NCM114- A CARE OF OLDER ADULTS

●
NCM114- A CARE OF OLDER ADULTS
GERIATRICS
QUIZZES
QUIZ 1
1. Which ethical principle underlies nursing
actions respecting each patient's values and
beliefs?
a. Autonomy
b. Beneficence
c. Justice
d. Responsibility
2. The gerontological nurse is monitoring signs
of suspected abuse in an 89-year old patient
who is admitted from home. When planning
for the patient's discharge, the nurse's FIRST
action is to
a. Delay discharge by informing the
provider of the suspected abuse
b. Enlist the help of family members with
transforming the patient home
c. Notify the adult protective services of
the barangay of the patient's
discharge
d. Restrict the family members' access
to the patient prior to discharge
3. A recently admitted nursing home resident
and the resident's family only speak Chinese.
One evening during a visit, the resident and
the family begin to wail and sob loudly. The
gerontological nurse is unable to determine
what is wrong. The nurse's MOST
appropriate action is:
a. Ask the supervisor to get
an interpreter
b. Attempt to make the resident and the
family comfortable
c. Contact the provider for orders
d. Find an escort to take the resident
and the family to the chapel for
privacy
4. Three months ago, the older adult who lives
in an apartment in a housing complex for
senior citizens began residing with an older
adult patient from the same complex. Upon
learning of the situation, the patient's adult
child expresses concern to the housing
administrator, who reports that both
residents have reported satisfaction with the
arrangement. When the child requests
advice, the gerontological nurse's initial
response is:
a. "I understand why you are upset. Has
he or she ever done something
like this before?"
b. "Why don't we talk to your parent to
get his or her side of the story?"
c. "Your parent has the right to do what
he or she wants because he or she
is mentally competent."
d. "Your parents seem to be happy with
the arrangement. Have you
discussed this situation with him or
her?'
5. Which of the following principles of bioethics
states that all individuals should have equal
opportunity and access?
a. Justice
b. Beneficence
c. Non-maleficence
d. Autonomy
6. A physician making sure the treatments
given to a patient do not cause them any
harm is an example of following which
bioethics principle?
a. Non-maleficence
b. Beneficence
c. Justice
d. Autonomy
7. In meeting the unique teaching needs of the
older client recently diagnose with diabetes
mellitus, the nurse plan a teaching program
base on the principles that learning:
a. Reduces general anxiety
b. Is negatively affected by age
c. Reduce continues reinforcement
d. Necessitates readiness of
the learner
8. Mang Victor, 72-year old retiree was brought
to the hospital for evaluation. He was
observed to be increasingly forgetting time
and place, misplacing things and no longer
interested to see his grandchildren. After a
thorough medical examination, the diagnosis
is Alzheimer's disease. INITIALLY, the nurse
identifies one of the following as the nursing
diagnosis:
a. Altered thought process
b. Impaired social interaction
c. Impaired adjustment
d. Ineffective individual coping
9. Important information which the nurse should
solicit from a dementia patient to guide her in
the plan of care, is which of the following?
NCM114- A CARE OF OLDER ADULTS
a. The extent of his
cognitive impairment
b. The significant others in his life
c. His coping mechanism
d. What usually he does at home
10. Inability to plan a menu, manage medication
schedule and abstracting is known as:
a. Impaired occupational functioning
b. Disturbance in executive functioning
c. Memory dysfunction
d. Impaired judgment
11. While the nurse was assisting a patient with
Alzheimer's get up from his bed the next
morning, he asked, "Where am I?" The BEST
response of the nurse to make is:
a. "Don't worry, you are safe here."
b. "Where do you think you are?'
c. "What did your family tell you?"
d. "You're at the hospital.'
