GERI FINAL JERSEY COLLEGE 2023EXAM
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100% UPDATED
What statement made by a nurse reflects a lack of understanding
regarding sexual intimacy and the older adult patient?
"Older adults express less interest in intimacy as both acute and
chronic illnesses develop"
To effectively assess an older adult patient's sexual needs, the nurse
must initially do what to prevent a biased assessment?
Reflect on personal feelings that create barriers to effective
communication with the patient.
The nurse notes the patient's chart lists "dyspareunia" as a
complaint. What teaching does the nurse plan to provide?
Use of water-soluble lubricants.
Through the open door of the patient's room, the nurse observes a
male patient and his long-term partner in a romantic embrace. The
nurse's priority intervention at the time is directed towards:
Quietly closing the door to address the patient's right to privacy.
Suzanne Jackson is a registered nurse working in the office of an
internal medicine physician. In this setting, Ms. Jackson has
encountered a significant number of patients who identify with the
older adult population. Many of them have significant comorbid
conditions. Mrs. Bortello presents to the primary care office
,requesting assistance in the home. She is 86 years old and has a
medical history of diabetes and congestive heart failure. She states
she has noticed a recent increase in weakness when she is
ambulating within the home and she is fearful about falling and
suffering a hip fracture. Further discussion between Ms. Jackson and
Mrs. Bortello indicates that the patient is interested in assistance
with shopping and activities of daily living (ADLs). Which of the
following settings of care would be most appropriate for Mrs.
Bortello's housing needs?
Independent living.
What are three things nurses can do to help and support the
caregiver in their role?
Educate them in understanding the older adult's medical problem.
Give them a list of community services.
Inform them of respite care options and encourage their use.
Offer to hold a family meeting to help siblings express concerns and
manage their roles.
Provide written materials.
The nurse on a medical acute care unit is preparing for the admission
of an 84 y/o patient with several diagnosed chronic illnesses. The
nurse begins the plan of care for this patient based on the
understanding that the older adult is likely to:
present with a need for a high level of nursing care.
What action by the nurse best shows an understanding of the effects
of acute hospitalization on the functional abilities of the older
patient?
,Assessing for a decline from the original baseline function.
the effects of acute hospitalization result in a decline from the
original baseline.
The nurse is planning the discharge of a 70 y/o patient who lives
alone and is recovering from a fractured ankle. What action by the
nurse shows an understanding of factors affecting the patient's
ultimate return from preinjury function?
assesses barriers to self-ambulation in the patient's home.
Which individual would the nurse refer to the local Area Agency on
Aging?
One who needs nutritious meals.
A nursing faculty explains to the student the definition of
"homebound." Which is the best explanation for this situation?
leaving home requires great effort
Your patient will be discharged soon, after suffering a fall in his
home. He only fractured two ribs but is not as strong and steady on
his feet as he was before the fall. He has DM, mild CHF, and htn. He
still needs some PT to regain his strength. He has lived on his own
and managed his own medications well prior to admission. You are
helping his family decide on placement options. What do you think is
the best option for your patient?
Return to his own home with home care and physical therapy visits.
Which action does the nurse delegate to the unlicensed assistive
personnel pertaining to pressure ulcer prevention?
Keeping the patient's skin clean and dry.
, When planning care for the older adult experiencing pain, the nurse
bases interventions on the realization that:
Pain is under treated in this cohort compared to younger adults.
A confused patient is admitted to the hospital after suffering a fall.
When asked about pain, the patient does not respond. What action
by the nurse is best?
Observe the patient's nonverbal behaviors.
The nurse has just started a hospital job where the majority of her
patients are older adults. It is important that the nurse remember
the following regarding older adults and pain EXCEPT which one?
They tend to overuse pain medication.
When planning nursing care for an older adult who is experiencing
chronic pain, the nurse includes all of the following interventions
EXCEPT which one?
provide economical sensitive pain relief.
The nurse is caring for an older adult patient who was admitted for
pneumonia. The nurse institutes fall precautions based upon the
following assessments of normal age-related changes that could
contribute to falls with the EXCEPTION of...
The patient uses the call light frequently.
A patient is brought to the emergency department after an
unexpected fall. What action would the nurse NOT anticipate as part
of care for an elderly patient who has fallen?
