UNIT 4

Question 1

What is the primary purpose of standards in gerontological nursing practice?

A) To promote nurse collaboration
B) To define the scope and depth of gerontological nursing practice
C) To provide advanced geriatric care
D) To ensure patient independence

Answer 1

B) To define the scope and depth of gerontological nursing practice

Question 2

Which standard in gerontological nursing focuses on relationship-centered care and empathy?

A) Standard I: Humanistic and Relational Care
B) Standard II: Ethical Care
C) Standard III: Evidence-Informed Care
D) Standard V: Safe Care

Answer 2

A) Standard I: Humanistic and Relational Care

Question 3

What is a key component of Standard II: Ethical Care in gerontological nursing?

A) Providing comfort through aesthetic care
B) Respecting self-determination and autonomy
C) Utilizing creative expression for emotional support
D) Ensuring patient safety and fall prevention

Answer 3

B) Respecting self-determination and autonomy

Question 3

In gerontological nursing, which of the following is an indicator of safe medication use in older adults?

A) Using medications with strong anticholinergic properties
B) Regular monitoring of electrolytes during diuretic therapy
C) Avoiding the use of evidence-based assessments
D) Delaying periodic drug review for more than one year

Answer 3

B) Regular monitoring of electrolytes during diuretic therapy

Question 4

Which standard in gerontological nursing practice focuses on the prevention of harm and maintaining safety in the care environment?

A) Standard III: Evidence-Informed Care
B) Standard V: Safe Care
C) Standard I: Humanistic Care
D) Standard IV: Aesthetic Care

Answer 4

B) Standard V: Safe Care

Question 4

Which of the following is a principle of gerontological nursing that emphasizes aging as a natural process?

A) Aging is a reversible process with proper care
B) Aging requires unique nursing information and skills
C) Aging is solely influenced by genetics
D) Aging can be reversed with modern medicine

Answer 4

B) Aging requires unique nursing information and skills

Question 4

What is an example of autonomy in the care of older adults, as outlined in the document?

A) Advocating for less medical intervention
B) Allowing patients to make independent choices, including advanced directives
C) Prioritizing family input over patient choices
D) Encouraging restraint use to ensure safety

Answer 4

B) Allowing patients to make independent choices, including advanced directives

Question 5

What does Standard III: Evidence-Informed Care emphasize in gerontological nursing?

A) Care based solely on traditional methods
B) Use of standardized assessments and evidence-informed interventions
C) Focus on comfort rather than disease management
D) Limiting patient autonomy to ensure safety

Answer 5

B) Use of standardized assessments and evidence-informed interventions

Question 5

What is a key factor that increases the risk of polypharmacy in older adults?

A) Increased use of herbal medicines
B) High prevalence of multiple chronic health conditions
C) A preference for over-the-counter medication
D) Poor access to healthcare services

Answer 5

B) High prevalence of multiple chronic health conditions

Question 5

Which of the following is a risk of polypharmacy in older adults?

A) Improved cognitive function
B) Higher healthcare costs
C) Reduced medication adherence
D) Lower rates of drug-drug interactions

Answer 5

B) Higher healthcare costs

Question 6

According to Republic Act 9994, senior citizens are granted which of the following privileges?

A) 20% discount on transportation services
B) 50% discount on medicine
C) Exemption from income tax
D) Free health services in private facilities

Answer 6

A) 20% discount on transportation services

Question 6

Which law grants additional benefits and privileges to senior citizens in the Philippines under the Expanded Senior Citizens Act of 2003?

A) Republic Act 9994
B) Republic Act 7432
C) Republic Act 9504
D) Republic Act 9257

Answer 6

D) Republic Act 9257

Question 7

Which of the following is considered an ethical principle in gerontological nursing care?

A) Autonomy
B) Advocacy
C) Veracity
D) All of the above

Answer 7

D) All of the above

Question 7

In gerontological nursing, what is the role of an interdisciplinary team?

A) To work independently of one another
B) To share and integrate care goals across multiple professions
C) To focus only on medical interventions
D) To perform the same tasks as a multidisciplinary team

Answer 7

B) To share and integrate care goals across multiple professions

Question 8

Which of the following medications is typically avoided in older adults due to its anticholinergic properties and risk of confusion?

A) Furosemide
B) Chlorpropamide
C) Anticholinergic drugs
D) Warfarin

Answer 8

C) Anticholinergic drugs

Question 8

What is a key consideration when caring for older adults with cognitive impairments?

A) Encouraging the use of antipsychotic medications
B) Allowing autonomy while providing appropriate supervision
C) Limiting communication with family members
D) Relying solely on written communication

Answer 8

B) Allowing autonomy while providing appropriate supervision

Question 9

According to the principles of palliative care, what is the primary focus for patients with terminal illness?

