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ANCC Gerontological Nursing Certification
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Polypharmacy refers to:
The simultaneous use of multiple medications.
The administration of medications through the rectum.
The process of tapering off medications under medical supervision.
cations. wer: A
anation: Polypharmacy refers to the use of multiple medications by an idual, typically involving different drug classes or combinations of cations. Polypharmacy can increase the risk of drug interactions, adve ts, and medication non-adherence, particularly in older adults who ma g multiple medications for various health conditions.
ch step of the nursing process involves developing a plan of care base ified goals and interventions?
ssessment iagnosis mplementation
The practice of using herbal supplements alongside prescription medi
Ans Expl
indiv
medi rse
effec y be
takin
Whi d on
ident
A
D
I
Planning Answer: D
Explanation: In the nursing process, planning is the step where the nurse develops a comprehensive plan of care based on the assessment data and identified goals. It involves determining appropriate interventions, setting
priorities, and establishing expected outcomes to guide the implementation and evaluation phases of the nursing process.
Which age-related physiological change is associated with decreased sensation of touch and temperature?
resbyopia resbycusis resbyesthesia resbyesthesia
wer: C
anation: Presbyesthesia refers to the age-related decline in the sensati and temperature. It is a common physiological change associated wi
g. Presbyopia (answer choice A) refers to age-related farsightedness, w bycusis (answer choice B) refers to age-related hearing loss. Presbyest fically relates to the diminished sense of touch and temperature
eption.
ch intervention is an evidence-based approach to prevent pressure inju dridden older adults?
P
P
P
P
Ans
Expl on of
touch th
agin hile
pres hesia
speci perc
Whi ries
in be
Frequent repositioning
Application of topical antiseptics
Provision of high-protein diet
Use of air mattresses
Explanation: Frequent repositioning of bedridden older adults is an evidence- based intervention to prevent pressure injuries, also known as pressure ulcers or bedsores. Repositioning helps relieve pressure on vulnerable areas of the body, improves blood circulation, and reduces the risk of tissue damage. Other options listed may have their benefits but are not the primary evidence-based intervention for preventing pressure injuries.
ch theoretical framework emphasizes the importance of satisfying basi such as physiological, safety, belongingness, and self-esteem?
oping theory evelopmental theory ierarchy of needs theory ocial learning theory
wer: C
anation: The hierarchy of needs theory, proposed by Abraham Maslo ests that individuals have a hierarchy of needs that must be fulfilled in fic order. The needs include physiological needs (such as food, water, er), safety needs, belongingness and love needs, esteem needs, and sel alization needs. According to this theory, individuals are motivated to
lower-level needs before progressing to higher-level needs.
Whi c
needs
C
D
H
S
Ans
Expl w,
sugg a
speci and
shelt f-
actu fulfill
Which risk factor is commonly associated with cognitive impairment in older adults?
Excessive alcohol consumption
Vitamin D deficiency
Smoking Answer: B
hol-related dementia or contribute to other forms of cognitive decline. rtant for healthcare professionals to assess and address alcohol umption as part of comprehensive gerontological care.
ch assessment tool is commonly used to evaluate fall risk in older adul ini-Cognitive Assessment Instrument (Mini-Cog)
arthel Index orse Fall Scale
eriatric Depression Scale wer: C
anation: The Morse Fall Scale is a widely used tool in gerontological ng to assess an individual's risk of falling. It evaluates factors such as ry of falls, use of ambulatory aids, gait, and mental status to determin
Explanation: Excessive alcohol consumption is a known risk factor for cognitive impairment in older adults. Chronic alcohol abuse can lead to
alco It is
impo cons
Whi ts?
M
B
M
G
Ans Expl
nursi
histo e the
likelihood of falls. The tool helps healthcare professionals identify patients who may require interventions to prevent falls and promote patient safety.
Which legal document allows individuals to express their healthcare preferences and appoint a healthcare proxy in the event they become unable to
make decisions for themselves?
Advance directive
Living will
Power of attorney
anation: An advance directive is a legal document that allows individ press their healthcare preferences, including decisions about life-susta ments, and appoint a healthcare proxy (also known as a healthcare po torney) to make medical decisions on their behalf if they become pacitated or unable to communicate their wishes. A living will (answe ce B) is a type of advance directive that specifically outlines an indivi rences for medical treatments in different scenarios. Power of attorne wer choice C) is a broader legal document that grants someone the ority to make various decisions on behalf of another person, not limite hcare. Informed consent (answer choice D) refers to the process of ning a patient's voluntary agreement to receive a specific medical ment or procedure after being provided with relevant information abo ment.
Informed consent Answer: A
Expl uals
to ex ining
treat wer
of at
inca r
choi dual's
prefe y
(ans
auth d to
healt obtai
treat ut the
treat
Which medication should be avoided in older adults according to the Beers Criteria?
Aspirin for pain relief
Ibuprofen for inflammation
Diphenhydramine for sleep
Acetaminophen for fever
Answer: C
(aspirin, ibuprofen, and acetaminophen) are generally considered saf ns for older adults when used appropriately.
ch assessment tool is commonly used to evaluate the risk of pressure ies in older adults?
raden Scale ini-Cog
eriatric Depression Scale orse Fall Scale
wer: A
anation: The Braden Scale is commonly used to assess the risk of pres ies in older adults. It evaluates factors such as sensory perception,
Explanation: The Beers Criteria is a tool that identifies medications that may be potentially inappropriate or have a higher risk of adverse effects in older adults. According to the Beers Criteria, diphenhydramine (an antihistamine commonly used for sleep) is best avoided in older adults due to its association with increased risks of falls, confusion, and other side effects. The other options listed er
optio
Whi injur
B
M
G
M
Ans
Expl sure
injur
moisture, activity, mobility, nutrition, and friction/shear to determine the individual's risk of developing pressure injuries. This tool helps healthcare professionals identify patients who require interventions to prevent pressure injuries and promote skin integrity.
During a physical examination of an older adult, the nurse notices multiple bruises and abrasions in various stages of healing. The nurse suspects elder abuse. What is the nurse's most appropriate action?
Document the findings in the patient's medical record.
Confront the patient's family members about the suspected abuse.
Report the suspected abuse to Adult Protective Services.
ing. wer: C
anation: The nurse's most appropriate action is to report the suspected to Adult Protective Services. Suspected elder abuse should be taken usly and reported to the appropriate authorities to ensure the safety an being of the older adult. Documenting the findings (option A) is imp
hould not be the only action taken. Confronting the family members on B) may escalate the situation and compromise the safety of the pat ussing the findings with the healthcare provider (option D) is importa eporting to Adult Protective Services should be the immediate action ct the patient.
Discuss the findings with the healthcare provider during the next team meet
Ans Expl
abuse
serio d
well- ortant
but s
(opti ient.
Disc nt,
but r to
prote