1.True or False? Declining appetite is one of the most difficult concepts for caregivers to embrace because our society tends to equate love with provision of food.
(2 Points)
True
False
2.Which of the following documents are legal in 44 U.S. states and the District of Columbia and can be used as attachments to other documents, showing intent in the remainder of states?
(2 Points)
Five Wishes
Do not resuscitate (DNR)
Allow natural death (AND)
Physician’s Orders for Life-Sustaining Treatment (POLST)
3.Which of the following implies taking something away, or not doing something for the patient, and can be viewed as a harsh and insensitive state of medical care that promotes a feeling of abandonment by patients and families alike?
(2 Points)
Five Wishes
Do not resuscitate (DNR)
Allow natural death (AND)
Physician’s Orders for Life-Sustaining Treatment (POLST)
4.Eligibility for hospice services is based on a life expectancy of which of the following, if an illness runs its normal course?
(2 Points)
6 months or less
12 months or less
18 months or less
24 months or less
5.If what type of care is chosen, many of these deaths will take place in an intensive care unit (ICU) setting with tubes, vents, and devices to do everything possible to preserve life?
(2 Points)
Respite care
Curative care
Hospice care
Palliative care
6.Which of the following exists in the hope and belief that through appropriate care, and promotion of a caring community sensitive to their needs, individuals and their families may be free to attain a degree of mental and spiritual satisfaction in preparation for death?
(2 Points)
Acute care
Curative care
Hospice care
Palliative care
7.Which of the following evolved from the hospice movement in the 1960s and 1970s and assists in increasing numbers of people who experience chronic, debilitating, and life-limiting illnesses, and can be practiced in a variety of settings including hospitals, outpatient settings, community home health programs, and hospices?
(2 Points)
Respite care
Curative care
Hospice care
Palliative care
8.True or False? Hospitalized older adults who demonstrate multimorbidity and geriatric syndromes benefit by being cared for by nurses with specialty knowledge.
(2 Points)
True
False
9.True or False? As the baby boomers, who began turning 65 years of age in 2011, continue to age, this group of individuals will not only expect but demand excellence in geriatric care.
(2 Points)
True
False
10.True or False? Recognizing the likelihood of inmates dying of chronic disease while in prison, some prison systems have implemented hospice programs for their dying, elderly prisoners.
(2 Points)
True
False
11.The 2005–2007 Current Population Survey found that which ethnic population has larger families, less health insurance, and twice the level of poverty as other American groups?
(2 Points)
Hispanics
African Americans
Asian/Pacific Islanders
Native American/Alaska Natives
12.Older individuals who lived alone in the United States had higher rates of which of the following than those who lived with their spouse?
(2 Points)
Poverty
Illiteracy
Acute disease
Chronic disease
13.True or False? Immunosenescence is associated with a decreased incidence of infectious diseases such as bronchitis and influenza.
(2 Points)
True
False
14.True or False? Dysarthria and apraxia are speech and motor impairments caused by musculoskeletal changes in the body.
(2 Points)
True
False
15.Some adults who have suffered a stroke will have brain damage that has an impact on what the person wants to say, causing what language impairment?
(2 Points)
Anomia
Apraxia
Aphasia
Dyarthria
16.What type of memory is an immediate brain function that can describe what you are thinking at any given moment?
(2 Points)
Active memory
Working memory
Episodic memory
Lexical memory
17.Alzheimer’s disease is a progressive, degenerative brain disease that first affects which of the following?
(2 Points)
Memory
Cognition
Personality
Communication
18.The most common complaint from someone with what progressive medical condition is that the person can hear but does not understand what was said?
(2 Points)
Tinnitus
Presbycusis
Otosclerosis
Meniere’s Disease
19.The original ADL tool was developed by Katz and his colleagues during an 8-year period at the Benjamin Rose Hospital, a geriatric hospital in Cleveland, Ohio, using observation of patients with what medical condition and their performance of activities during recovery?
(2 Points)
Alzheimer’s disease
Parkinson’s disease
Hip fractures
Multiple sclerosis
20.What medical condition and associated symptoms of fatigue, forgetfulness, and cold sensitivity may be seen as normal “slowing down” with age and go undetected?
(2 Points)
Hypoglycemia
Diabetes mellitus
Hyperthyroidism
Hypothyroidism
21.What widely used ADL tool was designed to measure functional levels of self-care and mobility, and it rates the ability to feed and groom oneself, bathe, go to the toilet, walk, climb stairs, and control bowel and bladder?
(2 Points)
Functional Independence Measure
Canadian Occupational Performance Measure
Physical Performance Test
Barthel Index
22.Activities of daily living (ADLs) and instrumental activities of daily living (IADLs) are the concepts that best capture the degree of which of the following an individual must bear?
(2 Points)
Anxiety
Depression
Dependency
Adherence
23.What dimension of wellness focuses on doing something you love and balancing responsibilities with satisfying ways to occupy yourself?
(2 Points)
Emotional
Vocational
Intellectual
Spiritual
24.The broadest perspective on quality of life is reflected in what concept, a term that has not caught on in the medical world but has in the corporate and academic settings?
(2 Points)
Health
Wellness
Independence
Functionality
25.True or False? Polypharmacy is inappropriate for patients who have multiple chronic illnesses because increasing numbers of medications carry increasing risks.
(2 Points)
True
False
26.Prescribing beta-blockers to help remodel the heart in patients with congestive heart failure is an example of which of the following?
(2 Points)
Health promotion
Primary prevention
Secondary prevention
Tertiary prevention
27.Which of the following, wherein older adults are unable to provide for his or her own care, is the most common provider-reported form of neglect?
