gerontology prep U

Significant declines in intelligence, learning, and memory are inversely proportional to increases in age. TRUE FALSE

FALSE

The actual percentage of long-term nursing home residents has doubled over the last 25 years due to increased longevity and management of chronic illnesses. TRUE FALSE

FALSE

Age-related macular degeneration is the primary cause of vision loss in adults older than 40 years of age. TRUE FALSE

TRUE

Most Americans 75 years of age and older remain functionally independent regardless of how they perceive their health. TRUE FALSE

TRUE

Older adults are less likely than younger people to acknowledge or seek treatment for mental health symptoms. TRUE FALSE

TRUE

The nurse is working in a long-term care facility. When assessing her patients, what body system dysfunction should the nurse look for as the leading cause of morbidity and mortality in the older adult population? A. Cardiovascular B. Genitourinary C. Gastrointestinal D. Respiratory

A. Cardiovascular

A client with moderate Alzheimer's disease has been eating poorly, losing weight, and playing with food at meals. The nurse best intervenes by A. Placing one food at a time in front of the client during meals B. Serving hot foods at a warm temperature C. Cutting the client's food into small pieces D. Converting liquid foods to a gelatin texture

A. Placing one food at a time in front of the client during meals

A nurse is preparing a presentation for a local senior center about the health status of older adults. What trends in health promotion and disease prevention activities would the nurse explain as contributing to declining death rates in the older adult population? Select all that apply. A. early detection of elevated cholesterol levels B. decreased smoking C. improved nutrition D. decreased community-based services E. screening for hypertension F. decreased exercise

A. early detection of elevated cholesterol levels B. decreased smoking C. improved nutrition E. screening for hypertension

A nurse is caring for a client with dementia. A family member of the client asks what the most common cause of dementia is. Which response by the nurse is most appropriate? A. "Dementia is a terrible disease of the elderly." B. "The most common cause of dementia in the elderly is Alzheimer's disease." C. "Drug interactions are the most common cause of dementia in the elderly." D. "Depression may manifest as dementia in elderly clients."

B. "The most common cause of dementia in the elderly is Alzheimer's disease."

The nurse is assessing the genitourinary status of an older adult female patient who is experiencing stress incontinence. What finding is a common gerontologic finding for this population? A. Renal filtration rate increases. B. Bladder capacity decreases with advanced age. C. Urine is more dilute in the older population. D. All patients develop urinary tract infections.

B. Bladder capacity decreases with advanced age.

The reason that governments carefully regulate treatment given in licensed health care facilities, particularly long-term care facilities, is expressed by which statement? A. Clients lack capacity because of cognitive impairment. B. Older adult clients are vulnerable. C. Clients are unable to make any health care decision. D. Clients lack different perspectives.

B. Older adult clients are vulnerable.

Which action by the nurse demonstrates ageism? A. Providing the same high quality of care to all clients B. Allowing adequate time for the older adult to complete tasks C. Directing all health decisions to the older adult's child D. Encouraging the older adult to develop routines not associated with work

C. Directing all health decisions to the older adult's child

Which neurotransmitter is implicated in depression? A. Atropine B. Epinephrine C. Serotonin D. Acetylcholine

C. Serotonin

A client with Alzheimer's disease is prescribed donepezil hydrochloride. When teaching the client and family about this drug, which of the following would the nurse include? A. "The client need to take this drug for the rest of his or her life." B. "This drug will help to stop the disease from getting worse." C. "Once it becomes effective, you can stop the drug." D. "The drug helps to control the symptoms of the disease."

D. "The drug helps to control the symptoms of the disease."

If neglect or abuse of any kind---including physical, emotional, sexual, neglect or financial abuse---is suspected, the local adult _______ services agency must be notified.

protective

Nursing interventions for _________ are aimed at promoting patient function and independence for as long as possible.

dementia

The most common affective or mood disorder of old age is , often related to chronic illness or pain.

depression

Chronic conditions, many of which are preventable or treatable, are the major cause of _________ and pain among older adults.

disability

The leading cause of death in older adults in the United States is ____ disease.

heart

A nurse is providing a fall prevention clinic for a group of older adults. What information should the nurse include? Select all that apply. A. Use scatter rugs on hard wood surfaces. B. Wear nonslip shoes or socks when walking C. Review medications routinely for side effects D. Frequently change the furniture layout in the home E. Have routine vision and hearing screenings F. Place grab bars in the shower and tub

B. Wear nonslip shoes or socks when walking C. Review medications routinely for side effects E. Have routine vision and hearing screenings F. Place grab bars in the shower and tub