GERO Exam 3 Questions with
Correct Answers
A client who reported "a problem sleeping" shows an understanding of good sleep
hygiene by: - Answer-limiting the afternoon nap to just 30 minutes
Which attempt by the family to prevent an older, frail adult from falling causes the home
health nurse concern? - Answer-Keeping the side rails up on the client's bed at night
A group of older women in an assisted living facility are talking about one of the
residents who fell and fractured her hip. The women ask a nurse the following: "It seems
like so many of us fall and break our hips, and then it is downhill from there. Is this really
true?" In formulating a response, the nurse considers which of the following? (Select all
that apply.) - Answer-Hip fractures are a leading cause of hospitalization for older
people.
The major cause of hip fractures is falls.
Hip fractures are associated with very high morbidity and mortality.
Which assessment finding is a contributor to an older client's risk for falls? (Select all
that apply.) - Answer-Client is awaiting cataract surgery on right eye.
Client's type 2 diabetes is poorly controlled with diet and exercise alone.
Client reports a fall in the last year.
A nurse in a long-term care facility notes that there has been an increase in falls on one
unit and that many of the falls are occurring immediately following mealtime. The nurse
recommends that the nursing home conduct a trial of six smaller meals instead of the
three traditional meals. The nurse makes this recommendation on the understanding
that: - Answer-postprandial hypotension occurs after ingestion of a carbohydrate meal
and may be related to the release of a vasodilatory peptide
An 88-year-old woman is admitted to the hospital with a diagnosis of pneumonia. She
has a history of hypertension and congestive heart failure and is on a total of five
different medications for these chronic conditions. The nurse caring for the woman
develops a care plan that includes the diagnosis Risk for Falls. A priority nursing
intervention for this client is to: - Answer-perform a fall assessment
, A nurse is admitting and orienting an older adult to the hospital unit. She discusses fall
prevention and demonstrates the use of the call bell to the patient. The patient's
daughter asks: "Why don't you just put up all the side rails to prevent my mother from
getting out of bed by herself and falling. That should work, right?" The best response by
the nurse is: - Answer-There is no evidence that side rail use decreases falls, and in fact
there is a greater risk of injury."
A homecare nurse visits a client in the home to conduct a fall risk assessment. The
nurse assesses the client and the home for extrinsic risk factors for falls. Which of the
following are extrinsic risk factors? (Select all that apply.) - Answer-The client uses a
cane, but the cane is not the appropriate size for the client.
The client's home is cluttered.
There are no grab bars in the client's bathroom.
A nurse is assessing an older adult's risk for falls. One of the questions that she asks is
whether the older adult has fallen in the past year. She asks this because individuals
who have fallen: - Answer-ave a higher risk of falling again than persons who did not fall
in the past year
A home health nurse is making a home visit to an older patient. A nurse conducts a
home safety assessment and screens the environment for potential hazards for falls.
The nurse recommends that the patient eliminate which of the following? (Select all that
apply.) - Answer-Loose carpeting on the floors
Excess clutter
A home health nurse is making a home visit to an older patient. A nurse conducts a
home safety assessment and screens the environment for potential hazards for falls.
Which of the following are hazards in the home? (Select all that apply.) - Answer-The
absence of railings on the stairway
Clutter throughout the home
A small throw rug outside of the shower stall
A patient is diagnosed with osteoporosis. Which statements should the nurse include
when teaching the client about the disease? (Select all that apply.) - Answer-
Osteoporosis is common in females after menopause.
Osteoporosis is a degenerative disease characterized by a decrease in bone density.
Osteoporosis can cause pain and injury.
Correct Answers
A client who reported "a problem sleeping" shows an understanding of good sleep
hygiene by: - Answer-limiting the afternoon nap to just 30 minutes
Which attempt by the family to prevent an older, frail adult from falling causes the home
health nurse concern? - Answer-Keeping the side rails up on the client's bed at night
A group of older women in an assisted living facility are talking about one of the
residents who fell and fractured her hip. The women ask a nurse the following: "It seems
like so many of us fall and break our hips, and then it is downhill from there. Is this really
true?" In formulating a response, the nurse considers which of the following? (Select all
that apply.) - Answer-Hip fractures are a leading cause of hospitalization for older
people.
The major cause of hip fractures is falls.
Hip fractures are associated with very high morbidity and mortality.
Which assessment finding is a contributor to an older client's risk for falls? (Select all
that apply.) - Answer-Client is awaiting cataract surgery on right eye.
Client's type 2 diabetes is poorly controlled with diet and exercise alone.
Client reports a fall in the last year.
A nurse in a long-term care facility notes that there has been an increase in falls on one
unit and that many of the falls are occurring immediately following mealtime. The nurse
recommends that the nursing home conduct a trial of six smaller meals instead of the
three traditional meals. The nurse makes this recommendation on the understanding
that: - Answer-postprandial hypotension occurs after ingestion of a carbohydrate meal
and may be related to the release of a vasodilatory peptide
An 88-year-old woman is admitted to the hospital with a diagnosis of pneumonia. She
has a history of hypertension and congestive heart failure and is on a total of five
different medications for these chronic conditions. The nurse caring for the woman
develops a care plan that includes the diagnosis Risk for Falls. A priority nursing
intervention for this client is to: - Answer-perform a fall assessment
, A nurse is admitting and orienting an older adult to the hospital unit. She discusses fall
prevention and demonstrates the use of the call bell to the patient. The patient's
daughter asks: "Why don't you just put up all the side rails to prevent my mother from
getting out of bed by herself and falling. That should work, right?" The best response by
the nurse is: - Answer-There is no evidence that side rail use decreases falls, and in fact
there is a greater risk of injury."
A homecare nurse visits a client in the home to conduct a fall risk assessment. The
nurse assesses the client and the home for extrinsic risk factors for falls. Which of the
following are extrinsic risk factors? (Select all that apply.) - Answer-The client uses a
cane, but the cane is not the appropriate size for the client.
The client's home is cluttered.
There are no grab bars in the client's bathroom.
A nurse is assessing an older adult's risk for falls. One of the questions that she asks is
whether the older adult has fallen in the past year. She asks this because individuals
who have fallen: - Answer-ave a higher risk of falling again than persons who did not fall
in the past year
A home health nurse is making a home visit to an older patient. A nurse conducts a
home safety assessment and screens the environment for potential hazards for falls.
The nurse recommends that the patient eliminate which of the following? (Select all that
apply.) - Answer-Loose carpeting on the floors
Excess clutter
A home health nurse is making a home visit to an older patient. A nurse conducts a
home safety assessment and screens the environment for potential hazards for falls.
Which of the following are hazards in the home? (Select all that apply.) - Answer-The
absence of railings on the stairway
Clutter throughout the home
A small throw rug outside of the shower stall
A patient is diagnosed with osteoporosis. Which statements should the nurse include
when teaching the client about the disease? (Select all that apply.) - Answer-
Osteoporosis is common in females after menopause.
Osteoporosis is a degenerative disease characterized by a decrease in bone density.
Osteoporosis can cause pain and injury.
