Older person care: RCSI aptitude test practice questions

Sample questions from this topic

1. Question 1

   What does NMBI describe as the central organising perspective of person-centred care for the older person?

   1. AFollowing the medical plan of care
   2. BCompleting care tasks safely, efficiently and within the shift
   3. CReducing length of stay and readmission within 30 days of discharge
   4. DAlleviating vulnerabilities, physiological and to identity
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   Answer: D. NMBI: the central organising perspective of person-centred care for the older person is alleviating vulnerabilities, both compromised physiological states and threats to the person’s identity (loss of control, role, dignity, connection).

   Source: NMBI Working with Older People (2015), Standard 1

2. Question 2

   Which is an example of ageist practice that NMBI guidance requires nurses to avoid?

   1. AUsing large-print information leaflets for people with poor sight
   2. BAllowing extra time for mobility and toileting
   3. CTreating a symptom as “just old age” without assessing it
   4. DOffering a hearing aid check before a consultation
   Show answer

   Answer: C. NMBI requires care of the older person to be provided in a non-ageist and non-discriminatory manner. Dismissing a symptom as old age without assessing it is a classic example of ageism; adapting communication, print size and pace to need is good care, not discrimination.

   Source: NMBI Working with Older People (2015), guiding principles

3. Question 3

   What does NMBI say about regimentation and institutionalisation in care settings?

   1. AThey are necessary for safety and efficiency on a busy ward
   2. BThey cause loss of control and must be guarded against
   3. CThey matter only in long-stay settings, not in acute hospitals
   4. DThey help older people feel secure
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   Answer: B. NMBI: regimentation and institutionalisation contribute to loss of control and must be guarded against in every setting; the nurse should collaborate with the older person on the patterning of their day, including waking, washing and meal times.

   Source: NMBI Working with Older People (2015), Standard 3

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Documents behind these questions

Every fact was checked against the public document named on the answer. This topic draws on:

• NMBI Working with Older People (2015), context: demographics of ageing