basic geriatric nursing test bank

Correct Answer: C

Rationale: The correct answer is C: To offer holistic care that allows older adults to live in the community. PACE aims to provide comprehensive and coordinated care to help seniors remain independent in their homes and communities. This includes medical, social, and behavioral services. Choice A is incorrect as PACE focuses on holistic care rather than just intensive medical treatment. Choice B is incorrect as PACE aims to prevent nursing home placement by supporting older adults to live at home. Choice D is incorrect as while PACE may help reduce healthcare costs through preventive and coordinated care, the primary goal is to support seniors in living in the community.

Correct Answer: C

Rationale: The correct answer is C: Life review is a highly personal activity. This is because life review involves reflecting on past experiences, relationships, and accomplishments, which are unique to each individual. It is a process of self-reflection and introspection that helps individuals make sense of their lives and find meaning. Option A is incorrect because life review can occur at any point in an individual's life, not just at the very end. Option B is incorrect as reminiscence focuses on recalling past events, while life review involves deeper reflection and analysis. Option D is incorrect because while life review can promote self-awareness, it is primarily a reflective process rather than a tool for setting new goals.

Correct Answer: B

Rationale: The correct answer is B: John Hartford Foundation. The John Hartford Foundation is known for its significant contributions to the field of gerontological nursing through funding research, education, and initiatives to improve care for older adults. The foundation has supported the development of gerontological nursing programs and resources, making it a key influencer in advancing the specialty. Explanation for other choices: A: American Association of Retired Persons (AARP) primarily focuses on advocacy and support for older adults but does not have a direct influence on the specialty of gerontological nursing. C: Medicare is a federal health insurance program for individuals aged 65 and older, but it does not specifically impact the development of gerontological nursing as an organization. D: Mutual of Omaha Insurance is an insurance company and does not have a direct role in shaping the field of gerontological nursing.

Correct Answer: A

Rationale: The correct answer is A: Alzheimer's disease. It is the most common type of dementia in older adults, accounting for around 60-80% of cases. Alzheimer's is characterized by the presence of beta-amyloid plaques and tau protein tangles in the brain, leading to memory loss and cognitive decline. Vascular dementia (B) is caused by impaired blood flow to the brain, Lewy body dementia (C) is characterized by abnormal protein deposits in the brain, and Frontotemporal dementia (D) affects the frontal and temporal lobes of the brain, leading to changes in behavior and personality. However, in older adults, Alzheimer's disease is the most prevalent form of dementia due to its widespread impact on memory and cognition.

Correct Answer: A

Rationale: The correct answer is A: Genetic research. Telomere shortening is primarily based on the theory of cellular senescence, which is related to genetic research. Telomeres are protective caps at the end of chromosomes that shorten with each cell division. Genetic research has shown that telomere shortening is associated with aging and age-related diseases. Caloric restriction, oxidative stress, and cross-link theories of aging are not directly linked to telomere shortening. Caloric restriction focuses on extending lifespan by reducing calorie intake, oxidative stress theory suggests that aging is caused by cumulative damage from reactive oxygen species, and cross-link theory emphasizes the accumulation of non-reversible bonds between molecules as a cause of aging.