nurse is assessing an older adult from a culture different than the nurse's by asking questions from the explanatory model for culturally sensitive assessment. Which question(s) should the nurse ask to follow this model? (Select all that apply.) a. How can we negotiate to solve the problem? b. What treatment can improve your condition? c. Should we try my plan first to see if it helps? d. Can we discuss differences in our plans now? e. How long have you experienced the problem? f. Who, other than me, can make you feel better?

b. What treatment can improve your condition? e. How long have you experienced the problem? f. Who, other than me, can make you feel better?

The term health disparity is defined as a. the systematic elimination of the culture of another resulting in decreased wellness. b. differences in health outcomes among groups. c. the difference between an expected incidence and prevalence and that which actually occurs in a comparison population group. d. the existence of more than one group with differing values and perspective.

b. differences in health outcomes among groups.

An older woman was seen in her physician's office after falling at home. The patient receives a comprehensive assessment, and it is determined that she has a positive urine culture and is started on antibiotic therapy for a urinary tract infection (UTI). The patient is surprised at the diagnosis. The woman reported that she had experienced some pain on urination the previous day but did not think that she had a UTI because her temperature was only 99°F. One reason why the patient may not have developed a higher temperature is a. the patient's UTI was not yet serious enough to cause a significant increase in body temperature. b. normal age-related changes to the immune system function affect an older person's response to illness; a low-grade fever may signify serious illness. c. older adults do not run fevers when they are ill. d. this patient likely has an alteration to her immune system that impacts her response to infection.

b. normal age-related changes to the immune system function affect an older person's response to illness; a low-grade fever may signify serious illness.

A case manager is likely to have how many years of nursing education? a. 1 to 1.5 b. 4 to 6 c. 2 d. 8 or more

c. 2

A retirement community is divided into different communities with different activities available for the residents of each community. There is one community for individuals ages 65 to 74 years, one for individuals ages 75 to 85 years, and one community for individuals older than age 85 years. This is consistent with which theory of aging? a. Role theory b. Disengagement theory c. Age-stratification theory d. Social exchange theor

c. Age-stratification theory

A nurse in the ambulatory care setting is preparing to do an interview with a non-English-speaking client. The nurse secures an interpreter. To have the most effective interview, the nurse should do which of the following? (Select all that apply.) a. Look and speak to the interpreter. b. Use technical terminology to ensure accuracy. c. Allow more time for the interview. d. Watch the client's nonverbal communication. e. Through the interpreter, check whether the client understands the communication.

c. Allow more time for the interview. d. Watch the client's nonverbal communication. e. Through the interpreter, check whether the client understands the communication.

An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to remain in the bed. Which intervention should the nurse use to promote and maintain his health? a. Have the health care provider speak to him. b. Use principles of the holistic health system. c. Ask about his perceptions and treatment ideas. d. Consult with a practitioner of Chinese medicine.

c. Ask about his perceptions and treatment ideas.

An older adult who lives in an assisted living facility tells a nurse that she is engaged in life review. The nurse understands which of the following about life review? (Select all that apply.) a. Life review is only useful at the very end of an individual's life as he or she is close to death. b. Life review and reminiscence are the same phenomenon. c. Life review is a highly personal activity. d. Life review can help an individual change course or set new goals. e. Life review can be helpful to an individual experiencing a depressive episode.

c. Life review is a highly personal activity. d. Life review can help an individual change course or set new goals. e. Life review can be helpful to an individual experiencing a depressive episode.

The nurse plans care for an older African American man who is from Jamaica and resides in New York City. Which should the nurse include in planning care? a. Attribute his illness to breaking a voodoo. b. Help him improve social relationships. c. Maintain blood pressure below 120/70 mm Hg. d. Review the principles of the magicoreligious system.

c. Maintain blood pressure below 120/70 mm Hg.

Identify the best statement about gerontological nursing. a. Nurses have only recently become involved in the care of older adults. b. Gerontological care was the second specialty in which the American Nurses Association (ANA) offered a certification program. c. Purposes of gerontological nursing include the promotion of health and support for maximal independence. d. ANA certification is available only for gerontological nurses in research positions.

c. Purposes of gerontological nursing include the promotion of health and support for maximal independence.

The nurse designs a group exercise program at a senior center. Which room should the nurse choose for the program? a. Room with a beautiful hardwood floor tastefully appointed with throw rugs b. Spacious room with no windows but with fluorescent lighting and a natural stone floor c. Room with a hardwood floor and large windows overlooking a garden area d. End room with a linoleum floor and a fan for ventilation to compensate for the room's broken air conditioner

c. Room with a hardwood floor and large windows overlooking a garden area

Researchers hypothesize that most super-centenarians survive and are in good health due to which of the following factors? (Select all that apply.) a. They have a different genetic makeup than other older adults have. b. They tend to live in wealthier areas of the world. c. The exact cause of this phenomenon is not known. d. Contributing factors to their good health include quality medical care and improved social conditions. e. They have large extended families to assist in their care.

c. The exact cause of this phenomenon is not known. d. Contributing factors to their good health include quality medical care and improved social conditions.

