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Mastering Care for the Aging Population, Exams of Nursing

University of OxfordNursing

Mastering Care for the Aging Population Mastering Care for the Aging Population.

Typology: Exams

2024/2025

Available from 07/04/2025

Prof.Henshall
Prof.Henshall 🇬🇧

319 documents

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Mastering Care for the Aging Population
1. Comprehensive geriatric assessment should primarily target:
A) All individuals aged 65 and older
B) All individuals aged 75 and older
C) By an inter-disciplinary team only
D) ✔ Vulnerable and frail elderly
2. When communicating with an older adult with hearing loss, the
nurse should:
A) Speak loudly from behind
B) Use medical jargon
C) ✔ Face the patient and speak clearly
D) Talk only to the caregiver
3. A common physiological change in aging is:
A) Increased bone density
B) ✔ Decreased renal function
C) Increased muscle mass
D) Increased cardiac output
4. The leading cause of falls in older adults is:
A) Improved vision
B) Increased muscle strength
C) ✔ Postural hypotension
D) Decreased medication use
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Mastering Care for the Aging Population

  1. Comprehensive geriatric assessment should primarily target:  A) All individuals aged 65 and older  B) All individuals aged 75 and older  C) By an inter-disciplinary team only  D) ✔ Vulnerable and frail elderly
  2. When communicating with an older adult with hearing loss, the nurse should:  A) Speak loudly from behind  B) Use medical jargon  C) ✔ Face the patient and speak clearly  D) Talk only to the caregiver
  3. A common physiological change in aging is:  A) Increased bone density  B) ✔ Decreased renal function  C) Increased muscle mass  D) Increased cardiac output
  4. The leading cause of falls in older adults is:  A) Improved vision  B) Increased muscle strength  C) ✔ Postural hypotension  D) Decreased medication use
  1. Sarcopenia refers to:  A) Loss of bone density  B) ✔ Loss of muscle mass and strength  C) Loss of cognitive function  D) Increased fat mass
  2. The annual vaccine recommended for all older adults is:  A) Pneumococcal vaccine  B) ✔ Influenza vaccine  C) Hepatitis B vaccine  D) Tetanus vaccine
  3. The primary goal of geriatric nursing care is to:  A) Cure all diseases  B) ✔ Maintain quality of life and functional independence  C) Reduce medication use  D) Prevent aging
  4. The psychosocial theory describing older adults withdrawing from social roles is:  A) Activity theory  B) Life-course theory  C) Developmental theory  D) ✔ Disengagement theory
  5. A common sign of dehydration in older adults is:

 A) Increased appetite  B) ✔ Loss of interest in activities  C) Excessive energy  D) Hyperactivity

  1. The best nursing intervention for insomnia in older adults is:  A) Immediate use of sleeping pills  B) ✔ Encouraging good sleep hygiene  C) Avoid daytime naps completely  D) Restrict fluid intake
  2. Polypharmacy in older adults increases the risk of:  A) Reduced side effects  B) Always necessary medications  C) ✔ Drug interactions and adverse effects  D) Improved cognition
  3. A normal cardiovascular change in aging is:  A) Increased cardiac output  B) ✔ Decreased elasticity of blood vessels  C) Increased heart rate  D) Decreased blood pressure
  4. A normal respiratory change in aging is:  A) Increased lung elasticity  B) ✔ Decreased vital capacity

 C) Increased oxygen exchange  D) Increased respiratory rate

  1. The most effective intervention to prevent falls in the elderly is:  A) Bed rest  B) ✔ Exercise and balance training  C) Sedative medications  D) Restrict mobility
  2. Malnutrition in older adults is commonly caused by:  A) Obesity only  B) ✔ Poor appetite and chewing difficulties  C) Excess protein intake  D) Vitamin C toxicity
  3. The leading cause of delirium in hospitalized elderly patients is:  A) Stroke  B) ✔ Infection  C) Cancer  D) Diabetes
  4. The best nursing action for hearing loss in an older adult is:  A) Speak louder from behind  B) ✔ Face the patient and speak clearly

 D) Ignore drug interactions

  1. The term for difficulty swallowing common in older adults is:  A) Dysphasia  B) Aphasia  C) ✔ Dysphagia  D) Anorexia
  2. A common sensory change in aging is:  A) Improved vision  B) ✔ Presbyopia (difficulty focusing on close objects)  C) Increased hearing acuity  D) Increased taste sensitivity
  3. The first step in assessing an elderly patient’s functional status is:  A) Laboratory tests  B) ✔ Activities of Daily Living (ADL) assessment  C) Imaging studies  D) Medication review
  4. A common cause of constipation in older adults is:  A) High fiber diet  B) ✔ Decreased physical activity  C) Increased fluid intake  D) Excessive laxative use
  1. The most common cause of sensory loss in the elderly is:  A) Stroke  B) Diabetes  C) ✔ Peripheral neuropathy  D) Multiple sclerosis
  2. Polypharmacy is defined as:  A) Use of a single medication  B) ✔ Use of multiple medications by a patient  C) Use of herbal supplements only  D) Avoidance of medications
  3. A common psychological change in aging is:  A) Increased intelligence  B) ✔ Slower cognitive processing  C) Improved memory  D) Increased attention span
  4. A common cause of urinary tract infections in the elderly is:  A) Increased immunity  B) ✔ Urinary retention  C) High fluid intake  D) Frequent urination
  5. The best nursing intervention for depression in older adults is:

 C) Sleep apnea only in young adults  D) Hypersomnia

  1. An important home safety measure for elderly patients is:  A) Loose rugs  B) ✔ Adequate lighting and grab bars  C) Cluttered walkways  D) Slippery floors
  2. A common cause of cognitive decline in older adults is:  A) Stroke  B) ✔ Alzheimer’s disease  C) Migraine  D) Epilepsy
  3. A sign of elder abuse is:  A) Frequent hospital visits  B) ✔ Unexplained bruises or injuries  C) Good nutrition  D) Regular social activity
  4. A common cardiovascular change in aging is:  A) Increased heart rate  B) ✔ Increased systolic blood pressure  C) Decreased blood pressure  D) Increased cardiac output
  1. A normal endocrine change with aging is:  A) Increased insulin sensitivity  B) ✔ Decreased metabolism  C) Increased growth hormone  D) Increased thyroid function
  2. A common cause of chronic pain in older adults is:  A) Cancer only  B) ✔ Osteoarthritis  C) Migraine  D) Fibromyalgia only
  3. A key principle in geriatric nursing care is:  A) Focus only on disease treatment  B) ✔ Holistic care addressing physical, emotional, and social needs  C) Avoid family involvement  D) Limit patient autonomy
  4. The best way to prevent pressure ulcers is:  A) Keep patient in one position  B) Use pillows only  C) ✔ Regular repositioning and skin care  D) Avoid bathing
  5. The most common chronic condition in older adults is:

 B) ✔ Urinary tract infection  C) Stroke  D) Parkinson’s disease

  1. The term “presbycusis” refers to:  A) Age-related vision loss  B) ✔ Age-related hearing loss  C) Age-related memory loss  D) Age-related balance problems
  2. What is a common nutritional concern in elderly patients?  A) Excessive protein intake  B) ✔ Vitamin D deficiency  C) Excessive carbohydrate intake  D) Excessive fat intake
  3. Which of the following is a common cause of weight loss in the elderly?  A) Overeating  B) ✔ Depression  C) Excessive exercise  D) Increased appetite
  4. The Mini-Mental State Examination (MMSE) is used to assess:  A) Physical function

 B) Nutritional status  C) ✔ Cognitive function  D) Depression

  1. Which of the following is a common symptom of Parkinson’s disease?  A) Hyperactivity  B) ✔ Resting tremor  C) Increased reflexes  D) Sensory loss
  2. What is the most common cause of dementia?  A) Stroke  B) Parkinson’s disease  C) ✔ Alzheimer’s disease  D) Multiple sclerosis
  3. Which of the following is an important safety measure to prevent aspiration in elderly patients?  A) Feeding while lying flat  B) ✔ Feeding in upright position  C) Giving large bites of food  D) Encouraging rapid eating
  4. Which of the following is a common cause of constipation in the elderly?  A) High fiber diet

 A) Cataracts  B) Glaucoma  C) ✔ Age-related macular degeneration  D) Diabetic retinopathy

  1. Which of the following is a common cause of hearing loss in the elderly?  A) Ear infection  B) ✔ Presbycusis  C) Otosclerosis  D) Acoustic neuroma
  2. Which of the following is a common side effect of diuretics in older adults?  A) Hyperkalemia  B) ✔ Hypokalemia  C) Hypertension  D) Bradycardia
  3. Which of the following is a common symptom of urinary tract infection in older adults?  A) Fever only  B) Dysuria only  C) ✔ Confusion and delirium  D) Rash
  1. Which of the following is a common cause of anemia in elderly patients?  A) Acute bleeding  B) ✔ Chronic disease  C) Vitamin C deficiency  D) Polycythemia
  2. Which of the following is a common cause of chronic pain in elderly patients?  A) Migraine  B) ✔ Osteoarthritis  C) Fibromyalgia only  D) Cancer only
  3. Which of the following is a common cause of falls in elderly patients?  A) Improved vision  B) ✔ Muscle weakness  C) Increased reflexes  D) Increased coordination
  4. Which of the following is a common cause of delirium in elderly patients?  A) Hypoglycemia  B) ✔ Infection  C) Hypothermia

 D) Increased thyroid function

  1. Which of the following is a common cause of malnutrition in elderly patients?  A) Excessive appetite  B) ✔ Poor dentition  C) Excessive exercise  D) Overeating
  2. Which of the following is a common symptom of depression in older adults?  A) Increased energy  B) ✔ Loss of interest in activities  C) Excessive talking  D) Hyperactivity
  3. Which of the following is a common cause of constipation in elderly patients?  A) High fiber diet  B) ✔ Decreased physical activity  C) Increased fluid intake  D) Excessive laxative use
  4. Which of the following is a common cause of polypharmacy in elderly patients?  A) Multiple chronic conditions  B) Single disease

 C) ✔ Multiple chronic conditions  D) Lack of medication access

  1. Which of the following is a common cause of pressure ulcers in elderly patients?  A) Frequent repositioning  B) ✔ Immobility  C) Good nutrition  D) Hydration
  2. Which of the following is a common symptom of heart failure in elderly patients?  A) Rash  B) ✔ Dyspnea on exertion  C) Headache  D) Polyuria
  3. Which of the following is a common cause of sensory loss in elderly patients?  A) Stroke  B) Diabetes  C) ✔ Peripheral neuropathy  D) Multiple sclerosis
  4. Which of the following is a common cause of cognitive decline in elderly patients?  A) Stroke