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Test Bank - Basic Geriatric Nursing, 8th edition
(Williams, 2023), Chapters 1 - 20 | All Chapters
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Basic Geriatric Nursing 8th Edition Williams Test Bank
Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. What fact explains the shift of health care focus toward the older adult in the late 1960s?
a. Disability was viewed as unavoidable.
b. Complications from disease increased mortality.
c. Older adults’ needs are similar to those of all adults.
d. Preventive health care practices increased longevity.
ANSWER: D
2. To what age group does the term “aged” apply?
a. 55–64 years of age
b. 65–74 years of age
c. 75–84 years of age
d. 85 and older
ANSWER: C
3. Which is true of ageism?
a. It is discrimination against persons solely on the basis of age.
b. It causes a person to fear aging.
c. It involves the use of cultural sensitivity to address concerns of aging.
d. It focuses on resources N
for R
the I
oldeG
r adB
u.
lt.C M
ANSWER: A
4. What is the most beneficial legislation that has influenced health care for the older adult?
a. Medicare and Medicaid
b. Elimination of the mandatory retirement age
c. The Americans with Disabilities Act
d. The Drug Benefit Program
ANSWER: A
5. What housing option for the older adult offers the privacy of an apartment with
restaurant-style meals and some medical and personal care services?
a. Government-subsidized housing
b. Long-term care facility
c. Assisted-living center
d. Group housing plan
ANSWER: C
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for
his care. What would be the most helpful response by the nurse?
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a. Medicare Part C pays 50% of all medical costs for persons older than 65.
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b. Medicare Part B pays hospital costs and physician fees.
c. Medicare Part A pays for inpatient hospital costs.
d. Medicare Part D pays 80% of the charges made by physicians.
ANSWER: C
7. The daughter of a patient who has been diagnosed with terminal cancer asks which
documents are required to allow her to make health care decisions for her parent. Which
response would provide the most accurate information to the daughter?
a. Advance directives indicate the degree of intervention desired by the patient.
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the
next of kin.
c. A durable power of attorney for health care transfers decision-making authority for
health care to a designated person.
d. A living will transfers authority to the physician.
ANSWER: C
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
mother’s refusal to eat. Which response would be the most appropriate?
a. The refusal to eat is an effort to maintain a portion of independence and
self-direction.
b. The refusal to eat is an indication of approaching Alzheimer disease.
c. The refusal to eat is an effort to gain attention.
d. The refusal to eat is an indication of the dislike of the institutional food.
ANSWER: A
9. When do the conditions of a living will go into effect?
a. When the patient declares that desire in writing
b. When a family member indicates the desire for curative therapy to cease
c. When two physicians agree in writing that the criteria in the living will have been
met
d. When the physician and a family member agree that the criteria in the living will
have been met
ANSWER: C
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
hospital costs. How did the DRGs reduce hospital costs?
a. By classifying various diagnoses as ineligible for hospitalization
b. By allotting a set amount of hospital days and prospective payment on the basis of
the admitting diagnosis
c. By specifying particular physicians to treat specified diagnoses
d. By using frequency of a particular diagnosis to set a payment schedule
ANSWER: B
11. Which facility would be recommended for a patient who has had a hip replacement and
needs physical therapy?
a. Basic care facility
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b. Skilled care facility
c. Subacute care facility
d. Assisted-living residence
ANSWER: B
12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care
facility. She is concerned about the expense. The nurse can decrease anxiety by explaining
that Medicare will cover extended-care facility costs for what period of time?
a. A period of 30 days
b. A period of 45 days for physical therapy
c. A period of 100 days for needed skilled care
d. Until she is able to be discharged home
ANSWER: C
13. Which senior citizen political action group uses volunteers and lobbyists to advance the
interests of older adults?
a. American Association of Retired Persons (AARP)
b. National Council of Senior Citizens (NCSC)
c. National Alliance of Senior Citizens (NASC)
d. Gray Panthers
ANSWER: A
14. Which caregiver could be found guilty of elder abuse?
a. A daughter who uses her mother’s Social Security money to purchase her mother’s
medication
b. A son who puts an alarm on the front door to prevent his mother from wandering
out of the house
c. A wife who allows her mentally competent husband to refuse to take a bath for a
week
d. A son who uses his mother’s checking account funds to purchase alcohol for
himself
ANSWER: D
15. What is the most frequent response to elder abuse by the abused older adult?
a. Anger
b. Physical retaliation
c. Notification of authorities
d. Nothing at all
ANSWER: D
16. What reason is often stated by nurses today for not seeking careers in gerontology?
a. The physical work is too difficult.
b. Their technical skills are not used.
c. There is too much challenge.
d. There are limited options for employment.
ANSWER: B
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.
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17. “Baby boomers” is a term used to classify which of the following persons?
a. Those who entered school in 1945
b. Those who served in the military in World War II
c. Those who were born between 1946 and 1964
d. Those who were eligible for Social Security benefits in 2000
ANSWER: C
18. What type of abuse is demonstrated by restraining an older adult in a recliner?
a. Physical abuse
b. Neglect
c. Emotional abuse
d. Self-neglect
ANSWER: A
19. Which type of elder abuse is demonstrated by the nonprovision of medical care?
a. Physical abuse
b. Neglect
c. Emotional abuse
d. Self-neglect
ANSWER: B
20. Which type of elder abuse is demonstrated by a health care worker telling a nursing home
resident she will be left without a call light if she continues to use it excessively.
a. Physical abuse
b. Neglect
c. Emotional abuse
d. Self-neglect
ANSWER: C
MULTIPLE RESPONSE
1. The nurse is aware that a person’s attitude about aging is influenced mainly by his or her
. (Select all that apply.)
a. life experiences
b. income level
c. level of education
d. current age
e. occupation
ANSWER:
A, D
2. Gerontology encompasses application to
a. appropriate housing
b. health care
c. public education
d. business ventures
. (Select all that apply.)
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.
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e. government-sponsored pensions
ANSWER: A, B, C, D
3. Medicare Part C allows eligible persons to receive Medicare benefits via the services of
private insurance companies through which of the following? (Select all that apply.)
a. Health maintenance organization (HMO)
b. Preferred provider organization (PPO)
c. Provider-sponsored organization (PSO)
d. Private fee for service organization (PFFS)
e. Medical service organization (MSO)
ANSWER: A, B, C, D
4. Which emotional response would be expected from a family who is coping with an aging
loved one’s diminishing abilities and increased care needs? (Select all that apply.)
a. Grief
b. Anger
c. Frustration
d. Loss
e. Resentment
ANSWER: A,
B, C, D
5. What characteristics are typical for a caregiver of an aging family member? (Select all that
apply.)
a. 32 years of age
b. Female
c. Having full-time employment
d. Having a care recipient older than 70
e. Giving care for an average of 4 years
ANSWER: B, C, D, E
6. Which are indicators of self-neglect in the aging person? (Select all that apply.)
a. Misbalanced checkbook
b. Reduced personal hygiene
c. Increased alcohol consumption
d. Irritability
e. Loss of weight
ANSWER: A, B,
C, E
7. The nurse reminds a group of prospective caregivers that elder abuse may take the form of
. (Select all that apply.)
a. caring for physical needs
b. misappropriation of finances
c. psychological intimidation
d. emotional depersonalization
e. abandonment
ANSWER: B,
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C, D, E
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.
