Rasmussen University NUR 2214 Module 1 (pdf) | 2026/2027 | Older
Adult Q&A | Geriatric Nursing
**1. The nurse is caring for an older adult patient who is exhibiting signs of
dehydration. Which of the following is the most appropriate nursing action to
reduce the risk of patient injury?**
A) Encourage the patient to drink caffeinated beverages
B) Restrict fluids to prevent overhydration
C) Provide frequent, small amounts of fluid throughout the day
D) Administer a diuretic as ordered
Correct Answer: C) Provide frequent, small amounts of fluid throughout the
day
Rationale: Providing frequent, small amounts of fluid is a key safety
intervention to maintain hydration and prevent injury from falls or confusion.
Caffeine can increase fluid loss, and restricting fluids would worsen
dehydration, not prevent it. Diuretics are not appropriate for dehydration.
**2. Which statement best describes the goal of seeking preventative health
care?**
A) To treat existing diseases
B) To reduce the cost of healthcare
C) To take responsibility for one's own health
D) To comply with healthcare provider orders
Correct Answer: C) To take responsibility for one's own health
Rationale: The primary goal of preventative care is for individuals to take an
active role in maintaining their own health and well-being. This includes
,lifestyle choices, screenings, and immunizations to prevent disease before it
occurs.
**3. The nurse is educating a patient about childhood immunizations. Which
type of information is most appropriate to include in the teaching?**
A) Anecdotal information
B) Information based on evidence-based practice (EBP)
C) Information from social media
D) Personal opinions on vaccination
Correct Answer: B) Information based on evidence-based practice (EBP)
Rationale: When educating patients about immunizations, the nurse should
provide scientific, evidence-based information. This ensures the patient
receives accurate and reliable data to make informed decisions about their
health.
**4. A patient is grimacing and restless. What is the nurse's priority action?**
A) Administer pain medication immediately
B) Perform a pain assessment and vital signs
C) Call the healthcare provider
D) Document the findings
Correct Answer: B) Perform a pain assessment and vital signs
Rationale: The nurse's first action should be to conduct a pain assessment
and take vital signs to determine the patient's condition before any
intervention. This is a fundamental step in patient assessment and clinical
decision-making.
,**5. The nurse is caring for a patient who is a member of a collectivist
culture. Which behavior is the nurse most likely to observe?**
A) The patient makes independent healthcare decisions
B) The patient consults family members before making healthcare decisions
C) The patient refuses all medical treatment
D) The patient prefers to be alone during hospitalization
Correct Answer: B) The patient consults family members before making
healthcare decisions
Rationale: In a collectivist culture, the group (family or community) is
prioritized over the individual. Patients often consult family members before
making decisions, including healthcare choices.
**6. Which of the following is an example of enculturation?**
A) A patient learning about a new disease process from a healthcare provider
B) A grandmother teaching her grandchild how to prepare a traditional family
recipe
C) A nurse learning to use a new electronic health record system
D) A patient moving to a new country and learning the local language
Correct Answer: B) A grandmother teaching her grandchild how to prepare a
traditional family recipe
Rationale: Enculturation is the process by which individuals learn and adopt
the cultural norms, values, and practices of their own society. A grandmother
teaching a grandchild a traditional recipe is a direct example of this process.
, **7. The nurse is faced with a complex ethical dilemma. According to the
nursing process, what is the first step the nurse should take?**
A) Identify the ethical issue
B) Consult with the ethics committee
C) Implement a solution
D) Evaluate the outcome of the decision
Correct Answer: A) Identify the ethical issue
Rationale: The first step in addressing an ethical dilemma is to clearly
identify and define the issue. Without a clear understanding of the problem,
subsequent steps such as consultation and implementation cannot be
effective.
**8. A patient expresses a desire to remain at home for as long as possible.
What is the most appropriate nursing action?**
A) Suggest moving to an assisted living facility
B) Refer the patient to community resources and support services
C) Tell the patient that staying at home is not safe
D) Ignore the patient's request and focus on medical needs
Correct Answer: B) Refer the patient to community resources and support
services
Rationale: The nurse should support the patient's autonomy and desire to
remain at home by finding appropriate referrals and resources to help them
achieve this goal.
