GERO EXAM 2 2025 QUESTIONS AND
ANSWERS
1. A nurse manager justifies the budget for education regarding cultural competency for the
staff. Which of the following justifications will best support the need for this education?
A) Life expectancies among minorities are expected to increase while those among non-
Hispanic whites are expected to decrease.
B) Government and health care organizations support the need for culturally competent care.
C) The proportion of health care consumers who are minorities continues to increase.
D) Nurses have a moral obligation to achieve cultural competency with all cultural groups. -
ANS C) The proportion of health care consumers who are minorities continues to increase.
2. A nurse is beginning a new job in an area with a large African American population. Which of
the following statements will assist the nurse to understand this ethnic/race culture to better
plan nursing care? (Select all that apply.)
A) African Americans as a group have a wide range of socioeconomic conditions.
B) Female-headed households are common among African Americans.
C) Lifestyle and risk factors account for the health disparities with older African Americans.
D) Older African Americans are more likely than other older Americans to live alone.
E) Older African Americans are more likely to be caring for their grandchildren. - ANS A)
African Americans as a group have a wide range of socioeconomic conditions.
B) Female-headed households are common among African Americans.
E) Older African Americans are more likely to be caring for their grandchildren.
COPYRIGHT © 2025 BRAINBARTER ALL RIGHTS RESERVED 1
,3. A nurse has observed an increasing number of older Asian Americans in the hospital. Which
of the following statements regarding Asian cultures will best assist the nurse to plan nursing
care?
A) Asian Americans as a group have lower mortality rates.
B) Health is often viewed as a state of physical and spiritual harmony.
C) Older Asian Americans are more likely than other Americans to live alone.
D) Care of elders is commonly provided in institutional environments such as nursing homes. -
ANS B) Health is often viewed as a state of physical and spiritual harmony.
4. A nurse's colleague states, "Older people who live in the country are a lot healthier than city
folk." Which statement by the nurse is most appropriate?
A) "The differences aren't large, but rural adults do have better health outcomes than do city
dwellers."
B) "But chronic conditions are more common among rural adults."
C) "Overall, yes. Higher levels of family support translate into longer average life spans for rural
adults."
D) "Unfortunately, no. And this is mostly attributable to the problem of homelessness." -
ANS B) "But chronic conditions are more common among rural adults."
5. A nurse speaks at a staff development in-service. Which of the following statements by a
nurse participant shows the need for education?
A) "I know that the consequences of racism are still present and they're linked to health
disparities."
B) "I'm sure the percentage of client-care hours that we spend working with minority clients is
bound to increase."
C) "There's a huge amount of diversity within the group that's labeled 'Asians and Pacific
Islanders.'"
D) "It's inaccurate to link the prevalence of particular diseases with particular minority groups."
- ANS D) "It's inaccurate to link the prevalence of particular diseases with particular minority
groups."
COPYRIGHT © 2025 BRAINBARTER ALL RIGHTS RESERVED 2
,6. A nurse has recently begun to provide care to older adults in a large, urban hospital. Having
lived until recently in an ethnically homogeneous region, the nurse has begun to recognize the
significant differences in priorities and perspectives of clients from other cultural groups and
has taken action to learn about these groups. What stage of cultural self-assessment is this
nurse demonstrating?
A) Unconsciously incompetent
B) Consciously incompetent
C) Consciously competent
D) Unconsciously competent - ANS B) Consciously incompetent
7. A nurse reads up on some of the more common cultural groups in the local area. How should
the nurse interpret the information that is available about cultural groups?
A) Characteristics of cultural groups are normally consistent between every member of that
group.
B) Cultural generalizations can be useful and accurate, but they do not replace individualized
assessment and care.
C) It is simplistic and problematic to make generalized claims about members of a particular
cultural group.
D) It is unjust to categorize individual clients as being members of a specific cultural group. -
ANS B) Cultural generalizations can be useful and accurate, but they do not replace
individualized assessment and care.