12. The nurse is aware that in communicating
with elderly clients she should:
a. Open mouth wide while talking to the
patient
b. Use a medium pitched voice
c. Use a low pitch voice
d. Lean and shout at the
ear of the patient
13. Whenever a nurse approaches a cognitively
impaired client to assist the client to change
clothes, the client yells, "NO!" and tries to
push the nurse away. The nurse should:
a. Approach the client only when other
staff people are available to gently
restrain the client during simple
procedures
b. Set strict limits on the clients yelling
and aggressive behavior
c. Spend time with the client to explain
the importance of grooming to health
and happiness
d. Step back from the client, wait a few
moments, and begin the process
again
14. An elderly patient is having difficulty
swallowing. To assist the client to eat, the
nurse should take which of the following
measures?
a. Have the client tuck chin downward to
swallow
b. Give thin, soft food
with broth or juice
c. Raise the head of the
bed 45 degrees
d. Provide dry solid foods
15. Donepezil (Aricept) is prescribed for
Alzheimer's patient. The nurse should give it:
a. At bedtime
b. Before breakfast
c. After meal
d. Lunch time
16. An appropriate approach for the patient with
mild dementia is:
a. Reality orientation
b. Reminiscence therapy
c. Group therapy
d. Behavior modification
17. In short term memory loss, the nurse will
assess a loss of ability in which of the
following:
a. Speech
b. Endurance
c. Balance
d. Judgment
18. Soledad 72-year old is terminally ill with
cancer. Looking sad, she expresses, "Wala
na yata akong pag-asang mabuhay pa." A
response which foster hope is:
a. "Huwag po ninyong isipan ang sakit
ninvo. Bale wala yan. Andito naman
ako para makausap ninyo''
b. "Lakasan po ninyo ang loob ninvo.
Lahat naman tayo ay doon ang
patutunguhan."
c. "Mukhang napakabigat ng
dinaramdam ninvo. Andito naman
ako para makausap ninyo"
d. "Gagaling din po kayo. Huwag po
kayong mag-alala.
19. Soledad 72-year old terminally ill of cancer
verbalizes. "Masama ang pakiramdam ko
hindi ako nakatulog kagabi."
a. "Sinabi mo sana sa
nars para mabigyan ka ng
sedative drug mo."
b. "Relax lang, huwag ka masyadong
mag-isip ng mga problema mo."
c. "Baka naistorbo ka na naman ng mga
boses"
d. "Maaari mong sabihin sa akin ang
mga naiisip at nararamdaman mo.
20. Sandy, daughter of Soledad a 72-year old
terminally ill patient with cancer, verbalized
to the nurse in charge of her mother's care,
"I watched my cousin die of cancer and it was
NCM114- A CARE OF OLDER ADULTS

awful! I just panic when I think my mom may a. Financial Concern

be go through the same thing!" Which of the b. Pain
following is an example of attempting to c. Depression
translate words into feelings?" a. "What are d. Spiritual Concern
you afraid of?"
b. "Your mother may not even go 6. In the Advance directive
through the same thing as your provision of
cousin." Palliative care, it tells the doctor what kind of
c. "You are afraid that your mother will care the elderly would want to have if he/she
suffer a great deal before she dies?' becomes unable to made a medical
d. "I understand how much you must be decision. At what type of advance directive
feeling." they would state whom they have chosen to
make health care decisions for them and it
QUIZ 2 becomes active ONLY the time elderly are
unconscious or unable to make medical
decisions.
1. The nurse is providing care to a terminally ill a. DNR
patient who is experiencing chronic pain due b. Durable Power of Attorney (DPA)
to cancer. Upon discharge what plan of care
c. Living will
applies?
d. Euthanasia
a. Home health care
b. Rehabilitative care
7. Type of Advance Directive wherein it's a
c. Palliative care
written legal document that describes the
d. None of the above kind of medical treatment elderly would want
if they are seriously or terminally ill.
2. What principle makes a nurse action morally a. Living will
right by respecting someone's wishes of not b. Durable Power of Attorney (DPA).
sharing her personal details about someone
c. DNR
with others, by keeping the records chart in
d. Euthanasia
place and strictly for health team members
only or to people concerned only.