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8. Research by the National Institute on Aging found which of the following to be correct?
(Select all that apply.)
a. Older patients receive less information regarding health management than younger
patients.
b. Information on lifestyle changes were directed at younger people.
c. Older patients were denied timely appointments for evaluation of acute illnesses.
d. Rehabilitation programs offered limited services to the older adult.
e. Older patients receive less evaluation and fewer treatment options for acute
illnesses.
ANSWER: A, B, D, E
9. The Nursing Competence in Aging initiative advocates enhancing nurses’
(Select all that apply.)
a. knowledge in gerontics
b. skills in geriatrics
c. opportunities for employment
d. political sensitivity for the older adult
e. attitudes related to the older adult
.
ANSWER: A, B, E
COMPLETION
1. The nurse clarifies that the term that refers to the promotion of high-level functioning and
supportive care to older aduNltU
sR
i
ANSWER: gerontics
2. The nurse reminds a patient who was born in 1965 that eligibility for full Social Security
benefits for persons of this age is now the age of
.
ANSWER: 67
3. The nurse clarifies that the point at which a person on Medicaid Part D must assume full
cost of medication is called the
.
ANSWER: donut hole
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.
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Chapter 02: Theories of Aging
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. How does a theory differ from a fact?
a. A theory proves how different influences affect a particular phenomenon.
b. A theory attempts to explain and give some logical order to observations.
c. A theory is a collection of facts about a particular phenomenon.
d. A theory shows a relationship among facts about a particular phenomenon.
ANSWER: B
2. The biological theory of aging uses a genetic perspective and suggests that aging is a
programmed process in which
.
a. each person will age exactly like those in the previous generation
b. a biological timeline predetermines number of cell divisions
c. genetic traits can overcome environmental influences
d. age-related physical changes are controlled only by genetic factors
ANSWER: B
3. The Gene Theory of aging suggests which of the following ?
a. The presence of a “master gene” prolongs youth.
b. Genes interact with each other to resist aging.
c. Specific genes target specific body systems to initiate system deterioration.
Nl gRenSeIs N
G atBes.thCeOaM
d. The activation of harmfuU
initiT
ging process.
ANSWER: D
4. The theory that identifies an unstable molecule as the causative factor in aging is the
theory.
a. free radical
b. molecular
c. neuroendocrine
d. crosslink
ANSWER:
A
5. A patient uses good health maintenance practices. What aging theory most accurately relates
to the patient’s practices?
a. Wear-and-tear
b. Free radical
c. Neuroendocrine
d. Molecular
ANSWER:
A
6. The patient asks the nurse to describe the neuroendocrine theory of aging. What would be an
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appropriate response by the nurse?
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.
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a.
b.
c.
d.
It relates thyroid function to age-related changes.
Adrenal corticosteroids inhibit the aging process.
The stimulation and/or inhibition of the hypothalamus causes age-related changes.
The adrenal medulla inhibits epinephrine, causing age-related changes.
ANSWER: C
7. What is true of the psychosocial theories of aging?
a. They focus on methods to delay the aging process.
b. They are directed at decreasing depression in the older adult.
c. They are organized to enhance the perception of aging.
d. They attempt to explain responses to the aging process.
ANSWER: D
8. What is the major objection to the disengagement theory?
a. The theory justifies ageism.
b. The theory addresses the diversity of older adults.
c. The theory does not clarify the aging process.
d. The theory diminishes the self-esteem of the older adult.
ANSWER: A
9. An 80-year-old teaches Sunday school each week and delivers food for Meals on Wheels.
What theory of aging would apply?
a. Newman’s developmental
b. The life course
c. The activity
d. The disengagement
ANSWER: C
10. The nurse would recognize successful aging according to Jung’s theory when a long-term
care facility resident demonstrates which of the following behaviors?
a. The resident takes special care to dress for dinner in a manner that pleases his
tablemates.
b. The resident asks permission to sit on the patio with other residents.
c. The resident asks persons in his hall if his television is bothering them.
d. The resident wears a large cowboy hat at all times because he likes it.
ANSWER: D
11. How would an elderly female be most likely to reduce the amount of the free radical
lipofuscin?
a. Avoid animal fat
b. Take antioxidants daily
c. Build muscle mass
d. Perform outdoor exercise three times weekly
ANSWER: B
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.
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12. A recently widowed woman moved to an assisted living community because of her
hypertension and joined a group to learn how to do water color painting with other women
her age. Which theory of aging does the nurse assess the patient to be following?
a. Jung
b. Havighurst
c. Erikson
d. Newman
ANSWER:
B
MULTIPLE RESPONSE
1. What age-related illnesses are thought to cause the accumulation of free radicals? (Select all
that apply.)
a. Arthritis
b. Colon cancer
c. Osteoporosis
d. Diabetes
e. Atherosclerosis
ANSWER: A, D,
E
2. The nurse emphasizes that the relatively new theory that correlates restricted caloric intake
to slowing of the aging process would probably extend the life span of the person, provided
that the person
. (Select all that apply.)
a. consistently eats high-nutrient, low-calorie foods
b. maintains a regular exeN
rcU
isR
e pSrI
ogN
raGm
c. consumes 2000–3000 mL of fluid a day
d. supports the diet with adequate fat-soluble vitamins
e. eats only organically grown foods
ANSWER: A, B
3. Which would be considered positive outcomes of Erikson’s “life review”? (Select all that
apply.)
a. Wisdom and integrated self-image
b. Comparing self with others
c. Understanding self and relationships
d. Seeking another’s opinion of his or her achievement
e. Acceptance of self
ANSWER: A, C, E
4. Which of the following would be selected for a diet high in antioxidants? (Select all that
apply.)
a. Fruits
b. Vegetables
c. Organ meat
d. Folic acid
e. Vitamin D
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.
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ANSWER: A, B, D
COMPLETION
1. The theory that proposes that defects in ribonucleic acid (RNA) protein production cause a
progressive decline in the function of all cells is the
theory.
ANSWER: error
2. The nurse clarifies that the biologic theory that proposes that aging is based on the using up
of a finite number of breaths or heartbeats is the
of
theory.
ANSWER: rate living
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.
