Deck 7: Care of the Older Person

Question 1

Which statement about aging is incorrect?

A) Body processes slow down.
B) Energy level decreases.
C) Changes are always noted when they occur.
D) The changes occur over many years.

Answer 1

Changes are always noted when they occur.

Question 2

Which statement about an older person's feet is incorrect?

A) Nails become thick and tough.
B) Feet usually have poor circulation.
C) A nick or cut can lead to serious infection.
D) Deodorants are needed for foot odors.

Answer 2

Deodorants are needed for foot odors.

Question 3

Older people may be lonely because

A) They are separated from family and friends
B) They live with adult children
C) They live in nursing centers
D) They have contact with people their own age

Answer 3

They are separated from family and friends

Question 4

Which is a developmental task of late adulthood?

A) Selecting a partner
B) Developing leisure-time activities
C) Adjusting to decreased strength and loss of health
D) Adjusting to aging parents

Question 5

The "young-old" are between the ages of

A) 50 and 60 years
B) 55 and 60 years
C) 65 and 74 years
D) 65 and 80 years

Question 6

Growth is

A) The development of social and physical skills
B) A skill that must be completed
C) Changes in mental, emotional, and social function
D) The physical changes that are measured and that occur in a steady and orderly manner

Question 7

With aging, normal changes occur in body function and structure. Which is correct?

A) The changes increase the risk for illness, injury, and disability.
B) The changes occur suddenly in most people.
C) Changes always decrease the person's quality of life.
D) Age-related changes cause older persons to feel useless and unhappy.

Question 8

Because older people tend to have dry skin

A) Mild soaps or soap substitutes are used
B) Lotions are not used
C) Tub baths are taken daily
D) Only showers are taken

Question 9

Which statement about aging is incorrect?

A) Changes occur throughout life.
B) Most changes are rapid.
C) Changes occur in body structure and function.
D) Psychological and social changes occur.

Question 10

The risk of skin breakdown, skin tears, and pressure ulcers

A) Increases with age
B) Decreases with age
C) Is the same for all age-groups
D) Decreases with dry skin

Question 11

A skill that must be completed during a stage of development is

A) A physical skill
B) A developmental task
C) A psychological function
D) An age-related skill

Question 12

Aging

A) Is normal
B) Means loss of health
C) Decreases quality of life
D) Is a disease

Question 13

Development relates to

A) Involuntary muscle movements
B) A skill that must be completed
C) Changes in mental, emotional, and social function
D) Physical changes that are measured and that occur in a steady and orderly

Question 14

Which statement about retirement is incorrect?

A) Some retired people do volunteer work or have part-time jobs.
B) Retired persons have fewer expenses.
C) Retirement is a reward for a life-time of work.
D) Some people retire because of poor health or disability.

Question 15

Which statement about changes in the skin is incorrect?

A) The skin thins and sags.
B) Folds, lines, and wrinkles appear.
C) The skin is easily injured.
D) Oil and sweat secretions increase.

Question 16

Mr. and Mrs. Young were married for 60 years. Mrs. Young just died. Which is incorrect?

A) Mr. Young may develop health problems.
B) Mr. Young's grief may be very great.
C) Mr. Young's grief is less if he prepared for his wife's death.
D) Mr. Young may lose the will to live.

Question 17

Gerontology is

A) The study of the aging process
B) Age-related far-sightedness
C) The care of aging people
D) The physical changes that occur with aging

Question 18

Which is not a developmental task of late adulthood?

A) Adjusting to aging parents
B) Adjusting to retirement and reduced income
C) Coping with a partner's death
D) Preparing for one's own death

Question 19

Persons 85 years of age and older are

A) The young-old
B) Old
C) The old-old
D) The very old

Question 20

Geriatrics is

A) The study of the aging process
B) Age-related far-sightedness
C) The care of aging people
D) The physical changes that occur with aging

Question 21

In older persons, bones become

A) Stronger
B) Brittle
C) Shorter
D) Larger

Question 22

Which statement about changes in the respiratory system is incorrect?

A) Respiratory muscles weaken.
B) Lung tissue is more elastic.
C) Coughing may be more difficult.
D) Respiratory infections and diseases can threaten the person's life.

Question 23

Older persons usually have difficulty digesting

A) Cooked vegetables
B) Fried and fatty foods
C) Whole grain cereals
D) Soft bulk foods

Question 24

Which is a housing option for older persons who cannot care for themselves?

