GERONTOLOGIC NURSING EXAM 2 SCRIPT
2026 QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET
◉ The nurse who volunteers at a senior citizens' center is planning
activities for the members. What activity would best promote health
and maintenance?
Answer: Walking 3-5 times per week for 30 minutes. Exercise and
activity are essential for health promotion and maintenance.
◉ The home health nurse is visiting a client for the first time. While
assessing the client's medication, it is noted that there are 19
prescription and several over the counter medications that the client
is taking. What intervention should the nurse take first?
Answer: Determine whether there are medication duplications.
Polypharamacy is a concern in the geriatric population.
◉ The nurse is working with older clients in a long term care facility.
Which activities performed by the nurse fosters reminiscence
among these clients?
Answer: Having storytelling hours- clients who like to retell stories
or past events need to be provided time to do so. It is a way for the
,older adult to relive and restructure life experiences and is a part of
achieving ego identity.
◉ The home care nurse is performing an environmental assessment
in the home of an older adult. Which of the following requires
immediate nursing action?
Unsecured scattered rugs, operable smoke detector, or prefilled
medication cassette?
Answer: Unsecured scattered rugs- trauma to the older client in the
home may be caused by a variety of factors. These include unsteady
gait, the presence of unsecured scatter rugs, clattered passageways,
and inoperable smoke detectors.
◉ The nurse is teaching an older client about measures to prevent
constipation. What statement made by the client indicates further
teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday"
Answer: "I need to decrease fiber in my diet" -Adequate dietary fiber
is an important factor in aiding bowel function. Dietary fiber
increases fecal weight and water content and accelerates the transit
of fecal mass through the GI tract.
,◉ Define Ageism.
Answer: Ageism is a form of prejudice in which older adults are
stereotyped by characteristics found in only a few members of their
group. Fundamental to ageism is the view that older persons are
different from "me" and will remain different from "me." Therefore,
they are portrayed as not experiencing the same desires, needs, and
concerns.
◉ The nurse is providing medication instructions to an older client
who is taking digoxin (Lanoxin) daily. What age related body
changes could place the client at risk for digoxin toxicity?
Answer: Decreased lean body mass and decreased glomerular
filtration rate.
◉ The nurse employed in a long term care facility is caring for an
older male client. What nursing action contributes to encouraging
autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities
Answer: Client choosing own activities. Autonomy is the personal
freedom to direct one's own life as long as it does not impinge on the
rights of others. An autonomous person is capable of rational
thought.
, ◉ The home care nurse is visiting an older female client whose
husband died 6 months ago. What behavior by the client indicates
ineffective coping?
- Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
-Visiting her husband's grave
Answer: Neglecting personal grooming. Coping mechanisms are
behaviors used to decrease anxiety and stress. In response to death,
ineffective coping is manifested by an extreme behavior that in some
cases may be harmful to the individual.
◉ The nurse is providing instructions to a nursing assistant
regarding care of an older client with hearing loss. The nurse tells
the assistant that clients with a hear loss:
Answer: Respond to low pitched tones. Prebycusis refers to the age
related irreversible degenerative changes of the inner eat that lead
to decreased hearing ability. As a result of these changes, the older
client has a decreased response to high frequency sounds. Low
pitched voice tones are heard more easily and can be interpreted by
the older client.
2026 QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET
◉ The nurse who volunteers at a senior citizens' center is planning
activities for the members. What activity would best promote health
and maintenance?
Answer: Walking 3-5 times per week for 30 minutes. Exercise and
activity are essential for health promotion and maintenance.
◉ The home health nurse is visiting a client for the first time. While
assessing the client's medication, it is noted that there are 19
prescription and several over the counter medications that the client
is taking. What intervention should the nurse take first?
Answer: Determine whether there are medication duplications.
Polypharamacy is a concern in the geriatric population.
◉ The nurse is working with older clients in a long term care facility.
Which activities performed by the nurse fosters reminiscence
among these clients?
Answer: Having storytelling hours- clients who like to retell stories
or past events need to be provided time to do so. It is a way for the
,older adult to relive and restructure life experiences and is a part of
achieving ego identity.
◉ The home care nurse is performing an environmental assessment
in the home of an older adult. Which of the following requires
immediate nursing action?
Unsecured scattered rugs, operable smoke detector, or prefilled
medication cassette?
Answer: Unsecured scattered rugs- trauma to the older client in the
home may be caused by a variety of factors. These include unsteady
gait, the presence of unsecured scatter rugs, clattered passageways,
and inoperable smoke detectors.
◉ The nurse is teaching an older client about measures to prevent
constipation. What statement made by the client indicates further
teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday"
Answer: "I need to decrease fiber in my diet" -Adequate dietary fiber
is an important factor in aiding bowel function. Dietary fiber
increases fecal weight and water content and accelerates the transit
of fecal mass through the GI tract.
,◉ Define Ageism.
Answer: Ageism is a form of prejudice in which older adults are
stereotyped by characteristics found in only a few members of their
group. Fundamental to ageism is the view that older persons are
different from "me" and will remain different from "me." Therefore,
they are portrayed as not experiencing the same desires, needs, and
concerns.
◉ The nurse is providing medication instructions to an older client
who is taking digoxin (Lanoxin) daily. What age related body
changes could place the client at risk for digoxin toxicity?
Answer: Decreased lean body mass and decreased glomerular
filtration rate.
◉ The nurse employed in a long term care facility is caring for an
older male client. What nursing action contributes to encouraging
autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities
Answer: Client choosing own activities. Autonomy is the personal
freedom to direct one's own life as long as it does not impinge on the
rights of others. An autonomous person is capable of rational
thought.
, ◉ The home care nurse is visiting an older female client whose
husband died 6 months ago. What behavior by the client indicates
ineffective coping?
- Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
-Visiting her husband's grave
Answer: Neglecting personal grooming. Coping mechanisms are
behaviors used to decrease anxiety and stress. In response to death,
ineffective coping is manifested by an extreme behavior that in some
cases may be harmful to the individual.
◉ The nurse is providing instructions to a nursing assistant
regarding care of an older client with hearing loss. The nurse tells
the assistant that clients with a hear loss:
Answer: Respond to low pitched tones. Prebycusis refers to the age
related irreversible degenerative changes of the inner eat that lead
to decreased hearing ability. As a result of these changes, the older
client has a decreased response to high frequency sounds. Low
pitched voice tones are heard more easily and can be interpreted by
the older client.