Apply restraint devices.
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100% UPDATED
What statement made by a nurse reflects a lack of understanding
regarding sexual intimacy and the older adult patient?
"Older adults express less interest in intimacy as both acute and
chronic illnesses develop"
To effectively assess an older adult patient's sexual needs, the nurse
must initially do what to prevent a biased assessment?
Reflect on personal feelings that create barriers to effective
communication with the patient.
The nurse notes the patient's chart lists "dyspareunia" as a
complaint. What teaching does the nurse plan to provide?
Use of water-soluble lubricants.
Through the open door of the patient's room, the nurse observes a
male patient and his long-term partner in a romantic embrace. The
nurse's priority intervention at the time is directed towards:
Quietly closing the door to address the patient's right to privacy.
Suzanne Jackson is a registered nurse working in the office of an
internal medicine physician. In this setting, Ms. Jackson has
encountered a significant number of patients who identify with the
older adult population. Many of them have significant comorbid
conditions. Mrs. Bortello presents to the primary care office
,requesting assistance in the home. She is 86 years old and has a
medical history of diabetes and congestive heart failure. She states
she has noticed a recent increase in weakness when she is
ambulating within the home and she is fearful about falling and
suffering a hip fracture. Further discussion between Ms. Jackson and
Mrs. Bortello indicates that the patient is interested in assistance
with shopping and activities of daily living (ADLs). Which of the
following settings of care would be most appropriate for Mrs.
Bortello's housing needs?
Independent living.
What are three things nurses can do to help and support the
caregiver in their role?
Educate them in understanding the older adult's medical problem.
Give them a list of community services.
Inform them of respite care options and encourage their use.
Offer to hold a family meeting to help siblings express concerns and
manage their roles.
Provide written materials.
The nurse on a medical acute care unit is preparing for the admission
of an 84 y/o patient with several diagnosed chronic illnesses. The
nurse begins the plan of care for this patient based on the
understanding that the older adult is likely to:
present with a need for a high level of nursing care.
What action by the nurse best shows an understanding of the effects
of acute hospitalization on the functional abilities of the older
patient?
,Assessing for a decline from the original baseline function.
the effects of acute hospitalization result in a decline from the
original baseline.
The nurse is planning the discharge of a 70 y/o patient who lives
alone and is recovering from a fractured ankle. What action by the
nurse shows an understanding of factors affecting the patient's
ultimate return from preinjury function?
assesses barriers to self-ambulation in the patient's home.
Which individual would the nurse refer to the local Area Agency on
Aging?
One who needs nutritious meals.
A nursing faculty explains to the student the definition of
"homebound." Which is the best explanation for this situation?
leaving home requires great effort
Your patient will be discharged soon, after suffering a fall in his
home. He only fractured two ribs but is not as strong and steady on
his feet as he was before the fall. He has DM, mild CHF, and htn. He
still needs some PT to regain his strength. He has lived on his own
and managed his own medications well prior to admission. You are
helping his family decide on placement options. What do you think is
the best option for your patient?
Return to his own home with home care and physical therapy visits.
Which action does the nurse delegate to the unlicensed assistive
personnel pertaining to pressure ulcer prevention?
Keeping the patient's skin clean and dry.
, When planning care for the older adult experiencing pain, the nurse
bases interventions on the realization that:
Pain is under treated in this cohort compared to younger adults.
A confused patient is admitted to the hospital after suffering a fall.
When asked about pain, the patient does not respond. What action
by the nurse is best?
Observe the patient's nonverbal behaviors.
The nurse has just started a hospital job where the majority of her
patients are older adults. It is important that the nurse remember
the following regarding older adults and pain EXCEPT which one?
They tend to overuse pain medication.
When planning nursing care for an older adult who is experiencing
chronic pain, the nurse includes all of the following interventions
EXCEPT which one?
provide economical sensitive pain relief.
The nurse is caring for an older adult patient who was admitted for
pneumonia. The nurse institutes fall precautions based upon the
following assessments of normal age-related changes that could
contribute to falls with the EXCEPTION of...
The patient uses the call light frequently.
A patient is brought to the emergency department after an
unexpected fall. What action would the nurse NOT anticipate as part
of care for an elderly patient who has fallen?
Apply restraint devices.
