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Gero Bible 1
Gero Bible 1
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Answers
1
When looking at the lab results of an elderly pt. The nurse expects which ones to decrease?
Humoral immunity with intact antibodies
The rate at which erythrocytes descend in a tube over one hour
The amount of blood passing through the glomeruli per minute
Fasting serum glucose levels
2
A medication that may result in depressive symptoms
ACE Inhibitor
Anticholinergics
Antibiotics
Beta adrenegric blockers
3
What is a normal physiological change
Decreased antibody production
.
.
4
A pt is in pain what do you use
Ibuprofen 400mg IM every 6 hours
Tylenol 500mg PO every 6 hours
5
How often should an elderly pt receive a colonoscopy
Every 5 years
Yearly
Every 10 years
Every 3 to 5 years depending on the physician
6
Depression is the most common mental health problem of late life and among the most...
Misunderstood
Troublesome
Treatable
Mislabeled
7
This occurs when normal cells are misidentified as foresight and are destroyed by the body’s immune system
Auto retaliatory
Auto-phage
Auto aggression
Automatic defense
8
The most plentiful protein in the body and a key component of the lungs, arteries, and tendons
Collagen
Elastin
Ribosome
Monocytes
9
The physical traits by which drug e identify one as an older individual
Older genotypes
Phenotypic enunciation
Aging phenotype
Shortening genotype
10
Which colors tend to give the aging adult issues?
Green and Orange
Teal and White
Red and blue
Yellow and violet
11
What criteria must be met to test positive for delirium according to the CAM assessment?
Either 1,2,3, or 4
All numbers must be checked off
Only 1 and 2
1 and 2 with either 3 or 4
12
What can you call people who can’t hear properly
Hard of hearing
.
Deaf
13
When assessing an elderly pt for the second S in the 6 geriatric syndromes, which test is most appropriate to use?
The Mini Nutritional Assessment
The Braden Scale
The Pittsburgh Sleep Quality Index
The Urinary Incontinence Assessment
14
Which taste sensations diminish as we elderly?
Bitter and sour
Bitter and savory
Salt and sweet
Umami and sour
15
Lipid deposits around iris, gray blue ring around the eye and is considered normal?
Exopthalamus
Presbycusis
Entropioin
Arcus senilus
16
The cross linkage of this product causes changes in the aging process such as joints and skin that is less elastic
Ammonia
Urea
Glucose
Protein
17
A disease linked to oxidative stress
Progeria
Pheochromocytoma
Systemic lupus erythmatosus
Rheumatoid arthritis
18
A cognitive impairment that has a gradual onset and a slow steady pattern of decline
Dementia
Depression
Delirium
Cortical hypertrophy
19
Molecules containing unpaired kind and extra charges that are highly reactive to molecules in cell membrane
Ionizing radiation
Antioxidants
Oxidative stress
Free radicals
20
In the test book it states if you don’t control your pain what will happen?
.
.
Decreased nutritional status
21
A nurse is making activities one for 65-74 and another for 74-85 what is this considered
.
Age stratification
22
The shortening of this genetic component that is said to cause an end to cellular reproduction and death
Deoxyribose nucleic acid
Telomeres
Adenine
Chromosome
23
This herbal supplement is used to treat hyperlipidemia and pts with CHF and atherosclerosis
Glucosamine sulfate
Ginkgo Biloba
Ginseng
Garlic
24
Which field of nursing requires a Master’s degree?
Nurse specialist
Nurse entrepreneur
Nurses assigned to assisted living communities, requiring 3 years exp.
Nurse generalist
25
This process provides a comprehensive assessment of each resident’s functional capabilities
Assessment history care
Minimum data set
Residential assessment induction
Pre acute care admission
26
This suggests that aging occurs as a random event
Stochastic theory
Non stochastic theory
27
Which of the following is not false?
Pain is common in older adults but not normal
It’s very difficult for older adults to learn new things
All women develop osteoporosis as they age
Clinical depression occurs more frequently in older than younger people
28
People with mild cognitive
People with mild and moderate cognitive impairment can self report pain
.
