Gerontological Nursing Competencies For Care 3e By Kristen L Mauk – Test Bank

Complete Test Bank With Answers

Sample Questions Posted Below

Chapter 4 Aging changes that affect communication

1. Which of the following visual changes is not usually associated with normal aging?

presbyopia

yellowing of the lens

night blindness

decreased accommodation

2.  All of the following are considered IADLs except:

toileting

balancing the checkbook

using the phone

shopping

3. Old persons may have difficulty picking up their pills from a medicine cup because of:

macular degeneration

decreased touch sensation that comes with old age

peripheral neuropathy

all of the above

4. An older adult who complains of a dark spot in the center of the visual field is showing signs of:

       a. cataracts

       b. macular degeneration

       c. acute glaucoma

       d. diabetic retinopathy

5. An older adult who complains of seeing dark shadows around the center of the visual field is showing signs of:

        a. cataracts

        b. macular degeneration

        c. glaucoma

        d. diabetic retinopathy

6. An older adult who complains of blurry vision and has a bluish-white coating that can be seen on the lens is showing signs of:

         a. cataracts

         b. macular degeneration

         c. acute glaucoma

         d. diabetic retinopathy

7. Which of the following factors could contribute to an older person’s inability to hear instructions given by the nurse?

a. cerumen impaction

b. nurse not facing the person when giving directions

c. loss of high frequency pitches

d. all of the above

8. The nurse is trying to take a history from a cooperative but fearful older person with mild dementia. Which of the following would be the most therapeutic strategy to use for this interaction?

          a.  sit calmly in a chair next to the person and ask questions in a non-

          threatening manner

          b.  ask loud, direct questions

          c.  have the person write down the information on the chart

          d.  ask the family member instead of the person

9.  While speaking with a patient who is experiencing depression, which of the following strategies might be most helpful?

speaking very loudly since they are certainly hard of hearing

recording important information for them in a notebook to refer to later

ignoring the person and discussing their condition with a family member

telling them that their depression will go away on its own if they think positively

10.  In caring for a person experiencing delirium, which of the following is least effective in enhancing communication?

       a.  speak in simple sentences

       b.  offer frequent reassurance

       c.  use physical restraints to control anxious behavior

       d.  use large print clocks and calendars