A) Prolonging life at all costs
B) Managing symptoms and improving quality of life
C) Initiating aggressive medical interventions
D) Seeking curative treatments

Answer 9

B) Managing symptoms and improving quality of life

Question 10

What is an example of non-verbal communication that gerontological nurses should consider when interacting with older adults?

A) Speaking loudly
B) Maintaining eye contact
C) Using technical medical terminology
D) Avoiding hand gestures

Answer 10

B) Maintaining eye contact

Question 11

What is the role of advance directives in the care of older adults?

A) To limit treatment options for older adults
B) To allow patients to make decisions in advance about their medical care
C) To delegate medical decision-making to the healthcare provider
D) To restrict access to palliative care

Answer 11

B) To allow patients to make decisions in advance about their medical care

Question 11

What is a key component of Standard VI: Socio-Politically Engaged Care in gerontological nursing?

A) Ensuring patient autonomy through the exclusion of family members
B) Advocating for equitable access to health resources for older adults
C) Restricting patient involvement in care decisions
D) Prioritizing medical care over social support systems

Answer 11

B) Advocating for equitable access to health resources for older adults

Question 11

What is the nurse’s role in supporting older adults at the end of life, according to the End-of-Life Strategy?

A) Providing only physical care
B) Supporting the patient’s decisions regarding care preferences
C) Encouraging invasive treatments
D) Prioritizing the family’s preferences over the patient’s

Answer 11

B) Supporting the patient’s decisions regarding care preferences

Question 11

In the context of care for older adults, what does the principle of nonmaleficence refer to?

A) Doing good for patients
B) Ensuring patient autonomy
C) Avoiding harm to patients
D) Maintaining patient confidentiality

Answer 11

C) Avoiding harm to patients

Question 12

In the context of the Expanded Senior Citizens Act of 2010 (Republic Act 9994), which of the following benefits is granted to senior citizens?

A) Free vaccination against influenza for all senior citizens
B) 10% discount on food purchases
C) Free international travel
D) Free health services in government facilities

Answer 12

D) Free health services in government facilities

Question 12

What are the core components of the Gold Standard Framework in end-of-life care?

A) Identification, assessment, and planning
B) Prolonging life, monitoring, and follow-up
C) Discharge planning, symptom management, and comfort care
D) Immediate intervention, triage, and referral

Answer 12

A) Identification, assessment, and planning

Question 13

When communicating with older adults who have memory or cognitive deficits, which of the following strategies is recommended? A) Avoid eye contact to minimize distractions B) Speak slowly and use familiar topics C) Use medical jargon to improve understanding D) Ask multiple questions at once

Answer 13

B) Speak slowly and use familiar topics

Question 13

According to the Expanded Senior Citizens Act of 2010 (RA 9994), what is the minimum discount that senior citizens are entitled to on their water and electricity bills? A) 2% B) 5% C) 10% D) 15%

Answer 13

B) 5%

Question 14

What is a common risk associated with the use of multiple medications, or polypharmacy, in older adults? A) Reduced risk of adverse drug reactions B) Increased healthcare costs C) Enhanced medication adherence D) Lower risk of drug-drug interactions

Answer 14

B) Increased healthcare costs

Question 14

What is one of the ethical issues gerontological nurses must navigate when dealing with end-of-life care? A) Limiting patient autonomy to ensure family involvement B) Facilitating decisions about life-sustaining treatments and advance directives C) Encouraging the use of invasive procedures to prolong life D) Avoiding conversations about death and dying

Answer 14

B) Facilitating decisions about life-sustaining treatments and advance directives

Question 15

What is the focus of Standard IV: Aesthetic/Artful Care in gerontological nursing? A) Creating a sterile environment to prevent infection B) Providing care that promotes comfort and emotional well-being through creative and artistic practices C) Limiting social interactions to ensure quiet environments D) Avoiding non-verbal communication with patients

Answer 15

B) Providing care that promotes comfort and emotional well-being through creative and artistic practices

Question 16

Which ethical principle involves educating patients and their families so they are fully informed and able to access all the benefits they are entitled to? A) Beneficence B) Advocacy C) Autonomy D) Veracity

Answer 16

B) Advocacy

Question 17

What does Republic Act 7432 provide to senior citizens in the Philippines? A) A 20% discount on domestic air and sea travel B) Free medical services in all private facilities C) Additional benefits and privileges including tax exemptions and discounts D) Free transportation for all senior citizens

Answer 17

C) Additional benefits and privileges including tax exemptions and discounts

Question 17

What is a key element of effective communication with older adults who have aphasia? A) Speaking loudly and quickly B) Giving the individual time to speak and using gestures to aid understanding C) Using complex medical terminology to stimulate conversation D) Limiting the interaction to yes/no questions

