<Insert Picture Here>

1. The developmental task of the older adult according to Erikson is: A. identity vs. role confusion B. intimacy vs. isolation C. generativity vs. stagnation D. ego integrity vs. despair

 2. The study of old age is referred to as: A. ageism B. geriatrics C. Gerontonics D. gerontology

 3. Bone changes associated with aging frequently result from loss of: A. calcium B. magnesium C. vitamin A D. vitamin C

 4. All of the following are true concerning Erickson's task of ego integrity EXCEPT. A. the person accepts his or her lifestyle as it is B. the person feels dissatisfied with life C. one is still in control of ones life D. the person feels that he/she made the best choices for particular situations

 5. Nursing measures to deal with sensory changes in the aged include the following EXCEPT. A. increasing room lighting without increasing glare B. speaking slowly in clearly enunciated words using slightly lowered tone of voice C. keeping eyeglasses clean and always available D. applying hot water bags on the legs during cold climate

 6. Which of the colors is most difficult to be perceived by an elderly? A .purple B. red C. yellow D. green

 7. The following nursing interventions are appropriate in the prevention of pressure sores among bedridden elderly patients EXCEPT. A. massage bony prominences B. apply alcohol on the skin C. keep the skin clean and dry D. turn the client every 1-2 hours

 8. The following are appropriate nursing actions to prevent postural hypotension in the elderly client EXCEPT. A. advise to get out of bed gradually B. Instruct to have a daily fluid intake of 3 glasses C. advise to avoid straining at stool D. advise to avoid bending from the waist

 9. Which of the following nursing interventions is inappropriate when caring for an elderly experiencing dementia? A. have clocks or calendars in the environment B. provide consistent routine of activities C. spend time with the patient D. address the patient by calling him papa

 10. Skin care for elderly should include which of the following Except? A. apply cream or lotion on the skin B. apply alcohol on the skin C. provide sponge bath alternately with full bath D. use mild, super fatted soap E. massage bony prominences F. Soak feet in warm water before cutting nails

 11. A terminally ill clients husband tells the nurse I wish we had taken that trip to Europe last year. We just kept putting it off and now Im furious that we didnt go. The nurse interprets the husbands statement as indicating which of the following stages of adaptation to dying? A. Denial B. Anger C. Bargaining D. Depression E. Acceptance

 12. The ability of an individual to cope with death is dependent upon a number of factors. Which person likely will have the most difficulty coping with a death? A. A parent whose 17-year-old child died in an auto accident the night before graduation B. A child of 8 years whose grandparent dies a week before a planned visit C. The spouse of an alcoholic who is killed in an automobile accident B. The grandparent of a child born with Tay-Sachs disease

 13. Proper handling of the body following death is an important intervention for the client, family, and nurse. An intervention that reflects an important principle of postmortem care is: A. Preparing the body to look as clean and natural as possible B. Pulling the sheet over the patient's face until the family is comfortably seated in the room C. Humor is helpful in relieving stress. However, use humor only after family has left. D. Calling the physician to verify the time of death before taking the body to the morgue

 14. While the nurse is discussing a client's likely death with family members, one of the offspring inquires, "We plan on taking turns being here for now, but we all want to be here at the time of death. Is there any way we can tell when that time is close?" The nurse's best response is: A. "Often, there is a lucid moment during the last hour that lasts about 15 minutes. First look for relaxation followed by clearing of the eyes, looking around, focusing on faces, and clearing of the throat. Call the others in at that time. B. "I wish I could tell you that there was a way to know. It could be minutes from now or another three days. One just never knows. C. "You can expect more muscle relaxation and less movement. Breathing will become irregular and shallow, and change speed. Call me if you hear mucus in the throat. The pulse and blood pressure will decrease. D. "You can expect the muscles to become rigid, with staring eyes and mouth closed. The head is pulled back with nuchal rigidity. Don't be alarmed when you hear a death rattle in the throat. "

 15. Following the death of a child, one of the parents begins to falsely accuse other members of the family of blaming the child's death on the parent. This leads to family members avoiding the mentioned parent for fear of the false accusation. The parent takes this as proof that the family truly believes the accusation. This sets up a destructive cycle of family dysfunction. Which nursing diagnosis is most appropriate for this family? A. Impaired family processes related to impaired adjustment B. Impaired adjustment related to loneliness C. Loneliness related to fear D. Dysfunctional grieving related to loss of relationships

 16. While talking to adult children of a dying client, the nurse finds them tearful, with ambivalent feelings toward the client. The client often expresses beliefs of a wasted life. The children say that the client was a parent who often showed love but followed it with criticism, anger, damaging accusations, and emotional abuse. The nurse suggests an intervention that may be helpful to the client and other family members. The most likely intervention to be helpful is: A. Listening to relaxation tapes before visiting each other. If negative feelings arise, listen to the tapes together. B. Having a nurse present in the room at all times when one of them visits the client. The nurse will intervene with conflict resolution if problems arise. C. Assuring the client and children that the past no longer matters. The only time that matters is the present and the future. D. Making a videotape of each child telling a story of a time when the client showed love, while the client tells of a special love for each child. Plan a time to watch it together.

CHECK YOUR ANSWERS!