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Chapter 03: Physiologic Changes
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. Why does the nurse modify the environment to keep it warmer for the older adult?
a. A change in the metabolic rate
b. Decreased subcutaneous tissue
c. Changes in the musculoskeletal system
d. A weakened peripheral vascular system
ANSWER: B
2. A 75-year-old male is worried that his wartlike dark macules with distinct borders are
melanomas. What would be the most likely cause for the macules?
a. Senile lentigo
b. Cutaneous papillomas
c. Seborrheic keratoses
d. Xerosis
ANSWER:
C
3. The nurse is accompanying a group of older adults on a July 4th outing to monitor heat
prostration. What factor is related to heat intolerance in the older adult?
a. An increase in melanin
b. A reduction of perspiraN
tionR
c. A reduction in body tempUeraS
ture
d. Increased capillary fragility
ANSWER: B
4. The nurse cautions the Certified Nursing Assistants (CNAs) to use care when transferring or
handling older adults. The nurse understands that the vascular fragility of the older adult can
result in which condition?
a. Altered blood pressure
b. Pressure ulcers
c. Pruritus
d. Senile purpura
ANSWER: D
5. The Certified Nursing Assistant (CNA) caring for an older adult asks if the yellow, waxy,
crusty lesions on the patient s axilla and groin are contagious. Which response shows the
nurse s understanding for the cause of the lesions?
a. Yes. It is cellulitis caused by bacteria.
b. No. It is seborrheic dermatitis caused by excessive sebum.
c. Yes. It is an indication of scabies.
d. No. It is the lesion seen with basal cell carcinoma.
ANSWER: B
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.
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6. Why would a nurse lead a group of postmenopausal women on a daily 15-minute walking
tour through the long-term care facility?
a. To improve bone strength
b. To orient them to their surroundings
c. To improve their socialization
d. To increase their appetite
ANSWER: A
7. A 70-year-old woman asks, How in the world can my bones be brittle when I eat all the
right foods? Which response by the nurse would be the most informative?
a. Calcium loss is expected in the older adult.
b. Calcium is continuously withdrawn from bone for nerve and muscle function.
c. Smoking and alcohol consumption speed calcium loss from the bones.
d. Walking and standing increase calcium loss from the bone.
ANSWER: B
8. A 70-year-old woman complains, I weigh exactly the same as I did when I wore a size 10
and now I can barely squeeze into a size 16. Which statement by the nurse would most
correctly explain the size change to the woman?
a. Metabolism in the older adult creates increased adipose tissue.
b. Postmenopausal women gain adipose tissue related to loss of calcium.
c. Decrease in muscle mass is replaced with adipose tissue.
d. Kyphosis causes a redistribution of weight.
ANSWER: C
9. What would be the most helpful response to a 70-year-old postmenopausal woman who asks
whether her hormone replacement therapy (HRT) will prevent bone loss?
a. No. HRT is not helpful after the age of 60.
b. Yes. HRT will prevent bone loss but can cause a stroke, heart attack, or breast
cancer.
c. No. HRT is reliant on some natural estrogen production from the ovaries.
d. Yes. HRT is a widely accepted therapy for prevention of bone loss.
ANSWER: B
10. What are Heberden nodes?
a. Yellow longitudinal lines in the nails
b. Thickened discolored fingernails
c. Darkened areas under the fingernail
d. Bony enlargements of distal joints of the fingers
ANSWER: D
11. Which care plan modification would be the most beneficial for a 62-year-old woman who is
suffering from a flare in her rheumatoid arthritis?
a. Increase fluid intake
b. Schedule several rest periods to balance activity
.
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c. Reduce salt in the diet
d. Assist with rigorous finger extension exercises
ANSWER: B
12. What is the pathophysiology of emphysema?
a. Constriction of the bronchial tree, excessive mucus, and nonproductive cough
b. Calcification of the alveoli and a dry cough
c. Overinflation of the alveoli, making them ineffective for gas exchange
d. Inflammation of the trachea and bronchioles, excessive mucus, and productive
cough
ANSWER: C
13. What is the pathophysiology of a myocardial infarct?
a. A portion of the myocardium necroses and scars over.
b. The coronary vessels are narrowed during the attack.
c. The ischemic myocardium causes pain during the attack but is able to regenerate.
d. There is damage to the myocardium but no serious alteration of cardiac output.
ANSWER: A
14. Which assessment finding is the cardinal signs and symptoms of congestive heart failure?
a. Dyspnea and edema
b. Myocardial pain and hypotension
c. Ventricular arrhythmias and cyanosis
d. Atrial arrhythmias and polycythemia
ANSWER: A
15. What is a cause of pernicious anemia?
a. An iron deficiency
b. A deficiency of vitamin B12
c. Low serum potassium level
d. Blood loss
ANSWER: B
16. What would be an acceptable alteration in the plan of care for a patient with a hiatal hernia
who is experiencing gastrointestinal reflux?
a. Encouraging the patient to lie down after meals
b. Drinking two full glasses of liquid after the evening meal
c. Eating smaller, more frequent meals
d. Using caffeine drinks to assist with digestion
ANSWER: C
17. The nurse assesses a patient with diabetes and finds the patient to be pale, edematous, and
listless with a blood urea nitrogen (BUN) level of 35 mg/dL and a creatinine level of 4
mg/dL. What would the results of the nursing assessment indicate?
a. Diverticulitis
b. Congestive heart failure
.
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c. Chronic kidney disease
d. Benign prostatic hypertrophy
ANSWER: C
18. A person with Parkinsons disease has a nursing diagnosis of nutrition, less than body
requirements related to difficulty swallowing. What change would the nurse make in the
nursing care plan?
a. Feed the patient at each meal.
b. Place the patient in a semi-Fowler position for mealtime.
c. Offer a thick, high-nutrition shake as a snack.
d. Encourage the patient to drink a sip of water after each bite of solid food.
ANSWER: C
19. A person who experienced a hemorrhagic cardiac vascular accident (CVA) to the left
hemisphere would demonstrate which type of symptoms?
a. Language disturbances
b. Poor impulse control
c. Inappropriate affect
d. Confabulation
ANSWER: A
20. How should the nurse provide written discharge instructions for a patient with macular
degeneration?
a. Write the instructions in bold print.
b. Adjust the table and ligN
htUtoRaSsI
sisN
tG
thT
eB
pa.
tiC
enO
tM
to use peripheral vision to read.
c. Place written document directly in front of the patient to read.
d. Read the document to the patient.
ANSWER: B
21. What is a symptom of inadequate insulin coverage in a patient with diabetes mellitus type I?
a. Diminished urine output
b. Ketones in the urine
c. Shallow and slow respirations
d. Extreme diaphoresis
ANSWER: B
22. An 80-year-old extended-care resident comes to the nurse asking for a bandage for a
bleeding, dark pigmented mole with irregular shape and border. What does the nurse
suspect?
a. Melanoma
b. Basal cell carcinoma
c. Cutaneous papilloma
d. Senile lentigo
ANSWER: A
.