.
29
Something about colors and old people
Yellow/red spectrum
Blue/green spectrum
30
Which medication inadvertently will take an effect in the stomach due to age related changes in absorbtion?
Extravasant hormonal treatments
IM antibiotics
Enteric coated asprin
IV acetaminophen
31
Which is not good for a patient?
Cooperation between specialist fields (ex. GI and Endocrine)
Slowly walking up the stairs
Reevaluating the medicine prescriptions
The prescribing cascade
32
A person reaching the age of 65 has an additional ___ years added you their life expectancy
20
14.5
30
55
33
The daily dosage of Tylenol must not exceed:
4000g
3.2g
4,000,000 mcg
3,200g
34
The gerontologic nurse knows that the most deaths occur at which stage of the care process?
During the anesthesia process of treatment
During the ride to the health care clinic
During the fall risk assessment
During the transitional phase of care
35
The hormone that appears to increase longevity and are low levels in people with chronic diseases
HDEA
Adrenocorticotropic hormone
Triiodothyronine
Dehydroepiandrosterone
36
Older adults (60+) older are in what part of Erickson’s theory
Trust vs mistrust
Stagnation vs generativity
Ego integrity vs despair
Isolation vs Intimacy
37
What pain medication is contraindicated in older adults?
ASA
Demerol
Tylenol
Donepezil
38
A pt is taking warfarin which foods should she avoid?
Red meat
Spinach
Milk
Broccoli
39
Which age group tend to develop hardier personalities and have better access to health care?
Before 60
After 75
After 65
Before 65
40
Factors affecting medication response in the elderly include which one of the following?
decreased renal excresion
Increased hepatic mass
Decreased total body fat
Increased total water in the body
41
This theory attempts to explain the social changes that have resulted in the devaluing the contributions of elders
Disengagement
Modernization
Aging theory
Role theory
42
In the ANA standards of gerontological nursing practice which comes after the nursing diagnosis?
Evaluation
Outcome identification
Assessment
Implementation
43
This medication decreases pain and increases function in pts with osteoarthritis
Ginseng
Glucosamine sulfate
Ginkgo biloba
Garling
44
A cognitive impairment that may accompany depression
Symptomatic cognitive decline dementia
Dementia
Delirium
Pseudodementia
45
A patient taking Ginkgo Biloba to improve memory function, can have a potentially fatal effect when take with...
Benzodiazepines
Glucosamine sulfate
Anticholinergics
Asprin
46
What is the leading cause death of elderly over 65years of age?
Cancer
Alzheimer’s disease
Cardiovascular disease
Cerebrovascular accidents
47
When was social security esbalished
1967
1935
1968
1901
48
What is the most commonly prescribed medication for treatment of depression in older adults?
Benzodiazepines
SSRIs
MAOI
Anti Histamine1
49
Which portion of the mini-cog tests for executive function?
Three word recall
Drawing the Clock
The palm push on the xiphoid process
Three word registration
50
Which non-pharmacological approach has been found to reduce the intensity of pain?
Accupuncture
Music
Guided imagery
Massage
51
A well known tool used to assess depression in older adults
CAM
DHEA
CVICU
GDS
52
Delirium is considered to be:
A severe form of depression
An untreatable condition
A medical emergency
Is always a precursor to Alzheimer’s disease
53
What is true about skin elderly related changes
.
Decreased sebaceous and sweat
.
54
What does the P in SPICES stand for
Progeria
Problems with urinating
Painlessness
Problems with eating
55
Which eye impairment uses the amsilar grid test?
Macular degeneration
Glaucoma
Presbyopia
Cataracts
56
When conducting the APGAR test you cannot substitute friends for family
False
True
57
Which one is recent?
Dementia
Depression
Disillusionment
Delirium
58
Which is false?
