Long Quiz Geron Lec

Long Quiz Geron Department of Justice (DOJ), the Provincial Prosecutor’s
Office, the regional or the municipal trial court, or the
Lec. municipal trial court.” * OSCA
6. According to this theory, aging successfully means

Total points29/35 remaining physically, psychological, and socially engaged
in meaningful ways that are individually defined. Achieving
a comfortable acceptance of impending death is also a
QUIRIMIT, DARWIN N. hallmark of successful aging.* THEORY OF
SUCCESSFUL AGING
IDENTIFICATION
7. The effects of similar drug concentrations at the site of
1. AN ACT TO MAXIMIZE THE CONTRIBUTION OF action may be greater or less than those in younger
SENIOR CITIZENS TO NATION BUILDING, GRANT patients. * PHARMACODYNAMICS
BENEFITS AND SPECIAL PRIVILEGES AND FOR
OTHER PURPOSES. * RA 7432 8. Refers to specialists in psychiatry whose knowledge,
expertise, and practice are with the older
2. AN ACT GRANTING ADDITIONAL BENEFITS population.*GEROPSYCHOLOGY
AND PRIVILEGES TO SENIOR CITIZENS,
FURTHER AMENDING REPUBLIC ACT NO. 7432, 9. Cells divide until they are no longer able to, and this
AS AMENDED, OTHERWISE KNOWN AS “AN ACT triggers apoptosis or cell death. What THEORY?*
TO MAXIMIZE THE CONTRIBUTION OF SENIOR PROGRAMMED THEORY
CITIZENS TO NATION BUILDING, GRANT
BENEFITS AND SPECIAL PRIVILEGES AND FOR 10. The patient in the clinic tells the nurse she can "feel
her biologic clock ticking." The nurse knows the patient
OTHER PURPOSES” *RA 9994
views aging based on what theory? * PROGRAMMED
THEORY
3. This level of care provides 24-hour per day direct

nursing contact and may be considered to be the II - Multiple Choice (15 pts)
entry level into nursing home care.*
INTERMEDIATE CARE 1. The following are TRUE to Home Health Care
Gerontology:* A.
4. The state of severe distress associated with events Independent-living older adults requiring a longer period of
that threaten the intactness of person.” observation or care from nurses may be candidates for
We need to learn to stay with suffering without trying home health care services. B. It is designed
to change it or fix it.* SUFFERING for those who are home-bound due to severity of illness or
immobility. C. Common
5. Mandated by law “to assist the senior citizens in nursing needs are wound care, IVT, management of
filing complaints or charges against any individual, diabetes, and tube feedings. D. All of the
establishments, business entity, institution, or agency above.
refusing to comply with the privileges before the

5. The American Nurses Association's Gerontological
Nursing: Scope and Standards of Practice emphasizes: *
2. The term geriatric refers to what type of adult a. those abnormal responses to the aging process
patient?* A. determine the appropriate nursing diagnoses.
Those in nursing homes B. b. that the health status data
Adult patients 85 or older C. of older adult patients be documented in a retrievable
Any adult patient 65 or older D. form. c. the
Nursing home patients over 65 role of the older adult patient as the sole decision maker in
planning his or her care. d. the unchanging nature of the
goals and plans of care for older adult patients.
3. The gerontological nurse facilitates the benefits of
life review by: A.
encouraging reminiscence, oral histories, and 6. A 80-year-old presents to the clinic stating that his family
storytelling. B. helping thinks he is losing his mind and they want to put him in a
the older adult explore how spiritual involvement home. What would be the initial role of the gerontological
assists with stress relief. C. nurse? * a. Begin the process of
assisting the older adult to accept death as the finding a qualified nursing home
inevitable last stage. D. b. Do a complete history, physical, and assessment
changing the topic when a patient talks about his or c. Speak with the family
her morbid past. about their concerns d. Make light of the subject until the
nurse can evaluate the situation
4. A gerontological nurse in a daycare program for

older adults observes that the participants have long 7. The family member of a patient asks if vitamin C will
toenails, corns, calluses, and other problems prevent aging. In formulating an appropriate response, the
indicating a need for better foot care. What is the nurse considers what theory? * a. free
nurse's best action? radical theory. b.
A. Developing an educational program on foot autoimmune theory. c.
health and arranging for podiatry services at the wear-and-tear theory.
site. B. d. continuity theory.
Establishing a regular foot care plan whereby the