Basic Geriatric Nursing 8th Edition Williams Test Bank
MULTIPLE RESPONSE
1. What factors influence the timing and extent of age-related changes? (Select all that apply.)
a. Health maintenance
b. Ethnicity
c. Heredity
d. Attitude
e. Environment
ANSWER: A,
C, E
2. What should be avoided by an 82-year-old man with rosacea? (Select all that apply.)
a. Stress
b. Dairy products
c. Sun exposure
d. Spicy foods
e. Alcohol consumption
ANSWER: A, C, D, E
3. What vitamins are necessary to support ossification? (Select all that apply.)
a. A
b. B6
c. C
d. D
e. E
ANSWER: A, C, D
4. What are risk factors for osteoporosis? (Select all that apply.)
a. Menopause
b. Smoking
c. White female
d. Excessive high-impact exercise
e. Long-term use of phenytoin
ANSWER: A, B, C, E
5. What age-related changes in the respiratory system explain why the older adult is at risk for
infection? (Select all that apply.)
a. Reduced ciliary movement
b. Decrease in alveolar elasticity
c. Pooling of secretions
d. Flattened diaphragm
e. Calcification of costal cartilage
ANSWER: A, B, C
COMPLETION
Basic Geriatric Nursing 8th Edition Williams Test Bank
.
Basic Geriatric Nursing 8th Edition Williams Test Bank
1. The nurse is aware that children with
persons of advanced age.
have the treatment and care needs of
ANSWER: progeria
2. The 75-year-old resident in a long-term care facility complains of muscle pain while riding a
stationary bicycle. The nurse explains that the discomfort is related to the buildup of
in the muscle.
ANSWER: lactic acid
3. When a 75-year-old male resident in an extended-care facility tells the nurse he wants to
build up the muscles in his arms, the nurse recommends a(n)
exercise program.
ANSWER: isotonic
OTHER
1. Arrange these common diseases of the older adult in order of their mortality rate.
a. Cancer
b. Pneumonia
c. Stroke
d. Chronic obstructive pulmonary disease (COPD)
e. Heart disease
ANSWER:
E, A, C, B, D
.
Basic Geriatric Nursing 8th Edition Williams Test Bank
Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. A 70-year-old male patient has been newly diagnosed with hypertension. What would be the
most effective health practice to reduce sodium intake?
a. Avoid all salty foods.
b. Discontinue eating at restaurants.
c. Read food labels on food containers carefully.
d. Limit the amount of salt added to food.
ANSWER: C
2. An older adult states that her physician ordered her to drink a glass of wine daily. The nurse
understands that alcohol is occasionally recommended for which of the following reasons?
a. Memory enchancer
b. Appetite stimulant
c. Diuretic
d. Food source
ANSWER: B
3. When the 70-year-old female patient says, “Keeping up with when to take the flu vaccine is
a big hassle. I’m not going to add trying to keep up with a pneumonia vaccine as well. It’s
too expensive.” Which response by the nurse would be the most helpful?
NUenRS
B.timOe every fall.”
a. “Both vaccines can be tak
atIthNeGsaTme
b. “The pneumonia vaccine needs to be repeated every 10 years.”
c. “It is important to begin getting annual pneumonia shots at 80 years of age.”
d. “The flu vaccine must be taken every three years to remain effective.”
ANSWER: B
4. How often should a 75-year-old have a visual screening?
a. Every 6 months
b. Every 12 months
c. Every 2 years
d. On an as needed basis
ANSWER: B
5. What would be the most important suggestion for the nurse to give her 75-year-old patient
in an attempt to prevent a potential drug interaction?
a. Seek medical care from only one physician.
b. Read up on all drugs that are prescribed.
c. Keep a list of drugs that he is currently taking.
d. Use only one pharmacy to fill prescriptions.
ANSWER: C
Basic Geriatric Nursing 8th Edition Williams Test Bank
6. The 65-year-old male farmer who is overweigh and has hypertension, tells the home health
nurse that he eats two fried eggs, four pieces of bacon, and biscuits with gravy every
morning for breakfast because he believes that a robust breakfast keeps him healthy. What
would be the most appropriate response by the nurse?
a. “That sort of food is not on your low-sodium diet.”
b. “You won’t be healthy long with a diet like that.”
c. “One egg and whole wheat toast would be even healthier.”
d. “You should eat whole-grain cereal with fruit instead of all that fat and sodium.”
ANSWER: C
7. The 60-year-old Asian man tells the home health nurse that he has stopped taking his
antihypertensive medication because it causes him to be impotent. He reports that he is
using acupuncture to control his hypertension. What would be the most effective response
by the nurse?
a. “Uncontrolled hypertension is a real health problem.”
b. “Does your acupuncturist check your blood pressure?”
c. “Let me check your blood pressure to see how acupuncture is working.”
d. “You need to talk to your real doctor about stopping this drug.”
ANSWER: C
8. The nurse is teaching a newly diagnosed patient with diabetes regarding the diabetic diet.
Which of the following factors will have the biggest impact on compliance?
a. Clarity of the instructions
b. Severity of the disease
c. Timing of the instructioNns R I G B.C M
d. Motivation of the patientU
ANSWER: D
9. What is the best predictor that a patient with hypertension will adhere to a newly prescribed
low-sodium diet?
a. The amount of knowledge about the patient has of the diet.
b. The amount of distress the patient has about his illness.
c. The patient’s previous ability to lose 15 lbs through following a weight reduction
program.
d. The patient’s desire to not suffer from hypertensive complications.
ANSWER: C
10. An 80-year-old woman injured her foot on a piece of rusty wire. She tells the nurse she had
a tetanus booster when she was 75. The nurse’s response will be based on the knowledge
that tetanus boosters
a. should be repeated every 5 years.
b. are not necessary for persons older than 70.
c. do little good for the older adult.
d. should be repeated with every injury, regardless of the previous booster.
ANSWER: D
Basic Geriatric Nursing 8th Edition Williams Test Bank
11. A 70-year-old male patient taking corticosteroids for rheumatoid arthritis asks the nurse if
he should take the vaccination to prevent shingles. What would be the nurse’s most helpful
response?
a. “No. Persons with impaired immune systems should not take that vaccine.”
b. “Yes. It would be a good idea to protect yourself from shingles.”
c. “No. That vaccine is only effective in about 10% of the cases.”
d. “Yes. The vaccine is very inexpensive and very effective.”
ANSWER: A
12. The home health nurse suggests to the 82-year-old man that he should wear a Medic Alert
bracelet. Which of the following health conditions prompted the nurse to make this
suggestion?
a. Artificial leg
b. Congestive heart failure
c. Pacemaker
d. Eye prosthesis
ANSWER: C
13. The home health nurse observes that there is still about half a month’s supply of
Glucophage in the medicine bottle at the end of the month. What question would be the
most appropriate for the nurse to ask?
a. “Do you know what inadequately treated diabetes can do?”
b. “Have you told your physician you are not taking your prescription?”
c. “Are you trying to make the medication stretch for 2 months?”
d. “Why are you being soN
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ANSWER: C
14. What does the presence of a caregiver provide for the older adult living at home?
a. Assurance of safety
b. Service for deep housecleaning
c. Source of motivation
d. Source of care that is free of charge
ANSWER: C
15. The caregiver who provides daily meals and attends to the daily needs of the older adult is
classified as the
caregiver.
a. basic
b. organizing
c. primary
d. designated
ANSWER: C
16. Which task could not be performed by an unlicensed home health aide?
a. Transfer the patient into a bathtub.
b. Measure or dispense medication.
c. Contact family members independently.
