Gerontology Exam practice questions

A 73-year-old patient is admitted to a rehabilitation facility after sustaining a mild stroke. After three nights in the facility, the patient begins to sleep only four to five hours a night and to awaken frequently during the night. The patient then complains of not feeling rested and begins to nap during the day. Which is the most appropriate nursing action? 1. Completing an assessment of the patient's sleep-wake cycle to determine necessary interventions 2. Doing nothing since this type of sleep pattern is associated with normal aging 3. Inquiring if the patient takes a medication at bedtime and requesting that the physician order it 4. Moving the patient further away from the nurse's station to minimize disturbances

1

A 78-year-old patient calls a telephone triage nurse and reports several falls after taking over-the-counter medication for a recent cold. Which medication contributed to the falls? 1. Diphenhydramine (Benadryl) 2. Ferrous sulfate 3. Guaifenesin (Robitussin) 4. Loratadine (Claritin)

1

A 92-year old patient, who recently underwent a below-the-knee leg amputation, is resisting attempts at rehabilitation. The most likely reason for the resistance is that the patient: 1. has goals that differ from the rehabilitation care plan. 2. has too many disabilities to realistically plan for rehabilitation. 3. is too old to undergo rehabilitation. 4. requires a psychiatrist's assistance to deal with the loss.

1

A gerontological nurse in a daycare program for older adults observes that the participants have long toenails, corns, calluses, and other problems indicating a need for better foot care. What is the nurse's best action? 1. Developing an educational program on foot health and arranging for podiatry services at the site 2. Establishing a regular foot care plan whereby the participants' toenails would be cut and corns and calluses shaved 3. Instructing competent family members in the proper methods of cutting toenails and using commercial foot care products. 4. Recommending that the participants soak their feet for 10 minutes before cutting their toenails using safe toenail clippers

1

An 80-year-old patient is in the terminal stage of Alzheimer disease. The treatment team meets with the patient's who are angry and complain about a recent incident in which their parent's dentures were misplaced. The team members realize that: 1. anger at staff is a symptom of grief and needs to be addressed. 2. anxiety about the meeting may have interfered with the children's affect. 3. material items are the focus for the children at this time. 4. the focus of control should shift to the parent.

1

In teaching an older adult client, the gerontological nurse's most appropriate initial strategy is to: 1. assess the client and individualize the teaching methods. 2. set a slow learning pace and begin teaching simple concepts. 3. teach slowly and use repetition. 4. use demonstration and provide ample opportunity for practice.

1

Members of a family are caring for their father at home. Which statement by a family member indicates a need for teaching and caregiver instruction? 1. "Dad has gotten lazy about his bathroom habits. He blames his arthritis medication for his toileting accidents." 2. "Dad's room is close to the bathroom and we keep a light on for him at night." 3. "It's inconvenient, but we stop other activities to remind Dad to go to the bathroom on a regular schedule." 4. "We try to avoid coffee and tea at night, but Dad really likes a cup of coffee for breakfast."

1

The adult children of an aging couple ask a gerontological nurse about alternative therapies or nontraditional services to improve their parents' health. The nurse's most appropriate response is to: 1. discuss the benefits, risks, and limitations of various therapies. 2. distinguish between folk and traditional medicine. 3. give a firm warning about alternative therapies. 4. recommend a reputable holistic health therapist.

1

The gerontological nurses in a teaching nursing home are informed of a research project to obtain voiding cystometrograms on all residents. The gerontological nurses' responsibility is to ensure that the: 1. non-English speaking residents receive a complete explanation of the study in their native languages. 2. nursing home administration know that the nurses do not support such invasive studies on the residents. 3. research team is well staffed so that the nursing home staff can provide care as usual. 4. residents will be properly medicated in the examining room where the tests will be conducted.

1

The holiday season is approaching and a woman is admitted to a psychiatric unit. She reports that her husband of 45 years passed away four weeks ago. She frequently cries, eats poorly, periodically complains of back and stomach aches, and has begun isolating herself. What type of grief is this woman exhibiting? 1. Acute 2. Anticipatory 3. Disenfranchising 4. Dysfunctional

1

The most common cause of chronic pain in older adults is: 1. arthritis. 2. fractures. 3. headaches. 4. neuropathy.

1

The progression of intermittent claudication is measured by the: 1. distance walked before leg pain starts. 2. pedal edema after dangling the legs for 20 minutes. 3. peripheral pulses in the affected leg. 4. skin temperature and color of the feet.

