Question 1
 
For which of the following symptoms should an exercising elder stop and contact a physician?
 

 

irregular heart beat

 
 

nausea or vomiting during or after exercise

 
 

muscle soreness

 
 

all of the above

 
 

a and b

 
1 points  
 
Question 2
 
Parkinson’s disease is involuntary shaking of the extremities that occurs during movement.
 
True
 
False
 
1 points  
 
Question 3
 
Which type of research study is considered the gold standard (best)?
 

 

cross-sectional

 
 

randomized

 
 

blinded series

 
 

randomized double blind

 
 

systematic double blind

 
1 points  
 
Question 4
 
On the average, older Americans are not as healthy, are less educated and have lower incomes than younger adults.
 
True
 
False
 
1 points  
 
Question 5
 
Which of the following is NOT an age-associated change of the ear?
 

 

a gradual inability to hear high-pitched sounds

 
 

bones break in the middle ear

 
 

ear wax accumulates

 
 

all of the above are due to age

 
 

b and c

 
1 points  
 
Question 6
 
About half the elder population subsists on incomes below the poverty level.
 
True
 
False
 
1 points  
 
Question 7
 
Which of these characteristics is common among centenarians?
 

 

they have elderly family members

 
 

they have lower rates of diseases

 
 

they live independently, with or without a partner

 
 

a and b

 
 

all of the above

 
1 points  
 
Question 8
 
Which of the following has been attributed to elders’ decreased caloric needs with age?
 

 

decreased metabolic rate

 
 

decreased proportion of body fat

 
 

decreased physical activity

 
 

all of the above

 
 

a and c

 
1 points  
 
Question 9
 
Which of the following is NOT an age-associated change in the nervous system?
 

 

crystallized intelligence declines

 
 

neurons accumulate lipofuscin

 
 

decline of memory and speed of processing information

 
 

reduction of blood flow to the brain

 
 

all of the above occur with advanced age

 
1 points  
 
Question 10
 
What is a nosocomial infection?
 

 

an infection contracted in a hospital

 
 

an infection that cannot be cured with antibiotics

 
 

an infection that accompanies a chronic condition

 
 

an infection that remains dormant for many years

 
 

an infection transmitted by sexual contact

 
1 points  
 
Question 11
 
Which of the following mental disorders is considered a psychotic disorder?
 

 

delirium

 
 

obsessive compulsive disorder

 
 

schizophrenia

 
 

none of the above

 
 

more than one of the above

 
1 points  
 
Question 12
 
A healthy elder needs up to two quarts of water each day, some of which is obtained from food.
 
True
 
False
 
1 points  
 
Question 13
 
The two most commonly reported health conditions reported by elders are:
 

 

hypertension and arthritis

 
 

heart disease and arthritis

 
 

hypertension and cancer

 
 

arthritis and diabetes

 
 

heart disease and cancer

 
1 points  
 
Question 14
 
What factor has the highest influence on longevity?
 

 

gender

 
 

ethnicity

 
 

income

 
 

educational level

 
 

b and c equally

 
1 points  
 
Question 15
 
The most common cause of hospitalization among older adults is:
 

 

heart disease

 
 

lung disease

 
 

diabetes

 
 

arthritis

 
 

none of the above

 
1 points  
 
Question 16
 
Which of the following is false regarding vitamin D?
 

 

deficiency causes osteoarthritis

 
 

increases the amount of calcium absorbed from the intestines

 
 

requirement can be met by sunlight

 
 

requirement can be met by supplements

 
 

all are true

 
1 points  
 
Question 17
 
Senile pruritus” is a fancy name for:
 

 

the decrease in peripheral vision that accompanies aging

 
 

itching of the skin

 
 

incontinence

 
 

high blood pressure

 
 

the loss of ability to hear high pitched sounds

 
1 points  
 
Question 18
 
It is generally agreed that racial differences in life expectancy are due primarily to genetic factors.
 