8. A nurse is caring in a Palliative care to a 78yo
patient and is helping him adhere to his
a. Fidelity
medication schedule and protocols and
b. Veracity
helps the patient and his family feels safe
c. Confidentiality and comfortable. What Nurses Role is she
d. Fiduciary responsibility displaying?
a. As a Counselor
3. What principle makes a nurse's action b. Direct Care
morally right also by dedicating or committing
c. An Advocate
herself in her line of duty or line of work.
d. Collaborative Role
a. Fidelity
b. Veracity
9. As to the above-mentioned client, the Nurse
c. Confidentiality also is actively listening to the concerns of his
d. Fiduciary responsibility patient and family as well and is trying to
understand the situation on how to resolve
4. An ethic which concerns the moral principles problems. This role of a nurse refers to as
that govern the conduct of a nurse in his/her a. Counselor
relationship with a patient's physician, b. Advocate
colleagues and the community or public?
c. Direct Care
a. Fidelity
d. Collaborative Role
b. Bioethics
c. Veracity
10. A nurse is assessing the patient in for
d. Fiduciary responsibility Palliative care. In assessing psychosocial
and psychiatric domain, which should the
5. The nurse is assessing the patient for nurse include?
palliative care, when assessing the a. Financial concern
psychosocial and psychiatric domain, which b. Pain
should the nurse include?
NCM114- A CARE OF OLDER ADULTS
c. Depression
d. Spiritual concern
11. In assessing patients for Palliative care, the
nurse assesses the Physical domain, which
should the nurse include?
a. Financial concern
b. Pain
c. Depression
d. Spiritual concern
12. The nurse is assessing patient for Palliative
care. When assessing the cultural domain,
which question should the nurse include?
a. Do you have any financial concerns
regarding your care?
b. Are you currently experiencing pain?
c. Are you experiencing anxiety?
d. Do you have any specific dietary
preferences that affects your care
13. The family of an elderly client with terminal
cancer inquiries about Hospice services. The
nurse explains that the hospice care:
a. Focuses only on the
need of the client
b. Is staffed exclusively by
health workers
c. Can only be provided in the Inpatient
d. Focus on supportive
care client/family
14. Hospice nursing care has a different focus on
client care. The nurse is aware that the client
care provided thru a hospice is
a. Designed to meet the individual
wishes as much as possible
b. Aimed at offering curative treatment
plans intended for client recovery
c. Involved in teaching families or
caregivers to provide post mortem
care
d. Offered primarily for hospitalized
client for whom at homecare is not
possible
15. It concerns with moral principles that govern
the conduct of a nurse in his relationship with
patient, physician, colleagues, the nursing
profession and the community.
a. Primary Health Nursing (PHC)
b. Community Health Nursing
c. Nursing Ethics
d. both B&C
16. In advocacy, nurse addresses all the
following EXCEPT
a. Protecting older person's
right & responsibilities
b. Speaking on behalf of an elderly
c. Help elderly make decision
d. Self-care and accident prevention
17. Nurse Derec is caring for a patient who was
starting chemotherapy, and when asked
about the side effect, nurse Deric has
enumerated all the side effect of it including
the possibility of killing the healthy cells.
What best Ethical Principle shown was?
a. Confidentiality
b. Veracity
c. Fidelity
d. Justice
18. Nurse Rose is caring for an elderly patient
post-operatively who complains pain of scale
7/10. Nurse Rose gave her due pain
medication and she promised to come back
to check on her. Soon after 15 minutes,
nurse Rose came and assessed for pain
scale of 2/10. Best Ethical
a. Autonomy
b. Veracity
c. Fidelity
d. Non maleficence
19. Nurse X was on off duty, attended a party
and came home late at 1:00AM. She was
aware that she was the "on call nurse" on
that day in their HD unit. At 3:00AM she was
about to fall asleep when the phone rang
informing her that there was an emergency
patient for HD. She was so sleepy then but
still tried her best to stand up and rushed to
her unit. What best ethical principle in
nursing does it describe?
a. Veracity
b. Fidelity
c. Reciprocity
d. Fiduciary responsibility
20. Medical professionals required to stop doing
whatever it is that is keeping the patient alive
like CPR, intubation, administering
emergency drugs, these actions are best
described as
a. Passive Euthanasia
b. Active Euthanasia
c. DNR (do not resuscitate)
d. All of the above