Question 1

A woman tells the health-care worker that her 85-year-old father is frequently confused about medication doses and frequently forgets to take his medicines.He usually eats crackers for dinner and sweet snacks for lunch.The daughter lives in a two-bedroom apartment with her two children and works full time.The health-care worker suggests that the most appropriate placement for him would be in:

Accepted Answer

The assisted living home provides care for persons with minimal supervision and care.

Question 2

A health-care worker passing an open door sees a nursing home resident having sexual intercourse with another resident.The most appropriate response is to say:

Accepted Answer

The elder adult may continue to have sexual feelings well into advanced old age.Health-care workers must consider that the geriatric adult has the right to express these feelings without shame or guilt,in the privacy of their home setting.

Question 3

The term old-old senescence is categorized as a person who is:

Accepted Answer

The "old-old" group in senescence terminology are those people in the age range of 85 to 99 years.

Question 4

An elder who lives alone at home says to the home health care worker,"My children haven't visited me in weeks,and I've had no phone calls either.I don't even have any news about my new granddaughter.I think they have forgotten me." Which response would be most helpful at this time?

Accepted Answer

Social isolation may bring on a sense of low self-esteem.

Question 5

An appropriate strategy when teaching geriatric adults is to:

Accepted Answer

Asking the geriatric learner to repeat what was heard will assess comprehension as well as the ability to hear accurately.Excess videos may be confusing.Speeding up the presentation is not helpful to the geriatric learner.Offering the information in smaller sessions is helpful to the geriatric person.

Question 6

In cultures where ageism prevails,the elderly are:

Accepted Answer

Ageism is avoidance of and negative attitudes toward the elderly based on age.

Question 7

The health-care worker is planning a discussion about sexual responses in the aging population.The health-care worker would make a point to include information relative to that fact that:

Accepted Answer

Males retain their fertility into their 80s.Menopause does not affect the sexual response or the nipple/clitoris sensitivity.Sperm motility is slowed with the reduction of testosterone.

Question 8

Among the goals for the aged from Healthy People 2020 is an increased access for the elderly to acquire:

Accepted Answer

Healthy People 2020 developed goals to increase access to preventative health care.

Question 9

The immune theory of aging proposes that:

Accepted Answer

The immune theory proposes that the aging person's immune system cannot differentiate between healthy and defective cells and destroys both kinds,leaving the elder at risk for infections and a variety of illnesses.

Question 10

The health-care worker recommends the utilization of a senior center for a 79-year-old widow because in addition to a meal,a senior center can provide:

Accepted Answer

Senior centers offer a venue for socialization and frequently have activities such as crafts,line dancing,and board games.Many centers offer other services,such as health screening or counseling.Transportation is not part of most senior centers' services.

Question 11

The theory of aging that attributes the age-related cellular changes to an unpaired ion is the theory of:

Accepted Answer

The free radical theory proposes that the unpaired ion,or free radical,attacks the body,which results in cell damage that cannot be repaired.

Question 12

The White House Conference of 2005 stimulated the:

Accepted Answer

The White House Conference of 2005 made recommendations to Congress about the aging population,which resulted in the passing of the Older Americans Act in 2008 supporting long-term care strategies for the United States.

Question 13

An appropriate nursing action helpful to older adults with insulin-dependent diabetes mellitus is to:

Accepted Answer

Treating geriatric adults as capable of dealing with the illness often calls forth strengths and coping strategies that give them the ability to manage a chronic illness.The health-care worker can provide education and guidance in meeting the needs of the elder in dealing with the illness.

Question 14

Columbia University developed an assessment tool for persons with Alzheimer's that:

Accepted Answer

Columbia University's tool uses age of onset,presenting signs,gender,and results of a mini mental test to predict the progress of the disease and is an aid in planning care for the person with Alzheimer's disease.

Question 15

An important consideration in the rehabilitation of a geriatric patient to prevent loss of function from inactivity and immobility is:

Accepted Answer

Exercise for all elders is important to prevent functional decline from many different causes.Assistive devices decrease mobility if they are too difficult for the elder to use.Nutrition is important for muscles,but muscle strength is dependent primarily on use.

Question 16

The term geriatrics refers to the study of:

Accepted Answer

Geriatrics refers to the study of the biological,psychological,physiological,and sociological aspects of aging.

Question 17

A 70-year-old man retired 6 months ago after a long career as a newsman.His wife tells the health-care worker that she is concerned because her husband has stopped going to church,turned over the bill-paying duties to her,and spends most of the time listening to the radio.The health-care worker recognizes this as:

Accepted Answer

A major developmental task of old age is adjustment to retirement.If the self-worth of the retiree is dependent upon his or her previous occupation,this loss may lead to disengagement or depression.

Question 18

During an assessment,an 80-year-old man says that his wife died a year ago,his only child moved to another city,and he recently moved into an apartment in a new neighborhood so he stays indoors most of the time and watches TV.This man:

Accepted Answer

Depression is the most common mental health problem in geriatric elders and often is a result of loss of loved ones,isolation from social contacts,and change in environment,all of which make suicide a common problem in this age-group.

Question 19

Because of changes in the blood vessels,which become narrow with fatty deposits,the geriatric elder is at risk for:

Accepted Answer

The narrowed lumen of the vessels lead to hypertension that puts the geriatric elder at risk for stroke.The heart muscle loses tone and therefore delays the response to anxiety.

Question 20

When developing a teaching plan for elders,the health-care worker may include family members and significant others because:

Accepted Answer

The well-being of the elder depends in part on family support system,which contributes to a sense of ego-strength and competence.

Quiz 14: Advanced Old-Age and Geriatrics