Chapter 14: Older Adults
Understanding Older Adults Quiz
Test your knowledge on the care, health, and unique considerations for older adults with this comprehensive quiz. Designed for healthcare professionals and students alike, this quiz offers insightful questions that cover various aspects of gerontology.
Key features:
- 26 thought-provoking questions
- Focuses on real-life scenarios and assessments
- Learn about the common health challenges faced by older adults
1. A nurse is obtaining a history on an older adult. Which finding will the nurse most typically find?
A. Lives in a nursing home.
B. Lives with a spouse.
C. Lives divorced.
D. Lives alone.
2. A nurse is developing a plan of care for an older adult. Which information will the nurse consider?
A. Should be standardized because most geriatric patients have the same needs.
B. Needs to be individualized to the patient’s unique needs.
C. Focuses on the disabilities that all aging persons face.
D. Must be based on chronological age alone.
3. Which information presented by a co-worker on a gerontological unit will cause the nurse to intervene?
A. Most older people have dependent functioning.
B. Most older people have strengths we should focus on.
C. Most older people should be involved in care decision.
D. Most older people should be encouraged to have independence.
4. A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with the nurse’s suspicions?
A. Flea bites and lice infestation.
B. Left at a grocery store.
C. Refuses to take a bath.
D. Cuts and bruises.
5. A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use?
A. Provide several topics of discussion at once to promote independence and making choices.
B. Avoid uncomfortable silences after questions by helping patients complete their statements.
C. Ask patients to recall past experiences that correspond with their interests.
D. Speak in a high pitch to help patients hear better.
6. An older patient has fallen and suffered a hip fracture. As a consequence, the patient’s family is concerned about the patient’s ability to care for self, especially during this convalescence. What should the nurse do?
A. Stress that older patients usually ask for help when needed.
B. Inform the family that placement in a nursing center is a permanent solution.
C. Tell the family to enroll the patient in a ceramics class to maintain quality of life.
D. Provide information and answer questions as family members make choices among care options.
7. What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?
A. Have the family members evaluate nursing home staff according to their ability to get tasks done efficiently and safely.
B. Make sure that nursing home staff members get patients out of bed and dressed according to staff’s preferences.
C. Explain that it is important for the family to visit the center and inspect it personally.
D. Suggest a nursing center that has standards as close to hospital standards as possible.
8. A 70-year-old patient who is experiencing worsening dementia is no longer able to live alone. The nurse is discussing health care services and possible long-term living arrangements with the patient’s only son. What will the nurse suggest?
A. An apartment setting with neighbors close by.
B. Having the patient utilize weekly home health visits.
C. A nursing center because home care is no longer safe.
D. That placement is irrelevant because the patient is retreating to a place of inactivity.
9. A nurse is caring for an older adult. Which goal is priority?
A. Adjusting to career
B. Adjusting to divorce
C. Adjusting to retirement
D. Adjusting to grandchildren
10. A nurse is observing for the common loss in an older-adult patient. What is the nurse assessing?
A. Loss of finances through changes in income
B. Loss of relationships through death
C. Loss of career through retirement
D. Loss of home through relocation
11. A nurse is discussing sexuality with an older adult. Which action will the nurse take?
A. Ask closed-ended questions about specific symptoms the patient may experience.
B. Provide information about the prevention of sexually transmitted infections.
C. Discuss the issues of sexuality in a group in a private room.
D. Explain that sexuality is not necessary as one ages.
12. A nurse is teaching a health promotion class for older adults. In which order will the nurse list the most common to least common conditions that can lead to death in older adults?1. Chronic obstructive lung disease 2. Cerebrovascular accidents 3. Heart disease 4. Cancer
A. 4, 1, 2, 3
B. 3, 4, 1, 2
C. 2, 3, 4, 1
D. 1, 2, 3, 4
13. A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding?
A. Oily skin
B. Faster nail growth
C. Decreased elasticity
D. Increased facial hair in men
14. An older-adult patient in no acute distress reports being less able to taste and smell. What is the nurse’s best response to this information?
