Evolve Gerontology Practice Exam

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• What should NOT be included in a nurse's teaching plan for controlling urinary incontinence?
• Which characteristic indicates a high level of health literacy in an older adult?
• How should a nurse approach education for an older adult client with newly diagnosed hypertension?
• Which nursing role primarily focuses on the management of complex care for frail older adults?
• What is an appropriate first step to take when caring for a client who is resistant to bathing?
• When an older adult client is confused and lethargic after starting a new medication, what condition might they be experiencing?
• Which condition is indicated by a combination of pressure ulcers, anemia, hypotension, and recurrent urinary tract infections in an older adult client?
• Palliative care can be best described by which of the following statements?
• One of the primary goals of eldercare is to:
• What is a key characteristic of macular degeneration?
• Which of the following interventions would NOT benefit an older adult with Parkinson's disease?
• In the context of the PSDA, what does patient self-determination ensure?
• What term defines the promotion of an adequate fluid balance that prevents medical complications?
• Which sociological theory of aging emphasizes active engagement in activities to achieve life satisfaction in older adults?
• A major factor contributing to the aging population's healthcare needs is:
• What behavior could suggest an older adult is not managing their health effectively?
• Normal aging changes would influence an older client's experience of pain. Which statement is FALSE?
• A female older adult client is complaining of mild and localized back and shoulder pain along with some nausea and heartburn. What should be your immediate concern?
• What is a common emotional response to significant anniversaries after a loss?
• Where do the majority of older adults typically reside?
• For an older adult client having trouble sleeping at night, which intervention should be avoided?
• Which emotion is commonly associated with alcohol dependency in adult clients?
• What is one of the main roles of a proxy appointed for someone declared incapacitated?
• Which component is NOT part of a cognitive assessment?
• What role do anniversaries play in the grief process for older adults?
• In terms of medication management, what can color-coded tops on medication bottles assist with?
• Which of the following is a common misconception regarding older adults and pain?
• To reduce ethnocentrism, nurses should not rely on which of the following?
• What is a consequence of the poor adjustment to loss in older adults?
• What disorder is characterized by oxidative damage leading to cloudy lenses in older adults?
• What behavior is a potential indicator of alcoholism in an adult client?
• Which psychological issue may commonly accompany chronic illness in the elderly?
• What condition is indicated by disturbances in attention, changes in cognition, and delusional thoughts in an older adult?
• Which of these is an example of a positive outcome in nursing care for older adults?
• What symptom indicates that a client has suffered a hemorrhagic stroke?
• What is the most reliable method to determine a patient's hydration status?
• Which symptom is typically associated with glaucoma?
• What right does a selected attorney-in-fact possess?
• Which model is beneficial for providing culturally sensitive care to older adults?
• What nursing action is appropriate for an older adult expressing feelings of loneliness due to being away from their church community?
• An older adult expresses uncertainty about decisions regarding healthcare. What should the family consider?
• Which of the following behaviors shows evidence of an unstable mental state in an older adult?
• What is the most common gastrointestinal complaint made to healthcare providers?
• Which intervention is not appropriate for helping older adults adjust to loss?
• Which organization offers predoctoral and postdoctoral scholarships for study and research in geriatric nursing?
• Which of the following devices would likely not benefit a client with severe hearing loss?
• In the context of dementia care, what is an important environmental consideration?
• When teaching an older adult client with pre-diabetes, which of the following should be emphasized?
• What is a potential consequence of using physical restraints on older adults in facilities?
• When following up on an older adult client who fell, which assessment step is least necessary?
• Which approach reflects a respectful way of engaging with an older adult in a nursing context?
• Which statement about caregivers of older adults is FALSE?
• Which theoretical framework views living with chronic illness as an integral part of life?
• What is one primary preventive measure against heat-related illnesses in older adults?
• Which of the following statements about the Patient Self-Determination Act (PSDA) is not accurate?
• Which precautions are advised to prevent hyperthermia in elderly clients during extreme heat?
• Diminished tear production due to aging is referred to as which of the following?
• Which factor is NOT a risk for changes in fluid balance in older clients?
• Which of the following is NOT a social determinant influencing levels of chronic illness?
• What is a common risk factor for fractures in postmenopausal women?
• Which factor is typically not included in facilitating a healthy adjustment to loss?
• Which of the following models helps improve care for individuals with chronic illnesses?
• In caring for older adults with dementia, which goal is NOT appropriate?
