Elderly clients living alone should check water temperature by dipping one of

their elbows in the water. False

If an elderly cannot hear alarms, it is advisable to install blinking lights. True

Doing household chores is important in elderly exercise and is included in client’s

ADLs. False

Dental check- up, floss and cleaning are advisable to be done twice a year or
every 6 months. False

For patients with periodontal disease, chewing gum can help in difficulty in
digestion. False

Geriatric Depression Scale Secondary

Wearing seatbelts Primary

Post- CVA therapy Tertiary

PSA Secondary

Home environmental improvements Primary

A chronic care coach can be spouse, child, and friend of anyone who cares about
and has regular contact with the patient. The care coach may not accompany the
patient to diagnostic test in the clinic but should be able to provide support and
assistance at home. False

Nurses, as a chronic care coordinator inspires patients self-healing capabilities to

provide care and treatments. True
Chronic illness trajectory is a theoretical approach that interprets chronic illness
as a fundamental part of life and not an isolated occurrence in the life course.
True

People with advance age usually have forgetfulness and restricting symptoms as a
normal wear and tear of the brains nerve cells. False

Article from magazines and information from media features can help the patient
stay current about the disease. True

Mr. Copeland went to the hospital with complaint of suprapubic pain and
difficulty in urinating. After series of diagnostic exams, his doctors diagnosed him
with prostatic cancer and referred him to the oncology department.
Trajectory Onset

In the following months, Mr. Copeland experience pronounce withdrawal. He

requires total care and intensive management of symptoms. Dying

During admission, Mr. Copeland experienced some weight loss and weakness.
Symptoms of his condition manifested, and he was showing signs of stress and
depression. Downward

Mr. Copeland has a family history of prostatic hyperplasia. He makes sure to

attend screening appointments in the clinic. Pre-trajectory

Upon examination of oncologists, it was found out that Mr. Copeland’s prostate
cancer has metastasized to his lymph nodes Mr. Copeland’s family opted to start
his medical management right away. Acute

QUIZ 1
Error theory is also called the:
Error Catastrophe Theory
According to this theory, being active, trying to maintain a sense of being middle- aged, or
willingly withdrawing from society does not necessarily bring happiness:
Continuity Theory

According to Erikson's Theory of Psychologic Development, an older adult who can look back
with a sense of satisfaction and acceptance of life and death has achieved what stage of the
development theory?
Ego Integrity

In Selective Optimization with Compensation Theory, this refers to an increasing restriction on

one's life to fewer domains of functioning because of an age- related loss.
Selection

According to Selective Optimization with Compensation Theory, this results from restrictions
caused by aging, requiring older adults to compensate to any loses by developing suitable,
alternative adaptations.
Compensation

This theory reflects a belief that organs and tissues have preprogrammed amount of available
energy and deteriorate when the allotted energy is expended.
Wear and Tear Theory

Rafael takes his 77- year old mother in a salon to get her hair and nails done every Saturday.
What is this type of Family Caregiving?
Circumscribed Care

Erika provides her 89- year old grandmother with thickened liquid to prevent her from
aspiration. What role does Erika fulfill?
Caregiver Role

As a gerontological nurse, Nurse Troy wants to ask the manner of communication in the family
of Mrs. Villanueva, a 99- year old with dementia. What question should Nurse Troy ask?
Do you usually share current events with your family?

It is predicted by the individual's physical condition.

Biological Age

QUIZ 2
When having a conversation with a person in a wheelchair, the nurse should:
Pull up a chair and position him/ herself at equal height to the person
Mr. Juan, a 100- year old stroke survivor, told Nurse CJ, “Cup, me.” Nurse CJ asked if Mr. Juan would like
to have a cup of coffee or tea, and Mr. Juan repeated, “Cup, me.” Nurse CJ understands that Mr. Juan
has:
Broca's Aphasia

Nurse Randell wants to start a conversation with Mrs. Ancheta, a long- term resident in the home care.
He wants to ask about personal questions, what should Nurse Randell ask?
How did you meet your husband? Tell me about your courtship and wedding.

When communicating with patients who visit often, the nurse should:
Limit the amount of information provided at each visit

In communicating with individuals with memory deficits, the nurse should:

Acknowledge his/ her inability to understand and his/ her frustration

QUIZ 3
Although Mr. Vidad was diagnosed with dementia, he should still be included in the plan of care
and decision making. What nursing role should the nurse- in- charge apply?
Advocate

The electronic health record is used to access records, administration of treatments and
medications and the identification of patients by anyone. Select one:
False

Mr. Vidad, a 102- year old post stroke patient, was diagnosed with dementia. The treatment
and considerations were explained to the patient’s family. Who is responsible for the diagnosis
and over- all treatment of Mr. Vidad?
Geriatrician

Family caregivers usually develop documentation systems of their own. Select one:
True

Care maps are used to anticipate and document the care provided within a predetermined
trajectory and to expect the day of discharge. Select one:
True

FDAR Documentation is used in all healthcare facility in the Philippines. Select one:
False
Documentation is a way of communication among the healthcare providers. Select one:
True
Mr. Vidad’s consultant ordered liquid diet with strict aspiration precaution (SAP). Nurse Jaylord
went to the patient’s room with the thickened liquid prepared by the dietician. He greeted Mr.
Vidad upon his arrival but he did not turn his head to face Nurse Jaylord. After feeding, Nurse
Jaylord, with the knowledge of Mr. Vidad’s condition, referred him to:
Speech- language pathologist & Audiologist
Mr. Vidad, a long- time home care resident who suffers from COPD, was caught keeping a piece
of cigar and lighter under his bedside cabinet. Nurse Justine told Mr. Vidad that smoking cigars
exacerbates his condition and explained that it may lead to various complications. What nursing
role did Nurse Justine observe?
Teacher
Mr. Vidad’s son called the geriatric facility to ask about a remedy on his father’s non- healing
wound because povidone iodine and chlorhexidine are not available in their home. Nurse Nico
remembers the benefits of honey as a good wound treatment because of its natural
antibacterial and analgesia properties and told Mr. Vidad’s son about it. What nursing role did
Nurse Nico apply?
Researcher

QUIZ 4
It is considered as murder:
Involuntary euthanasia

All of these are under the Five Wishes that discuss values and treatment goals of the elderly
except:
The need for spiritual strengthening

The nurse puts the client in the padded room without the client’s permission and without the
physician’s order. The nurse may be guilty of:
False Imprisonment

An 89- year old vehicular accident patient went to the ED to have his lacerations sutured. Since
the resident doctor is not around, the nurse performed wound exploration and sutured the
patient’s laceration. The nurse may be guilty of:
Malfeasance and Nonfeasance

All but one is true to Palliative Nursing Care.

