NU 176
EXAM 1
Geriatric Nursing
50 Actual Questions with Correct Answers
Galen College of Nursing
This Document Description:
This document contains a collection of 50
verified questions with Correct answers with
Rationales.
Ideal for exam preparation and concept
reinforcement.
,1. The nurse is caring for an older adult client who refuses to take their medication. A short
time later, the nurse returns, offers the medication again and the client takes the medication.
Which of the following factors influencing transitional outcomes applies to this client's
situation?
A. Degree of choice
B. Degree of knowledge
C. Degree of perceived loss
D. Degree of social support
Correct Answer:
A. Degree of choice
Expert Rationale:
The degree of choice refers to the client's ability to make decisions about their own care and
environment. In this scenario, the client initially refused medication but later accepted it when
the nurse returned and offered it again. This demonstrates that the client exercised autonomy
and choice in the timing of taking their medication. Respecting the older adult's right to make
decisions about their care is a fundamental principle of gerontological nursing and promotes
positive transitional outcomes. The nurse's willingness to return later and offer the medication
again respects the client's autonomy and supports their sense of control.
2. The nurse is caring for an older adult client who is reporting insomnia. Which of the
following actions should the nurse perform first?
A. Administer a prescribed sleep medication
B. Educate the client about foods and beverages that can affect sleep
C. Recommend the client take a warm bath before bed
D. Suggest the client read a book until sleepy
Correct Answer:
B. Educate the client about foods and beverages that can affect sleep
Expert Rationale:
When addressing insomnia in older adults, the nurse should first implement non-
pharmacological interventions. Education about foods and beverages that affect sleep (such as
caffeine, alcohol, and heavy meals close to bedtime) is a foundational, non-invasive first step.
, Older adults are particularly sensitive to medications due to altered pharmacokinetics
(decreased liver and kidney function), so non-pharmacological approaches should always be
attempted before medication administration.
3. The nurse is caring for a client who works as a nurse on a medical-surgical unit. The client
had spinal fusion surgery and has just learned that performing cardiopulmonary resuscitation
(CPR) and walking for long periods of time will be contraindicated. Which of the following is
considered the transitional moment for the client?
A. Learning about the surgery
B. Limiting postoperative activities
C. Returning to work
D. Discharge from the hospital
Correct Answer:
B. Limiting postoperative activities
Expert Rationale:
A transitional moment is a significant event or realization that causes a shift in a person's life
trajectory or self-concept. For this client, learning that they can no longer perform CPR or walk
for long periods represents a fundamental change in their professional identity and daily
functioning. This limitation on postoperative activities constitutes the transitional moment
because it marks a permanent change in the client's ability to perform their job as a nurse.
4. The nurse is caring for an older adult client. Which activities from the box below should the
nurse recognize as potential stressors for the client? (Select all that apply)
A. Waiting for the restroom
B. Watching television in the lounge
C. Receiving visitors
D. Sleeping through breakfast
E. Being placed in a room next to the nurses' station
Correct Answers:
A, D, E
Expert Rationale:
Potential stressors for older adults in healthcare settings include:
EXAM 1
Geriatric Nursing
50 Actual Questions with Correct Answers
Galen College of Nursing
This Document Description:
This document contains a collection of 50
verified questions with Correct answers with
Rationales.
Ideal for exam preparation and concept
reinforcement.
,1. The nurse is caring for an older adult client who refuses to take their medication. A short
time later, the nurse returns, offers the medication again and the client takes the medication.
Which of the following factors influencing transitional outcomes applies to this client's
situation?
A. Degree of choice
B. Degree of knowledge
C. Degree of perceived loss
D. Degree of social support
Correct Answer:
A. Degree of choice
Expert Rationale:
The degree of choice refers to the client's ability to make decisions about their own care and
environment. In this scenario, the client initially refused medication but later accepted it when
the nurse returned and offered it again. This demonstrates that the client exercised autonomy
and choice in the timing of taking their medication. Respecting the older adult's right to make
decisions about their care is a fundamental principle of gerontological nursing and promotes
positive transitional outcomes. The nurse's willingness to return later and offer the medication
again respects the client's autonomy and supports their sense of control.
2. The nurse is caring for an older adult client who is reporting insomnia. Which of the
following actions should the nurse perform first?
A. Administer a prescribed sleep medication
B. Educate the client about foods and beverages that can affect sleep
C. Recommend the client take a warm bath before bed
D. Suggest the client read a book until sleepy
Correct Answer:
B. Educate the client about foods and beverages that can affect sleep
Expert Rationale:
When addressing insomnia in older adults, the nurse should first implement non-
pharmacological interventions. Education about foods and beverages that affect sleep (such as
caffeine, alcohol, and heavy meals close to bedtime) is a foundational, non-invasive first step.
, Older adults are particularly sensitive to medications due to altered pharmacokinetics
(decreased liver and kidney function), so non-pharmacological approaches should always be
attempted before medication administration.
3. The nurse is caring for a client who works as a nurse on a medical-surgical unit. The client
had spinal fusion surgery and has just learned that performing cardiopulmonary resuscitation
(CPR) and walking for long periods of time will be contraindicated. Which of the following is
considered the transitional moment for the client?
A. Learning about the surgery
B. Limiting postoperative activities
C. Returning to work
D. Discharge from the hospital
Correct Answer:
B. Limiting postoperative activities
Expert Rationale:
A transitional moment is a significant event or realization that causes a shift in a person's life
trajectory or self-concept. For this client, learning that they can no longer perform CPR or walk
for long periods represents a fundamental change in their professional identity and daily
functioning. This limitation on postoperative activities constitutes the transitional moment
because it marks a permanent change in the client's ability to perform their job as a nurse.
4. The nurse is caring for an older adult client. Which activities from the box below should the
nurse recognize as potential stressors for the client? (Select all that apply)
A. Waiting for the restroom
B. Watching television in the lounge
C. Receiving visitors
D. Sleeping through breakfast
E. Being placed in a room next to the nurses' station
Correct Answers:
A, D, E
Expert Rationale:
Potential stressors for older adults in healthcare settings include:
