1. A graduate nurse assigned to work on a unit with clients who have cognitive impairments.

Which of the following statements by the nurse is the reason for concern?
a. "I will ask other staff for suggestions on therapeutic interventions with the client."
b. "I need to learn more about cognitive disorders so I can better care for the clients."
c. "I don't feel safe around the clients who hallucinate."
d. "These clients do not have any idea what is going on."

2. A nurse educating the family of a client who is receiving hospice care due to a terminal
illness. Which medication should the nurse include in her teachings if the patient is in pain?
a. Acetaminophen
b. Haloperidol
c. Lorazepam
d. Morphine

3. A nurse is completing a home care visit with an elderly client who is ready to be discharge
from homecare services. This is the nurse's last visit. Each time that the nurse attempts to
leave, the client offers a new subject & attempt to delay the nurse departure. Which is the best
action by the nurse?
a. Set up an appointment for an additional home-care visit
b. Be firm and clear about the termination of the relationship; solicit feedback from client
c. Abruptly tell the client the session has ended and that the nurse must leave
d. Plan to meet the client for coffee the following Sunday

4. A post-CVA patient who has weakness on the right side and impaired reasoning has had the
CVA in the:
a. Right hemisphere of the cerebrum
b. Left hemisphere of the cerebrum
c. Right cerebellum
d. Left cerebellum

5. A priority nursing diagnosis for the client experiencing altered perception, extreme agitation,
and acute confusion is:
a. Risk for Injury
b. Altered Role Performance
c. Impaired Verbal Communication
d. Disturbed sensory perception

6. An act establishing Senior Citizens Center in all municipalities of the Philippines and
appropriate funds; which Republic Act (RA) is it?
a. RA 10155
b. RA 344
c. RA 7876
d. RA 8425
7. An act establishing Senior Citizens discount of 32% in all drug stores and food Establishment;
a. RA 9257
b. RA 7876
c. 8435
d. RA 344

8. An elderly male client with newly diagnosed end stage chronic obstructive pulmonary disease
(COPD) is being discharged to home. The client's wife is his sole caregiver. The client is unable
to provide self-care & requires continuous assistance. Which service would provide the greatest
assistance to the client wife?
a. Physical Therapy
b. Skilled nursing care
c. Respite care
d. Hospice care

9. An older adult patient, who has end-stage multiple myeloma is receiving hospice care. Which
situation illustrates that the principles of hospice care are being met?
a. The caregiver has been calling the provider on his own
b. The patient reports no breakthrough pain medications are needed
c. The caregiver asks if hospice includes weekend care
d. The patient reports enjoying excursion

10. Clients with AD may be suspicious about being harmed by a staff and others. When the
client expresses fear of being killed by a staff, which of the following responses would be MOST
appropriate?
a. You are in the hospital. We are nurses trying to help you.
b. What makes you think we want to kill you?
c. We like you too much to want to kill you.
d. Oh, don't be so silly. No one wants to kill you here.

11. Immediately after a CVA, a major nursing priority is ensuring:

12. In advocacy, nurse addresses all the following EXCEPT:

13. In sustaining Interpersonal relationship as a specialty, gerontology nurse addresses the

14. Is a written, legal document that describes the kind of medical treatment or life-sustaining
treatments an elderly desires should he/she were seriously or terminally ill.
a. Living Will
b. DNR
c. Implied Consent
d. Durable Power of Attorney

15. It concerns with moral principles that govern the conduct of a nurse in his/her relationship
with patient, physician, colleagues, the nursing profession, and the community
a. Both PHC and CHN
b. Nursing ethics
c. PHC (primary health care nursing)
d. Community health nursing (CHN)

16. Medical professionals are required to stop doing whatever it is that is keeping the patient
alive like CPR, intubation, administering emergency drugs. This action is best described as
a. both DNR and Euthanasia
b. either Euthanasia or DR
c. Euthanasia
d. DNR

17. Nurse Dina is caring for a patient who was starting chemotherapy, and when asked about
the side effect, nurse
Dina has enumerated all the side effects of it. What best ethical principle shown was:
a. Justice
b. Confidentiality
c. Veracity
d. Fidelity

18. Nurse Rose is caring for an elderly patient post operatively who complains from 7/10 pain
scale. Nurse Rose gave her due pain medication and tell the patient that it will subside soon
after giving the medication. She promised to come back to check on her. Soon after 15 minutes,
the nurse rose and assessed the pain scale to 2/10. Best ethical principle shown was:
a. Fidelity
b. Veracity
c. Non-maleficence
d. Autonomy
19. Nurse X who was on off duty attended a party and came home late at 1AM, she was aware
that she is the 'On Call Nurse" in their HD unit. She was about to fall asleep when her phone
rings at 3Am that there is an emergency patient for HD. She was so sleepy then but tried her
best to stand up and rushed to her unit. What best ethical principle in nursing does it describe?
a. Reciprocity
b. Fiduciary responsibility
c. Veracity
d. Fidelity