Eligibility for palliative services is based on a life expectancy of 6 months or less, if an
illness runs its normal course

A 78- year-old brain-dead patient’s family arrived at the ED and must decide whether to
continue or withdraw medical treatments. The patient’s 21- year- old daughter asked the
physician to, “Do everything in your power.”, but her mother told the nurse that, “It’s time for
us to let him go.” Who have the right to make the decision?
Wife

A confused client who fell out of bed because side rails were not used is an example of which
type of liability?
Negligence

Even though the nurse may obtain the client’s signature on a form, obtaining informed consent
is the responsibility of the:
Physician

In most ethical dilemmas, the solution to the dilemma requires negotiation among members of
the health care team. The nurse’s point of view is valuable because:
Nurses develop a relationship to the client that is unique among all professional health
care providers

A document that lists the medical treatment a person chooses to refuse if unable to make
decisions is the?
Advance directives

EVAL EXAM
All but one is true about aging in the Philippines.
Females are projected to expect a decrease of 4.0 years in life expectancy and males an
increase of 4.7 years in life expectancy by 2030

Programmed Theory is also called:

Hayflick Limit Theory

The doctor uses sodium thiopental to conduct mercy killing to a stage IV colon cancer patient in
the hospice. The nurse is correct when she states that the medication is a/an:
 Anesthetics

According to Selective Optimization with Compensation Theory, this reflects the view that
people engage in behaviors to enrich their lives.
Optimization

The nurse who balances concerns of the patient, family and interdisciplinary team observes
what role?
Manager
The subset of elderly that belongs to the category of old- old.
85- 99 years old

It is a theory wherein a high degree of interdependence exists between older adults and
society.
Age stratification theory

A certification in Gerontologic Nursing wherein the nurse can practice without the need to
finish post- graduate studies.
Gerontologic Nurse

When identifying the family members of the patient, the nurse must look for individuals who
fulfill family functions. All are examples of family functions that address the special needs of the
elderly except one:
Managing financial aspect of care

All of these are under the Five Wishes that discuss values and treatment goals of the elderly
except:
The need for spiritual strengthening
Nurse Nica knows that if the ventilator is detached from the patient and was subsequently
extubated, it is considered as:
Euthanasia by omission

A certification in Gerontologic Nursing wherein the nurse should have a content in health
promotion and maintenance, and differential diagnosis and disease.
Gerontologic Primary Care Nurse Practitioner

The nurse puts the client in the padded room without the client’s permission and without the
physician’s order. The nurse may be guilty of:
False Imprisonment

When communicating with patients who visit often, the nurse should:
Limit the amount of information provided at each visit

It is executed by a competent person indicating that if heartbeat and breathing cease, no

attempts to restore them should be made.
DNR order

In communicating with individuals with memory deficits, the nurse should:

Acknowledge his/ her inability to understand and his/ her frustration
In most ethical dilemmas, the solution to the dilemma requires negotiation among members of
the health care team. The nurse’s point of view is valuable because:
Nurses develop a relationship to the client that is unique among all professional health
care providers

The most important skill to help maximize understanding is to:

Listen

The ideal position when communicating with a patient is how many feet apart?
3- 6

This Theory showed that functional changes do occur within cells and are responsible for the
aging of the cells and the organism.
Programmed Theory

According to Erikson's Theory of Psychologic Development, an adult who is concerned with

establishing and guiding the next generation, and looks beyond the self and express concern for
the future of the world in general has achieved what stage of the development theory?
Generativity

Broca’s area is at the:

Junction of the parietal and frontal lobes in the dominant hemisphere

A confused client who fell out of bed because side rails were not used is an example of which
type of liability?
Negligence

In communicating with individuals with hearing impairment, the nurse should:

Provide time for the person to speak

Any senior citizen who abuses the privileges stated in RA 9994 shall be punished with:
A fine of not less than 50, 000 but not more than 100, 000 and imprisonment of not less
than 6 months

Children usually grow consistently in size and abilities, whereas in adulthood, the balance
gradually shifts. This development is described as:
Multidimensional

Nurse Patricia made sure that her 79- year old mother’s feeding tube is patent before
administering the osteorized food. What Family Role does Patricia fulfill?
 Caregiver Role

This is a type of aging that is predicted by the person’s physical condition and how well vital
organ systems are functioning.
Biological Age

Gerald accompanies his 87- year old grandmother to the stroke rehabilitation center every
Monday. What is this type of Family Caregiving?
Circumscribed Care

This theory explains aging as events that occur randomly and accumulate over time.
Stochastic theory

When having a conversation with a person in a wheelchair, the nurse should:

Pull up a chair and position him/ herself at equal height to the person

It is one of the psychologic theories wherein individuals are viewed as active participants in life,
striving for self- actualization.
Maslow's hierarchy of human needs

These devices can be used to augment or replace vocal communication to individuals with
dysarthria.
Assistive technology

All but one is true to Palliative Nursing Care.

Eligibility for palliative services is based on a life expectancy of 6 months or less, if an
illness runs its normal

According to RA 9994, senior citizens are entitled to discount on basic necessities except:
Eggs, including quail eggs

An 89- year old vehicular accident patient went to the ED to have his lacerations sutured. Since
the resident doctor is not around, the nurse performed wound exploration and sutured the
patient’s laceration. The nurse may be guilty of:
Malfeasance and Nonfeasance

Each person develops within a certain set of circumstances or conditions defined by place and
time. This development is described as:
Context dependent

The purpose of Patient Self- Determination Act of 1991 is to promote:

 Patient’s autonomy
Nurse Kyla wants to start a conversation with Mrs. Lucas, a long- term resident in the home
care. He wants to ask about personal questions, what should Nurse Kyla ask?
I can see you have grandchildren. Tell me about your relationship with them.

Nurse Randell wants to start a conversation with Mrs. Ancheta, a long- term resident in the
home care. He wants to ask about personal questions, what should Nurse Randell ask?
How did you meet your husband? Tell me about your courtship and wedding.

1st TERM EXAM

5 minutes upon admission, Patient Arianne, a 65- year old cervical cancer survivor, was
scheduled to undergo emergency Total Abdominal Hysterectomy with Bilateral Salpingectomy
and Oophorectomy because her condition recurred and has metastasized to her internal
reproductive organs. Nurse Jade made sure that the patient signed an informed consent for the
surgical procedure. Even though Nurse Jade may obtain the patient’s signature on a form,
obtaining informed consent is the responsibility of the:
Surgeon

A 1961 study found that unlimited cell division do not occur, and the immortality of individual
cells was found to be more an abnormal occurrence than a normal one. This study supports
what biologic theory in aging?
Hayflick Limit Theory

A 68- year old aphasic patient arrived in the ED for check- up. The ER nurses were unable to
understand the patient. As a nurse who is knowledgeable on communicating with individuals
with aphasia, you will:
Ask the patient to write the word

A 96-year-old recently widowed patient with low income is preparing to move into the house of
her son and daughter-in-law and their children in order to share expenses, and she is concerned
about the transition and a lack of independence. The best advice of the nurse is for the patient
to:
Have a discussion with the family

After 15 years of continuous training and practice, Mr. Latrell was already considered as a
taekwondo master in his mid- 30s. After 20 years, he was replaced with a 28- year old
taekwondo player since he was unable to learn new skills. This principle of development is
described as:
Plastic rather than rigid
All but one is true about aging in the Philippines.
Females are projected to expect a decrease of 4.0 years in life expectancy and males an
increase of 4.7 years in life expectancy by 2030

A long-term care facility sponsors a discussion group on the administration of medications. The
participants have a number of questions concerning their medications. The nurse responds
most appropriately by saying:
Feel free to ask your physician why you are receiving the medications that are
prescribed for you

Although Mr. Nico was diagnosed with dementia, he should still be included in the plan of care
and decision making. What nursing role should the nurse- in- charge apply?
Advocate

An 87- year-old brain-dead patient’s family arrived at the ED and must decide whether to
continue or withdraw medical treatments. The patient’s 21- year- old daughter, his health
proxy, asked the physician to, “Do everything in your power.”, but the patient’s wife told the
nurse that, “It’s time for us to let him go.” Who have the right to make the decision?
Daughter

An 88- year old resident complains of “being too cold” and your nurse trainee prepared a hot
compress and placed it on the client’s feet. After a while, the patient complained of pain on her
right foot and you found out that she has 2nd degree burn. You know that in most ethical
dilemmas, the solution to the dilemma requires negotiation among members of the health care
team. The nurse’s point of view is valuable because:
Nurses develop a relationship to the client that is unique among all professional health
care providers

An 89- year old vehicular accident patient went to the ED to have his lacerations sutured. Since
the resident doctor is not around, the nurse performed wound exploration and sutured the
patient’s laceration. The nurse may be guilty of:
Malfeasance and Nonfeasance

A newly admitted 86- year old post- CVA patient arrived in the community hospice care center.
He suffers from aphasia and upper extremity motor impairment, and the nurses in the ward
were unable to communicate with the patient properly. As a nurse manager, you should
educate your nursing staff on how to communicate with an aphasic patient. If the nurse does
not understand the patient, he/ she should:
Ask the patient to describe the word
As a student nurse in a geriatric ward, you know that patients in hospice care should be able to
discuss their values and treatment goals as long as they are capable. As Mr. Garcia was talking
to you about his values and treatment goals, you should write these under the Five Wishes
except:
I wish to go to the chapel and attend mass every Sunday.

Despite the normality and naturalness of aging, many people approach aging as though it were
a pathologic experience. Ageism can be associated with:
Older adults becoming useless, sick and frail

Development task theory is based on these assumptions except:

It is better to develop new abilities than giving up previous capabilities

Documentation in the acute rehabilitation care setting for the elderly has undergone significant
change in recent years especially with the mandates for upgrading to EHR. The advancements
are the following except:
The use of checklists, flowsheet, and standardized tools has concluded

During assessment, Nurse Vanessa wants to explore the attitudes, values and beliefs of her 98-
year old patient’s family. What should Nurse Vanessa ask the patient’s son?
Do you feel that your mother owes you nothing or do you think that you should take
care of her?

During interview, your 78- year old home care patient becomes upset and agitated. What is
your best response to this behavior?
Use distraction to change the topic
During the stay of patient Angelica in the home care, she develops dysarthria secondary to
Guillain-Barre syndrome. Your senior nurse tasked you to interview the patient for further
assessment. Even though you are a new nurse in the area, you are confident that you will have
a meaningful interaction with the patient because you know that to be able to enhance
understanding, you should:
Observe speaking for facial cues and gestures

Healthcare institutions should inform individuals about their right to participate in decisions
about their healthcare and the right to make advanced directives. The origin of the advanced
directives is the Patient Self- Determination Act of 1991. The purpose of this law is to promote:
Patient’s autonomy

In a geriatric facility, 2 positions were open for new gerontologic nurses. Nurse Camille told the
Director of Nursing Services that she is a doctorate degree holder. What position is certified for
Nurse Camille?
 Gerontologic Acute Care Nurse Practitioner

Instead of paying for a PDN, Nurse Erika cares for her mother, who was connected to a
mechanical ventilator in their home, during her days off. She made sure that her 79- year old
mother’s endotracheal tube is free from lung secretions by suctioning PRN. What Family Role
does she fulfill?
Caregiver Role

Jevieleen accompanies her 87- year old post- CVA grandmother to the speech therapist every
Wednesday and to the stroke rehabilitation community center every Friday. What is this type of
Family Caregiving?
Circumscribed Care