Basic Geriatric Nursing 8th Edition Williams Test Bank
d. Accompany the patient outside the home.
ANSWER: B
17. What would be the most effective action by the home health coordinator when interacting
with an unpaid caregiver?
a. Tell him or her to call the agency if he or she needs any further assistance.
b. Leave him or her entirely on his or her own so as not to interfere with the care he
or she provides.
c. Critique care to improve its effectiveness.
d. Be generous with positive feedback.
ANSWER: D
18. When doing exercises such as walking or swimming, how many minutes must the older
adult perform the activity in order for it to be considered beneficial?
a. 15
b. 30
c. 45
d. 60
ANSW
ER: B
19. The home health nurse is discussing oral hygiene with the older adult. Which practice would
be appropriate to add to the current maintenance plan?
a. A dental appointment every 2 years
b. Using a fluoride toothpaste
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d. Use of an electric toothbrush
ANSWER: B
20. The 84-year-old male complains of dry mouth. What would be appropriate for the nurse to
suggest?
a. Keep hard candy in his mouth to stimulate salivation.
b. Drink iced cola drinks several times daily for hydration.
c. Wash his mouth with an astringent mouthwash.
d. Limit alcohol intake.
ANSWER: D
MULTIPLE RESPONSE
1. The nurse is reviewing recommended health practices with an older patient. What would be
included in the teaching? (Select all that apply.)
a. Compliance with dietary restrictions
b. Performance of regular exercise daily
c. Cessation of smoking
d. Arrangement for regular medical examinations
e. Annual psychological testing
Basic Geriatric Nursing 8th Edition Williams Test Bank
ANSWER: A, B, C, D
2. What benefits can the older adult female expect with even a small amount of daily exercise?
(Select all that apply.)
a. Build muscle mass
b. Control weight
c. Retard bone loss
d. Control the blood glucose level
e. Promote a sense of well-being
ANSWER: B, C, D, E
3. What evaluations should be conducted during an older adult female’s routine physical
examination? (Select all that apply.)
a. Measurement of height and weight
b. Blood pressure
c. Electrocardiography
d. Rectal examination
e. Mammography
ANSWER: A, B,
D, E
4. When assessing for inadequate health maintenance, what should be assessed? (Select all that
apply.)
a. Willingness to follow a health maintenance plan
b. Possible conflict between a health maintenance plan and culture
c. The presence of prohibited items such as sweets, alcohol, and cigarettes
d. The family’s perceptionNoUf R
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a health maintenance plan
e. The level of cognitive impairment
ANSWER: A, B, C, E
5. The 80-year-old woman tells the home health nurse, “I can only eat cereal because I just
can’t make those dentures work!” What would be the most appropriate suggestion by the
nurse? (Select all that apply.)
a. Take only tiny bites of food.
b. Chew slowly.
c. Use a dental adhesive.
d. Select soft, nonsticky foods (e.g., ground meat, boiled carrots).
e. Purée all food.
ANSWER: A, B,
C, D
6. What factors might interfere with the health maintenance activities of a 76-year-old patient?
(Select all that apply.)
a. A belief that diminished health is part of aging
b. Loss of a spouse 3 months ago
c. Having a physical examination every year
d. Living in an assisted living facility and not driving
e. Having no family
Basic Geriatric Nursing 8th Edition Williams Test Bank
ANSWER: A, B, E
Basic Geriatric Nursing 8th Edition Williams Test Bank
Chapter 05: Communicating With Older Adults
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. Which best defines therapeutic communication?
a. Has a specific intent or purpose
b. Is the only form of professional communication
c. Should never be used in a social setting
d. Requires no special skills, just a willingness to listen
ANSWER: A
2. Why is it important for the nurse to be cautious when using medical jargon with an older
adult patient?
a. It could become an opportunity to instruct the patient.
b. It could become an effective abbreviated communication shortcut.
c. It could become an indicator of formal communication.
d. It could become a communication barrier.
ANSWER: D
3. The nurse is engaging the patient in social conversation. What is the benefit of social
conversation in the health care setting?
a. It lets the patient know that he or she is considered to be a person, not just a
patient.
b. It encourages sharing of intimate details.
c. It establishes the nurse’s role as a health care provider.
d. It blocks more meaningful therapeutic communication.
ANSWER: A
4. What can the nurse do to improve communication with an older adult patient who has a
hearing impairment?
a. Speak in a higher tone, standing directly in front of the patient.
b. Speak more loudly from several feet away.
c. Speak normally with exaggerated hand gestures.
d. Speak in a low tone, bending close to the patient.
ANSWER: D
5. Seeing a patient with his head in his arms resting on the over-the-bed table, the nurse steps
into the room and asks if the patient feels ill. The patient, without raising his head, says,
“I’m fine.” What would be an appropriate response of the nurse?
a. Sit down next to the bed and say, “You don’t act fine.”
b. Pat him on the shoulder and continue on rounds.
c. Say, from the doorway, “If you need anything, just call me.”
d. Assist the patient to sit up and say, “Now, that’s much better, isn’t it?”
ANSWER: A
Basic Geriatric Nursing 8th Edition Williams Test Bank
6. When entering the room of an older adult to insert a catheter, what would be the most
effective approach by the nurse?
a. Touch the patient and say, “I need to insert this catheter.”
b. Approach the bed, turn back the cover, and announce, “The doctor wants a urine
specimen.”
c. Open catheter tray at bedside, turn back the cover, and say, “Is it okay to put a tube
in your bladder?”
d. Introduce yourself at the door and ask, “May I insert this catheter for a urine
specimen?”
ANSWER: D
7. What is the best method of communication for a patient with aphasia?
a. A notepad
b. Speaking slowly
c. Worded flash cards
d. Gestures
ANSWER:
D
8. The European American female nurse is concerned that the 80-year-old African-American
male patient is not being truthful with her because the patient displays which action?
a. Lack of eye contact
b. Smiling facial expression
c. Tone of voice
d. Body language
ANSWER: A
9. When asked about the severity of pain, the 93-year-old patient does not answer right away.
What is the best response by the nurse?
a. Ask rapid questions: “Is it better? Is it worse than yesterday? Is it worse than this
morning?”
b. Repeat the question in a louder voice.
c. Say, “You must be feeling better because you’re not complaining.”
d. Keep eye contact and wait for the answer.
ANSWER: D
10. When the nurse answers the call light after a delay of 5 minutes, the angry patient says,
“You made me wait an hour. I’m in pain and no one’s willing to help me.” What is the best
response by the nurse?
a. “It’s only been 5 minutes. What do you want?”
b. “Well, I’m here now. What is your problem?”
c. “I know it must have seemed like an hour. I’ll bring your medication.”
d. “I was attending to another patient who’s really ill. I’ll help you now.”