A. Notify the health care provider immediately to rule out cranial nerve damage.
B. Schedule the patient for an appointment at a smell and taste disorders clinic.
C. Perform testing on the vestibulocochlear nerve and a hearing test.
D. Explain to the patient that diminished senses are normal findings.
15. A nurse is assessing an older adult for cognitive changes. Which symptom will the nurse report as normal?
A. Disorientation
B. Poor judgment
C. Slower reaction time
D. Loss of language skills
16. An older patient diagnosed with dementia and confusion is admitted to the nursing unit after hip replacement surgery. Which action will the nurse include in the plan of care?
A. Maintain a routine.
B. Continue to reorient.
C. Allow several choices.
D. Socially isolate patient.
17. A nurse is helping an older-adult patient with instrumental activities of daily living. The nurse will most likely be assisting the patient with which activity?
A. Taking a bath
B. Getting dressed
C. Making a phone call
D. Going to the bathroom
18. A male older-adult patient expresses concern and anxiety about decreased penile firmness during an erection. What is the nurse’s best response?
A. Tell the patient that libido will always decrease, as well as the sexual desires.
B. Tell the patient that touching should be avoided unless intercourse is planned.
C. Tell the patient that heterosexuality will help maintain stronger libido.
D. Tell the patient that this change is expected in aging adults.
19. A patient asks the nurse what the term polypharmacy means. Which information should the nurse share with the patient?
A. This is multiple side effects experienced when taking medications.
B. This is many adverse drug effects reported to the pharmacy.
C. This is the multiple risks of medication effects due to aging.
D. This is concurrent use of many medications.
20. An outcome for an older-adult patient living alone is to be free from falls. Which statement indicates the patient correctly understands the teaching on safety concerns?
A. “I’ll take my time getting up from the bed or chair.”
B. “I should dim the lighting outside to decrease the glare in my eyes.”
C. “I’ll leave my throw rugs in place so that my feet won’t touch the cold tile.”
D. “I should wear my favorite smooth bottom socks to protect my feet when walking around.”
21. A nurse’s goal for an older adult is to reduce the risk of adverse medication effects. Which action will the nurse take?
A. Review the patient’s list of medications at each visit.
B. Teach that polypharmacy is to be avoided at all cost.
C. Avoid information about adverse effects.
D. Focus only on prescribed medications.
22. An older-adult patient has developed acute confusion. The patient has been taking tranquilizers for the past week. The patient’s vital signs are normal. What should the nurse do?
A. Consider age-related changes in body systems that affect pharmacokinetic activity.
B. Increase the dose of tranquilizer if the cause of the confusion is an infection.
C. Note when the confusion occurs and medicate before that time.
D. Restrict phone calls to prevent further confusion.
23. Which assessment finding of an older adult, who has a urinary tract infection, requires an immediate nursing intervention?
A. Confusion
B. Presbycusis
C. Temperature of 97.9° F
D. Death of a spouse 2 months ago
24. Which patient statement is the most reliable indicator that an older adult has the correct understanding of health promotion activities?
A. “I need to increase my fat intake and limit protein.”
B. “I still keep my dentist appointments even though I have partials now.”
C. “I should discontinue my fitness club membership for safety reasons.”
D. “I’m up-to-date on my immunizations, but at my age, I don’t need the influenza vaccine.”
25. A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?
A. Sexuality
B. Retirement
C. Environment
D. Social isolation
. A recently widowed older-adult patient is dehydrated and is admitted to the hospital for intravenous fluid replacement. During the evening shift, the patient becomes acutely confused. Which possible reversible causes will the nurse consider when assessing this patient? (Select all that apply.)
A. Electrolyte imbalance
B. Sensory deprivation
C. Hypoglycemia
D. Drug effects
E. Dementia
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