CARE OF ADULT RLE

1. Your patient is using a cane for the first time. Before using the cane, you assess that the
cane properly fits the patient. Which finding below demonstrate the cane properly fits the
patient? Select all that apply:
a. The arm that is holding the cane is flexed at about a 40 - degree angle.

b. The top of the cane is at the level of the greater trochanter.

c, When the patient dongles their arms, the top cane is even with the crease of the wrist closest
to the hand
d. there is 1.5 inch gap between the top of the cane and the axillae
Correct answer
b. The top of the cane is at the level of the greater trochanter.
c, When the patient dongles their arms, the top cane is even with the crease of the wrist closest
to the hand

2. When a patient uses a cane to ambulate, the patient will hold the cane on the?
a. Weak side
b. strong side
c. it does not matter

3. You’re assisting your patient ambulate in the hallway. The patient is learning how to use a
cane. While assisting with ambulation, you know it is priority to? Select all that apply:

a. Use a gait belt.

b. Stand on the patient’s strong side.
c. Stand on the patient’s weak side.
d. Stand behind the patient.
Correct answer
a. Use a gait belt.
c. Stand on the patient’s weak side.

4. Which demonstration by the patient below shows that the patient below shows that the
patient knows how to properly ambulate cane?
a. The patient holds the cane on the strong side and moves the cane and weak side forward
together, and then moves the strong side.

b. The patient holds the cane on the strong side and moves the cane forward, then moves the
weak side, and then moves the strong side.
c. The patient holds the cane on the weak side and moves the cane forward, then moves the
weak side, and then moves the strong side.
d. The patient holds the cane on the weak side and moves the cane and weak side forward
together, and then moves the strong side.
5. Fill in the blanks: A patient is going up the stairs with a cane. The patient holds the cane on
the ______ side, and moves the ______ leg up onto the step, puts weight on the cane, and
then moves the cane and ______ leg op onto the steps.
a. weak, strong, weak
b. strong, strong, weak
c. strong, weak, strong

d. weak, weak, strong

Correct answer
b. strong, strong, weak

6. Fill in the blanks: A patient is going down the stairs with a cane. The patient holds the cane
on the ______ side, and moves the cane down onto the step with the ______ leg and then
moves the ______ leg down onto the step.
a. weak, strong, weak
b. strong, strong, weak

c. strong, weak, strong

d. weak, weak, strong
Correct answer
c. strong, weak, strong

7. You’re educating the patient how to sit down in a chair while using a cane. What statement
by the patient demonstrates they did NOT understand your instructions and needs
reinforcement?
a. I will slightly extend out the leg on my weak side while sitting down in the chair.
b. I will back up to the chair until I can feel the chair with the back of my legs.
c. I will be sure to hold the cane on my weak side for support while bending to sit down in the
chair.

d. When sitting down in the chair, I will place the cane on the side of the chair and place weight
on my hands via the arm rest of the chair when sitting down.

7. You’re educating the patient how to sit down in a chair while using a cane. What statement
by the patient demonstrates they did NOT understand your instructions and needs
reinforcement?
a. I will slightly extend out the leg on my weak side while sitting down in the chair.
b. I will back up to the chair until I can feel the chair with the back of my legs.
c. I will be sure to hold the cane on my weak side for support while bending to sit down in the
chair.

d. When sitting down in the chair, I will place the cane on the side of the chair and place weight
on my hands via the arm rest of the chair when sitting down.
9. Your patient is prescribed to use crutches for ambulation. The patient can bear partial weight
and needs to be taught how to use the two - point gait while using crutches. What description
below best describes this type of gait with crutches?
a. The patient moves both crutches forward and then moves both legs forward to the same point
as the crutches.
b. The patient moves the right crutch (injured side), then moves left foot (non - injured side),
then moves the left crutch (non - injured side), and then moves the right foot (injured side).

c. The patient moves both the right crutch (injured side) and left foot (non - injured side) forward
together, and then moves the left crutch (non - injured side) and right foot (injured side) forward
together.
d. The patient moves both crutches and injured leg forward together, and then moves the non -
injured leg forward.
Correct answer
c. The patient moves both the right crutch (injured side) and left foot (non - injured side) forward
together, and then moves the left crutch (non - injured side) and right foot (injured side) forward
together.

