Gerontology Final Exam
T or F: Aging does not affect our ability to learn. Older persons may learn
differently, thinking things out or taking more time to process information - ANS
T
T or F: When nurses conduct a health history on an older adult, more time is
needed to answer questions - ANS T
Ageism - ANS A stereotyping or discrimination against a person due to age
T or F: Older adults are the smallest consumers of prescription and OTC
medications - ANS F - largest group
When nurses care for the older adult, is more or less time needed for
assignments and medication administration? - ANS More time
Why do nurses perform position changes slowly? - ANS To prevent older adults
from falling because of a decreased CV response to environmental stressors
When nurses talk with an older adult, how should he/she sit? - ANS It is best to
sit at eye level and speak clearly and allow extra time to answer questions
T or F: When an older patient is climbing over the bed rail during the night shift, a
nurse should begin by talking with the patient about behavior - ANS T
T or F: An increased immune response occurs as we age - ANS F - decreased
T or F: Age related changes can result in drug toxicities and increased adverse
drug events - ANS T
What puts older adults at risk of dehydration? - ANS Multiple physiological
changes of aging
When an older adult has a disease (ex. UTI), do they present with typical or
atypical signs and symptoms - ANS Atypical - no increased temp when have a
UTI
, T or F: Older adults often respond the same to medications or treatments as
adults do - ANS F - differently
What are some normal age related changes to the CV system? - ANS -Isolated
systolic hypertension
-Decreased exercise tolerance
-Hypotension with rapid position changes
-Thickening of the left ventricle wall
-Decreased cardiac output
-Stiffening of the myocardium and blood vessel walls
What are some normal age related changes to the MKS system that may increase
falls? - ANS -Gait changes
-Decreased vision
-Decreased joint ROM
What are some common age related physical changes in older adults that affect
digestion and food intake? - ANS -Decreased number of taste buds
-A diminished sense of smell
-Reduction in saliva production
T or F: Pharmacokinetic property of absorption is affected by a decreased
intestinal motility related to the aging process - ANS T
Which medications will have an increased risk of falling? - ANS Alprazolam,
zolpidem & seroquel
What is reduced drug elimination in the older adult a result of? - ANS Decreased
glomerular filtration rate in the kidneys
What is a general principle of medication administration in the older adult when
starting a new medication? - ANS Start low and go slow
For older adults with CHF, HTN and pain issues, what drug class is appropriate
for moderate to severe pain? - ANS Opioids, along with stool softener to
decrease possible constipation (Acetaminophen, also)
What is a good non=pharmacological treatment in an older adult? - ANS
Aromatherapy
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