20. Nurse's role in the palliative care are the following EXCEPT:
a. Assessment
b. Collaborative
c. Direct role
d. Advocate

21. Nurse's role where a simple gesture of being with the patient and listening to his/her
concerns
a. Direct Role
b. Counselor
c. Advocate
d. Collaborative Role

22. Nurse's role where she adheres to patient medication schedules and protocol while still
maintain direct line of communication between the patient and his/her attending physician
a. Advocate
b. Collaborative
c. Direct Role
d. Counselor

23. On the latest amendment for Senior Citizen Act is_ % in prescribed medicines
a. 35%
b. 32%
c. 12%
d. 20%

24. One of the essential components of Palliative Care where in, it is concerned with the quality
of care over a period of time. The patient, attending physician, caregiver, and family are
cooperatively involved in the ongoing care management providing quality of care in the
remaining days of a critically ill elderly.
a. Terminal Care
b. Support in bereavement
c. Effective system control
d. Continuity of care and coordination
25. Term which refers to a wide range of services use to deliver healthcare virtually
a. Telehealth
b. Telemedicine
c. Virtual consultation
d. Synchronous interaction

26. The community health nurse is teaching a family whose father is experiencing memory
lapses associated with early onset of DAT how to adapt to memory problems. The nurse knows
the family member understands when the individual states:
a. "| will rearrange the furniture so my father does not fall."
b. "If Dad forgets things, I will make sure I notify the nursing staff immediately."
c. "I will put notes on the different rooms of the house so my father remembers what
room he is in."
d. "I will keep Dad in the house so he does not get lost on the streets!

27. The family of an elderly client with terminal cancer inquires about hospice services. The
nurse explains that the hospice care:
a. Can only be provided in the inpatient
b. Is staffed exclusively by health workers
c. Focuses only on the need of a client
d. Focus on supportive care client/family

28. The following are considered maltreatment in older adult EXCEPT:

29. The husband of a client with Alzheimer's disease that was diagnosed 6 years ago
approaches the nurse and says, "I'm so excited about the use of Donepezil (Aricept) for her
illness." The nurse needs to inform the husband of the following facts.
a. Effectiveness in the terminal phase of the illness is scientifically proven
b. The client will attain a functional level of that of 6 years ago
c. Improvements seen are usually limited to the early stages
d. The side effects of the drug are numerous

30. The nurse is assessing the patient for palliative care. When assessing the psychosocial and
psychiatric domain, which should the nurse include?
a. Spiritual concern
b. Financial concern
c. Depression
d. Pain
31. The nurse is assessing the patient for palliative care. When assessing the cultural domain,
which question should the nurse include?
a. Do you have any financial concerns regarding your care?
b. Are you experiencing anxiety?
c. Are you currently experiencing pain?
d. Do you have any specific dietary preferences that affect your care?*

32. The nurse is assessing the patient for palliative care. In assessing social domain, which
should the nurse include?
a. Depression
b. Pain
c. Financial concern
d. Spiritual concern

33. The nurse is assessing the patient for palliative care. When assessing the physical domain,
which should the nurse include?
a. Pain
b. Financial concern
c. Depression
d. Spiritual concern

34. The nurse is providing care for a patient receiving care who is experiencing chronic pain due
to cancer. Which type of care should the nurse plan for upon discharge?
a. Palliative care
b. Hospice care
c. Rehabilitative care
d. Home health care

35. There is a different focus for a client with hospice nursing care. The nurse is aware that the
client care provided thru a hospice is;
a. Offered primarily for hospitalized client for whom at home care is not possible
b. Aimed at offering curative treatment plans intended for client recover
c. Designed to meet the individual wishes, as much as possible
d. Involved in teaching families or caregivers to provide post mortem care

36. What ethical principle states respect of a patient's privacy and keeping the patient's record in
place and strictly for medical health members only?
a. Confidentiality
b. Fiduciary responsibility
c. Fidelity
d. Veracity

37. When checking for memory impairment in a client with dementia, the nurse should assess
FIRST for?
a. The recall of recent events
b. The disorientation of self
c. The recall of past events
d. An impaired ability to name objects

38. When providing family education with those who have relatives with AD about minimizing
stress, which of the following suggestions would be MOST relevant?
a. Provide reality orientation even if the memory loss is severe
b. Allow the elderly to go to bed four to five times during the c. Test the cognitive functioning of
the elderly several times a day
d. Maintain consistency in environment, routine and caregiver

39. Which of the following principle of bioethics states that only good and right thing should be
done to the
a. Beneficence*
b. Nonmaleficence
c. Quality of life
d. Justice

40. Which of the following statements Is NOT true about DNR (Do Not Resuscitate)?
a. It should be written in a Doctor's order sheet and signed by the family or patient
b. Injecting the patient with a lethal dose of drug
c. DNR takes into an effect once the patient goes into respiratory arrest
d. Not to provide or do CPR once the patient is no longer breathing and heart stops beating