10. While your patient is ambulating with crutches, he moves both crutches forward along with
the injured leg and then moves the non - injured leg forward. When you document you will note
that the patient used what type of gait while ambulating with crutches.
a. Two - point gait
b. Three - point gait

c. Four - point gait

d. Swing - to - gait

11. You’re demonstrating how to ambulate while using crutches to a group of pre - op patients,
who will need to use crutches after surgery. You ask one of the group participants to
demonstrate the four - point gait using the crutches. Which demonstration by the pa rticipant
demonstrates they understood the demonstration you provided earlier?
a. The participant moves both crutches forward and then moves both legs past the placement of
the crutches.

b. The participant moves both crutches and injured leg forward together, and then moves the
non - injured leg forward.
c. The participant moves both the right crutch and left foot forward together, and then moves the
left crutch and right foot forward together.
d. The participant moves the right crutch, then moves the left foot, then moves the left crutch
and then moves the right foot.
Correct answer
d. The participant moves the right crutch, then moves the left foot, then moves the left crutch
and then moves the right foot.
12. While using crutches the patient moves both crutches forward and then moves both legs
forward past the placement of the crutches. This is known as the:
a. Two - point gait
b. Swing - to - gait

c. Swing - through - gait

d. Three - point gait
Correct answer
c. Swing - through - gait

13. True or false: When using the swing - to gait with crutches, the patient will move both
crutches forward, and then will move both crutches forward to the same point as the crutches.
a. True

b. False

14. You’re observing your patient using crutches. She is using the three - point gait. Which
finding requires you to re - educate the patient on how to use the crutches?
b. The patient starts in the tripod position before ambulating with the crutches.
c. The patient leans on the crutch rest pads during ambulation.

d. The patient does not let the injured leg touch the ground while ambulating with the crutches.

15. A patient needs to go up the stairs while using crutches. What finding by the nurse
demonstrates the patient understands how to ambulate upstairs with crutches?
a. A patient moves the crutches forward up the step, then the injured and non - injured leg.

b. The patient moves the non - injured leg forward onto the step and then moves the injured leg
and crutches up.
c. The patient moves the injured leg forward onto the steps, then moves the crutches, and then
moves the non - injured leg.
d. The patient moves the crutches and non - injured leg forward to the step together, and then
the non - injured leg.
Correct answer
d. The patient moves the crutches and non - injured leg forward to the step together, and then
the non - injured leg.

16. While going down the stairs with crutches the patient will move the crutches down onto the
step followed by?
a. moving the non - injured leg down onto the step.

b. moving the injured leg down onto the step.

c. moving both legs down onto the step.
Correct answer
b. moving the injured leg down onto the step.

17. Your patient attempts to sit down in the bedside chair after ambulating in the hallway with
crutches. What finding requires you to re - educate the patient on how to sit down in the chair
correctly while using crutches?
a. The patient places both crutches on the non - injured side before sitting down in the chair.

b. The patient backs up to the chair’s seat until he feels it with his non - injured leg and stops.
c. The patient keeps the injured leg extended out in front of him while sitting down.
d. The patient holds both crutches on one side and reaches for the hand grips on the crutches
and places weight on them while sitting down.

18. A patient will be using a walker for the first time. You adjust the walker to fit the patient.
Which finding below demonstrates that the walker properly fits the patient?
a. There is a 2 - 3 finger width distance between the hand grips of the walker and the wrists.
b. The elbows bend at about a 15 – 30 - degree angle when the patient holds onto the hand
grips of the walker.

c. The patient’s back is midline with the crossbar of the walker.

d. The crossbar of the walker is even with the greater trochanter.