(2 Points)
Self-neglect
Physical neglect
Emotional neglect
Psychological neglect
28.Aspirin therapy has long been known to be effective as a secondary prevention strategy for clients with heart disease, but which of the following risks associated with aspirin therapy have delayed recommendations of aspirin as a means of primary prevention?
(2 Points)
Hypertension
Blood clots
GI bleeding
Constipation
29.Which of the following is considered to be the primary treatment for delirium?
(2 Points)
Keep the patient comfortable
Treat symptoms.
Ensure the safety of the patient.
Discover and treat the etiology/cause.
30.For a lethargic patient, oral intake may be compromised, and the patient is at risk for dehydration and what other medical condition?
(2 Points)
Viral pneumonia
Bacterial pneumonia
Aspiration pneumonia
Fungal pneumonia
31.A common source of drug toxicity in the elderly is impaired drug clearance by which organ(s)?
(2 Points)
Liver
Kidneys
Pancreas
Large intestine
32.True or False? Most medical literature commonly defines polypharmacy as the concomitant use of five medications, however, a particular number of drugs used at the same time does not always predict medication harm.
(2 Points)
True
False
33.Which of the following are perceived as a sign that people are growing old and dependent and therefore are commonly not reported to their family and physicians?
(2 Points)
Falls
Memory lapses
Medication misadventures
Difficulty in performing ADLs
34.Which part of the Medicare program does not cover hospice care, but may cover additional benefits such as dental, vision, and health and wellness?
(2 Points)
Part A
Part B
Part C
Part D
35.What piece of legislation affects Medicaid coverage because it provides incentives to states to increase home and community-based services?
(2 Points)
Social Security Act
Balance Budget Act
Patient Protection and Affordable Care Act
Consolidated Omnibus Budget Reconciliation Act
36.True or False? The electronic medical record (EMR) contains all the medical and health-related history from a provider that can be used for diagnosis and treatment.
(2 Points)
True
False
37.True or False? Assistive technologies provide a possible solution to promote independence among the very old but these are often underutilized in routine care.
(2 Points)
True
False
38.What type of assistive technology includes modifications to buildings, rooms, or other facilities that allow people with physical impairments to use ramps and door openers to enter and allow people with visual disabilities to follow Braille directions and move more freely within a facility?
(2 Points)
Environmental controls
Personal emergency response system
Augmentative and alternative communication
Adapted recreational activities
39.Several studies have shown that which of the following is a strong indicator of declining health and may increase the likelihood of an emergency situation occurring?
(2 Points)
Frailty
Memory loss
Malnutrition
Inability to complete ADLs
40.True or False? Nurses have a greater opportunity than others to recognize when elder abuse may be occurring.
(2 Points)
True
False
41.True or False? The nurse’s core responsibility is to report suspected elder abuse, not to confirm the abuse.
(2 Points)
True
False
42.What type of abuse is one of the most common types of mistreatment and may be easier to quantify than other forms of abuse?
(2 Points)
Emotional abuse
Self-abuse
Financial abuse
Direct abuse
43.True or False? A patient can express personal perspectives on quality and sanctity of life in an advance directive document
(2 Points)
True
False
44.The use of which of the following can decrease conflicts between family members and allows the designated decision maker to perform in roles negotiated in advance with the patient?
(2 Points)
Living will
Advance directive
Informed consent
Durable power of attorney
45.True or False? Offloading is the ability of a support surface to distribute load over the contact areas of the human body to reduce overall pressure and avoid areas of focal pressure.
(2 Points)
True
False
46.True or False? Two key prescribing principles for older adults are “less is more” and “start low and go slow,” which refers to staring doses at lowest levels to reduce potential overdose of medications.
(2 Points)
True
False
47.What fall risk assessment tool would be the best tool for assessing the risk of falls by hospitalized acutely ill older adults?
(2 Points)
Hendrich Fall Risk Model II
STRATIFY Risk instrument
Timed Get Up and Go test
Medication Fall Risk tool
48.True or False? With aggressive treatment of underlying causes, it is possible to return the individual to his or her predelirium baseline.
(2 Points)
True
False
49.Delirium is commonly superimposed on what underlying medical condition compounding both its symptoms and severity?
(2 Points)
Anxiety
Depression
Dementia
Hypertension
50.True or False? Those collecting Social Security Disability Insurance (SSDI) are eligible for Medicare after a 12-month waiting period.
(2 Points)
True
False
Answers
1.True or False? Declining appetite is one of the most difficult concepts for caregivers to embrace because our society tends to equate love with provision of food.
(2 Points)
True
False
2.Which of the following documents are legal in 44 U.S. states and the District of Columbia and can be used as attachments to other documents, showing intent in the remainder of states?
(2 Points)
Five Wishes
Do not resuscitate (DNR)
Allow natural death (AND)
Physician’s Orders for Life-Sustaining Treatment (POLST)
3.Which of the following implies taking something away, or not doing something for the patient, and can be viewed as a harsh and insensitive state of medical care that promotes a feeling of abandonment by patients and families alike?
(2 Points)
Five Wishes
Do not resuscitate (DNR)
Allow natural death (AND)
Physician’s Orders for Life-Sustaining Treatment (POLST)
4.Eligibility for hospice services is based on a life expectancy of which of the following, if an illness runs its normal course?
(2 Points)
6 months or less
12 months or less
18 months or less
24 months or less
5.If what type of care is chosen, many of these deaths will take place in an intensive care unit (ICU) setting with tubes, vents, and devices to do everything possible to preserve life?
(2 Points)
Respite care
Curative care
Hospice care
Palliative care………….please follow the link below to purchase the entire quiz answers at $15