True
 
False
 
1 points  
 
Question 19
 
The most important risk factor for Parkinson’s disease is age.
 
True
 
False
 
1 points  
 
Question 20
 
More than 400,000 elders are responsible for raising one or more grandchildren.
 
True
 
False
 
1 points  
 
Question 21
 
Activities of Daily Living Scale (ADL) measure the ability of older adults to:
 

 

live safely in the community

 
 

perform more complex activities needed to live independently

 
 

manage their chronic illness effectively

 
 

perform self-care activities in the home

 
 

none of the above

 
1 points  
 
Question 22
 
Define perception.
 

 

receiving and processing input from the environment that involves the senses as well as emotions within yourself and others

 
 

ability of the person to choose what to focus on in the environment

 
 

the accumulated data you store throughout your life about what you have experienced and what you know

 
 

the ability to draw conclusions and make judgments from information

 
 

ability to acquire and apply knowledge accumulated throughout life

 
1 points  
 
Question 23
 
What factor has the largest influence on life expectancy?
 

 

ethnicity

 
 

race

 
 

income

 
 

gender

 
 

all have equal influence

 
1 points  
 
Question 24
 
Which of the following diseases has no symptoms in most cases?
 

 

diabetes

 
 

congestive heart failure

 
 

angina

 
 

hypertension

 
 

none of the above

 
1 points  
 
Question 25
 
Why are elders at a greater risk for illness or death from common infections?
 

 

age-associated physiological changes

 
 

the prevalence of chronic illnesses

 
 

environmental influences

 
 

all of the above

 
 

a and b

 
1 points  
 
Question 26
 
It is hypothesized that females have a genetic advantage that enables them to live longer than males in almost all animal species.
 
True
 
False
 
1 points  
 
Question 27
 
Older men and women who live alone have poorer diets than those who live with a spouse.
 
True
 
False
 
1 points  
 
Question 28
 
Adult-onset diabetes is characterized by:
 

 

loss of receptivity of body cells to insulin

 
 

high sugar diet

 
 

presence of a genetic defect

 
 

decreased insulin production

 
 

all of the above

 
1 points  
 
Question 29
 
The greatest barrier to receiving dental care for older people is
 

 

hesitancy to visit a dentist

 
 

inability to speak English

 
 

they are not treated properly

 
 

inability to pay

 
1 points  
 
Question 30
 
The three leading causes of death among elders, in order of mortality, are:
 

 

heart disease, accidents, stroke

 
 

cancer, heart disease, accidents

 
 

stroke, heart disease, cancer

 
 

heart disease, cancer, chronic lower respiratory diseases

 
1 points  
 
Question 31
 
Alcohol ingestion can lead to malnutrition by:
 

 

diminishing appetite

 
 

decreasing absorption of vitamins

 
 

increasing need for minerals and vitamins

 
 

all of the above

 
 

b and c

 
1 points  
 
Question 32
 
The life span for humans is:
 

 

75-85 years

 
 

85-95 years

 
 

95-105 years

 
 

105-115 years

 
 

115-120 years

 
1 points  
 
Question 33
 
Which of the following is true regarding elders and sleep?
 

 

elders report fewer sleep complaints than middle-aged adults

 
 

most elders do not seek medical care for insomnia

 
 

sleep patterns change in the later years

 
 

all of the above

 
 

b and c only

 
1 points  
 
Question 34
 
Chronic illness can be difficult to diagnose among elders because they may:
 

 

report different symptoms than younger group

 
 

may complain of multiple, nonspecific symptoms

 
 

have side effects from medication that are misinterpreted as another condition

 
 

symptoms of chronic illness may be incorrectly attributed to normal age changes

 
 

all of the above

 
1 points  
 
Question 35
 
Native Americans receive all the health care they need from the tribal reservations.
 