8. Following knee replacement surgery 10 days earlier, a 79-year-old woman has been
diagnosed with an infection in the knee. A sample of synovial fluid has been cultured in order to
determine the causative microorganism and to select an appropriate antibiotic. This course of
events characterizes what major health belief system?
A) Magico-religious paradigm
B) Holistic paradigm
C) Scientific paradigm
D) Analytical paradigm - ANS C) Scientific paradigm
COPYRIGHT © 2025 BRAINBARTER ALL RIGHTS RESERVED 3
, 9. A nurse performs a reflective cultural self-assessment. Which of the following outcomes
should the nurse expect?
A) An accurate ranking of different cultures according to their specific merits
B) Identification of the flaws and weaknesses of the nurse's own culture
C) Progression from judgmental views of other cultures to recognition of positive attributes
D) The ability to assess clients according to their cultural affiliation rather than individual
characteristics - ANS C) Progression from judgmental views of other cultures to recognition
of positive attributes
10. A nurse at a long-term care facility has completed the admission assessment of a 79-year-
old male resident. The resident has identified himself as gay and has expressed sadness at
having to leave his partner of several decades in order to move to the facility. The nurse should
recognize that this resident is likely to have a history of:
A) Homelessness
B) Stigmatization
C) Nominal employment or unemployment
D) Infectious diseases - ANS B) Stigmatization
11. A nurse plans culturally competent care for a variety of clients. Which of the following
cultures is most strongly tied to the low health status?
A) Hispanic in race
B) Low socioeconomic status
C) Member of LGBT society
D) Resident of urban community - ANS B) Low socioeconomic status
12. A nurse verifies the health belief system of the Puerto Rican older adult client. Which of the
following beliefs is this client most likely to hold?
A) Health is a gift or reward given as a sign of God's blessing and goodwill.
B) Health is obtainable by reaching a mature age.
C) Health is the absence of disease.
COPYRIGHT © 2025 BRAINBARTER ALL RIGHTS RESERVED 4
ANSWERS
1. A nurse manager justifies the budget for education regarding cultural competency for the
staff. Which of the following justifications will best support the need for this education?
A) Life expectancies among minorities are expected to increase while those among non-
Hispanic whites are expected to decrease.
B) Government and health care organizations support the need for culturally competent care.
C) The proportion of health care consumers who are minorities continues to increase.
D) Nurses have a moral obligation to achieve cultural competency with all cultural groups. -
ANS C) The proportion of health care consumers who are minorities continues to increase.
2. A nurse is beginning a new job in an area with a large African American population. Which of
the following statements will assist the nurse to understand this ethnic/race culture to better
plan nursing care? (Select all that apply.)
A) African Americans as a group have a wide range of socioeconomic conditions.
B) Female-headed households are common among African Americans.
C) Lifestyle and risk factors account for the health disparities with older African Americans.
D) Older African Americans are more likely than other older Americans to live alone.
E) Older African Americans are more likely to be caring for their grandchildren. - ANS A)
African Americans as a group have a wide range of socioeconomic conditions.
B) Female-headed households are common among African Americans.
E) Older African Americans are more likely to be caring for their grandchildren.
COPYRIGHT © 2025 BRAINBARTER ALL RIGHTS RESERVED 1
,3. A nurse has observed an increasing number of older Asian Americans in the hospital. Which
of the following statements regarding Asian cultures will best assist the nurse to plan nursing
care?
A) Asian Americans as a group have lower mortality rates.
B) Health is often viewed as a state of physical and spiritual harmony.
C) Older Asian Americans are more likely than other Americans to live alone.
D) Care of elders is commonly provided in institutional environments such as nursing homes. -
ANS B) Health is often viewed as a state of physical and spiritual harmony.
4. A nurse's colleague states, "Older people who live in the country are a lot healthier than city
folk." Which statement by the nurse is most appropriate?
A) "The differences aren't large, but rural adults do have better health outcomes than do city
dwellers."
