BSN 425: Gerontological Nursing Practice Quiz |
Questions and Correct Answers with Rationales New
Update 2026/2027 | Graded A+
1. When assessing an older adult client from a different cultural background,
which approach by the nurse demonstrates cultural competence?
A) Imposing personal health beliefs onto the client to improve their outcomes.
B) Assuming all individuals from the same culture share identical healthcare
practices.
C) Inquiring about the client's health beliefs, practices, and cultural values.
D) Using medical jargon to ensure the client understands the plan of care.
Correct Answer: C) Inquiring about the client's health beliefs, practices, and
cultural values.
Rationale: Cultural competence involves recognizing and respecting the client's
unique cultural perspective. Asking about health beliefs and practices allows the
nurse to provide individualized, patient-centered care. Imposing beliefs or making
assumptions undermines trust and effective communication.
2. Which of the following is a potential negative complication of using physical
restraints on an older adult client in a long-term care facility?
A) Decreased risk of falls and wandering.
B) Enhanced social interaction with staff and peers.
C) Improved sleep quality and orientation.
D) Increased muscle atrophy and risk of contractures.
Correct Answer: D) Increased muscle atrophy and risk of contractures.
Rationale: Physical restraints lead to immobility, which causes muscle atrophy,
weakness, joint contractures, and pressure injuries. They also increase confusion,
agitation, and fall risk when removed. Restraints do not decrease falls or improve
social interaction.
, 3. An older adult client is experiencing age-related hearing loss (presbycusis).
What is the most appropriate communication strategy for the nurse to use?
A) Shouting directly into the client's ear.
B) Speaking clearly at a lower frequency while facing the client.
C) Speaking at a higher pitch and faster rate.
D) Communicating primarily through written notes only.
Correct Answer: B) Speaking clearly at a lower frequency while facing the client.
Rationale: Presbycusis is characterized by high-frequency hearing loss. Speaking
at a lower frequency (deeper voice) and facing the client allows for lip-reading and
visual cues. Shouting distorts sound, and written notes should supplement, not
replace, verbal communication.
4. What is the primary focus of the NICHE (Nurses Improving Care for
Healthsystem Elders) program?
A) To provide financial assistance to older adults requiring long-term care.
B) To mandate the use of physical restraints in hospital settings.
C) To reduce healthcare costs by discharging older adults prematurely.
D) To improve the care of older adults by providing specialized education and
resources to nurses.
Correct Answer: D) To improve the care of older adults by providing specialized
education and resources to nurses.
Rationale: NICHE is a program designed to improve the quality of care for
hospitalized older adults through nursing education, evidence-based practice, and
organizational change. It promotes geriatric-sensitive care and nurse competency.
5. A nurse is caring for an older Hispanic patient who insists on using herbal
remedies alongside prescribed medications. Which action by the nurse best
reflects cultural competence?
Questions and Correct Answers with Rationales New
Update 2026/2027 | Graded A+
1. When assessing an older adult client from a different cultural background,
which approach by the nurse demonstrates cultural competence?
A) Imposing personal health beliefs onto the client to improve their outcomes.
B) Assuming all individuals from the same culture share identical healthcare
practices.
C) Inquiring about the client's health beliefs, practices, and cultural values.
D) Using medical jargon to ensure the client understands the plan of care.
Correct Answer: C) Inquiring about the client's health beliefs, practices, and
cultural values.
Rationale: Cultural competence involves recognizing and respecting the client's
unique cultural perspective. Asking about health beliefs and practices allows the
nurse to provide individualized, patient-centered care. Imposing beliefs or making
assumptions undermines trust and effective communication.
2. Which of the following is a potential negative complication of using physical
restraints on an older adult client in a long-term care facility?
A) Decreased risk of falls and wandering.
B) Enhanced social interaction with staff and peers.
C) Improved sleep quality and orientation.
D) Increased muscle atrophy and risk of contractures.
Correct Answer: D) Increased muscle atrophy and risk of contractures.
Rationale: Physical restraints lead to immobility, which causes muscle atrophy,
weakness, joint contractures, and pressure injuries. They also increase confusion,
agitation, and fall risk when removed. Restraints do not decrease falls or improve
social interaction.
, 3. An older adult client is experiencing age-related hearing loss (presbycusis).
What is the most appropriate communication strategy for the nurse to use?
A) Shouting directly into the client's ear.
B) Speaking clearly at a lower frequency while facing the client.
C) Speaking at a higher pitch and faster rate.
D) Communicating primarily through written notes only.
Correct Answer: B) Speaking clearly at a lower frequency while facing the client.
Rationale: Presbycusis is characterized by high-frequency hearing loss. Speaking
at a lower frequency (deeper voice) and facing the client allows for lip-reading and
visual cues. Shouting distorts sound, and written notes should supplement, not
replace, verbal communication.
4. What is the primary focus of the NICHE (Nurses Improving Care for
Healthsystem Elders) program?
A) To provide financial assistance to older adults requiring long-term care.
B) To mandate the use of physical restraints in hospital settings.
C) To reduce healthcare costs by discharging older adults prematurely.
D) To improve the care of older adults by providing specialized education and
resources to nurses.
Correct Answer: D) To improve the care of older adults by providing specialized
education and resources to nurses.
Rationale: NICHE is a program designed to improve the quality of care for
hospitalized older adults through nursing education, evidence-based practice, and
organizational change. It promotes geriatric-sensitive care and nurse competency.
5. A nurse is caring for an older Hispanic patient who insists on using herbal
remedies alongside prescribed medications. Which action by the nurse best
reflects cultural competence?
