Gero Test 4 Questions
How long does a prisoner have to be hospitalized to receive Medicaid coverage?
24 hours
Adults 50 and older have mortality rates that are ____ times higher than the general population
4
A caregiver asks a nurse to explain respite care. How would they respond? A.A service that allows time away for caregivers B.A special service for the terminally ill and their family C.Direct care provided to individuals in nursing homes D.Living units for people without regular shelter
A.
The nurse is caring for a terminally ill client who is receiving palliative care. When explaining the purpose of palliative care to the client's caregiver, the nurse recognizes the need for additional instruction when the caregiver makes which statement? A."Palliative care interventions hasten death." B."Palliative care promotes optimal functioning." C."Palliative care will provide pain management." D. "Palliative care will provide symptom management."
A.
Which of the following are driving impairments for older adults? Select all that apply. A Polypharmacy B. Dementia C. Glaucoma D. Parkinsons E. Well managed HTN
A., B., C., D.
What are some interventions women could use to combat with vaginal dryness? Select all that apply. A. Lubricants B. Hormone therapy C. Topical creams D. Drink more water E. Skin patches
A., B., C., E.
What are symptoms are caregiver burnout? Select all that apply. A.Fatigue B.Depression C.Excessive Sleep D.Stress E.Realistic Roles
A., B., D.
When assessing for pain in an older adult, which of the following should the nurse do? Select all that apply: A. Gather a thorough description of the pain B. Look at a list of prescribed medications C. Physical assessment of the patient D. Review of lab results E. Review of any diagnostic tests
A., C., D., E.
Mr. Davis, a 75 year old patient, recently had hip replacement surgery. His HCP has recommended receiving in home assistance until he has fully recovered and has been cleared for all his activities of daily living. What options does Mr. Davis have for in-home long term care services?. Select all the apply A.Homemaker/Personal Care services B.Assisted living facility C.Home health agency nurse/aide D.Swing Bed E.Personal therapy visit
A., C., E.
A client expresses to the nurse that she constantly feels irritated and loses her temper. During the course of the interview, the nurse finds that the client takes care of her mother who was confined to bed following a stroke. The client struggles to balance caring for her family and her mother. Which nursing diagnosis would the nurse most likely identify for this client? A.Compromised family adjustment B.Caregiver role strain C.Ineffective coping D.Anxiety
B.
When is it suggested that older adults with diseases such as arthritis plan to have sex? A. At night B. Mid-morning C. Afternoon D. Early morning
B.
Which of the following is true about older adults and pain medications? A. Older adults are less sensitive to opioids, and should be prescribed higher doses B. Adverse effects of opioids must be closely monitored in older adults C. Medication is the only type of therapy that is effective in older adults D. Older adults generally all have the same symptoms when it comes to pain
B.
Which statement made by the patient indicates a potential impairment for driving? A. I always wear my glasses when driving B. I haven't replaced my batteries in my hearing aids for awhile C. I don't drive at night D. If I'm feeling light headed I take the bus
B.
The nurse monitors a terminally ill client for which physical signs of approaching death? Select all that apply. A.Increased appetite B.Loss of consciousness C.Loss of bowel control D.Loss of bladder control E.Decreased blood pressure F.Decreased tactile sensation
B., C., D., E., F.
The hospice nurse visits a client who is dying of ovarian cancer. During the visit, the client says, "If I can just live long enough to celebrate my granddaughter's 'sweet 16' birthday party, I'll be ready to die." Which phase of coping is this client experiencing? A.Anger B.Denial C.Bargaining Depression
C.
The nurse recognizes that which intervention is unlikely to facilitate effective communication between a dying client and family? A.The nurse encourages the client and family to identify and discuss feelings openly. B.The nurse assists the client and family in carrying out spiritually meaningful practices. C.The nurse makes decisions for the client and family to relieve them of unnecessary demands. D.The nurse maintains a calm attitude and one of acceptance when the family or client expresses anger.
C.
The nursing instructor asks a nursing student a question about pain in the older adult. Which statement made by the nursing student requires further education by the instructor? A. "Pain is not a natural occurrence in the older adult and should be assessed." B. "Even if my patient does not report pain, he or she may still be in pain." C. "My 80-year-old patient is asleep, therefore he is not in pain." D. "In cognitively impaired older adults, pain may appear with different symptoms."
C.
What is the priority challenge elders face in a long term care setting? a.Confined Space b.Boredom c.Loss of independence d.Lack of variety of foods
C.
What percentage of Americans aged 65 today are estimated to need some kind of long term care service? A.75% B.40% C.50% D.25%
C.
The nurse is preparing to care for a dying client, and several family members are at the client's bedside. Which therapeutic techniques should the nurse use when communicating with the family? Select all that apply. A.Discourage reminiscing. B.Make the decisions for the family. C.Encourage expression of feelings, concerns, and fears. D.Explain everything that is happening to all family members. E.Touch and hold the client's or family member's hand if appropriate. F.Be honest and let the client and family know that they will not be abandoned by the nurse.
C., E., F.
What response by the nurse is appropriate when the patient is upset about a recently revoked license? A. There's no reason to be upset. You don't need to drive anyway B. It will all be okay, we will figure it out C. You live close to the bus stop. You will have no problem finding transportation D. Tell me more about how you're feeling.
D.
What was one issue that we discussed today about incarcerated older adults?
Fall Risks
True or False: Sexual response begins to slow down after the age of 60.
False, it is age 50 not 60
What type of scale is used to test for depression?
PHQ-9
True or False: Bunk beds, stairs, and insufficient lighting are all fall risks faced in prison.
True
True or False: By 2050, there are expected to be 95,000 elders living without stable housing
True
True or False: Distrust and lack of accessibility are one of the many reasons a homeless elder may choose the streets over a shelter
True
True or False: Increased homelessness among the elderly is largely related to poverty and decreased affordable housing
True
True or False: Older prisoners cost 8% more than their younger counterparts.
True
People aged 50 years and older comprise approximately ___ of homeless Americans
one-third