True
 
False
 
1 points  
 
Question 36
 
The biggest nutritional health problem in the United States is associated with:
 

 

vitamin deficiencies

 
 

mineral deficiencies

 
 

lack of fiber

 
 

obesity

 
 

lack of protein

 
1 points  
 
Question 37
 
Why is diagnosis of an infection more difficult in elders than other age groups?
 

 

important warning signs such as a fever may be atypical or absent

 
 

nonspecific symptoms such as confusion or fatigue accompany an infection

 
 

warning signs are misinterpreted as an association to age-related decline

 
 

elders often do not report warning signs to their physicians

 
 

all of the above

 
1 points  
 
Question 38
 
Demography is the study of:
 

 

race and ethnicity in the elderly population

 
 

the size, geographical distribution and vital statistics of a particular group

 
 

the relationship between minority groups and the level of care they receive

 
 

the geographical distribution of a particular group

 
 

none of the above

 
1 points  
 
Question 39
 
“Miscarried helping” refers to:
 

 

support that is excessive, untimely or inappropriate

 
 

when caregivers are overburdened by responsibilities and unable to help

 
 

the “sick role” behavior of older adults

 
 

the need for caregiving by older adults with chronic illness

 
 

assistance provided by elders to those who have lost a baby

 
1 points  
 
Question 40
 
Life expectancy
 

 

varies among cultures

 
 

is about 115-120 years

 
 

continues to increase in the U.S.

 
 

a and c

 
 

all of the above

 
1 points  
 
Question 41
 
Which of the following factors is the most important in culturally competent care?
 

 

the decoration of the building

 
 

the cultural background of the staff hired matches the population you want to serve

 
 

Placing signs in the native language

 
 

Setting up systems addressing the needs and preferences of the clientele

 
1 points  
 
Question 42
 
Why are elders more susceptible to accidents than other age groups?
 

 

reduced vision and hearing

 
 

other chronic and acute conditions

 
 

medications prescribed

 
 

poor gait

 
 

all of the above

 
1 points  
 
Question 43
 
What accounts for the largest proportion of death and disability among elders?
 

 

chronic illnesses

 
 

acute illness

 
 

accidents

 
 

suicides

 
 

cancer

 
1 points  
 
Question 44
 
Which of the following cognitive traits decline with age?
 

 

memory loss of recent events

 
 

ability to reason

 
 

ability to solve problems

 
 

all of the above

 
 

a and b

 
1 points  
 
Question 45
 
Why is the older population expanding?
 

 

more people are surviving to old age while the birth rate is relatively constant

 
 

the baby boomers are “coming of age”

 
 

life expectancy and birth rates of ethnic minorities are increasing

 
 

two of the above

 
 

all of the above

 
1 points  
 
Question 46
 
Dysphagia is difficulty in:
 

 

losing weight

 
 

swallowing

 
 

gaining weight

 
 

digesting food

 
 

none of the above

 
1 points  
 
Question 47
 
Which of the following are age-associated changes of the eye?
 

 

inability of eye to focus on distant objects

 
 

decreased speed of adaptation to darkness

 
 

clouding and yellowing of the lens

 
 

all of the above

 
 

b and c

 
1 points  
 
Question 48
 
The four largest groups of minority elders are:
 

 

Asian Americans, Alaskan Natives, Mexican Americans, and blacks Hispanic Americans.

 
 

African Americans, Hispanic Americans, Native Americans and Asian Pacific Islanders.

 
 

Hispanic Americans, Asian Pacific Islanders, Native Americans and Middle Eastern Americans

 
 

African Americans, Southeast Asian Americans, Native Americans, Hispanic Americans.

 
1 points  
 
Question 49
 
The strongest risk factor for dementia is:
 

 

age

 
 

gender

 
 

chromosomal abnormality

 
 

race

 
 

intelligence

 
1 points  
 
Question 50
 
The “zip code effect” explains why life in the rural areas is healthier than in the urban ones
 
True
 
False
 
1 points  
 
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