• Which approach is NOT typically included in pain management strategies for older adults?
• What role do social interactions play in the lives of older adults according to social exchange theory?
• As a nurse caring for a cognitively impaired older adult client, which of the following should you observe for?
• Which of the following is NOT an example of an intervention to promote wellness for older adults?
• Which lifestyle change should an older adult be instructed to make to prevent another TIA or stroke?
• Which action might indicate a decline in cognitive skills during an assessment of an older adult?
• What is the best gerontological nursing care practice regarding pain assessment?
• How should a patient care assistant handle feeding a client with dysphagia according to best practices?
• What effect can polypharmacy have on an older adult's health?
• Which condition is most likely to lead to gait disturbances in the elderly?
• What is the description of caregiving as a time of transition?
• Which of the following traits is considered a normal aspect of aging?
• What type of incontinence is indicated when an older adult cannot perceive the need to urinate?
• What is a common consequence of neurological damage in elderly patients?
• What rash should you suspect if an older adult client complains of itching and pain?
• What term describes the use of multiple medications that can increase the risk for drug interactions?
• How might one make a client with perceptual disturbances feel more comfortable during care?
• What physical symptom might indicate worsening heart failure in an older adult client?
• Which issue is NOT typically identified when initiating long-distance caregiving?
• For a patient with a history of falls, which aspects should be specifically assessed?
• What is a common symptom of skin problems in older adults?
• As a nurse aiming for a master's degree in gerontological nursing, which role does NOT require a master's degree?
• What factor is most likely to contribute to inadequate nutrition in older adults?
• When following the chronic illness trajectory as a nurse, what is one important action to take?
• What is a likely outcome of the increased focus on aging populations in health recommendations?
• Which of these actions can help promote better care for older adults?
• Which recommendation was NOT included in Healthy People 2020’s guidelines for aging baby boomers?
• What term refers to the change in effectiveness of two or more substances when used in combination?
• What behavior should a caregiver avoid when assisting an older adult with dysphagia?
• What characteristic would indicate a potential skin cancer lesion?
• Which statement about Medicare Part B supplemental insurance is NOT true?
• Which of the following is not a recommended activity for older adults looking to maintain their exercise routine?
• Why is recognition of "shadow grief" important for caregivers of older adults?
• Medicaid primarily serves which population group?
• What signifies that an older adult has had a transient ischemic attack (TIA)?
• Which behavior would indicate an older adult client is at risk for chronic disorders?
• When teaching a client about their thyroid medication, which instruction should the nurse emphasize NOT to follow?
• When assessing an older adult client's sleeping patterns, which question is least relevant?
• Older persons with hypertension are at higher risk for which of the following events?
• Why is urine color a reliable method to assess hydration in older adults?
• Which statement does NOT describe a need of the dying?
• A nurse is assessing an older adult's risk for pain. Which of the following is a critical factor to consider?
• In dealing with geriatric patients, nurses should prioritize which of the following when it comes to pain management?
• What comprehensive resource provides an overview of the scope of gerontological nursing for today's geriatric nurse?
• Which assessment method is considered unreliable in older adults?
• What nursing interventions are essential for an older adult client with a chronic respiratory disorder in a palliative care setting?
• What health system emphasizes the concept of balance as fundamental to well-being?
• What is an expectation of a health care provider regarding a patient with urinary incontinence?
• Which piece of information is least important to teach a client recently diagnosed with gout?
• Which disorder is associated with fixed and dilated pupils, along with sensitivity to glare?
• Which option does NOT exemplify ageism?
• In assessing symptoms, which condition is indicated by bradykinesia, reduced facial muscle movement, and tremors?
• What should be avoided to prevent pressure ulcers in older adults?
• What is a common intervention for enhancing the quality of life in older adults?
• What is the primary focus of nursing interventions for older adults dealing with grief?
• Which program would be most appropriate for a veteran's widow without sufficient funds for supplemental Medicare insurance?
• In assessing an older adult client with hyperthyroidism, which of the following symptoms would you expect to find?
• In assessing an elderly client, which observation raises concerns about possible neglect?
• Which lifestyle change is most beneficial for clients with a diagnosis of COPD?
• Which organization focuses on fostering gerontological nursing education in prelicensure programs?
• What factor influencing mental health care is demonstrated by a client proud of functioning independently despite challenges?
• Which of the following is an effective strategy for supporting older adults through grief?
• What is the typical indicator of dehydration in older adults?
