2024 GERONTOLOGICAL NURSING
EXAM 1 WITH CORRECT ANSWERS
2024
Chapter 1 - CORRECT-ANSWERSIntroduction to Healthy Aging
Aging Cohort: When established in 1935, what effect did Social Security have
by setting the retirement age at 65 years? - CORRECT-ANSWERSA time
frame as being old.
Aging depends on what? - CORRECT-ANSWERS- Decade during which one
was born or his or her history
- sex
-ethnic group
-health history
Which is characteristic of relocation stress syndrome in a resident of a long-
term care facility? - CORRECT-ANSWERSapprehension
Identify three factors that influence the aging experience:
What are the major factors influencing the experience of aging? - CORRECT-
ANSWERSHealth, History and sex
Compare the major features, advantages, and disadvantages of several
residential options available to the older adult: Community-Based Care -
CORRECT-ANSWERS-Adult day-care: safe for older adults that may not be
safe at home
-Residential care facilities
-Assisted living facilities: need assistance with ADLs, $3,300/month out of
pocket, alone or with roommate
-PACE
Which statement is true about living arrangements for older adults? -
CORRECT-ANSWERSProgram for all-inclusive care for the elderly (PACE) is a
community alternative to nursing home care for frail older adults.
Your clients are interested in a facility that will allow them full care and
services for the rest of their lives. Which one of the following would you
suggest? - CORRECT-ANSWERSContinuing Care Retirement Community
, Identify interventions to improve care for older adults in acute and long-term
care settings: - CORRECT-ANSWERSReduce iatrogenic disorders: caused by
medical exam or treatment (Medicare and Medicaid dont cover it): UTIs,
Pressure Ulcers, Falls
Describe factors influencing the provision of long-term care including the
culture change movement: - CORRECT-ANSWERS- Omnibus Reconciliation
Act (OBRA) of 1987 was designed to improve the care of those in nursing
homes
- five-star rating system
- regulations that protect the residents' rights have been established
- culture change movement: made nursing home more "homey" and the
regenerative model gives pts choice and control of their life
A nursing home is converting to a person-centered culture from an
institution-centered culture. Which nursing intervention will be suitable in the
new culture? - CORRECT-ANSWERSMaintain consistent resident assignments
Discuss interventions to improve transitions of care and outcomes for older
adults moving between health care settings; Discuss strategies to assist an
older adult and their family in making an informed choice when relocation to
a more protected setting becomes necessary: - CORRECT-ANSWERS- give
individual some control over his/her environment
- nurses closely assess the client
- familiar and treasured items are with the client
A resident of a long-term care facility has been asking to have the drain in
the bathroom sink repaired for 2 months. The nurse responds by saying that
when they move to the new building, the sinks will work very well. Which
right of a resident of a long-term care facility has the nurse violated? -
CORRECT-ANSWERSRight to voice grievances and have them remedied.
You are counseling with family members and an older adult couple about
residential options available to them. You would advise them to look for
which of the following? - CORRECT-ANSWERSGrab bars in the bathroom
Medicare is a big issue for the older adult who depends on this medical
insurance to pay for his or her hospital bills, medications, and rehab. When
talking to your older client about what Medicare will pay for a what it will not,
you tell them that Medicare will not cover the cost of what? - CORRECT-
ANSWERSCustodial Care
To achieve the highest level of care in a nursing facility today, the family
member would expect all of the following except: - CORRECT-ANSWERSstaff
members asking residents to wait
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