Question 1

A clinical nurse specialist (CNS) is assessing the quality and effectiveness of interdisciplinary, and interagency communication in relation to an elder care issue at the facility. This falls under which CNS competency?

Accepted Answer

A) Collaboration 
B) Consultation 
C) Direct Care 
D) Systems Leadership A

Question 2

According to Beers list, which psychotropic drug should not be prescribed to patients older than 65 years?

Accepted Answer

A) Amiodarone 
B) Chlordiazepoxide 
C) NSAIDs 
D) Reserpine B

Question 3

Which of the following is considered to be an instrumental activity of daily living (ADL)?

Accepted Answer

A) Bathing 
B) Dressing 
C) Financial management 
D) Toileting C

Question 4

In the elderly, what is a common contributor to impaired psychological health and is frequently exacerbated by hospitalization?

Accepted Answer

A) Extreme attitudes 
B) Loss of intelligence 
C) Memory loss 
D) Social isolation

Question 5

Reduced hepatic blood flow in the elderly diminishes:

Accepted Answer

A) bile production. 
B) food absorption. 
C) metabolism of drugs. 
D) renal function.

Question 6

A clinical nurse specialist (CNS) suggests to Patient A's family that they may want to consider placing him in a nursing facility because he has been repeatedly skipping his meals and neglecting to take his medication. This is an example of which competency?

Accepted Answer

A) Consultation 
B) Direct Care 
C) Research 
D) Systems Leadership

Question 7

What increases with aging, especially IL-6, and are believed to contribute to metabolic changes associated with frailty?

Accepted Answer

A) B cells 
B) Cytokines 
C) Phagocytes 
D) T cells

Question 8

By 2015, the size of the elderly population in the United States is expected to reach:

Accepted Answer

A) 37.8 million. 
B) 40.2 million 
C) 54.8 million 
D) 70.0 million

Question 9

An elderly patient is experiencing decreased mucous production, a reduced immune response, and an increased closing volume. These problems are most likely a result of changes in the patient's:

Accepted Answer

A) airways. 
B) alveoli. 
C) lung tissue. 
D) musculature.

Question 10

Which pharmacokinetics property of a drug may affect a patient's ability to absorb a medication?

Accepted Answer

A) Body water fluctuations 
B) Decreased gastric emptying 
C) Hepatic blood volume 
D) Tubular secretion

Question 11

In the Consensus Model for APRN Regulation, the LACE model addresses:

Accepted Answer

A) laws and customs of the elderly. 
B) life after cancer epidemiology. 
C) licensure, accreditation, certification, and education. 
D) listening and communication enhancement.

Question 12

In 2007, there were 829 hospital discharges with which condition as the first-listed diagnosis?

Accepted Answer

A) Amnesia 
B) Diabetes 
C) Hip fracture 
D) Stroke

Question 13

Colorectal cancer is associated with a greater number of genetic alterations to normal:

Accepted Answer

A) barrier function cells. 
B) epithelial cells. 
C) hormone-secreting cells. 
D) stem cells.

Question 14

Which phase of a woman's life is associated with a decrease in bone density?

Accepted Answer

A) Birth 
B) Menarche 
C) Menopause 
D) Pregnancy

Question 15

Which of the following is not an organic cause of dementia in elderly patients?

Accepted Answer

A) Alzheimer's disease 
B) Hydrocephalus 
C) Lewy body 
D) Traumatic brain injury

Exam 4: Health Problems Associated With Aging