Test Bank for Gerontological Nursing Competencies for Care 4th Edition Kristen L. Mauk

Test Bank for Gerontological Nursing Competencies for Care 

This document is a complete test bank for the textbook Gerontological Nursing Competencies for Care (4th Edition) by Kristen L. Mauk. It includes hundreds of multiple-choice, true/false, matching, and open-ended questions with answers, organized by chapter. Topics cover theories of aging, gerontological nursing roles, physiological and psychosocial changes in aging, cultural considerations, pharmacology, chronic illness, cognitive impairment, and evidence-based care for older adults. This material is ideal for nursing students preparing for exams or certification in gerontological nursing.

Sample Questions in the Test Bank

An older patient has had a stroke that resulted in Broca's aphasia. Which of the following would be most typical of Broca's aphasia?

A. fluent speech

B. impaired comprehension

C. broken speech

D. global problems

Answer:  C

Which of the following signs would you consider an abnormal finding for a 75 year old female?

A. blood pressure of 110/78

B. Hct (hematocrit) of .41

C. resting pulse of 80

D. urinary incontinence

Answer: D

A significant  result of changes in the respiratory system with advanced age is:

A. lower carbon dioxide levels in the bloodstream

B. less useful oxygen available with each breath

C. more efficient gas exchange at the alveolar level

D. the ability to hold one's breath longer

Answer: B

One of the most significant changes in the reproductive system for older females who are sexually active is:

A. decreased vaginal lubrication

B. atrophy of uterus

C. decreased libido

D. lack of male partners

Answer: A

You are helping care for your 89 year old grandmother who is sick with "the flu". Her temperature is 101.2. What other information would be most useful to better assess your grandmother's condition?

A. what her temperature was yesterday

B. how long she has felt sick

C. what her usual temperature is

D. how much she ate today

 Answer:  C

Which of the following would be an abnormal finding in assessment of an 80 year old male?

A. decreased cardiac output

B. decreased stage IV sleep

C. loss of hearing of low frequency tones

D. age spots on the hands and face

Answer:  C

Which of the following changes in the skeletal system is least characteristic of normal aging?

A. decreased range of motion

B. loss of height up to 10 cm

C. chronic inflammation of joints

D. loss of some muscle mass

Answer:  C

All of the following are intrinsic changes in the integumentary system except:

A. increased skin temperature

B. sagging and wrinkling

C. age spots

D. increased risk of bruising

Answer: A

Which of the following is true about normal aging changes in the GI system?

A. absorption of nutrients does not change with age

B. absorption of certain vitamins does change with age

C. small intestine transit rate is relatively unchanged with age

D. all of the above

 Answer: D

Which of the following aging changes is most significant to renal efficiency?

A. loss of up to half of functioning nephrons

B. decreased cardiac output

C. nocturia

D. a and b

Answer: D

The aging eye shows all of the following changes except:

a. better ability to focus on near objects b. decreased lens accommodation

c. decreased peripheral vision d. presbyopia

Answer: A

A 72 year old female with the following assessment factors is admitted to the acute care for elderly

(ACE) unit. Which of the following requires the most immediate treatment?

A. BP = 140/ 90 mm Hg

B. Hgb (hemoglobin) = 7 g/dl

C. hypogeusia

D. presbycusis

Answer: B

Mrs. Jones is a 50 year old female who complains of hot flashes, moodiness, and skipping menstrual periods. She tells you that the physician suggests she is going through menopause, and asks, "aren't

I too young for menopause?" What is your best response?

A. Yes, you are too young. Your symptoms must be something else.

B. The average age for menopause is 51, but many women experience these symptoms earlier.

C. I think you should get a second opinion in case it is something serious.

D. No. You are not too young for menopause, but the average age is 56.

 Answer: B

Immunosenescence refers to:

A. acquired immunity

B. innate immunity

C. aging of the immune cells

D. better replication of the cells that fight infection

 Answer:  C

Which of the following is a reason why older females may develop vaginitis?

A. lower estrogen levels

B. atrophy of the vaginal canal

C. decreased lubrication of the vagina

D. all of the above

Answer: D

The nurse wishes to use a tool to help assess the functional status of the older residents in the nursing home where she works. Which of the following would be least appropriate for this purpose?

a. Katz index b. MDS

c. Barthel Index

d. Gibson self-care scale

Answer: D

Which of the following is the best example of an open-ended question/statement that would promote verbalization from an older person?

A. tell me about your major problem today

B. do you have any complaints today? C. are you having any major problems?

D. do you want to talk about your major complaint?

Answer:

Name four essential areas to address to promote communication as discussed in this chapter.