Liane left work to care for her 67- year old grandmother. She conceptualized a ‘hygiene time’
for her grandmother at 10:00- 10:30am and 6:00- 6:30pm. Within this time, she helps her
grandmother take a bath, brush her teeth and comb her hair. Liane also made sure that she
eats her meals at least 3 times a day. What is this type of Family Caregiving?
Routine Care

Most of the care that is provided in the home is by informal caregiver’s family members. To
track appointment, medication administration, and health care provider instruction, they often:
Develop documentation systems of their own

Mr. Anthony suffers from uncorrected refractive errors. He experienced blurring of vision 2
years ago and now he can only see outlines. What should the nurse do when entering the
patient’s room?
Gently call out to the individual

Mr. Gerald, a 65- year old home care resident for 2 years, was discharged per family’s request
for meaningful interaction at home. After several days, Mr. Gerald’s daughter called the home
care and told Nurse CJ that his father won’t go anywhere and only stayed in his room for days.
This theory views this as a typical change in older adulthood.
Disengagement Theory

Mr. Javier’s son called the geriatric facility to ask about a non- pharmaceutical remedy on his
father’s persistent high- grade fever because he was worried that it may result to febrile
seizures. Nurse Trisha remembers that, aside from TSB, cold sponges or cloths placed on the
axilla and inguinal area for 30 seconds every minute will help in lessening high- grade fever.
Nurse Trisha told Mr. Javier’s son about it. What nursing role did Nurse Trisha apply?

Researcher and teacher

Mr. Juan, a 79-year old resident, purchased 1kg of LPG contents and 1 liter of kerosene in one
month using his 5% senior citizen discount. Upon inspection of DTI regional head, Mr. Juan can
purchase 11kgs of LPG in 5 months and 2 liters of kerosene per month with 5% senior citizen
discount. Under RA 9994, Mr. Juan should be punished with:
The senior citizen will not be fined and imprisoned

Mr. Kenneth was diagnosed with age- related macular degeneration. He is unable to read a
book or see numbers from the clock that was 2 feet away from him. After assessment, the
nurse realized that the patient can only see shapes and outlines. What should the nurse do
after approaching the patient?
Position yourself across from the person so they can see your face

Mr. Rafael is newly admitted in a long- term care facility. After a week of stay, he complained
that Mr. Kim, one of the patients in the ward, has been asking him to provide him with sexual
gratification. Nurse Ara told Mr. Rafael that making such stories can lead to serious legal action
from Mr. Kim because he came from a family of politicians. Nurse Ara did not provide what
right of home care residents?
The right to be free from all forms of abuse

Mrs. Angela, a 65- year old businesswoman who was admitted in hospice care last month
because of Stage IV metastatic lung cancer, was very preoccupied with her business’ stocks and
checks her phone every 10 minutes. She expects that she will be able to buy herself a new car
and a house before the end of the year. Her children asked her if she wants to spend time with
them, but she refuses. According to Erikson's Theory of Psychologic Development, Mrs. Angela
have reached what stage of the development theory?
Self- absorption

Mrs. Antonia Valdez is an 83- year old woman who suffered a right- sided stroke with mild
hemiparesis and dysphagia. During hospitalization, her motor deficits were improving but the
dysphagia persisted. A swallow evaluation indicated that she was able to tolerate a chopped or
pureed diet with nectar- thick liquids, but she experienced asymptomatic aspiration with thin
liquids. The speech therapist recommended thickening all liquids, and you enter this order on
the chart. Mrs. Valdez, however, refuses thickened liquids, insisting that she would rather take
her chances with thin liquids. The nurses and the dietician tell you they do not want to provide
her with thin liquids; they believe that by doing so, they will be contributing to the risk they
were trying to ameliorate. What ethical principles are in conflict in this case?
Autonomy, beneficence and nonmaleficence

Mrs. Rodriguez, a 100- year old stroke survivor, told Nurse JC, “Cup, me.” Nurse JC asked if Mrs.
Rodriguez would like to have a cup of coffee or tea, and Mrs. Rodriguez repeated, “Cup, me.”
Nurse JC understands that Mrs. Rodriguez has:
 Broca’s Aphasia

Mrs. Villanueva stayed in the hospital ICU for 8 months and 4 months in the ward. Her family is
unable to pay the hospital bill. The nurse should refer the patient to the:
Social Worker

Mr. Vidad, a long- time home care resident who suffers from COPD, was caught keeping a piece
of cigar and lighter under his bedside cabinet. Nurse Justine told Mr. Vidad that smoking cigars
exacerbates his condition and explained that it may lead to various complications. What nursing
role did Nurse Justine observe?
Teacher

Mr. Vidad’s consultant ordered liquid diet with strict aspiration precaution (SAP). Nurse Jaylord
went to the patient’s room with the thickened liquid prepared by the dietician. He greeted Mr.
Vidad upon his arrival but he did not turn his head to face Nurse Jaylord. After feeding, Nurse
Jaylord, with the knowledge of Mr. Vidad’s condition, referred him to:

Speech- language pathologist & Audiologist

Ms. Jenica, the daughter and health proxy of a Stage IV colon cancer patient, signed a form
consenting the doctor to perform physician- assisted euthanasia. Instead of using potassium
chloride, the doctor used sodium thiopental. The nurse is correct when she states that the
medication is a/an:
Anesthetic

Nurse Carla, a master’s degree graduate, studied a content in health promotion and
maintenance, and differential diagnosis and disease. She also undergone 500 faculty-
supervised clinical hours in a geriatric ward. She has what type of certification in gerontologic
nursing?
Gerontologic Primary Care Nurse Practitioner

Nurse CJ knows that when interviewing older adults, it is important to explore all persons who
are ‘significant others’ to an individual and fulfill a family role. Nurse CJ asks the following
except:
Do your neighbor talks to you regularly?