1

Which condition might be indicated by an increase in hemoglobin values? 1. Dehydration 2. Infection 3. Malnutrition 4. Opiate use

1

Which symptom in older adults is most indicative of a urinary tract infection? 1. Confusion 2. Dysuria 3. Fever 4. Frequency

1

A 63-year-old patient is returning home after being hospitalized for injuries received during a robbery and home invasion. Although neighborhood robberies are rampant, the patient has lived in the same house for 50 years and does not want to move. The patient receives a monthly social security check. The gerontological nurse's most appropriate step is to: 1. advise the patient to arrange for someone to visit regularly or move into the home. 2. advise the patient to have the social security check deposited directly to the bank and to get a dog. 3. assume that the patient is incompetent and initiate commitment proceedings. 4. take no action since the patient has a right to autonomy.

2

A 68-year-old man calls his daughter every night to talk about his beloved wife who died four weeks ago. During the day, he is sad and goes out frequently to get away from the empty house. The man's most probable state is: 1. depression. 2. mourning. 3. neurosis. 4. prolonged grief.

2

A 75-year-old patient who sustained a stroke has residual left-sided weakness. From the first day of hospitalization, the patient has been combative and demanding, and has refused to swallow any medication. The most constructive nursing action is to: 1. continue to attempt to follow the physician's orders. 2. determine the patient's premorbid personality. 3. restrain the patient and request a change in the route of medication. 4. wait for the patient to become more cooperative.

2

A 76-year-old patient with osteoarthritis complains of pain, stiffness, and deformities of the fingers. The gerontological nurse recommends: 1. cold packs. 2. exercise. 3. meditation therapy. 4. vitamin therapy.

2

A 78-year-old male resident at a long-term care facility, who is a former business executive, has been smoking and extinguishing cigarettes in a paper cup in areas where smoking is prohibited. He has been informed repeatedly of the designated smoking areas. The resident's behavior indicates an attempt to: 1. express self-transcendence. 2. maintain autonomy by exercising control. 3. maintain his previous professional role. 4. react against the facility's ageism.

2

A gerontological nurse at a nursing home conducts a reminiscence therapy group for residents with confusion. A member of the group stands up and says, "I just heard my cow. I have to go and milk her now." The nurse's most therapeutic response is: 1. "All right, you may leave the group now." 2. "Please tell us about your cow." 3. "That wasn't a cow; maybe you heard a vacuum cleaner." 4. "You live here at the nursing home now, not on the farm."

2

A gerontological nurse is teaching dressing techniques to a patient with right hemiplegia and a severe speech impairment. An appropriate first step in the nurse's teaching would be to: 1. ask the patient to put on a shirt. 2. demonstrate the proper way to put on a shirt. 3. explain the difficulties in putting on a shirt. 4. give verbal instructions on dressing procedures.

2

A patient with Stage 2 Alzheimer disease visits the mental health clinic. During the interview, the patient becomes hostile and refuses to answer further questions. The gerontological nurse's best action is to: 1. ask if the questions upset the patient in any way. 2. discontinue the interview. 3. explain that the information is needed to plan the patient's care. 4. ignore the patient's reaction and proceed.

2

An 83-year-old female patient underwent a total hip replacement three days ago. She should not cross her legs because: 1. abduction of the hip can cause dislocation of the prosthesis. 2. adduction of the hip can cause dislocation of the prosthesis. 3. blood clots often result from pressure on arteries in the legs. 4. contracture can be prevented by avoiding acute flexion of the hip.

2

In preparing a presentation for older adults, a gerontological nurse keeps in mind that: 1. older adults are unlikely to participate in educational programs due to lack of interest. 2. older adult learners are heterogeneous due to diverse educational experiences and learning strategies. 3. the ability to acquire knowledge from a verbal presentation decreases with age more than the ability to acquire knowledge through reasoning. 4. the age-related decline in intellectual performance creates obstacles for acquiring new information.

2

The most appropriate environment for a person with chronic dementia is one that: 1. changes often to decrease boredom. 2. contains familiar objects. 3. is limited in color and sound. 4. is stimulating so as to challenge thought.

2

When relocating from a family home to a continuing care community, the most crucial factor in an older person's adjustment is his or her: 1. level of economic independence. 2. perceived control of the move. 3. physical proximity to remaining family. 4. risk-taking ability.