A) Hospice
B) Assisted living residences
C) Board and care homes
D) Nursing centers

Question 25

Musculoskeletal changes result in the following except

A) Loss of height
B) Loss of strength
C) Decreased mobility
D) Less joint pain and stiffness

Question 26

Persons needing nursing center care often suffer many losses. Which is not a common loss?

A) Loss of identity
B) Loss of possessions
C) Loss of independence
D) Loss of children

Question 27

In women, the following occur with aging except

A) The uterus, vagina, and genitalia shrink
B) Vaginal walls become fatty
C) Vaginal dryness occurs
D) Intercourse may be painful

Question 28

When circulatory changes are severe, rest is needed during the day.

Question 29

Which is not a cause of poor circulation in older persons?

A) Weakened heart muscle
B) Narrowed arteries
C) Decreased amounts of blood
D) Arteries are less elastic

Question 30

The need to urinate at night is reduced if the person

A) Drinks only water
B) Drinks most fluids before 1700
C) Urinates before going to bed
D) Chooses what beverages to drink

Question 31

In men, the amount of this sex hormone decreases with aging.

A) Testosterone
B) Insulin
C) Estrogen
D) Progesterone

Question 32

The older person's ability to sense pain is

A) Increased
B) Decreased
C) The same as that of a younger adult
D) The same as that of a young child

Question 33

Sexuality is

A) The physical activities involving reproductive organs
B) The physical, emotional, social, cultural, and spiritual factors that affect feelings and attitudes about sex
C) Who a person is attracted to
D) Preferred sexual practices

Question 34

Men may have difficulty urinating because the

A) Kidneys atrophy
B) Bladder increases in size
C) Prostate gland enlarges
D) Urethra loses tone

Question 35

Because of changes in the urinary system, older persons

A) Have fewer urinary tract infections
B) Have less urine
C) Urinate more often
D) Need less fluids

Question 36

Menopause is

A) When menstruation stops
B) Erectile dysfunction
C) Impotence
D) Loss of interest in sexual activity

Question 37

Which statement about sexuality and older persons is incorrect?

A) Reproductive organs change with aging.
B) Weakness and pain may decrease frequency of sexual activity.
C) Older persons need frequent intercourse.
D) Older persons need sex, love, and affection.

Question 38

Respiratory system changes occur with aging. Which is not helpful?

A) Deep breathing
B) Turning
C) Repositioning
D) Rest as much as possible

Question 39

In men, the following occur with aging except

A) An erection takes longer
B) The phase between erection and orgasm is longer
C) Orgasm is longer and more forceful
D) Erections are lost quickly

Question 40

Which does not help prevent bone loss and loss of muscle strength?

A) Activity
B) Exercise
C) A balanced diet
D) Bedrest

Question 41

A female resident likes to apply make-up every day. She also likes to shave her legs and underarms. What should you do?

A) Check her care plan.
B) Tell her that shaving is unsafe for her.
C) Assist her with grooming activities as needed.
D) Ask her why such measures are important to her.

Question 42

A long-term care ombudsman does the following except

A) Provides services to assist residents
B) Monitors nursing center care
C) Writes nursing center policies and procedures
D) Provides information about long-term care services

Question 43

An ombudsman is

A) Someone who supports or promotes the needs and interests of another person
B) A person who surveys nursing centers to make sure they are in compliance with regulations
C) Someone who studies the aging process
D) Someone who helps older people look for housing

Question 44

A resident at Spruce Harbor Nursing Center is holding hands with his wife and stroking her leg. What should you do?

A) Tell the nurse.
B) Explain that such behaviors are not allowed.
C) Allow them privacy.
D) Check the person's care plan.

Question 45

The following measures promote sexuality except

A) Providing privacy
B) Knocking before you enter a room
C) Letting the person choose what to wear
D) Discouraging masturbation

Question 46

Your role in the survey process involves the following except

A) Having good work ethics
B) Answering surveyor questions honestly and completely
C) Acting in a professional manner
D) Reviewing the nursing department budget

Question 47

Which statement about sexuality and older persons is incorrect?

A) Sexual needs and desires are lost.
B) Sexual activity may decrease.
C) Some persons lose sexual partners through death and divorce.
D) Chronic illness can affect sexuality.

Question 48

You have an important role in the survey process. You do the following except

A) Provide quality care
B) Interview patients and families
C) Help keep the agency clean
D) Follow agency policies and procedures