**9. The nurse is preparing to delegate a task to an unlicensed assistive
personnel (UAP). Which of the following is a right of delegation?**
Adult Q&A | Geriatric Nursing
**1. The nurse is caring for an older adult patient who is exhibiting signs of
dehydration. Which of the following is the most appropriate nursing action to
reduce the risk of patient injury?**
A) Encourage the patient to drink caffeinated beverages
B) Restrict fluids to prevent overhydration
C) Provide frequent, small amounts of fluid throughout the day
D) Administer a diuretic as ordered
Correct Answer: C) Provide frequent, small amounts of fluid throughout the
day
Rationale: Providing frequent, small amounts of fluid is a key safety
intervention to maintain hydration and prevent injury from falls or confusion.
Caffeine can increase fluid loss, and restricting fluids would worsen
dehydration, not prevent it. Diuretics are not appropriate for dehydration.
**2. Which statement best describes the goal of seeking preventative health
care?**
A) To treat existing diseases
B) To reduce the cost of healthcare
C) To take responsibility for one's own health
D) To comply with healthcare provider orders
Correct Answer: C) To take responsibility for one's own health
Rationale: The primary goal of preventative care is for individuals to take an
active role in maintaining their own health and well-being. This includes
,lifestyle choices, screenings, and immunizations to prevent disease before it
occurs.
**3. The nurse is educating a patient about childhood immunizations. Which
type of information is most appropriate to include in the teaching?**
A) Anecdotal information
B) Information based on evidence-based practice (EBP)
C) Information from social media
D) Personal opinions on vaccination
Correct Answer: B) Information based on evidence-based practice (EBP)
Rationale: When educating patients about immunizations, the nurse should
provide scientific, evidence-based information. This ensures the patient
receives accurate and reliable data to make informed decisions about their
health.
**4. A patient is grimacing and restless. What is the nurse's priority action?**
A) Administer pain medication immediately
B) Perform a pain assessment and vital signs
C) Call the healthcare provider
D) Document the findings
Correct Answer: B) Perform a pain assessment and vital signs
Rationale: The nurse's first action should be to conduct a pain assessment
and take vital signs to determine the patient's condition before any
intervention. This is a fundamental step in patient assessment and clinical
decision-making.
,**5. The nurse is caring for a patient who is a member of a collectivist
culture. Which behavior is the nurse most likely to observe?**
A) The patient makes independent healthcare decisions
B) The patient consults family members before making healthcare decisions
C) The patient refuses all medical treatment
D) The patient prefers to be alone during hospitalization
Correct Answer: B) The patient consults family members before making
healthcare decisions
Rationale: In a collectivist culture, the group (family or community) is
prioritized over the individual. Patients often consult family members before
making decisions, including healthcare choices.
**6. Which of the following is an example of enculturation?**
A) A patient learning about a new disease process from a healthcare provider
B) A grandmother teaching her grandchild how to prepare a traditional family
recipe
C) A nurse learning to use a new electronic health record system
D) A patient moving to a new country and learning the local language
Correct Answer: B) A grandmother teaching her grandchild how to prepare a
traditional family recipe
Rationale: Enculturation is the process by which individuals learn and adopt
the cultural norms, values, and practices of their own society. A grandmother
teaching a grandchild a traditional recipe is a direct example of this process.
, **7. The nurse is faced with a complex ethical dilemma. According to the
nursing process, what is the first step the nurse should take?**
A) Identify the ethical issue
B) Consult with the ethics committee
C) Implement a solution
D) Evaluate the outcome of the decision
Correct Answer: A) Identify the ethical issue
Rationale: The first step in addressing an ethical dilemma is to clearly
identify and define the issue. Without a clear understanding of the problem,
subsequent steps such as consultation and implementation cannot be
effective.
**8. A patient expresses a desire to remain at home for as long as possible.
What is the most appropriate nursing action?**
A) Suggest moving to an assisted living facility
B) Refer the patient to community resources and support services
C) Tell the patient that staying at home is not safe
D) Ignore the patient's request and focus on medical needs
Correct Answer: B) Refer the patient to community resources and support
services
Rationale: The nurse should support the patient's autonomy and desire to
remain at home by finding appropriate referrals and resources to help them
achieve this goal.
**9. The nurse is preparing to delegate a task to an unlicensed assistive
personnel (UAP). Which of the following is a right of delegation?**