ANSWER: C
Basic Geriatric Nursing 8th Edition Williams Test Bank
11. The 93-year-old woman with chronic back pain is found crying. When the nurse
approaches, the patient says, “I know you can’t do anything more, but I hurt so bad.” What
nursing intervention would be most effective?
a. Bring pain medication when it is time for it.
b. Assure the patient that the pain medication will take effect soon.
c. Touch the patient’s shoulder and sit quietly without speaking.
d. Distract the patient by offering a sip of water.
ANSWER: C
12. The nurse is entering the room of a new 85-year-old female patient to complete the
admission process. How should the nurse initiate the conversation?
a. “Good morning, Mary. We need to get some questions answered.”
b. “Welcome to 4B, Mrs. Miller. I’d like to get some additional information, if I
may.”
c. “Hello, sweetie. I’ll bet you thought all the admission stuff was finished, didn’t
you?”
d. “I need to finish the admission. What is your name?”
ANSWER: B
13. The nurse is informing a patient about an upcoming diagnostic procedure. What statement
by the nurse would demonstrate effective communication?
a. Mr. Brown, your leg is to be x-rayed in the x-ray department in an hour.
b. X-ray is coming to get you for an AP and lateral of your chest.
c. You can’t eat anything after supper because of some lab work.
d. Mrs. Smith, the OR hasNnotR
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ANSWER: A
14. What is true of direct questions?
a. They can get a lot of information quickly.
b. They can help the patients organize their thoughts.
c. They get minimum response answers of “yes” and “no.”
d. They make patients think that they are contributing to their health care.
ANSWER: C
15. The patient denies smoking, although the smell of tobacco is strong in his hospital room.
Which of the following statements by the nurse would be the most effective?
a. “Don’t bother to lie to me. I know you’ve been smoking.”
b. “It is very dangerous to smoke in bed.”
c. “The hospital has policies against smoking.”
d. “I can smell the tobacco, and I see your lighter on the bedside table.”
ANSWER: D
16. When the nurse is inquiring about the patient’s level of pain, which of the following
statements would best support the patient?
a. “Does your stomach hurt now?”
b. “How would you describe your pain?”
Basic Geriatric Nursing 8th Edition Williams Test Bank
c. “When the pain occurs, does the medicine help?”
d. “Do you use more than one pain remedy?”
ANSWER: B
17. The patient says, “When I came to the hospital yesterday, everything got confused.” What
would be the best response by the nurse?
a. “What happened?”
b. “Yes, hospital admissions can be confusing.”
c. “Are you confused now?”
d. “We really try to make admissions less stressful.”
ANSWER: A
18. What percent of communication is transmitted by verbal methods?
a. 7
b. 18
c. 22
d. 36
ANSW
ER: A
19. What is the goal of empathetic listening?
a. It encourages the patient to divulge information.
b. It allows for time to pose another question to the patient.
c. It indicates the conversation has come to a close.
d. It allows the nurse to understand what the patient has said.
ANSWER: D
20. When using an interpreter to speak with an 84-year-old Chinese patient, on what should the
nurse focus?
a. The patient, not the interpreter
b. Encouraging the interpreter to paraphrase
c. Limiting questions from the patient
d. Listening to the words, not emotional tone
ANSWER: A
21. The nurse must tell a 94-year-old resident of a nursing home that his wife has fallen and has
been hospitalized with a broken hip. What is the most effective method for the nurse to
deliver the news?
a. Hurry through the conversation to spare the resident.
b. Conserve time by delaying plans for follow-up.
c. Use social conversation before the delivery of the information.
d. Gather all pertinent information that is accurate.
ANSWER: D
22. What is the correct terminology for the area within 18 inches of a person?
a. Public space
b. Social space
Basic Geriatric Nursing 8th Edition Williams Test Bank
c. Personal space
d. Intimate space
ANSWER: D
23. What is the correct term for the area between 18 inches and 4 feet of a person?
a. Public space
b. Social space
c. Personal space
d. Intimate space
ANSWER: C
24. The area between 4 and 12 feet of a person is commonly referred to as which of the
following?
a. Public space
b. Social space
c. Personal space
d. Intimate space
ANSWER: B
25. The area 12 feet from a person and beyond is known as
a. public
b. social
c. personal
d. intimate
space.
ANSWER: A
MULTIPLE RESPONSE
1. In what respect do Baby Boombers differ from young adults? (Select all that apply.)
a. Experience with technology
b. Attitude about lifestyles
c. Value of money
d. Methods of communication
e. Perceptions of gender roles
ANSWER: B, C, D, E
2. What is successful communication dependent on? (Select all that apply.)
a. The need to share information with someone else
b. Empathetic listening
c. Assessing or correcting communication barriers
d. Using perfect grammar
e. Use of a variety of communication skills
ANSWER: A, B, C, E
Basic Geriatric Nursing 8th Edition Williams Test Bank
3. What should the nurse base her communication approach on for the most effective
communication? (Select all that apply.)
a. Culture
b. Ethnicity
c. Income level
d. Perspective
e. Level of education
ANSWER: A, B, D,
E
4. The nurse is sensitive to the use of nonverbal communication from patients, which includes
the interpretation of
. (Select all that apply.)
a. choice of words
b. voice tone
c. body language
d. gestures
e. facial expressions
ANSWER: B, C, D,
E
5. What would the nurse be conveying when using touch as a form of communication? (Select
all that apply.)
a. Affection
b. Understanding
c. Concern
d. Apathy
e. Acknowledgment
ANSWER: A, B, C,
E
6. Which of the following examples represent “elderspeak?” (Select all that apply.)
a. “Ok, honey, let’s get a bath now.”
b. “Oh, dear! We better get you a clean diaper.”
c. “Today is Tuesday, Mr. Brown. It’s your dialysis day.”
d. “My gracious, Mary! What in the world are you doing out here in the hall?”
e. “You naughty girl! Just look at the front of your dress.”
ANSWER: A, B, D, E
7. What are communication barriers that are encountered when conversing with an older adult?
(Select all that apply.)
a. Hearing impairment
b. Language differences
c. Dementia
d. Pain
e. Decreased mobility
ANSWER: A, B, C, D
Basic Geriatric Nursing 8th Edition Williams Test Bank
Chapter 06: Maintaining Fluid Balance and Meeting Nutritional Needs
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. What is the lowest recommended daily caloric intake needed to safely meet the nutritional
needs of the older adult?
a. 1000
b. 1200
c. 1400
d. 1800
ANSWE
R: B
2. How often does the MyPlate guidelines recommend physical activity occur?
a. Twice a week
b. Weekly
c. Three times a week
d. Every day
ANSWER:
D
3. The nurse recommends that the older patient eat chicken and fish because they contain
complete proteins. What is present in complete proteins?
a. Molecules of carbohydrate
b. All the essential aminoN
acidRs
c. A high fat content
d. A soluble fiber
ANSWER: B
4. What makes up high-density lipoproteins (HDL)?
a. Mainly proteins
b. Mostly triglycerides
c. Mainly cholesterol
d. A variety of minerals
ANSWER: A
5. A patient on a fat-restricted diet is noted to have developed a pressure injury and decreased
visual acuity. What vitamin deficiency should the nurse suspect?
a. A
b. B6
c. B12
d. C
ANSW
ER: A
6. The home health nurse does an ongoing assessment of the patient who has had a subtotal
gastrectomy. What vitamin deficiency should the nurse monitor for?