Answer 17

B) Giving the individual time to speak and using gestures to aid understanding

Question 17

What is a key component of the interdisciplinary approach in geriatric care? A) Disciplines work independently and sequentially B) Interactive collaboration among professionals with common goals C) Focus solely on medical interventions D) Delegation of all tasks to a single healthcare provider

Answer 17

B) Interactive collaboration among professionals with common goals

Question 18

What is the purpose of documentation in the care of older adults? A) To reduce communication between shifts B) To ensure the continuity of care and evaluate patient outcomes C) To simplify care by minimizing paperwork D) To provide basic health information to patients’ families

Answer 18

B) To ensure the continuity of care and evaluate patient outcomes

Question 19

Which of the following is a key indicator of inappropriate medication use in older adults? A) Use of medication without a clear indication B) Regular monitoring of medication lists C) Documentation of response to therapy within six months D) Annual review of the medication regimen

Answer 19

A) Use of medication without a clear indication

Question 19

Which of the following is a key component of Standard V: Safe Care in gerontological nursing? A) Assessing the patient’s preference for aesthetic environments B) Implementing strategies to reduce the risk of falls and medication mismanagement C) Encouraging the use of strong anticholinergic medications to manage symptoms D) Avoiding collaboration with family members

Answer 19

B) Implementing strategies to reduce the risk of falls and medication mismanagement

Question 19

What is the goal of long-term care for older adults? A) To provide short-term acute care for illness B) To compensate for loss of function due to chronic illness or disability over an extended period C) To focus solely on rehabilitating the patient’s physical condition D) To eliminate the need for any healthcare services

Answer 19

B) To compensate for loss of function due to chronic illness or disability over an extended period

Question 20

What is the key goal of hospice care for terminally ill patients? A) To focus on curative treatment until the very end B) To manage symptoms and provide comfort, prioritizing quality of life C) To focus on aggressive interventions to extend life D) To reduce healthcare costs by limiting care

Answer 20

B) To manage symptoms and provide comfort, prioritizing quality of life

Question 21

In the context of polypharmacy, what is an essential question nurses should ask when reviewing an older adult’s medication regimen? A) Is the medication prescribed by a single healthcare provider? B) Is this treatment necessary and is it the safest option available? C) Can the patient take more than the prescribed dose if needed? D) Can the medication be replaced with over-the-counter drugs?

Answer 21

B) Is this treatment necessary and is it the safest option available?

Question 22

What is one of the common ethical dilemmas faced by gerontological nurses when caring for older adults at the end of life? A) Balancing the patient’s right to self-determination with family wishes regarding life-sustaining treatments B) Forcing patients to accept medical interventions to prolong life C) Ignoring patients' spiritual needs during end-of-life care D) Prioritizing hospital protocols over patient preferences

Answer 22

A) Balancing the patient’s right to self-determination with family wishes regarding life-sustaining treatments​

Question 23

Which of the following is a key benefit of using standardized assessments in gerontological nursing? A) Reducing the need for personalized care B) Ensuring comprehensive assessment and treatment based on evidence-informed knowledge C) Limiting patient involvement in care decisions D) Simplifying care to reduce workload

Answer 23

B) Ensuring comprehensive assessment and treatment based on evidence-informed knowledge

Question 24

What is one of the privileges provided to senior citizens under Republic Act 9994? A) Free dental services in private clinics B) Exemption from value-added tax (VAT) on the purchase of medicines C) 30% discount on healthcare services D) Free international air travel

Answer 24

B) Exemption from value-added tax (VAT) on the purchase of medicines

Question 25

What is a common consequence of polypharmacy in older adults? A) Improved physical and cognitive functioning B) Increased risk of drug-drug interactions and adverse effects C) Reduced need for regular medical consultations D) Enhanced medication adherence and compliance

Answer 25

B) Increased risk of drug-drug interactions and adverse effects

Question 26

Which of the following is a responsibility of gerontological nurses when providing aesthetic care? A) Limiting patient interactions to clinical tasks only B) Creating a holistic environment that supports emotional and physical well-being C) Reducing the use of artistic and creative therapies in care D) Avoiding discussions about the patient’s personal preferences

Answer 26

B) Creating a holistic environment that supports emotional and physical well-being

Question 27

What is one of the essential roles of gerontological nurses when working with older adults and their care partners? A) Discouraging family involvement in decision-making processes B) Promoting collaboration and shared decision-making to enhance care outcomes C) Relying solely on the healthcare provider for decision-making D) Avoiding conversations about difficult health care decisions

Answer 27

B) Promoting collaboration and shared decision-making to enhance care outcomes