B) "But chronic conditions are more common among rural adults."
C) "Overall, yes. Higher levels of family support translate into longer average life spans for rural
adults."
D) "Unfortunately, no. And this is mostly attributable to the problem of homelessness." -
ANS B) "But chronic conditions are more common among rural adults."
5. A nurse speaks at a staff development in-service. Which of the following statements by a
nurse participant shows the need for education?
A) "I know that the consequences of racism are still present and they're linked to health
disparities."
B) "I'm sure the percentage of client-care hours that we spend working with minority clients is
bound to increase."
C) "There's a huge amount of diversity within the group that's labeled 'Asians and Pacific
Islanders.'"
D) "It's inaccurate to link the prevalence of particular diseases with particular minority groups."
- ANS D) "It's inaccurate to link the prevalence of particular diseases with particular minority
groups."
COPYRIGHT © 2025 BRAINBARTER ALL RIGHTS RESERVED 2
,6. A nurse has recently begun to provide care to older adults in a large, urban hospital. Having
lived until recently in an ethnically homogeneous region, the nurse has begun to recognize the
significant differences in priorities and perspectives of clients from other cultural groups and
has taken action to learn about these groups. What stage of cultural self-assessment is this
nurse demonstrating?
A) Unconsciously incompetent
B) Consciously incompetent
C) Consciously competent
D) Unconsciously competent - ANS B) Consciously incompetent
7. A nurse reads up on some of the more common cultural groups in the local area. How should
the nurse interpret the information that is available about cultural groups?
A) Characteristics of cultural groups are normally consistent between every member of that
group.
B) Cultural generalizations can be useful and accurate, but they do not replace individualized
assessment and care.
C) It is simplistic and problematic to make generalized claims about members of a particular
cultural group.
D) It is unjust to categorize individual clients as being members of a specific cultural group. -
ANS B) Cultural generalizations can be useful and accurate, but they do not replace
individualized assessment and care.
8. Following knee replacement surgery 10 days earlier, a 79-year-old woman has been
diagnosed with an infection in the knee. A sample of synovial fluid has been cultured in order to
determine the causative microorganism and to select an appropriate antibiotic. This course of
events characterizes what major health belief system?
A) Magico-religious paradigm
B) Holistic paradigm
C) Scientific paradigm
D) Analytical paradigm - ANS C) Scientific paradigm
COPYRIGHT © 2025 BRAINBARTER ALL RIGHTS RESERVED 3
, 9. A nurse performs a reflective cultural self-assessment. Which of the following outcomes
should the nurse expect?
A) An accurate ranking of different cultures according to their specific merits
B) Identification of the flaws and weaknesses of the nurse's own culture
C) Progression from judgmental views of other cultures to recognition of positive attributes
D) The ability to assess clients according to their cultural affiliation rather than individual
characteristics - ANS C) Progression from judgmental views of other cultures to recognition
of positive attributes
10. A nurse at a long-term care facility has completed the admission assessment of a 79-year-
old male resident. The resident has identified himself as gay and has expressed sadness at
having to leave his partner of several decades in order to move to the facility. The nurse should
recognize that this resident is likely to have a history of:
A) Homelessness
B) Stigmatization
C) Nominal employment or unemployment
D) Infectious diseases - ANS B) Stigmatization
11. A nurse plans culturally competent care for a variety of clients. Which of the following
cultures is most strongly tied to the low health status?
A) Hispanic in race
B) Low socioeconomic status
C) Member of LGBT society
D) Resident of urban community - ANS B) Low socioeconomic status
12. A nurse verifies the health belief system of the Puerto Rican older adult client. Which of the
following beliefs is this client most likely to hold?
A) Health is a gift or reward given as a sign of God's blessing and goodwill.
B) Health is obtainable by reaching a mature age.
C) Health is the absence of disease.
COPYRIGHT © 2025 BRAINBARTER ALL RIGHTS RESERVED 4