2

When the gerontological nurse in a clinic asks a 70-year-old man about his sexual activity, he begins to cry and says, "I feel so bad for my wife; she is only 60, and I can't seem to satisfy her as often as I used to." Which is the nurse's most appropriate response? 1. "At your age, sexual activity diminishes because of changes in your circulation. I will explain this to your wife." 2. "Certain body functions, such as erections, slow down with age. Could you tell me more about your sexual relations? For instance, how often do you have intercourse?" 3. "Your problem is probably an emotional one. If you could relax, you would be as sexually active as you were 10 years ago." 4. "Your problem is probably due to a decrease in your sexual hormones. This occurs naturally as people age."

2

Which assessment tool measures economic resources, mental health, and activities of daily living? 1. Lawton's Physical Self-Maintenance Scale 2. Older Americans Resources and Services Assessment 3. Problem Oriented Medical Record 4. Short Portable Mental Status Questionnaire

2

Which symptom is exhibited first by an older adult with a urinary tract infection? 1. Anorexia 2. Confusion 3. Fever 4. Restlessness

2

Which type of fracture has the highest morbidity and mortality in the older adult? 1. Ankle 2. Hip 3. Shoulder 4. Vertebral

2

Which best describes what guides the appropriate nursing care of an aging adult? a. Evidence-based practice developed with ongoing research into the needs and outcomes of older adults b. General nursing care previously practices c. Facility policies and procedures d. Physician orders for patient complaints

A

A physician has just informed an older adult patient that test results indicate that the patient has cancer and will require extensive surgery. The patient says, "I know the tests are wrong. I feel fine." The gerontological nurse's most appropriate response is to: 1. acknowledge that the patient looks healthy and encourage seeking a second opinion. 2. advise the patient to join a support group. 3. convey availability to talk to the patient. 4. tell the patient that the tests are reliable and accurate.

3

Age-related changes in which two organs most affect an older adult's reaction to medication? 1. Heart and lungs 2. Intestines and spleen 3. Liver and kidneys 4. Pancreas and gall bladder

3

All care plans for older adult patients include: 1. a bowel and bladder program. 2. a fall prevention program. 3. discharge planning. 4. reminiscence therapy.

3

Older adults with Parkinson disease exhibit: 1. confusion and depression. 2. dementia and hyperkinesia. 3. rigidity and tremor at rest. 4. weakness and tremor with movement.

3

Sildenafil citrate (Viagra) is hazardous for patients with: 1. a history of coronary artery bypass graft. 2. a history of shingles. 3. heart failure and borderline hypotension. 4. Paget disease and hypertension.

3

The gerontological nurse facilitates the benefits of life review by: 1. assisting the older adult to accept death as the inevitable last stage. 2. changing the topic when a patient talks about his or her morbid past. 3. encouraging reminiscence, oral histories, and storytelling. 4. helping the older adult explore how spiritual involvement assists with stress relief.

3

Medications, slower mobility, lack of proper fluid intake, and poor diet can contribute to what common symptom in the elder population? a) Urinary incontinence b) Skin changes c) Mental changes d) Depression

A

The disease affecting adults over the ages of 55 to 60 where these is excessive resorption and deposition of bone is: a. Paget's disease b. Osteoporosis c. Wright's disease d. Scott's disease

A

A gerontological nurse is caring for an older adult who has been confined to home for the last 10 weeks due to illness. The patient is anxious, has multiple somatic complaints, and has become unable to follow instructions. The nurse knows that this phenomenon commonly occurs with: 1. environmental overload. 2. protective isolation. 3. selective inattention. 4. sensory deprivation.

4

A nursing home conducts a survey to evaluate nursing care. However, some residents did not express their concerns due to fear of reprisal by the staff. Which aspect of the evaluation is most affected? 1. Generalizability 2. Reliability 3. Statistical significance 4. Validity

4

An 87-year-old man, who has been living independently, is entering a nursing home. To help him adjust, the most effective action is to: 1. involve him in as many activities as possible so he can meet other residents. 2. move him as quickly as possible so that he does not have time to think. 3. restrict family visits for the first two weeks to give him time to adjust. 4. suggest that he bring his favorite things from home to make his room seem familiar.