19. While the patient ambulates in the hallway with a walker, the nurse will make it a priority
to?
a. Stand on the patient’s strong side.
b. Stand behind the patient.
c. Stand in front of the patient
d. Stand on the patient’s weak side.

20. As the nurse, how would you correctly demonstrate to the patient the proper gait while
using a walker?
a. Hold onto the walker’s hand grips, take a step forward with the strong side, then move walker
forward, and then take a step with the weak side.

b. Hold onto the walker’s hand grips, move walker forward, then take a step forward with the
weak side, and then take a step forward with the strong side.
c. Hold onto the walker’s hand grips, move walker forward, then take a step forward with the
strong side, and then take a step forward with the weak side.
d. Hold onto the walker’s hand grips, take a step forward with the weak side, then move walker
forward, and then take a step with the strong side.
Correct answer
c. Hold onto the walker’s hand grips, move walker forward, then take a step forward with the
strong side, and then take a step forward with the weak side.
21. You’re observing your patient use a walker. What finding performed by the patient requires
you to re - educate the patient on how to use a walker?
a. The patient moves the walker forward by lifting it, takes a step forward with the weak side,
and then allows all four points of the walker to rest on the ground.
b. The patient puts weight on the hand grips of the walker after moving the weak side forward
and then moves the strong side forward.
c. The patient avoids looking at the feet while using the walker.

d. The patient always moves the walker first and then moves the weak side, followed by the
strong side.
Correct answer
a. The patient moves the walker forward by lifting it, takes a step forward with the weak side,
and then allows all four points of the walker to rest on the ground.

22. Gerontology is a broad term used to define the study of aging.

a.True

b.false

23. Which finding observed by the nurse demonstrates that the patient knows how to correctly
get up from a chair with a walker?
a. The patient leans forward in the chair and places hands on the hand grips of the walker and
pulls up to a standing position.

b. The patient leans forward in the chair and uses the hand of the weak side to push up on the
chair’s arm rest, while using the hand of the strong side to pull up on the hand grips of the
walker to a standing position.
c. The patient leans forward, places hands on the arm rest of the chair and pushes up to a
standing position, and then grips the hand grips of the walker.
d. The patient gently rocks the body forward and pulls up on the hand grips of the walker to a
standing position.
Correct answer
c. The patient leans forward, places hands on the arm rest of the chair and pushes up to a
standing position, and then grips the hand grips of the walker.

24. These are the roles of gerontological nurse except

a. Care provider
b. Educator
c. Researcher
d. Nurse Enthusiast

26.Functional assessment is used to identify adult’s ability to perform self care maintenance,
and physical activities, and plan appropriate interventions
a.True

b. false

25.Receptive aphasia is characterized by inability to comprehend spoken or written language

but intact expressive ability

27. Barthel- Is a widely used ADL tool that was designed to measure functional levels of
self-care and mobility, and it rates the ability to feed and groom oneself, bathe, go to the toilet,
walk (or propel a wheelchair), climb stairs, and control bowel and bladder.
1/1
a. True

b. false

My 28.The nurse is about to perform the UP and GO test, she should measure a distance of
___meters from the person’s chair and ask him or her to rise, walk to the line, turn, walk back,
and sit down.

a. 10 feet

b. 10 inch
c. 10 millimeters
d. 10 meters

29.Is the most extensively used cognitive assessment tool

a.Barthel Index
b. Glasgow coma scale
c. MMSE

d. Pain scale

30.is the most common mental health problem among older adults, and it often goes undetected
a. osteoarthritis
b. Social isolation
c. Circulatory problems
d. depression

