 6. 

Case StudyA consult to provide the best holistic care for this pt would entail:

o A. 

A multi-disciplinary team

o B. 

The hospital internist

o C. 

A multidirectional intern team

o D. 

The unit nurse educator

 

 7. 

Case StudyThe term to describe the confusion displayed by the patient would be:

o A. 

Delirium

o B. 

Dementia

o C. 

Alzheimer’s

o D. 

Acute confusion
 

 8. 

Case StudyOf the above noted term, what type is this patient experiencing?
 o A. 

Hyper active

o B. 

Hypoactive

o C. 

Multidimensional

o D. 

Mixed
 

 9. 

Case StudyThe gradual vision loss this pt is experiencing is most likely a

symptom of:  

o A. 

Macular degeneration

o B. 

Glaucoma

o C. 

Cataracts

o D. 

Diabetic retinopathy
 

 10. 

Some common physiological changes seen with aging are a direct result of:

o A. 

Normal aging process

o B. 
 Sedentary life style

o C. 

Chronological age

o D. 

Disease
 

 11. 

Metabolism of drugs in the elderly is: 

o A. 

Faster in older adults

o B. 

Same as young adults

o C. 

Slower in older adults

o D. 

Changes only with disease processes

 

 12. 

Metabolism of drugs change with aging primarily because of alterations in the:

1)      Kidneys 2)      Gastrointestinal tract 3)      Heart 4)      Liver 

o A. 

1,4

o B. 

2,3

o C. 

2,4
 o D. 

1,2
 

 13. 

 Normal changes of aging

o A. 

Effects the ability to exercise but is advised

o B. 

Does not affect the ability to exercise and is advised

o C. 

Makes exercise dangerous and is not advised

o D. 

Should only be performed with supervision is advised

 

 14. 

The prevalence of new Pressure Ulcers development occurs in:

o A. 

LTC facilities

o B. 

Hospitals

o C. 

Home Care patients

o D. 

Hospice patients
 

 15. 
  The most important aspects to teach older adults in the prevention of heart
disease is:

o A. 

Blood pressure control, properly managed blood sugar, cessation of smoking

o B. 

Blood pressure control, properly managed blood sugar and cholesterol levels

o C. 

Blood pressure control preventing obesity and proper management of cholesterol

levels

o D. 

Blood pressure control, cessation of smoking and proper management of cholesterol

levels
 

 16. 

1.      As a result of the aging immune system and cardiovascular function what
endocrine change is affected? 1)      Decreased thyroid function 2)      Insulin
resistance 3)      Decreased cortisol levels 4)      Decreased aldosterone levels

o A. 

1,4

o B. 

2,3

o C. 

3,4

o D. 

1,2
 

 17. 
 The fear of cognitive decline is vast with the elderly population. Certain cognitive
abilities do decline with age. They are:

o A. 

Sustained attention, complex problem solving and verbal abilities

o B. 

Memory recall (retrieving info.), complex problem solving and perceptual speed

o C. 

Memory recognition (matching info), verbal abilities and perceptual speed

o D. 

Sustained alteration, complex problem solving and perceptual speed

 

 18. 

Depression, anxiety inactivity and low self efficacy are all associative to: 1)     
Functional decline 2) Cognitive decline   3) Cardiovascular decline    4)
Respiratory decline

o A. 

1,2

o B. 

3,4

o C. 

1,2,4

o D. 

1,2,3

o E. 

All of the above

 

 19. 
 Difficulty with daily activities such as manipulating buttons, grasping, and
opening doors in older persons is related to:

o A. 

Dexterity changes

o B. 

Musculoskeletal changes

o C. 

Senility

o D. 

Neurological changes
 

 20. 

Adverse drug reactions are:

o A. 

7 times more likely in the elderly

o B. 

Cause 15-20 % of hospital admission

o C. 

Cause 50 % of medication related deaths

o D. 

All of the above

 

 21. 

Treatments for chronic conditions related to older adults should include:

o A. 

Life expectancy
 o B. 

Maintaining functional status

o C. 

Quality of life

o D. 

All of the above

 

 22. 

The majority of older adults live:

o A. 

Alone in their own home

o B. 

With their spouse in their own home

o C. 

With loved ones in their home

o D. 

In a facility for the elderly

 

 23. 

Over 60% of frail hospitalized older adults experience:

o A. 

Nosocomial infections

o B. 

Pressure ulcers

o C. 

Delirium
 o D. 

Functional decline
 

 24. 

What Evidence Based Practice assessment tool is recommended to determine

fall risk?

o A. 

ADL Assessment tool

o B. 

IADL Assessment tool

o C. 

Tinetti Assess tool

o D. 

KAM Assessment tool

 

 25. 

Depression maybe medically significant if ________ or more of the following

symptoms persist on an almost daily basis for more than two months (Changes
in Appetite, Disturbed Sleep, Motor Agitation or Retardation, Fatigue and Loss of
Energy, Depressed or Irritable Mood, Loss of Interest or Pleasure in Usual
Activities, Feelings of Worthlessness, Self-Reproach, Excessive Guilt, Suicidal
Thinking or Attempts, Poor Concentration)

o A. 

o B. 

o C. 

5
o D.