1.
The term geriatric refers to
Correct Answer
C. Adult patients who are 65 or older.
Explanation
The term geriatric refers to adult patients who are 65 or older. This term is used to describe individuals who are in the later stages of life and may require specialized medical care and attention due to age-related health issues. Geriatric patients may have unique needs and challenges that healthcare providers must consider when developing treatment plans and providing care.
2.
Which of the following is NOT a typical characteristic of delirium in older adults?
Correct Answer
C. Gradual onset and chronic course
Explanation
Delirium typically has an acute onset, meaning it develops suddenly, and it often fluctuates throughout the day. In contrast, dementia has a gradual onset and a chronic, progressive course. The other options are characteristic of delirium: fluctuating mental status, inattention, disorganized thinking, and changes in psychomotor activity (either hyperactive or hypoactive).
3.
Which group has the highest rate of depression and suicide?
Correct Answer
A. Men 65 and older.
Explanation
Men 65 and older have the highest rate of depression and suicide. This could be due to various factors such as social isolation, loss of spouse or loved ones, physical health issues, and limited access to mental health resources. Older men may also be less likely to seek help or talk about their emotions, leading to higher rates of depression and suicide.
4.
The average number of medications taken daily by an older adult patient who does not live in an institution is ____.
Correct Answer
C. 4-5
Explanation
Older adults who do not live in institutions typically have multiple chronic conditions, which often require them to take multiple medications daily. The range of 4-5 medications per day is a reasonable average for this population, considering the prevalence of chronic diseases and the need for medication management.
5.
Which of the following is a common age-related change that can affect medication absorption in older adults?
Correct Answer
D. Decreased kidney function.
Explanation
As people age, kidney function naturally declines. This can affect the body's ability to filter and eliminate medications, potentially leading to drug accumulation and increased risk of side effects. While the other options may also occur with aging, they are less directly related to medication absorption: decreased gastric motility can slow absorption, increased body fat can affect drug distribution, and decreased liver function can impair drug metabolism. However, decreased kidney function has the most significant impact on medication elimination and the potential for adverse drug reactions in older adults.
6.
Which of the following is NOT a common challenge faced by older adults?
Correct Answer
C. Cognitive decline and memory loss.
Explanation
While many older adults maintain active social lives and strong support systems, social isolation and loneliness can be significant challenges for some. This can be due to factors like the loss of loved ones, decreased mobility, or health conditions that limit social interaction. The other options are common challenges associated with aging: decreased mobility and balance can increase fall risk, cognitive decline can affect memory and daily functioning, and chronic health conditions often require managing multiple medications (polypharmacy), which can be complex and increase the risk of adverse drug reactions.
7.
Which of the following is a common risk factor for falls in older adults?
Correct Answer
C. Medication side effects
Explanation
Many medications commonly prescribed to older adults can cause side effects like dizziness, drowsiness, or low blood pressure, increasing the risk of falls. While the other options promote safety and reduce fall risk, medication side effects are a significant contributing factor to falls in the elderly. It's crucial for nurses to assess medication regimens and educate patients about potential fall risks associated with their medications.
8.
Delirium in older adults is always a permanent and irreversible condition.
Correct Answer
B. False
Explanation
While delirium, a state of acute confusion and altered mental status, is common in older adults, it is often reversible if the underlying cause is identified and addressed. Causes can include medication side effects, infections, dehydration, or metabolic imbalances. However, delirium can also be a sign of a serious underlying medical condition or a complication of hospitalization. It's crucial for geriatric nurses to recognize and assess delirium promptly, as early intervention can significantly improve outcomes and prevent long-term cognitive decline.
9.
What is a key principle of person-centered care for older adults?
Correct Answer
C. Respecting individual preferences and promoting autonomy.
Explanation
Person-centered care recognizes the individuality of each older adult, valuing their unique needs, preferences, and life experiences. It emphasizes respecting their autonomy and involving them in decision-making about their care. This approach promotes dignity, well-being, and a sense of control for older adults, fostering a more positive and empowering healthcare experience.
10.
Which communication strategy is MOST effective when interacting with an older adult who has hearing loss?
Correct Answer
B. Shouting at the person from a distance.
Explanation
When communicating with an older adult with hearing loss, it's essential to face them directly, ensuring your lips are visible, and speak clearly and at a moderate pace. Avoid using complex medical terminology or shouting, as this can distort speech and make it harder to understand. Nonverbal cues like gestures and facial expressions can also enhance communication and comprehension.