4

An alert and oriented 82-year-old woman, who lives with her daughter, has been admitted to the hospital with bruises about the face and head. The daughter reports that her mother fell. Which behavior by the daughter raises the greatest suspicion of elder abuse? 1. Becoming defensive when questions are asked 2. Complaining about care delivered by hospital staff 3. Giving an illogical account of her mother's fall 4. Refusing to leave her mother alone to answer questions

4

In assessing the lighting for a patient with glaucoma, the gerontological nurse knows that: 1. ceiling lights are best. 2. drapes should be left open during the daylight hours. 3. higher levels of light are needed. 4. lower levels of light are needed.

4

Pain of gastrointestinal origin is best differentiated from pain of cardiac origin by the presence of: 1. chest pain lasting longer than five minutes. 2. chest pain of rapid onset. 3. left flank pain. 4. substernal chest discomfort.

4

Reminiscence therapy promotes an older adult's sense of security by: 1. increasing socialization skills. 2. meshing the past with the future. 3. providing praise and recognition. 4. reviewing comforting memories.

4

The primary reason for establishing quality improvement committees at long-term care facilities is to: 1. facilitate staff participation. 2. initiate changes based on interdisciplinary exchange. 3. monitor and record incidents, accidents, and injuries. 4. provide quality care based on measurable data.

4

To prevent injury, a gerontological nurse advises an older adult who is taking tricyclic antidepressants to: 1. eat a diet high in roughage. 2. get an additional night light. 3. provide lubrication for the oral mucosa. 4. stand up slowly from sitting or lying positions.

4

When hospital quality assurance indicators are assigned, the nursing staff strives to: 1. avoid emphasizing performance deficits. 2. decrease patient falls. 3. focus on achieving 100% compliance. 4. identify high-risk, high-volume, or problem-prone areas.

4

Which is a risk factor for vaginitis in older adult women? 1. Anticoagulation therapy 2. Increased sexual activity 3. Poor nutrition 4. Prolonged antibiotic therapy

4

The nurse evaluating an elderly male client for urinary complaints understands that the major change in the prostate during the aging process is? a. Hyperplasia b. Renal stones causing obstructions c. Hypolplasia d. Impotence and embarassment

A

The nurse is examining a 76-year-old female with the complaints of fatigue, ankle swelling, and mild shortness of breath over a three-week period. An appropriate nursing diagnosis might include: a. Decreased cardiac output related to altered contractility and elsticity of cardiac muscle b. Activity tolerances due to compensation of oxygen supply c. Increased cardiac output related to an aging heart muscle d. Decreased urinary output due to poor kidney perfusion

A

Veritgo in the older adult is best described as: a. A vestibular disorder producing a rotational sensation b. A dysfunction of sensory signals c. A transient loss of consciousness d. A light-headed feeling

A

Which age-related psychological change is not the norm? a. An increased ability to multi-task b. Lower scores on tests of creativity c. Thinking of death as a process rather than a moment in time d. Life satisfaction is related to well-being

A

A male elderly client on long-term auranofin therapy presents with oral ulcers and a pruritic rash and complains of decreased urinary output. The nurse understands that: a. These symptoms can be the adverse effects of gold salt therapy b. These symptoms are unrelated to anything and need a major work-up for diagnosis c. These symptoms represent liver failure d. These symptoms are common when clients are treated for arthritis

A

An 80-year-old female decides on a do not resuscitate (DNR) status for herself after discussing her medical concerns with her physician. Which statement best describes the reasoning behing this decision? a. This is ethical reasoning based on self-determination and informed consent b. This is not a medical decision c. This discussion would be meaningless because the family members were not involved d. THis is not an ethical decision

A

An 85-year-old patient has an intestinal viral infection with severe diarrhea. Laboratory studies are ordered. Which result confirms a diagnosis of dehydration? a) Hyperchloremia and hypernatremia b) Hyperglycemia and hyponatremia c) Hyperkelemia and hypercapnia d) Hypermagnesemia and hyponatremia

A

An older adult on digoxin and furosemide is showing signs of toxicity. The gerontology nurse understands that: a) Digoxin and furosemide are excreted by the kidneys, and the doses may need to be decreased due to impaired kidney function b) Digoxin and furosemide are excreted through the intestinal tract, and dose changes would be ineffective c) An increase in fluid intake will fix the symptoms, and no change in dose is needed d) How a drug is excreted is not a consideration when dosing an older adult

A

Changes in bone and muscle in the aging population have the greatest effect on? a. Stature, posture, and function b. Appearance c. Immunity d. Pain tolerance

