Chapter 11: The Older Patient

Chapter 11: The Older Patient

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. How is the term old age or aged best defined?

a.	Person’s state of mind
b.	Person older than 65 years of age
c.	Process of growing older
d.	Person of advanced age

 

 

ANS:  D

Aged or old age is defined as advanced in years.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 137             OBJ:   2

TOP:   Definitions of Old Age                    KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

2. How is aging recognized by gerontologists as a developmental process?

a.	Measured in chronologic years
b.	Directly related to heredity
c.	Related to behavioral characteristics
d.	Begins at the time of birth

 

 

ANS:  D

Geriatrics is the science of old age and the application of knowledge related to the biologic, biomedical, behavioral, and social aspects of aging.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 137             OBJ:   2

TOP:   Definitions of Old Age                    KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

3. What understanding is a prerequisite for a nurse working with the geriatric patient?

a.	Specialized knowledge is needed.
b.	Geriatric patients are physically impaired.
c.	Most geriatric patients will develop dementia.
d.	Geriatric patients need to be closely supervised.

 

 

ANS:  A

Knowledge, understanding, and caring are prerequisites for working effectively with older adults. Although specialized formal education programs at the graduate level are available for gerontologic nurses, many nurses gain specials skills through on-the-job experiences.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 138             OBJ:   1

TOP:   Roles of the Gerontologic Nurse      KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

4. A 78-year-old resident of a long-term care facility insists on wearing high heels and miniskirts to the dining room for meals and will not leave her room without first applying glamorous makeup. What should the gerontologic nurse assess as the reason for this behavior?

a.	Insecurity about her appearance
b.	Trying to cope with the changes of aging
c.	Denial concerning her advancing age
d.	Her fashion consciousness

 

 

ANS:  C

Some older people confront aging, but others deny it by acting in a younger manner.

 

DIF:    Cognitive Level: Analysis                REF:   p. 138-139      OBJ:   2

TOP:   Ageism: Myths and Stereotypes       KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

 

5. What does Butler, a well-known gerontologist, relay regarding ageism?

a.	It dehumanizes older individuals.
b.	It is based on the biologic theory of aging.
c.	It is based on natural and purposeful occurrences.
d.	It continues to change as the population ages.

 

 

ANS:  A

Ageism is the stereotyping of and discrimination against people because of their age.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 138-139      OBJ:   2

TOP:   Ageism: Myths and Stereotypes       KEY:  Nursing Process Step: N/A

MSC:   NCLEX: N/A