Nurse Hannah cares for a 100- year old patient with Meniere’s disease. Nurse Hannah knows
that to get the attention of the patient, she should:
Touch the person gently, wave, or use another physical sign
Nurse Ivan, a family caregiver to his grandfather, was recently accepted in a government
hospital. Although not as hands- on as before, he finds time to care for her grandfather in their
home. What is this type of Family Caregiving?
Sporadic Care

Nurse Jayne accompanied her 59- year old grandmother, Mrs. Dumale, to the supermarket.
While they were on the counter, Nurse Jayne remembers that according to RA 9994, her
grandmother is entitled to:
No discount at all

Nurse Justine is the primary nurse of Mr. Nico, a 69- year old dementia patient. Since Mr. Nico
was admitted, she observed that he has been active during their exercise time and occupational
activities. One of his fellow home care residents asked him how he is able to focus and do all
these things. Nurse Justine heard Mr. Nico replied, “It enriches my life in the home care.”
According to Selective Optimization with Compensation Theory, what view does Mr. Nico
reflect?
Optimization

Nurse Kimberly cares for an 88- year old dementia patient. To enhance conversation and
promote recall with older adults with cognitive deficits, the nurse should:
Post a few pictures in the patient’s room

Nurse Kyla wants to start a conversation with Mrs. Lucas, a long- term resident in the home
care. She wants to ask about personal questions, what should Nurse Kyla ask?
I can see you have grandchildren. Tell me about your relationship with them

Nurse Lara is a nursing graduate who accomplished continuing education of 30 contact hours in
gerontology within the past three years. She also has clinical practice of 2510 hours in a
geriatric hospital. What type of gerontologic nursing certification Nurse Lara has?
Gerontologic Nurse

Nurse Marie was asked by the institutional social worker to interview Mr. John, a bedridden
patient, about his experiences in the home care. When having a conversation with the patient,
Nurse Marie should:
Pull up a chair and position herself at equal height to the person

One of the home care residents accidentally broke a glass she was holding. Nurse Fiona
responded by putting the client in a secluded padded room even without the consent of the
patient, her family and attending physician because she evaluates that the patient possesses
threatening behavior towards the nurse and her fellow residents. The nurse may be guilty of:
False Imprisonment
Patient Ana was diagnosed with presbycusis. Nurse Mae knows that for patient Ana to
comprehend her words, the nurse should:
Check to see whether he or she is wearing her hearing aid and that it is turned on

Patient Angelica, an 88- year old lung cancer patient, arrived at the ED after complaining of
chest pain, SOB, cough and loss of appetite. She was subsequently admitted at the Infectious
Ward and was ordered COVID swab test. After 2 days, Nurse Arianne told the doctor that the
patient was negative. Upon discharge, Nurse Arianne was shocked that Patient Angelica was
diagnosed with COVID positive and confronted the doctor about this. The doctor informed
Nurse Arianne that she will receive 20, 000 pesos if she keeps the information from the
patient’s family. Nurse Arianne agreed. This act can result in what legal liability?
Fraud

Student Nurse Nicole has been using only one pair of shoes since she started nursing school.
After 4 years of continuous use, her shoes were severely damaged by the time she graduated.
In analogy to a certain theory in aging, the pair of shoes is the person’s body. This situation can
be related to what theory in aging?
Wear and Tear Theory

The biological theory of aging proposes the idea of errors that may occur in the transcription in
any step of the protein synthesis of DNA and that proteins in the body become enmeshed. It
explains that aging as events that occur randomly and accumulate over time.
Stochastic Theory

The number of medications taken by an older adult patient which can be considered as
polypharmacy.
5 or more daily

The nurse who balances concerns of the patient, family and interdisciplinary team observes
what role?
Manager

The nurse works with elderly clients in a wellness screening clinic on a weekly basis. Which of
the following statements made by the nurse is the most therapeutic regarding their mobility?
Continue to exercise your joints regularly to your tolerance level

This is a type of long-term care facility that provides home health aide that offers nonmedical
care to enable older adults with chronic illnesses to remain at home.
Personal care facility
This theory views the aging person as an individual element of society. It attempts to explain
the high degree of interdependence that exists between older adults and society and how they
constantly influence each other.
Age stratification theory

When identifying the family members of the patient, the nurse must look for individuals who
fulfill family functions. All are examples of family functions that address the special needs of the
elderly except one:
Managing financial aspect of care

Which information obtained by the home health nurse when making a visit to an 88-year-old
with mild forgetfulness is of the most concern?
The patient has lost 10 pounds during the last month

Elderly clients living alone should check water temperature by dipping one of their elbows in the water.

False

If an elderly cannot hear alarms, it is advisable to install blinking lights. True

Doing household chores is important in elderly exercise and is included in client’s ADLs. False

Dental check- up, floss and cleaning are advisable to be done twice a year or every 6 months. False

For patients with periodontal disease, chewing gum can help in difficulty in digestion. False

Geriatric Depression Scale Secondary

Wearing seatbelt Primary

Post- CVA therapy Tertiary

PSA Secondary

Home environmental improvements Primary

Articles from magazines and information from media features can help the patient stay current about
the disease. True

A chronic care coach can be a spouse, child, friend or anyone who cares about and has regular contact
with the patient. The care coach may not accompany the patient to diagnostic tests in the clinic but
should be able to provide support and assistance at home. False

Nurses, as chronic care coordinator, inspires patient’s self- healing capabilities to provide care and
treatments. False

Chronic illness trajectory is a theoretical approach that interprets chronic illnesses as a fundamental part
of life and not an isolated occurrence in the life course. True
People with advanced age usually have forgetfulness and restricting symptoms as a normal wear and
tear of the brain’s nerve cells. False

Mr. Copeland went to the hospital with complaints of suprapubic pain and difficulty in urinating. After
series of diagnostic exams, his doctors diagnosed him with prostatic cancer and referred him to the
oncology department. Trajectory Onset

In the following months, Mr. Copeland experienced pronounced withdrawal. He requires total care and
intensive management of symptoms. Dying

During admission, Mr. Copeland experienced some weight loss and weakness. Symptoms of his
condition manifested, and he was showing signs of stress, fear and depression. Downward

Mr. Copeland has a family history of prostatic hyperplasia. He makes sure to attend screening
appointments in the clinic. Pre- trajectory

Upon examination of oncologists, it was found out that Mr. Copeland’s prostate cancer has metastasized
to his lymph nodes. Mr. Copeland’s family opted to start his medical management right away. Acute