A

Which statement demonstrates normal cognitive function for an aging adult? a) Occasional memory lapses b) Unable to recall the names of their children or siblings c) Unable to recall current address or phone number d) Unable to count to 10 or repeat a series of consecutive numbers

A

Which symptom is the most common with peripheral artery disease (PAD)? a. Intermittent claudication b. Warm extremities c. Pain unrelieved by rest d. Bounding pulses

A

A 69-year-old female presents with knee pain. The nurse hears a dry crackling or grating sound and the client feels the same sensation on exam. The nurse reconizes this as: a. Nothing abnormal for the age of the client b. Crepitation, the sound of osteoarthritis in the knee joint c. Osteoporosis and a softening of the knee joint d. Fluid-filled spaces in the knee joint

B

A 70-year-old presents to the clinic stating that his family things he is losing his mind and they want to put him in a home. What would be the intial role of the gerontological nurse? a) Begin the process of finding a qualified nursing home b) Do a complete history,physical, and assessment c) Speak with the family about their concerns d) Make light of the subject until the nurse can evaluate the situation

B

A gerontological clinical specialist is conducting a study on risk factors for osteoporosis and has developed a questionnaire covering risk-reducing and risk-increasing behaviors of older women. The clinical specialist asks experts in the area of osteoporosis to review the tool to establish: a) concurrent validity b) content validity c) interrater reliability d) test-retest reliability

B

All statements are examples of nonpharmacological nursing interventions for a patient experiencing delirium but needing sleep except: a. Providing adequate sleep and awake times b. Encouraging ambulation c. Providing a night light to prevent fears d. Reducing noise levels during periods of sleep

B

In older women, the onset of physical discomfort and bleeding associated with intercourse often indicates: a) a friable cervix with possible cellular abnormalities b) decreased distensibility and mucosal changes of the vaginal vault c) infrequent sexual activity d) thickening of the vaginal mucosa with decreased lubrication

B

The Framingham Heart Study examined the effect of blood pressure,cholesterol levels, smoking, exercise, and other variables on the development of coronary artery disease in a cohort of healthy men and women. The subjects were studied at specific intervals over a period of years. The Framingham study is an example of which type of research study? a) Cross-sectional b) Longitudinal c) Predictive d) Retrospective

B

The gerontological nurse may prescribe corticosteroids for all but which one of these conditions? a. Arthritis b. Hyperglycemia c. Allergic reactions d. Inflammatory states

B

The nurse caring for the elderly population understands that movement slows with aging. This is most likely due to: a. Cognitive function b. Changes in musculoskeletal and nervous systems c. Laziness and a feeling that life is over d. A recent change in medical condition

B

What benefit does evidnce-based practice offer clients over the age of 60? a) No actual benefits have been noted when evidence-based practice is the model for geriatric care b) Evidence-based practice offers the client improved health care in all settings c) Evidence-based pracrice is only used as a model in acute care settings d) Minimal changes in geriatric care have arisen from the use of evidnece-baseed practice models

B

What is the single most cost-effective discovery made in the past 30 years that has influenced the prevention and treatment of cardiovascular events? a. The development of oral hypoglycemic drugs b. Recognizing the need to lower blood pressure in older adults c. Antismoking campaigns d. Zero tolerance for drug and alcohol abuse in older adults

B

When assessing an aging client's genitourinary system, the gerontological nurse recognizes the importance of screening for: a. Drug addiction b. Bladder malignancy c. Diabetes d. Cognitive abilities

B

Which disease or ailment is often under diagnosed and undertreated in the aging population? a) Schizpphrenia b) Depression c) Associative disorders d) Attention deficit disorder

B

A gerontological clinical nurse specialist is administering a mental status examination to an 80-year-old patient. The patient answers the more complicated questions by saying "I don't know." Which test is included in a further assessment? a) Barthel Index b) Functional Independence Measure c) Geriatric Depression Scale d) Lawton Life Satisfaction Scale

C

Denmentia and depression are strongly related to: a) Clients over the age of 60 b) Clients over the age of 65 c) A decreased quality of life and functional deficits d) Past economic status and job performance

C

The gerontological nurse understands that nonsteroidal anti-inflammatory drugs (NSAIDS) used for arthritis pain may cause? a. No side effects b. Liver failure in the first 24 hours c. Coagulation impairment and gastric irritation d. Fear or anxiety