Basic Geriatric Nursing 8th Edition Williams Test Bank
a.
b.
c.
d.
A
B6
B12
C
ANSW
ER: C
7. A patient is receiving an iron preparation in capsule form. What should the nurse administer
the iron preparation with in order to improve absorption?
a. Orange juice
b. Milk products
c. Water
d. Caffeine drinks
ANSWER: A
8. The nurse caring for the older adult patient who is taking a diuretic for control of
hypertension should monitor the patient closely for signs of which of the following?
a. Hypokalemia
b. Hypocalcemia
c. Hyponatremia
d. Hyperkalemia
ANSWER: A
9. The older adult patient in an extended-care facility has a pressure injury. The nurse would
encourage wound healing by increasing the patient’s intake of zinc from which food
sources?
a. Meats
b. Citrus fruits
c. Green leafy vegetables
d. Complex carbohydrates
ANSWER: A
10. What is the minimum fluid intake for an older adult?
a. 1000 mL
b. 2000 mL
c. 4000 mL
d. 6000 mL
ANSWER:
B
11. Why is an older adult who has an alcohol use disorder at an increased risk for nutritional
deficits?
a. Alcohol decreases blood glucose levels.
b. Alcohol alters the function of some minerals.
c. Alcohol interferes with the absorption of nutrients.
d. Alcohol increases the metabolism.
ANSWER: C
Basic Geriatric Nursing 8th Edition Williams Test Bank
12. Which disease process would result in a need for an increased caloric intake?
a. Cancer
b. Osteoporosis
c. Arthritis
d. Stroke
ANSWE
R: A
13. What is the recommended daily allowance of protein for an adult?
a. 200 grams
b. 20 grams
c. 150 grams
d. 50 grams
ANSWER:
D
14. An older patient is having trouble with hydration. What foods could the nurse suggest to
increase fluid intake?
a. Fresh fruits
b. Cooked meats
c. Breads
d. Dried fruits
ANSWER: A
15. What instructions should the nurse include when teaching a patient regarding a new
prescription for an oral iron supplement?
a. Supplements should beN
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b. Medication should be drunk from a nonmetal glass.
c. The color of the stool will change to dark green or black.
d. Constipation is likely to occur.
ANSWER: C
16. The nurse encourages a group of extended care residents to sit out on the sunny patio for an
hour each day. What vitamin level is the nurse trying to improve?
a. A
b. B12
c. D
d. K
ANSW
ER: C
17. What is the caloric value (in calories per gram [cal/g]) of protein?
a. 9 cal/g
b. 4 cal/g
c. 0 cal/g
d. 7 cal/g
ANSWE
R: B
Basic Geriatric Nursing 8th Edition Williams Test Bank
18. What is the caloric value of alcohol?
Basic Geriatric Nursing 8th Edition Williams Test Bank
a.
b.
c.
d.
9 cal/g
4 cal/g
0 cal/g
7 cal/g
ANSWE
R: D
19. What is the caloric value of vitamins?
a. 9 cal/g
b. 4 cal/g
c. 0 cal/g
d. 7 cal/g
ANSWE
R: C
20. What is the caloric value of fat?
a. 9 cal/g
b. 4 cal/g
c. 0 cal/g
d. 7 cal/g
ANSWE
R: A
MULTIPLE RESPONSE
1. When the nurse weighs an edematous patient with congestive heart failure, the weight
increase from yesterday is N
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included in the plan of care for the patient?
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(Select all that apply.)
a. Keep a pitcher of water at the bedside.
b. Offer frequent oral hygiene.
c. Limit fresh fruits and vegetables.
d. Avoid changing the patient’s position.
e. Provide hard candy.
ANSWER: B, C, E
2. What factors influence nutritional needs? (Select all that apply.)
a. Bone density
b. Gender
c. Climate
d. Presence of illness
e. Body temperature
ANSWER: B, C, D,
E
3. Which are vital nutrients that are required by all persons? (Select all that apply.)
a. Carbohydrates
b. Proteins
c. Vitamins and minerals
Basic Geriatric Nursing 8th Edition Williams Test Bank
d. Fats
e. Electrolytes
Basic Geriatric Nursing 8th Edition Williams Test Bank
ANSWER: A, B, C, D
4. What are contained in complex carbohydrates that make them important in the diet? (Select
all that apply.)
a. Minerals
b. Fats
c. Vitamins
d. Soluble fiber
e. Polysaccharides
ANSWER: A, C,
D, E
5. Inadequate fluid intake can make the older adult susceptible to which of the following?
(Select all that apply.)
a. Altered absorption of drugs
b. Digestive disorders
c. Constipation
d. Bleeding disorders
e. Reduced appetite
ANSWER: A, B, C,
E
6. Older adults plagued with chronic health problems may become undernourished because
they
. (Select all that apply.)
a. are too fatigued to prepare meals
b. become frustrated when attempting to open packaging
c. may be unable to carryN
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d. have no interest in eating out due to health issues
e. lack stamina to shop for groceries
ANSWER: A, B, C, E
7. What are barriers to adequate nutrition for the older adult living independently? (Select all
that apply.)
a. Difficulty chewing
b. Lack of transportation to shop
c. Use of quick frozen meals
d. Lack of motivation to cook
e. Sensory changes
ANSWER: A, B,
D, E
8. An older adult who is a resident in an extended-care facility would be at risk for which of
the following nutritional deficits? (Select all that apply.)
a. Repetitive nature of meals
b. Lack of culturally significant food
c. Environmental odors
d. Reaction to being fed by others
e. Non-nutritious food choices
Basic Geriatric Nursing 8th Edition Williams Test Bank
ANSWER: A, B, C, D
Basic Geriatric Nursing 8th Edition Williams Test Bank
9. The older adult asks for help selecting foods high in protein. What would be appropriate for
the nurse to suggest? (Select all that apply.)
a. Corn
b. Beans
c. Whole-grain foods
d. Cheese
e. Nuts
ANSWER: B, C, D, E
10. The nurse cautions the older adult against taking excess vitamin supplements because some
vitamins can be retained in fatty tissue and cause liver damage, including vitamin(s)
. (Select all that apply.)
a. A
b. B6
c. C
d. D
e. E
ANSWER: A, D, E
Basic Geriatric Nursing 8th Edition Williams Test Bank
Chapter 07: Medications and Older Adults
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. Why is drug testing done by pharmaceutical companies not always appropriate for the older
adult?
a. The testing is not done long enough.
b. The testing does not require adequate follow-up.
c. The testing is not well regulated by the U.S. Food and Drug Administration.
d. The testing is usually conducted on healthy young persons.