SECOND TERM EXAM

Upon assessment of ADLs using Katz Index, you found out that 78- year old Mrs. Padre uses a
quad cane that aids her walking and mobility and that her daughter helps her buttoning her
dress and tying her shoes. She can perform other ADLs with no supervision, direction or
personal assistance. She is considered as: 5, partially dependent
Nurse Liane is visiting a client for the first time. While assessing the client's medication history,
it is noted that there are 19 prescriptions and several over-the-counter medications that the
client has been taking. Which intervention should Nurse Liane take first?
Call the prescribing health care provider (HCP) and report polypharmacy.
Actions toward achieving this chronic goal include education about the disease and its
management, stabilization and improvement of health status, promotion of interest and
motivation for self-care, use of assistive devices, and provision of periodic assistance with care.
Maintain self- care capacity
Mrs. Carpio has been admitted at MICU for 2 months. She undergone coronary artery bypass
grafting a week earlier and was now showing signs of cardiac arrhythmia. As the ICU nurse refer
this finding to the attending physician, the patient had experienced ventricular fibrillation.
What is this phase in Chronic Care Trajectory? Crisis
Development task theory is based on these assumptions except:
It is better to develop new abilities than giving up previous capabilities
Upon examination of oncologists, it was found out that Mrs. Santiago’s breast cancer has
metastasized to nearby lymph nodes. Mrs. Santiago’s family opted to start her medical
management right away. What is this phase in Chronic Care Trajectory? Acute
Mr. Ignacio, a resident who was recently diagnosed with bladder cancer, complains some
weight loss and weakness. Symptoms of his condition manifested, and he was showing signs of
stress, fear and depression. What is this phase in Chronic Care Trajectory? Downward
Mr. Peralta went to ED with complains of headache, nape pain and nausea even after taking
losartan 50mg. Upon assessment, his BP was 180/ 100mmHg. The EROD prescribed him a
higher dose of losartan. Acute
When administering a mental status examination to a patient with delirium, the nurse should:
Choose a place without distracting stimuli.
It is the science and art of helping people change their lifestyle to move toward a state of
optimal health. Health Promotion
Sexual health is one of the important aspects in gerontological nursing. Using condom is
considered as what level of prevention? Primary
Mrs. Villanueva’s assessment using Katz Index shows that she needs help in meal preparation
and has partial urinary incontinence. She can perform other ADLs with no supervision, direction
or personal assistance. She is considered as: Partially Dependent
During the stay of patient Angelica in the home care, she develops dysarthria secondary to
Guillain-Barre syndrome. Your senior nurse tasked you to interview the patient for further
assessment. Even though you are a new nurse in the area, you are confident that you will have
a meaningful interaction with the patient because you know that to be able to enhance
understanding, you should: Observe speaking for facial cues and gestures
Non- pharmacological and symptomatic treatments is considered as what level of prevention?
Tertiary
Which statement reflects the state of drug absorption in the geriatric patient?
The rate of absorption is slowed
Mrs. Rava, aged 86 years, complains of fullness after eating only small amounts of food. This is
primarily due to which GI change? Delayed gastric emptying time.
All are principles of comprehensive assessment in gerontologic nursing except:
Assessment of older adults who have cognitive limitations may require task combination, or the
breaking down of tasks into smaller steps.
Mr. Juan, a 79-year old resident, purchased 1kg of LPG contents and 3 liters of kerosene in one
month using his 5% senior citizen discount. Under RA 9994, Mr. Juan should be punished with:
A fine of not less than 50, 000 but not more than 100, 000 and imprisonment of not less than 6
months
Nurse Nica knows that in assessing the aging client, it is important for the nurse to recognize:
All components of well-being
A 72-year-old female patient is brought to the clinic by the patient's spouse, who reports that
she is unable to solve common problems around the house. To obtain information about the
patient's current mental status, which question should the nurse ask the patient?
What did you eat for breakfast?
The functional effect of degenerative joint changes is/ are: Aches and pains with movement
When identifying the family members of the patient, the nurse must look for individuals who
fulfill family functions. All are examples of family functions that address the special needs of the
elderly except one: Managing financial aspect of care
The following are nursing goals in Chronic Illness Trajectory, EXCEPT: To assist a client who is in
a crisis trajectory to be able to maintain sense of self and receive expert palliative care.
Why do some older adults not seek healthcare for their complaints? I think it's a normal part of
aging
Gerontologic Nurse Randell assesses older population. He needs to have a basic understanding
of which of the following? The normal and abnormal for the older age group
A nursing instructor teaching classes in gerontology to nursing students discusses myths related
to the aging of adults. Which statement is a myth about older adults? Old age means mental
deterioration
The following are questions asked during Geriatric Depression Scale, EXCEPT:
Do you feel downhearted and cheery?
An 89- year old patient went to ED with complaints of loss of appetite, vomiting for 6 episodes
and diarrhea for 4 times. She was diagnosed with AGE with severe dehydration. Upon
transferring the patient to the pay ward, the nurse observed that the patient is experiencing
short- term memory loss. You refer the patient to her attending physician who managed the
patient’s condition as: Mild Dementia
Mr. Tito, an 87- year old resident of assisted living community, was assessed for his ability to
perform IADLs. He was able to look up numbers, dial, receive and make calls with use of special
phone, prepare light meals and take his medications after. Using the Geriatric IADLs
Assessment, Mr. Tito is: Independent- Medication; Dependent- Telephone; Dependent-
Preparing Meals
Mr. Dela Cruz went to the hospital with complaints of dysuria and suprapubic pain. After series
of diagnostic exams, his doctors diagnosed him with prostatic cancer and referred him to the
oncology department. What is this phase in Chronic Care Trajectory? Trajectory Onset
Healthcare institutions should inform individuals about their right to participate in decisions
about their healthcare and the right to make advanced directives. The origin of the advanced
directives is the Patient Self- Determination Act of 1991. The purpose of this law is to promote:
Patient’s autonomy
A 1961 study found that unlimited cell division do not occur, and the immortality of individual
cells was found to be more an abnormal occurrence than a normal one. This study supports
what biologic theory in aging? Hayflick Limit Theory
Mr. Juan’s MMSE shows that he was unable to correctly answer the date and day of the month.
His MMSE score is: 28/ 30
As nurses knowledgeable on normal aging, which statement demonstrates normal cognitive
function for an aging adult? Occasional memory lapses
Mrs. Dumale, aged 79 years, is admitted to the hospital. Based on your understanding of
normal age changes in the nervous system, what behavior might you expect Mrs. Dumale to
exhibit? Longer response time to questions.
Nurse Gerald interviewed a newly- admitted, 98- year old client at the ED. He is correct if he
included which of the following in geriatric medical history? Preventive health measures
All but one is true about aging in the Philippines.
Females are projected to expect a decrease of 4.0 years in life expectancy and males an
increase of 4.7 years in life expectancy by 2030
Nurse Kyla is administering a mental status examination to a 48-year-old patient who has
hypertension. She suspects depression when the patient responds to her questions with:
I don't know.
Mr. Marzan scored 18 on the Geriatric Depression Scale. It is expected that he will:
Not initiate much conversation
Polypharmacy carries substantial risks such as severe side effects, drug-drug interactions and
drug-disease interactions. Protecting patients from unnecessary or harmful medicine is
considered as what level of prevention? Quaternary
Mrs. Villanueva’s assessment using Katz Index shows that she needs help in washing her
genitalia and transferring to the toilet. She can perform other ADLs with no supervision,
direction or personal assistance. What is the total Katz Index points? 5