• What type of care is expected to grow the fastest in the healthcare sector?
• Which of the following self-management skills would NOT be taught to an older adult client?
• What symptom characterizes a client exhibiting signs of severe anxiety?
• What factors increase the risk of a traumatic brain injury (TBI) for an unsteady older adult?
• Which item is LEAST relevant for documentation in a "bladder and voiding diary"?
• Which aspect is a sign of cognitive impairment affecting urinary function?
• What is a crucial instruction for a patient care assistant feeding a client with dysphagia?
• Which cognitive function tends to remain stable in older adults?
• For older adults, which factor could greatly influence their susceptibility to hypothermia?
• What condition is primarily associated with increased healthcare costs, functional impairments, and disability?
• In an older adult, what is a common complication of urinary incontinence?
• What condition is indicated by flashbacks, startle reactions, and poor concentration in an older adult?
• Myxedema can be described as a serious complication of what condition in older adults?
• What dietary approach may not be suitable for older adults needing to manage their weight?
• What defines a regular recurrence of certain phenomena linked to the 24-hour day by time cues?
• When assessing a potential suicide risk in an older adult, which question is most appropriate to ask?
• Which technology would be appropriate for a 90-year-old client with early dementia to help her stay in her home?
• Which aspect of the PSDA is critical for patient autonomy?
• Which of the following skin problems is common in older adults?
• What overarching principle defines palliative care?
• Which of the following is a common caregiver challenge faced due to increasing nuclear families?
• In which disorder characterized by COPD would you note a pink skin color and little sputum production?
• Which adjustment might help an older adult with visual impairments read medication instructions more easily?
• Loss of bone mineral density and structure is known as what?
• Which statement about a mentally healthy person is incorrect?
• What term describes the risk of harm to vulnerable older persons due to the actions of others?
• What significant effect did the establishment of Social Security in 1935 have on the perception of aging?
• What term describes the application of generalizations about one individual to all individuals within that same group?
• When an older adult experiences sudden changes in cognition, which condition should be considered?
• If an older person experiences urinary incontinence, what physiological change might you expect?
• Which statement indicates that a client does not understand her diagnosis of osteoporosis?
• When assessing the mental health of older adults, what aspect should not be overlooked?
• Which type of pain is defined as arising from actual or potential tissue damage?
• How can you tell that an older adult client has reached a state of wellness?
• What is a key concept of palliative care?
• Which of the following would not help prevent malnutrition in older clients with dementia?
• How much fluid should older adults generally consume each day?
• What is a key aspect of person-centered care when discussing options for an older adult in a nursing home?
• Which statement about the dietary needs of older adults is not accurate?
• Which statement is true regarding skin care in older adults?
• Which skin condition is characterized by dry skin in older adults?
• In preparing for a blizzard, which factor does not require early assessment for an elderly client?
• Which of the following is the most common type of malignant skin cancer?
• What approach is recommended for an older adult experiencing urinary incontinence?
• Which of the following is a common cause of interference in hearing for older adults?
• What condition might an older adult client who has had multiple urinary tract infections and complains of constipation be experiencing?
• What should you advise an older adult client who frequently knocks his arm and develops purpura?
• What is the role of a gerontological nurse practitioner (GNP)?
• Which scenario presents the highest risk for falls in an older adult?
• Which statement is INCORRECT about rest and sleep?
• What is a recommended method to help an older adult manage their medications effectively?
• Which factor is NOT mentioned as influencing the aging experience?
• Which statement best reflects a holistic approach to care for older adults?
• Which condition requires immediate treatment in an older adult displaying confusion and signs of rapid pulse and respiratory rates?
• What is a primary focus when advocating for the elderly in nursing?
• What term is used to describe individuals aged 100 to 109 years?
• Which type of drugs should be avoided in older adults except in extreme cases due to being on the list of potentially inappropriate medications?
• Which condition should an older adult monitor closely to prevent complications?
• If a client displays stiffness with inactivity and pain relieved by rest, what type of arthritis might she have?
• Which of the following types of pain is NOT recognized in the nursing context?
• What is a key characteristic of centenarians?
• During an assessment, what is the nurse’s priority when interacting with an older adult?
• Which factor is critical in ensuring effective communication with older adults experiencing cognitive decline?
• What diagnostic tool is most appropriate for a postmenopausal female client with loss of height and kyphosis?
• Which driving adaptation is least recommended for an elderly person experiencing visual and cognitive decline?