ANSWER: D
2. What is a cause for increased rate of drug absorption in an older patient?
a. Change of the chemical composition of the drug
b. Increased gastric pH
c. Decreased strength of the drug
d. Decreased gastric motility
ANSWER: D
3. What age-related changes in the stomach can cause increased drug absorption and possibly
drug toxicity?
a. Decreased gastric motility
b. Gastric reflux disease
c. Inability of gastric cells to transport the drug
d. Decreased peristalsis
ANSWER: A
4. What should an older adult be encouraged to implement in order to prevent lithium toxicity?
a. Increase fluid intake to 3500 mL daily.
b. Have the patient ambulate for 10 minutes after the drug is administered.
c. Prohibit citrus fruit in the diet.
d. Administer a prescribed stool softener to ensure a daily bowel movement.
ANSWER: A
5. An older adult is taking diazepam several times a day. What does the nurse specifically
monitor for?
a. Tachycardia
b. Confusion
c. Agitation
d. Hypertension
ANSWER: B
6. Why does the nurse frequently assess an older adult who is on a psychotropic drug?
a. Older adults are less active.
Basic Geriatric Nursing 8th Edition Williams Test Bank
b. The older adult has fewer cognitive capabilities.
c. Brain receptors have become hypersensitive.
d. Receptor sites have lower perfusion.
ANSWER: C
7. What is the major risk of polypharmacy for the older adult?
a. Ignorance about his or her prescriptions
b. Taking over-the-counter preparations
c. Being treated by more than one physician
d. Taking old prescriptions rather than consulting a health care provider
ANSWER: C
8. The home health nurse would be most concerned about self-medicating errors for the older
adult living alone who is a type 1 diabetic and is
a. afflicted with early Parkinson disease.
b. visually impaired.
c. a rheumatoid arthritic with stiffened hands.
d. paralyzed from the waist down.
ANSWER: B
9. What is the most reliable method of patient identification for administration of medications?
a. A photograph of the patient
b. An identification bracelet
c. Asking the patient to repeat his or her name
d. Use of the patient’s rooN
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SbIeNr GTB.COM
ANSWER: B
10. The health care provider has written an order to convert an enteric-coated medication from
the pill form to the liquid form. What would be the most appropriate response of the nurse?
a. Transcribe the order and change the medication administration record to show the
liquid form.
b. Use up the rest of the tablets by crushing them and giving them dissolved in water.
c. Order the liquid form from the pharmacy as ordered.
d. Inquire if the health care provider wants the dose to be the same as the pill.
ANSWER: D
11. The patient complains that her medications stick in her throat. What would be an
appropriate response of the nurse?
a. Suggesting that she take all the pills at one time with a mouthful of water.
b. Offering the patient one pill at a time.
c. Crushing all the pills and mixing them in the patient’s breakfast cereal.
d. Offering a sip of water before and after each pill.
ANSWER: D
12.
What is a correct method of administering a transdermal medication patch?
a. Apply the patch at the same site every day and carry out documentation.
Basic Geriatric Nursing 8th Edition Williams Test Bank
b. Fold and dispose of the used patch in the sharps container.
c. Warm the patch in his or her hands before application.
d. Cover the patch with tape to prevent dislodgement.
ANSWER: B
13. When the medication nurse offers a pill to the older adult patient, the patient asks, “What is
this and what is it for?” What is the best response by the nurse?
a. “I’m not at liberty to discuss your medication. You need to talk to your doctor.”
b. “That’s a ‘feel good’ pill that will make you feel better.”
c. “It’s a cephalosporin that has been ordered to treat your URI.”
d. “It’s an antibiotic for the infection in your urine.”
ANSWER: D
14. When the 80-year-old female patient refuses to take a medication because it burns her
stomach, what action should be taken by the nurse?
a. Crush the pill and mix it with the dessert on her meal tray.
b. Insist that she take it “for her own good.”
c. Circle and initial the dose time to show non-administration.
d. Document the reason for refusal and report the refusal to the charge nurse.
ANSWER: D
15. What is a symptom of theophylline overdose?
a. Tachycardia
b. Confusion
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c. Hypotension
d. Constipation
ANSWER: A
16. Which assessment finding in a 75-year-old man on a chlorpromazine protocol should be
immediately reported to the physician?
a. Cough
b. Headache
c. Drool
d. Nausea
ANSWER
: C
17. What site would be the best choice for an intramuscular injection to an emaciated
82-year-old patient?
a. Upper outer quadrant of the gluteus maximus
b. Gluteal
c. Deltoid
d. Ventrogluteal
ANSWER: D
18. What is the purpose of the Beers criteria?
a. Identifies medications best avoided by the older adult.
Basic Geriatric Nursing 8th Edition Williams Test Bank
b. Identifies diagnostic procedures that are considered inappropriate for a diagnosis.
c. Identifies penalties for extended-care facilities that allow administration of
particular drugs.
d. Identifies assessments necessary before the prescription of particular drugs.
ANSWER: A
19.
What oral medication can be safely crushed?
a. Plain antihypertensive medication tablet
b. Sublingual tablet of nitroglycerin
c. Timed-release capsule for gastric reflux
d. Enteric-coated aspirin
ANSWER: A
MULTIPLE RESPONSE
1. What provisions should be included in the plan of care for a 70-year-old extended-care
facility resident who will be self-administering his medications? (Select all that apply.)
a. Delivery of adequate supply of medication
b. Payment for medication
c. Locked medication storage at bedside
d. Medication administration record
e. Assessment of effectiveness of medication
ANSWER: A, C, D, E
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2. What information related to dUrugSadm
istrationOshould be included in the plan of care?
(Select all that apply.)
a. Schedule for drawing blood values
b. Patient’s need for crushing medication
c. Patient’s preference as to the use of medium in which to give crushed medicines
d. Schedule of medication and dose times
e. Parameters of pulse or blood pressure, if significant to administration
ANSWER: A, B, C, E
3. What measures may the older adult take to reduce the high cost of prescription drugs?
(Select all that apply.)
a. Simply not fill a new prescription
b. Take less than prescribed to preserve their supply
c. Fill all prescriptions at once
d. Save old prescription drugs for later use
e. Share medications
ANSWER: A, B, D,
E
4. What factors increase the risk of medication-related problems in the older adult? (Select all
that apply.)
a. Drug-testing methodology
b. Age-related changes
IF YOU WANT THIS TEST BANK OR
Basic Geriatric Nursing 8th Edition Williams Test Bank
SOLUTION MANUAL EMAIL ME
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IF YOU WANT THIS TEST BANK OR
SOLUTION MANUAL EMAIL ME
donc8246@gmail.com TO RECEIVE ALL
CHAPTERS IN PDF FORMAT