It is a balance of physical, emotional, social, spiritual and intellectual health. Health Promotion
It focuses on protecting as many people as possible from the harmful consequences of a threat
to health. Health Promotion
During MMSE Assessment, Mr. Mendoza was unable to perform the written instruction from
the examiner and was unable to repeat two of the three things said by the examiner. His MMSE
score interpretation is: No Impairment
The risk of being diagnosed with breast cancer increases with age. Breast self- examination is
considered as what level of prevention? Secondary
Mrs. Lucena, a 65- year old home care resident, has a family history of cervical cancer and was
advised for primary human papillomavirus (HPV) testing appointments in the clinic every 5
years. What is this phase in Chronic Care Trajectory? Pre- trajectory
Edentulousness has a functional effect of: Poor mastication
Mr. Lopez, a 66- year old home care resident for 3 years, was discharged per family’s request
for meaningful interaction at home. After several days, Mr. Lopez’s son called the home care
and told Nurse Rica that his mother won’t go anywhere and only stayed in her room for days.
This theory views this as a typical change in older adulthood. Disengagement Theory
Mr. Jude, a 77-year-old patient, was admitted with type 2 diabetes, asks the nurse what "type
2" means. Which of the following is the most appropriate response by the nurse?
With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased.
Mrs. Mendoza, who was recently diagnosed with dementia, was admitted at the hospital’s
Geriatric Ward. You will correct the nurse trainee caring for Mrs. Mendoza when he explains to
the patient’s family that:
Mrs. Mendoza will probably experience altered level of consciousness for the next several days.
Which action will help the nurse determine whether a new patient's confusion is caused by
dementia or delirium? Use the Confusion Assessment Method tool.
As a student nurse in a geriatric ward, you know that patients in hospice care should be able to
discuss their values and treatment goals as long as they are capable. As Mr. Garcia was talking
to you about his values and treatment goals, you should write these under the Five Wishes
except: I wish to go to the chapel and attend mass every Sunday.
Nutritional assessment was done by Nurse Erika to Mrs. Lagasca, a 67- year old post- stroke
patient. Which data is included under the subjective data assessment? Allergies
Dementia and depression are strongly related to: A decreased quality of life and functional
deficits
Immobility or sedentary lifestyles have what effect on the older adult? Loss of muscle size and
strength.
After 6 months of chemotherapy, radiation therapy and surgical management, Mr. Urban
experienced pronounced withdrawal. What is this phase in Chronic Care Trajectory? Dying
Nurse Carla is performing an assessment on an older client who is having difficulty sleeping at
night. Which statement by the client indicates the need for further teaching regarding
measures to improve sleep? I drink hot chocolate before bedtime.
What physical examination should be done during genitourinary assessment? DRE
Which statement would be most appropriate to ask when assessing an aging adult for cognitive
function?
Have you noticed anything different about your memory or thinking in the past few months?
An 88- year old resident complains of “being too cold” and your nurse trainee prepared a hot
compress and placed it on the client’s feet. After a while, the patient complained of pain on her
right foot and you found out that she has 2nd degree burn. You know that in most ethical
dilemmas, the solution to the dilemma requires negotiation among members of the health care
team. The nurse’s point of view is valuable because:
Nurses develop a relationship to the client that is unique among all professional health care
providers
After 15 years of continuous training and practice, Mr. Latrell was already considered as a
taekwondo master in his mid- 30s. After 20 years, he was replaced with a 28- year old
taekwondo player since he was unable to learn new skills. This principle of development is
described as: Plastic rather than rigid
Nurse Nikki is concerned about a postoperative patient's risk for injury during an episode of
delirium. The most appropriate action by the nurse is to:
Assign UAP to stay with the patient and offer reorientation.
Mrs. Gay is an 83- year old woman who suffered a right- sided stroke with mild hemiparesis and
dysphagia. During hospitalization, her motor deficits were improving but the dysphagia
persisted. A swallow evaluation indicated that she was able to tolerate a chopped or pureed
diet with nectar- thick liquids, but she experienced asymptomatic aspiration with thin liquids.
The speech therapist recommended thickening all liquids, and you enter this order on the chart.
Mrs. Gay, however, refuses thickened liquids, insisting that she would rather take her chances
with thin liquids. The nurses and the dietician tell you they do not want to provide her with thin
liquids; they believe that by doing so, they will be contributing to the risk they were trying to
ameliorate. What ethical principles are in conflict in this case? Autonomy and beneficence
Nurse Mikee is performing an assessment on an older adult client. Which assessment data
would indicate a potential complication associated with the skin? Crusting
The risk for severe illness from COVID 19 increases with age and with older adults at highest
risk. COVID 19 case finding is considered as what level of prevention? Secondary
A nursing intervention directed toward primary prevention in the older adult focuses on:
Teaching positive health behaviors
Mr. Peralta, a 68-year-old patient, is diagnosed with moderate dementia after multiple strokes.
During assessment of the patient, Nurse Harvie would expect to find: Loss of recent and long-
term memory.
Nurses’ stimulates patient’s self- healing capabilities by: Removing barriers to self-care and self-
awareness
During assessment, Nurse Troy asked 77- year old homecare resident Mr. Vidad’s health
management perception. Which is not included under the subjective data assessment?
Weight
An experienced nurse tells a younger nurse who is working in a retirement home that older
adults have "outlived their usefulness." What is the term for this type of prejudice? Agism
Mrs. Mercado, an 88- year old, 5’ 2’’, adult day care resident, went to the ED with complaints of
forgetfulness and losing track of time. 3 months earlier, her husband died of heart attack and
she was devastated by this event. She only eats half the amount of food she usually does and
had lost 2 kgs, from 75 to 73 kgs, for the past couple of months. Her daughter told the nurse
that Mrs. Mercado misses her husband so much that she goes to the cemetery every other day.
Using the Geriatric Mini Nutrition Assessment, Mrs. Mercado has a screening score of:
9, at risk of malnutrition
A newly admitted 86- year old post- CVA patient arrived in the community hospice care center.
He suffers from aphasia and upper extremity motor impairment, and the nurses in the ward
were unable to communicate with the patient properly. As a nurse manager, you should
educate your nursing staff on how to communicate with an aphasic patient. If the nurse does
not understand the patient, he/ she should: Ask the patient to describe the word
Which of the following is true when using a chronic care coach?
The chronic care coach can be someone with a similar condition.
Which of the following statement is true?
If an elderly cannot hear alarms, it is advisable to install blinking lights.
Mrs. Lucena, a 65- year old home care resident, has a family history of cervical cancer and was
advised for primary human papillomavirus (HPV) testing appointments in the clinic every 5
years. In this case, what is the level of prevention? Primary
Which intervention will Nurse Nica include in the plan of care for a patient with moderate
dementia who had an appendectomy 2 days ago? Remind the patient frequently about being in
the hospital.
Mrs. Domingo, a 67-year-old patient, who is hospitalized with pneumonia is disoriented and
confused 3 days after admission. Which information indicates that the patient is experiencing
delirium rather than dementia? The patient was oriented and alert when admitted.
Which of the following statement about healing is true? The nurse serves a healing role in
facilitating this process and guiding individuals with chronic conditions to achieve their
maximum potential and highest attainable quality of life.
Mr. JC is being evaluated for Alzheimer's disease (AD). Nurse Kenneth explains to the patient's
adult children that: A diagnosis of AD is made only after other causes of dementia are ruled out.
All but one of the following is true about management of home environment for older persons.
Remove all furniture and clear path for safety