participants' toenails would be cut and corns and 8.The 45-year-old patient reports to the nurse he feels he
calluses shaved. C. is going through a "mid-life crisis." The nurse recognizes
Instructing competent family members in the proper this phenomenon refers to the theory developed by which
methods of cutting toenails and using commercial psychologist? a. Jung
foot care products. D. b. Erikson
Recommending that the participants soak their feet c. Newman
for 10 minutes before cutting their toenails using safe d. Havighurst
toenail clippers
9.The nurse in the long-term care facility who cares for

primarily order adults knows these adults are in which
a. Increased communication between care teams
stage of Erikson’s developmental tasks? * a. b. Adverse drug events c.
Trust vs mistrust Increased healthcare costs d.
Medication non-adherence
b. Integrity vs Despair
c. Industry vs Inferiority 14. . Your client is in the special care area of your
d. Generativity vs stagnation hospital with multiple trauma and severe bodily burns.
This 85-year-old male client has an advance directive
Correct answer b. that states that the client wants all life saving measures
Integrity vs Despair including cardiopulmonary resuscitation and advance
cardiac life support, including mechanical ventilation. As
you are caring for the client, the client has a complete
cardiac and respiratory arrest. This client has little of no
10. Which is the most effective method of managing chance for survival and they are facing imminent death
polypharmacy?* a. Review of according to your professional judgement, knowledge of
pathophysiology and your critical thinking. You believe
medications at each office visit, to ensure an accurate that all life saving measures for this client would be futile.
What is the first thing that you, as the nurse, should do?
med list. b. Limit your
A. Call the doctor and advise them that the
patients’ medication list to no more than 4 medicines client’s physical status has significantly changed and that
they have just had a cardiopulmonary arrest
c. Regularly B. Begin cardiopulmonary resuscitation other emergency
assess patient adherence to the medication regimen. life saving measures. C. Notify the family
of the client’s condition and ask them what they should
d. (a) and (c) be done for the client. D. Ensure that the
client is without any distressing signs and symptoms at
the end of life.
11. In an older population we can expect that drugs
will be: a. Correct answer
Absorbed more quickly b. B. Begin cardiopulmonary resuscitation other
Metabolized more quickly c. emergency life saving measures.
Excreted more rapidly by the kidneys d.

Excreted less readily 15.Which is most closely aligned with ethics? * A.
Morals
12. . The nurse is caring for a group of older adult
patients who are all receiving multiple medications.
The nurse understands that it is essential to
individualize each patient's therapy. Which is the best
rationale for this practice? * A.
The percentage of drug absorbed often is decreased
in older adults. B. Most older
adults have decreased body fat and increased lean
mass. C. Hepatic
metabolism tends to increase in older adults,
resulting in decreased drug levels. D. Renal
function declines with age, leading to decreased
drug excretion.
13. All of the following are impacts of polypharmacy

EXCEPT: *

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Long Quiz Geron Department of Justice (DOJ), the Provincial Prosecutor’s

Office, the regional or the municipal trial court, or the

Lec. municipal trial court.” * OSCA

6. According to this theory, aging successfully means

3. This level of care provides 24-hour per day direct

establishments, business entity, institution, or agency above.

refusing to comply with the privileges before the

patient?* A. determine the appropriate nursing diagnoses.

Those in nursing homes B. b. that the health status data

Adult patients 85 or older C. of older adult patients be documented in a retrievable

Any adult patient 65 or older D. form. c. the

assists with stress relief. C. nurse? * a. Begin the process of

inevitable last stage. D. b. Do a complete history, physical, and assessment

4. A gerontological nurse in a daycare program for

nurse's best action? radical theory. b.

A. Developing an educational program on foot autoimmune theory. c.

health and arranging for podiatry services at the wear-and-tear theory.

site. B. d. continuity theory.

Establishing a regular foot care plan whereby the

9.The nurse in the long-term care facility who cares for

Excreted more rapidly by the kidneys d.

13. All of the following are impacts of polypharmacy

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