31.In GERIATRIC DEPRESSION SCALE, score of above 5 means

a.Normal
b.suggest depression

c.Expected
d. need further assessment

32. In performing a Geriatric Depression Scale, a negative response is considered as,

a.1 point

b.0 points
c.skip the question

33. MMSE stands for

a.Major mental scale examination
b.Minor mental scale examination
c. Mini mental state examination

d. Mini mental scale examination

34. The patient experiencing incontinence, as a knowleadgeable gerontological nurse, you will
teach the patient to
a.Perform kegel’s exercise
b.Exercise daily
c.Drink less fluid
d.Ambulate frequently

35. BARTHEL index score of 96 means

1. a. Patient needs help
2. b. Needs help in certain issues
3. c. Requires help
4. d. No help necessary

37. Aphasia is the inability to express and understand the meaning of words due to damage in
the Language area.
a. True

b. false

36. Three tools used for functional assessment except

a.Activities of daily living
b.barthel index
c.Instrumental activities of daily living
d.MMSE
38. IMPACT OF HEARING DEFICITS ON COMMUNICATION are except,
a. social isolation
b. loneliness
c.Depression
d.Fulfillment

39. Presbycusis means that the client has

a.Decreased functional hearing due to aging

b.deacreased functional vision due to aging

c.decreased physical activity due to aging
d.impaired thinking due to aging

40. Which of the following is the purpose of Gerontological rehabilitation?

A. To make all older clients dependent to the nurses.
B. To prevent complications of aging.
C. To retard progress of aging.
D. To assist older adults to regain and maintain the highest level of function.

41. GEROPSYCHOLOGY refers to:

A. Branch of psychology concerned with helping adults and their families maintain well-being.

B. Concerned with the social aspects of aging.

C. Medical care of the aged.
D. Intellectual intersection of gerontology and finance.

42. In teaching an older adult client, the gerontological nurse's most appropriate initial strategy
is to:
A. assess the client and individualize the teaching methods.
B. set a slow learning pace and begin teaching simple concepts.
C. teach slowly and use repetition.

D. use demonstration and provide ample opportunity for practice.

Correct answer
A. assess the client and individualize the teaching methods.

43. Which statement give examples of educational programs for the older adult?
A. Community programs that focus on lifestyle modifications
B. Programs targeting specific age-related problems, such as nutrition, finances, or prevention
C. Programs that focus on exercise for the older adult
D. All of the above
44. For an individual with age-related hearing loss, which sound is most difficult to hear:
A. A recording of a march played softly
B. A young child talking in a cafeteria line
C. Hammering during construction of a house next door
D. The voice of a man speaking in an elevator

Correct answer
B. A young child talking in a cafeteria line

46. When performing a comprehensive geriatric assessment of an older adult, focus of the
nursing
assessment is on the patient's:
A. Physical signs of aging.
B. Immunological function.
C. Functional abilities.

D. Chronic illness.
Correct answer
B. Immunological function.

45. In assessing the aging client, it is important for the nurse to recognize:
A. The client's ability to perform ADLs
B. The financial status of the client
C. The job that the client held prior to aging
D. All components of well-being, including biological function, psychological function, and social
Function
Correct answer
D. All components of well-being, including biological function, psychological function, and social
Function

47. A patient who is Spanish-speaking does not appear to understand the nurse's information
on woundcare. Which action should the nurse take?
A. Arrange for a Spanish-speaking social worker to explain the procedure
B. Ask a fellow Spanish-speaking patient to help explain the procedure
C. Use a professional interpreter to provide wound care education in Spanish

D. Ask the patient to write down questions that he or she has for the nurse

48. In giving instructions on a geriatric patient the nurse should:

a. Make instructions long and broad
b. Make instructions short and concise
c. Nothing varies
49. In giving instructional materials, it is very important to know the age and capability of the
recipients
a.True
b. False

50. Expressive aphasia is the most severe form of aphasia and is characterized by severe
impairment in the production of recognizable words as well as the understanding of spoken
language.
a.true
b. false