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Nursing


GNP-BC


ANCC Gerontological Nurse Practitioner


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Question: 1


Which of the following conditions is characterized by a persistent and pervasive low mood, loss of interest or pleasure in activities, and significant impairment in daily functioning?


  1. Delirium


    ementia

    nxiety disorder wer: B

    anation: Depression is a mood disorder characterized by a persistent a asive low mood, loss of interest or pleasure in activities, and significa irment in daily functioning. It is different from delirium and dementia h involve cognitive impairments, and anxiety disorders, which are acterized by excessive worry and fear.


    stion: 2


    ch of the following is an example of psychosocial abuse in the care of s?


    ithholding necessary medications

    Depression

  2. D

  3. A


Ans


Expl nd

perv nt

impa ,

whic char


Que


Whi older

adult


  1. W

  2. Physically restraining a resident without proper justification

  3. Ignoring the emotional needs and preferences of a patient

  4. Failing to provide adequate nutrition and hydration Answer: C

psychological harm to an individual. Ignoring the emotional needs and preferences of a patient, such as disregarding their desires for social interaction or autonomy, is an example of psychosocial abuse.


Question: 3



radual onset and progressive decline in cognitive function able impairment of memory and executive functions uctuating level of consciousness and attention

hronic and irreversible decline in cognitive abilities wer: C

anation: Delirium is characterized by a fluctuating level of consciousn ttention, with impaired cognition and disorientation. It typically has a onset and is reversible when the underlying cause is addressed. Delir ten associated with medical conditions, medication side effects, or cha

environment.


stion: 4


ch of the following urinary symptoms is commonly associated with be atic hyperplasia (BPH) in older men?

Which of the following is a key characteristic of delirium, a common cognitive impairment in older adults?


  1. G

  2. St

  3. Fl

  4. C


Ans


Expl ess

and a n

acute ium

is of nges

in the


Que


Whi nign

prost


  1. Urinary incontinence

  2. Urinary urgency

  3. Nocturia (frequent urination at night)

  4. Dysuria (painful urination)

Explanation: Nocturia, or frequent urination at night, is a common urinary symptom associated with benign prostatic hyperplasia (BPH) in older men. BPH is a noncancerous enlargement of the prostate gland that can obstruct the flow of urine and lead to increased urinary frequency, including nighttime awakenings to urinate.



ch of the following skin conditions is commonly associated with agin aracterized by dryness, thinning, and increased vulnerability to injury


cne vulgaris soriasis ermatitis erosis


wer: D


anation: Xerosis, also known as dry skin, is a common skin condition ciated with aging. It is characterized by dryness, scaling, and itching o Aging leads to a decrease in the production of natural skin oils, result

dry and fragile skin that is more susceptible to injury and infections.


stion: 6

Question: 5


Whi g and

is ch ?


  1. A

  2. P

  3. D

  4. X

Ans Expl

asso f the

skin. ing

in


Que


Which of the following sensory impairments is commonly associated with aging and can significantly impact an older adult's communication and quality of life?


  1. Taste impairment

  2. Olfactory impairment

  3. Visual impairment

  4. Auditory impairment Answer: D

ng loss in older adults.


stion: 7


ch of the following interventions is recommended for preventing falls adults?


ncouraging sedentary lifestyle to minimize the risk of injury emoving all rugs and carpets from the living environment mplementing regular exercise programs to improve strength and balan rescribing high-dose sedatives to promote better sleep


wer: C


anation: Implementing regular exercise programs to improve strength nce is recommended for preventing falls in older adults. Exercise help ove muscle strength, flexibility, and balance, reducing the risk of falls ntary lifestyle, environmental hazards such as rugs, and high-dose

Explanation: Auditory impairment, or hearing loss, is a common sensory impairment associated with aging. It can significantly impact an older adult's communication abilities, social interactions, and overall quality of life. Regular hearing assessments and appropriate interventions are important in managing heari


Que


Whi in

older


  1. E

  2. R

  3. I ce

  4. P


Ans


Expl and

bala s

impr .

Sede

sedatives can increase the risk of falls and should be avoided.


Question: 8


Which of the following hormones is primarily responsible for regulating calcium and phosphorus metabolism in the body?

  1. Thyroid-stimulating hormone (TSH)

  2. Follicle-stimulating hormone (FSH)

  3. Parathyroid hormone (PTH)

  4. Adrenocorticotropic hormone (ACTH) Answer: C

ating calcium and phosphorus metabolism in the body. PTH acts on t s, kidneys, and intestines to maintain proper levels of calcium and phorus in the blood. Imbalances in PTH levels can lead to disorders s yperparathyroidism or hypoparathyroidism.


stion: 9


ch of the following theories of aging suggests that aging is primarily ed by the accumulation of damage to cells and tissues over time?


ear and Tear Theory rogrammed Aging Theory ree Radical Theory mmunological Theory


wer: C


anation: The Free Radical Theory proposes that aging is a result of th

Explanation: Parathyroid hormone (PTH) is primarily responsible for

regul he

bone

phos uch

as h


Que


Whi caus


  1. W

  2. P

  3. F

  4. I


Ans


Expl e

cumulative damage caused by free radicals, which are highly reactive molecules produced during normal cellular metabolism. The theory suggests that the accumulation of this damage leads to the functional decline and aging of cells and tissues.


Question: 10

In older adults, a decline in which of the following nutrients is commonly observed and can contribute to impaired immune function?


  1. Vitamin C

  2. Vitamin D

  3. Vitamin B12

    wer: A


    anation: A decline in vitamin C levels is commonly observed in older

    s. Vitamin C plays a crucial role in immune function, including the uction and function of immune cells. A deficiency in vitamin C can i une response and increase the susceptibility to infections in older adul


    stion: 11


    ch of the following is a key component of a comprehensive assessmen tric nursing?


    ssessment of cognitive function only ssessment of cardiovascular function only ssessment of respiratory function only

    ssessment of multiple dimensions of health and functioning


    wer: D

    Iron Ans

Expl adult

prod mpair

imm ts.


Que


Whi t in

geria


  1. A

  2. A

  3. A

  4. A


Ans


Explanation: A comprehensive assessment in geriatric nursing involves assessing multiple dimensions of health and functioning, including physical, cognitive, psychosocial, and environmental factors. This holistic approach helps identify the unique needs and challenges faced by older adults and informs the development of individualized care plans.

Question: 12


In the context of healthcare system policies, what does the acronym "HIPAA" stand for?


  1. Health Insurance Portability and Accountability Act

  2. Health Information Privacy and Accessibility Act

    ealth Intervention Programs and Administration Act wer: A

    anation: HIPAA stands for Health Insurance Portability and Accounta t is a federal law in the United States that provides data privacy and rity provisions for safeguarding medical information. HIPAA sets dards for the electronic exchange, privacy, and security of health mation.


    stion: 13


    ch of the following medications is commonly used for pain manageme adults due to its effectiveness and favorable side effect profile?


    onsteroidal anti-inflammatory drugs (NSAIDs) pioids

    enzodiazepines

    Hospital Infection Prevention and Assessment Act

  3. H


Ans


Expl bility

Act. I secu stan infor


Que


Whi nt in

older


  1. N

  2. O

  3. B

  4. Tricyclic antidepressants Answer: A

Explanation: Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used for pain management in older adults. They are effective in reducing pain and inflammation, and they generally have a more favorable side effect profile

compared to opioids, benzodiazepines, or tricyclic antidepressants, which may carry a higher risk of adverse effects in older adults.