The remaining life expectancy of blacks at 85 is about the same as whites
Most older drivers are quite capable of safely operating motor vehicles
Research has shown that old age truly begins at 65
Older females exhibit better health care practices than older males
59
A pt with Alzheimer’s can’t walk sit up smile, hold their head up, and can only speak 1/2 dozen words. What is the stage
Stage 4
Stage 1
Stage 6
Stage 7
60
Which theory does not describe a genetically programmed cell aging process?
Immune theory
Pacemaker theory
Neuroendocrine theory
Wear and tear theory
61
Which one is ageism
.
Telling the pt “take your meds little girl”
.
Calling them “grandma”
62
The hormones that appears to increase longevity
Growth hormone
Telomeres
Collagen
DHEA
63
What is an example of IADL
Laundry
Shopping
Transportation
Finance
64
Which of the following is not true?
Constipation increases in elderly
Social security benefits automatically increase with inflation
Older adults are less anxious about death than younger
Bladder capacity decreases with age
65
Which one is affected by the pacemaker theory
.
Nervous,
.
66
What cause depression
ACE
Analgesics
Anticonvulsant
67
Continuity- wife likes to be active and husband has always been stagnant
.
.
68
Medications with this type of “effect” should be considered suspect for causing delirium?
Anticholinergics
Centrally acting alpha agonist
Fibric acid derivatives
Antipsychotics
69
The scientist who found that cells could be preserved by freezing them
Erik Homburger Erickson
Abraham Maslow
Albert Einstein
Leonard Hayflick
70
What is the last aspect of a person to go when diagnosed with Alzheimer's dementia?
Intrinsic behaviours
IADL
Activities of daily living
Function
71
The most inappropriate time to use the Beers list is...
When the pts present with mild cognitive dysfunction
During the early stages of care
In the transitional phase of care
In Palliative care
72
What is the most predictive risk factor of delirium
Controlling pain
.
Discontinuing invasive lines
Anticholinergics
73
Medications containing this may exacerbate cross-linking
Magnesium
Calcium
Iron
Aluminum
74
A girl is scared of old people. Why?
She hasn’t been around old people
She’s scared of getting old
75
This hormone is regarded as one that regulates biological rhythms
Pituitary
Melanin
Melatonin
Epinephrine
76
Neuroimaging that may be ordered for diagnosis of the 3 D’s
MRI
Radiological imaging
Biopsy
CT scan
77
A pt taking adjuvant pain meds which one is she taking?
Corticosteroids
Antidepressant
Anticonvulsant
None of the above
78
Which indicator of age is the most often used and is the least meaningful?
Genetic
Functional
Biological
Chronological
79
Which change in is false?
Uterine lining is thickening
.
.
80
This is the most commonly used Physiological assessment method
End of life stage determination
FICA
GDS
Hope history assessment
81
Changes in CV are
Heart valves thicken
Decreased cerebral blood flow
All of the above
Less sensitivity in baroreceptors
82
A elderly pt. needs correction when they state which?
“I will get a pneumonia vaccine booster every 5 years after 65”
“I will get a flu vaccine yearly only if I feel sick that year”
“I will get the TDAP every 10 years”
“I will get a pneumonia vaccine at the age of 65”
83
The area on an audiogram where sounds commonly used during speech are bound.
Pitch cycle
Braille depiction standard
Normal to profound degree of hearing loss
Speech banana
84
This disease may increase the risk of Alzheimer’s disease
Gout
Cerebral palsy
Diabetes
Hypertension
85
The most common type of dementia
Lewy body dementia
Neurological dementia
Alzheimer’s disease
Vascular dementia
86
An impairment that is caused by a decrease in blood flow to parts of the brain due to a series of small strokes
Brain imaging
Ischemic repercussion injury
Aneurysm
Vascular dementia
87
An elderly pt states that they “have trouble seeing on the corner of my eyes” the nurse should do a further eval for:
Glaucoma
Macular degeneration
Presbycusis
Presbyopia
88
Which non-pharmacological approach has been found to reduce the intensity of pain?
Music
Accupuncture
Guided imagery
Massage
89
An instrument for assessing delirium
X-RAY
CAM
MRI
CT Scan