C

The gerontological nurse understands that the purpose for prescribing Ditropan is: a. An underactive kidney function b. Increasing contractions of the sphincter muscles c. Decreasing bladder muscle tone and aiding in urge incontinence d. Improving urogenital symptoms caused by vaginitis

C

The nurse evaluates a 70-year-old remale who has been recording her blood pressures for the last few days. These pressures were 140/90, 146/90, 146/92, 138/88, and 150/89. The nurse recognizes this as the beginning of which stage of hypertension? a. Stage 2 b. High normal blood pressures c. Stage 1 d. Stafe 3

C

The nurse is doing a follow-up clinic visit for a 75-year-old female post-cerrebrovascular accident (CVA) of two months. The nurse should be prepared to discuss all of these possible complications except: a. Neurogenic bladder b. Depression c. Financial concerns d. Fecal incontinence

C

The nurse may recommend which of the following for the older client with mild arthritis? a. Complete bedrest b. Rest and ice for the joints affected c. A mild exercise program including walking d. No exercise will improve arthritis

C

The nurse recognizes that involuntary movements may appear in the elderly patient and be normal. These normal involuntary movements may present as which of the following? a. Seizures b. Tongue protrusions c. Resting tremors d. Eye twitches and spasms

C

What is the purpose of Rogers' diffusion of innovation model in relation to evidnece-based practice (EBP)? a) There is no relation to EBP b) It offers an explanation of aging c) It is used to open communication around issues of implementing changes in practice when EBP research has shown that change would improve outcomes d) It is the model that contradicts the EBP theory

C

Which item would not be a focus of a cognitive-perceptual pattern assessment for the older client? a) Cognition--Have you experienced any changes in your memory? b) Communication--Have you had any difficulty speaking or forming ideas? c) FInancial--Have you had any financial hardships over the past several months? d) Orientation--Do you know what day, month, and year it is?

C

Which statement best describes the nurse's understanding of normal expected sexual resonses in aging female clients? a. No changes in sexual responses are noted with aging females b. Aging females experience a quicker arousal phase c. An aging female will most often experience a delayed arousal phase during intercourse d. An increas in vaginal secretions may be noted in the aging female

C

Which statement would be most appropriate to ask when assessing an aging adult for cognitive function? a) What is today's date? b) Can you count to 10 for me? c) Have you noticed anything different about your memory or thinking in the past few months? d) Who is the president of the United States?

C

A 73-year-old patient reports "dizzy spells" for the past several weeks. The patient describes three similar episodes during which the patient experienced "a swimming in my head," loss of balance without falling, and numbness in the left arm. These episodes lasted 10 to 30 minutes. This patient is experiencing: a) carotid artery stenosis b) Meniere's disease c) postural hypotension d) transient ischemic attacks

D

An 80-year-old female asks the nurse about over-the-counter vitamin supplements. The most appropriate advice would include: a) No vitamin supplements are needed with a balanced diet b) Any multivitamin will do c) Take only a calcium supplement d) Take a multivitamin for those over the age of 50, which should include the recommended vitamins for the aging adult

D

Symptoms of hyperthyroid disease may include all of the following except: a. Heat intolerance b. Palpitations c. Tremors d. Diarrhea

D

The nurse is evaluating a 64-year-old male for coronary artery disease (CAD). Understanding that CAD is the leading cause of mortality, which risk factor would not be related to CAD? a. Hypertension b. Dyslipidemia c. Diabetes d. Sexual orientation

D

The role of the gerontology nurse includes all of the following except: a. To facilitate the establishment of social support for the older adults b. To promote independent living as much as possible c. To educate and refer older adults to the appropriate resources d. All of the above

D

Treatment approaches for an aging adult experiencing overflow incontinence may include all of the following except: a. Toilet schedule b. Positioning and the Crede maneuver c. Clean self-catheterizations d. Kegel exercises

D

Which choice best explains the practice setting for the gerontological nurse? a) In the home of the client b) Only in acute care settings c) Clinics and long-term care facilities d) Home of the client, acute care facilities, long-term care settings, and clinics or anywhere clients over the age of 65 seek health care and health education

D

Which organ is responsible for drug metabolism and must be considered when prescribing medicaiton for an older adult? a) Kidneys b) Pancreas c) Intestines d) Liver

D

Which topic should NOT be omitted when assessign the aging client? a) Sexual history b) Caridac history c) History of abuse d) All of the above

D