The Gerontological Nursing certification provides a specialization in nursing for the geriatric population. This specialization helps to improve the overall health of the population as well as prevent the consequences of chronic health diseases. The Gerontological Nursing specialization also involves the patient and their family members in the educational process.
To be eligible to take the Gerontological Nursing certification, the applicant must hold a current and active Registered Nurse license along with an Associate Degree or a diploma from an accredited 2-year RN program.
The applicant for the Gerontological Nursing certification must also have two years experience as a full-time Registered Nurse and have a minimum of 2,000 hours of clinical practice in the gerontological nursing specialty area within the last 3 years. The applicant must also have completed 30 hours of continuing education in gerontological nursing within the last 3 years.
The Gerontological Nursing certification consists of 175 multiple-choice questions. Of the 175 questions, there are 25 that are used for pretesting purposes for use on future exams. The certification exam tests the RN’s knowledge of health issues that gerontologic patients may face.
The next portion of the Gerontological Nursing certification exam consists of questions that pertain to the normal aging changes and lifestyle changes that many elderly patients may experience.
The remaining portion of the exam contains questions regarding nursing interventions that are used to treat geriatric patients along with ethical issues, patient and caregiver education, and health wellness promotion and maintenance.
Gerontological Nursing Exam Practice Questions
1.A 66-year-old recently widowed patient with limited income is planning to move into the home of her daughter and son-in-law and their two adolescent children in order to share expenses, and she is concerned about the transition and a lack of independence. The best advice is for the patient to
a. accept the changes in her life.
b. apply for low-cost housing elsewhere.
c. set the ground rules for living together.
d. have a frank discussion with the family.
2. If a patient is severely dehydrated, what effect will this have on the complete blood count (CBC)?
a. Increased hemoglobin and hematocrit, decreased blood volume, and stable red blood cell (RBC) count.
b. Decreased hemoglobin and hematocrit, decreased blood volume, and increased RBC count.
c. Decreased hemoglobin and hematocrit, decreased blood volume, and decreased RBC count.
d. Stable hemoglobin and hematocrit decreased blood volume and stable RBC count.
3. The gerontological nurse is working in a mobile clinic to provide care to a homeless population. Among the older adults in this population, the health problems that the gerontological nurse most expects to find include
a. psychiatric/substance abuse disorders.
b. neurological disorders.
c. digestive disorders.
d. traumatic injuries.
- D: If a 66-year-old recently widowed patient with limited income is planning to move into the home of her daughter and son-in-law and their two adolescent children in order to share expenses and is concerned about the transition and lack of independence, the best advice is for the patient to have a frank discussion with the family. Before the move, the patient and family should discuss such issues as how expenses, duties, and responsibilities will be shared; how private space will be allocated; and how privacy will be respected.
2. A: If a patient is severely dehydrated, the effect this will have on the complete blood count (CBC) includes the following:
- Increased hemoglobin and hematocrit because the blood is more concentrated.
- Decreased blood volume because of the lack of adequate body fluids.
- Stable red blood cell (RBC) count.
3. A: Although older homeless adults often have myriad health problems, the most common are psychiatric and substance abuse disorders. Many older adults initially became homeless because of psychiatric disorders, such as schizophrenia, and they self-medicate with drugs and/or alcohol. The substance abuse, in turn, leads to malnutrition, liver disorders, digestive disorders, diabetes, and cardiovascular disorders and impacts treatment because patients are often not reliable reporters and may be noncompliant with treatment. The homeless may also move around, making follow-up difficult.