Which is an accurate statement regarding gerontological nursing education? a. Gerontological nursing content has long been integrated into the curriculum of the typical school of nursing. b. Undergraduate nursing programs extensively cover gerontological nursing in dedicated courses, comparable with the coverage of psychiatric nursing. c. When content is integrated throughout a curriculum, less than 25% is devoted to geriatric care. d. Accreditation of a nursing program guarantees that appropriate amounts of gerontological nursing content are included in the curriculum.

c. When content is integrated throughout a curriculum, less than 25% is devoted to geriatric care.

A paper on culture and illness would be likely to include the statement that a. culture is the same as ethnicity. b. ethnic groups always share common geographic origin and religion. c. ethnicity involves recognized traditions, symbols, and literature. d. most members of an ethnic group exhibit identical cultural traits.

c. ethnicity involves recognized traditions, symbols, and literature.

A home care nurse is caring for an older patient from a different culture who is bedbound and high risk for development of a pressure ulcer. The nurse discusses the plan of care with the patient's daughter, emphasizing the importance of turning every 2 hours, and posts a turning clock on the wall. When the nurse returns later in the week, the turning clock has been removed, and the patient's daughter reports that she turns her mother occasionally. She states, "I am taking very good care of my mother. You just don't understand—our ways do not involve doing things on schedules." The best response by the nurse is: a. "You must follow my guidelines and turn her every 2 hours, or I will not be able to take care of her." b. "I understand that you value your culture, but culture cannot stop you from providing good care to your mother." c. 'I understand that you care very much for your mother. Perhaps caring for her is too much for you." d. "How can we best work together to provide the best care for your mother?"

d. "How can we best work together to provide the best care for your mother?"

The nurse observes older women learning advanced knitting techniques. The nurse concludes that this learning activity is suitable for these women because it accomplishes which of the following? a. Helps maintain joint flexibility b. Improves the group's cohesiveness c. Provides a needed social opportunity d. Adds to their existing knowledge base

d. Adds to their existing knowledge base

The nurse at a nursing home wants to help decrease the risk of Alzheimer's disease (AD) in the residents. Which should the nurse do to implement this goal? a. Keep the curtains open in their rooms. b. Offer beads for them to string on yarn. c. Show movies that the residents choose. d. Assist residents with ambulation to meals.

d. Assist residents with ambulation to meals.

Which physiological change in the brain is the reason the nurse allows more time for answering questions with older adults? a. Increased secretion of cholinesterase b. Decreased secretion of neurotransmitters c. Loss of spinal cord and brainstem neurons d. Atrophy of dendrites in the cerebral cortex

d. Atrophy of dendrites in the cerebral cortex

An older man is transferred to a hospice facility with end-stage disease. Which is a suitable nursing intervention for this older adult and his family according to the goals of long-term care? a. Decrease the analgesic dose to prevent sedation. b. Provide a basin and towels for morning self-care. c. Inform family members about strict visiting hours. d. Facilitate family rituals related to death and dying.

d. Facilitate family rituals related to death and dying.

A man is terminally ill with end-stage prostate cancer. Which is the best statement about this man's wellness? a. Wellness can only be achieved with aggressive medical interventions. b. Wellness is not a real option for this client because he is terminally ill. c. Wellness is defined as the absence of disease.

d. Nursing interventions can help empower a client to achieve a higher level of wellness.

An older man who resides in a nursing home has a total cholesterol level of 245 mg/dL. Which nursing intervention is most likely to assist this man in achieving his highest level of wellness? a. Instruct him about increasing dietary fiber. b. Ask the health care provider for a low-fat diet. c. Schedule a consultation for him with the dietitian. d. Review a menu with him to choose suitable foods.

d. Review a menu with him to choose suitable foods.

Aging ordinarily leads to decreases in which of the following? a. Creatinine clearance and insulin secretion b. Blood carbon dioxide and saliva production c. Left ventricle-wall thickness and skin healing time d. Serum triiodothyronine (T3) and gastric pepsin

d. Serum triiodothyronine (T3) and gastric pepsin

Which action should the nurse take when addressing older adults? a. Speak in an exaggerated pitch. b. Use a lower quality of speech. c. Use endearing terms such as "honey." d. Speak clearly.

d. Speak clearly.

Which of the following considerations is most likely to be true when working with an interpreter? a. An interpreter is never needed if the nurse speaks the same language as the patient. b. When working with interpreters, the nurse can use technical terms or metaphors. c. A patient's young granddaughter who speaks fluent English would make the best interpreter because she is familiar with and loves the patient. d. The nurse should face the patient rather than the interpreter.

d. The nurse should face the patient rather than the interpreter.

Historical influences that have shaped the lives of the majority of the in-between cohort in the United States today include which of the following? a. Influenza epidemic of 1918 b. World War I c. Child rearing in the Depression d. World War II

d. World War II

The vision of Nurses Improving Care for Health System Elders (NICHE) is a. to ensure that all older adults are only cared for by nurses who are certified in gerontological nursing. b. to decrease the cost of care for hospitalized older adults. c. to increase access to care for adults age 64 years and older. d. for patients 65 years and older to be given sensitive and exemplary care.

d. for patients 65 years and older to be given sensitive and exemplary care.