RESEARCH TOOL (ENGLISH)

A questionnaire to assess the knowledge of geriatric problems

among the caregivers of old age patients

As a part of project, we Internship (GNM) students prepared our

questionnaire. We will use this only for the purpose of our study we
hope your cooperation for this.

Instructions
1. All questions to be answered. 2. Put a tick mark for the most
appropriate answer.

3. Correct answer carries one mark.

4. No mark was awarded for wrong answer.

SECTION I

DEMOGRAPHIC DATA
Name :
Age :

a) 21-30 [ ] b)31-40 [ ] c) 41-50 [ ]

Sex :

a) Male [ ] b) Female [ ]

Religion :

a) Hindu [ ] b)Muslim[ ] c) Christian [

]

Educational Status:

a) primary [ ] b) Higher secondary [ ] c) Graduate [

]

d) Professional [ ]
SECTION II KNOWLEDGE

1. In which period does the old age start?

a) Above 40 yrs [ ] b) Above 50 yrs [ ]

C) Above 60 yrs [ ]

2. The branch of science that deals with old age process is known
as ……………?

a) Geriatrics [ ] b) Pediatrics [ ]

c) Obstetrics [ ]

3. Which type of food is most appropriate for aged persons?

a) Solid diet [ ] b) Easily digestible fiber rich diet [ ]

c) Fried foods [ ]

4. What will be the change in appetite during the old age?

a) Increases [ ] b) Decreases [ ]

b) No Change [ ]
5 How can we manage constipation during old age?

a) increase fluid intake [ ] b) Increase fiber rich foods [ ]

c) Both [ ]
 6. Approximate fluid intake per day?

a) 8 glasses [ ] b) 2 glasses [ ]

c) 5 glasses [ ]

7 What is the reason for bones became more fragile during old
age?

a) Thinning of bone [ ] b) Hardworking [ ]

c) None of the above [ ]

8. Arthritis is a common problem in old age?

a) Yes [ ] b) No [ ] c) Same Extend [ ]

9. What are the signs and symptoms of arthritis?

a) Knee joint pain [ ] b) Numbness of hand and leg [ ]

b) Both are [ ]

10. What is the need of including milk and fish in diet of aged
persons?

a) For healthy bone [ ] b) For being obese [ ]

c) For relieving apatite [ ]

11. How can we prevent arthritis, Which commonly seen in aged
persons?

a) Wear socks and gloves [ ] b) do exercise [ ]

d) Both are [ ]

12. Whether wrinkling of skin is a sign of disease in old age?

a) Yes [ ] b) No [ ] c) Some Extend [ ]

13. Does oil massage is causing any problem in old age?

a) Yes [ ] b) No [ ] c) Some Extend [ ]

14. What are the methods we can adopt for skin care?

a) Increased fluid intake [ ] b) Maintain personal hygiene [ ]

c) Both are [ ]

15. What is the cause for amnesia in old age?

a) Decreased blood flow to brain [ ] b) Distraction of brain cells [ ]

c) Both are [ ]

16. Why do the old age people are more prone to poisoning?

a) Vision impairment [ ] b) Carelessness of caregivers [ ]

c) Both [ ]
17. Depression and memory impairment are common in old age
people. Do you agree with this?

a) Yes [ ] b) No [ ] c) May be [ ]

18. Do insomnia is a common problem In old age?

a) Yes [ ] b) No [ ] c)Sometimes [ ]

19. How will we manage insomnia in old age?

a) Provide warm milk before they go to sleep [ ]

c) Avoid bright 8voice in bed room [ ] c) Both are [ ]

20. Is there any need of giving medications to old age peoples by

their caregivers? If yes. why?

a) No [ ] b) Yes. They have memory impairment [ ]

c) Yes. They are lazy [ ]

21. Old age process adversely affects the functioning of sense
organs. Do you agree with this?

a) Yes[ ] b) No [ ] c) sometimes [ ]

22. How will you protect eyes in old age people?

a) Provide rest to eyes [ ] b) Vision tests is done as per doctors [ ]

c) Both are [ ]

23. What is the reason for increasing lung diseases in old age
peoples?

a) Poor immunity power [ ] b) Eat cold foods [ ]

c) None of the above [ ]

24. Does the drinking and smoking adversely?

a) Yes[ ] b) No [ ] c) sometimes [ ]
25. How can we prevent lung disease?

a) Protect the person from dust [ ]

b) Do excursive [ ]
c) Avoid activities [ ]

26. What is the reason for engagement of blood vessels in neck and

Limbs of old age people?

a) increased blood pressure [ ]

b) Decreased skin thickness [ ]
c) Sometimes [ ]

27. Which exercise is more useful for old age persons?

a) Walking [ ]

b) Yoga [ ]

c) Both are [ ]

28. What is the reason for in continence of urine?

a) Decreased contraction of urinary muscles[ ]

b) Due to lazy [ ]

c) Poor memory [ ]

29. How can we assess the changes in kidney function in old age?
a) Decreased urine output [ ]

b) Head ache. Fever [ ]

c) Abdominal pain [ ]

30. How can we maintain normal kidney functions in old age

persons?

a) Increase fluid intake [ ]

b) Avoid excess use of medication [ ]

c) Both are [ ]

31. Among the following situations favor geriatric people?

a) Provide loneliness [ ]

b) Always keep them in a room [ ]

c) Always keep them with their children and grand children [ ]

32. Diabetes is more common in old age why?

a) Avoidance of exercise [ ]

b) Decreased food intake [ ]

c) Decreased production of insulin by pancreas [ ]

33. How can we detect decreased blood glucose level?

a) Excessive sweat [ ]

b) Unconsciousness [ ]

c) Both are [ ]

34. Do the vaccination relevant in the old age ?

a) Yes [ ]

b) No [ ]

c) May be [ ]

35. What are the expected vaccines given during old age?

a) TT + pneumonia vaccine [ ]

b) TT [ ]

c) None of the above [ ]