QUIZ 1
In working with a dying client, the nurse demonstrates assisting the client to die with dignity
when performing which action? Allows the client to make as many decisions about care as
possible
The family of a client who has just died wants to spend time with the client. What should the
nurse do to prepare the client for the family? Select all that apply.
Check the client’s religion to make sure care follows religious expectations, Remove equipment
from the room, and Change the linen, Place the client in a natural body position
Upon admitting a client to the hospital, the nurse receives an advance health care directive to
include in the medical record. The directive is witnessed by two if the client’s three children.
How does the nurse interpret this information?
This advanced directive may not be legal as children cannot witness advanced directives
The nurse is caring for a family in a shelter 2 days after the loss of their home due to a fire. The
fire caused minor burns to several members of the family but no life- threatening conditions.
Which of the following is the most important assessment data for the nurse to gather at this
time? Family members’ grief responses and coping behavior
When asked to sign the permission form for surgical removal of a large but noncancerous lesion
on her face, the client begins to cry. Which of the following is the most appropriate response?
Tell me what it means to you to have this surgery
At which age does a child begin to accept that he or she will someday die? 9-12 years old
An 82- year old man has been told by his primary care provider that it is no longer safe for him
to drive a car. Which statement by the client would indicate beginning positive adaptation to
this loss? Well, at least I have friends and family who can take me places
The shift changed while the nursing staff was waiting for the adult children of a deceased client
to arrive. The oncoming nurse has never met the family. Which of the following initial greetings
is most appropriate? I’m very sorry for your loss
A client who is in the terminal phases of a debilitating muscular disease tells his wife that he
believes the health care team has failed and given up on him and aren’t trying as hard. What
does nurse caring for this client realize? This is a common fear in the terminally ill patient
Which of the following may be considered as normal or healthy types of grief? Select all that
apply. Abbreviated grief, Anticipatory grief, Disenfranchised grief

QUIZ 2
In receiving knowledge on new technology, confidence in one’s skill may be a hindrance? FALSE
Longer training sessions are not allowed TRUE
Only selective essential facts are learned TRUE
Aides memories will increase self-efficacy I using new technology TRUE
Sporadic short training sessions are allowed FALSE
Training sessions are held in the home rather than other meeting places of the elderly FALSE
Technology used must be needed and separated to the routine of the older adult FALSE
Focus on the technical features of the device FALSE
When creating the learning environment, the older adult capability must be considered TRUE
Not well- known instructors can teach the elderly as long as they are introduced well in advance
of the training. TRUE
QUIZ 3
COSE advocate this inclusion and promotion of older persons to improve older people living
conditions and provide basic income guarantee in older age. Economic Inclusion
The goal of Health and Wellness Program for Senior Citizen is best described as: Quality life
Inclusion of older people in humanitarian responses. Emergency Inclusion
The following are objectives of Health and Wellness Program for Senior Citizen except:
To conduct researches in the development of circumstantial policies for senior citizens.
The vision of Health and Wellness Program for Senior Citizen is best described as:
Productive aging
It is a community-based program working for the elderly rights and development with special
attention to Moro and Indigenous People’s. Advocacy Consortium for the Elderly
COSE and COPAP have the following priorities in the OPPLA except: Violence and Abuse in Older
Age
PD 470 declares: Linggong Katandaang Pilipino
The DOH issued Administrative Orders for health implementors to undertake and promote the
health and wellness of senior citizens in support of? RA 9994
The following are true to world aging except:
Based on the recent population estimate of the WHO, senior citizen aged 60 and over is about
7,548,769 or 7.5% of the 2017 Philippine population.