BSN 425: Gerontological Nursing Practice Questions
and Correct Answers with Rationales New Update
2026/2027 | Graded A+
Core Concepts: Cultural Wellness, Neuro-Sensory Shifts, Restraint Risks, and the
NICHE Model
Questions
1. A nurse is caring for an older adult client who uses herbal remedies alongside
prescribed medications. Which action by the nurse best demonstrates culturally
competent care?
A) Telling the client to stop all herbal remedies immediately.
B) Documenting the use of herbal remedies and assessing for potential drug-herb
interactions.
C) Ignoring the herbal remedies since they are not part of Western medicine.
D) Reporting the client to the healthcare provider for non-compliance.
Correct Answer: B
Rationale: Cultural competence involves respecting the client's health practices
while ensuring safety. The nurse should document all treatments and assess for
potential interactions. Dismissing or ignoring these practices is not patient-
centered and can lead to adverse outcomes .
2. A 78-year-old patient in a nursing home exhibits over-responsiveness to visual
stimuli and is experiencing cognitive decline. Based on recent research on
sensory processing and cognition, which nursing intervention is most
appropriate?
, A) Increase visual stimulation in the patient's environment to promote
engagement.
B) Reduce unnecessary visual clutter and provide a calm, predictable
environment.
C) Place the patient in a room with bright, colorful decorations.
D) Encourage the patient to watch television for several hours daily.
Correct Answer: B
Rationale: Recent research demonstrates that over-responsiveness to visual
stimuli is negatively associated with cognitive performance in older adults.
Reducing visual clutter and providing a calm environment can help address this
sensory processing challenge .
3. A nurse is implementing a sensory stimulation program for cognitively
impaired older adults. Which finding would support the effectiveness of this
intervention?
A) Decreased need for supervision during activities.
B) Improvement in mental attitudes, motivation, concentration, and space
orientation.
C) Complete reversal of dementia symptoms.
D) Increased need for physical restraints.
Correct Answer: B
Rationale: Research on sensory stimuli treatment for bedridden dementia
patients showed significant improvement in mental attitudes, motivation,
cooperativeness, concentration, perseverance, and space orientation. Sensory
stimulation helps improve patients' dormant potential, especially in daily living
skills .
4. A nursing home resident with dementia is wandering at night and at risk for
falls. The nurse is developing a care plan. Which intervention should the nurse
implement FIRST, in accordance with OBRA regulations?
and Correct Answers with Rationales New Update
2026/2027 | Graded A+
Core Concepts: Cultural Wellness, Neuro-Sensory Shifts, Restraint Risks, and the
NICHE Model
Questions
1. A nurse is caring for an older adult client who uses herbal remedies alongside
prescribed medications. Which action by the nurse best demonstrates culturally
competent care?
A) Telling the client to stop all herbal remedies immediately.
B) Documenting the use of herbal remedies and assessing for potential drug-herb
interactions.
C) Ignoring the herbal remedies since they are not part of Western medicine.
D) Reporting the client to the healthcare provider for non-compliance.
Correct Answer: B
Rationale: Cultural competence involves respecting the client's health practices
while ensuring safety. The nurse should document all treatments and assess for
potential interactions. Dismissing or ignoring these practices is not patient-
centered and can lead to adverse outcomes .
2. A 78-year-old patient in a nursing home exhibits over-responsiveness to visual
stimuli and is experiencing cognitive decline. Based on recent research on
sensory processing and cognition, which nursing intervention is most
appropriate?
, A) Increase visual stimulation in the patient's environment to promote
engagement.
B) Reduce unnecessary visual clutter and provide a calm, predictable
environment.
C) Place the patient in a room with bright, colorful decorations.
D) Encourage the patient to watch television for several hours daily.
Correct Answer: B
Rationale: Recent research demonstrates that over-responsiveness to visual
stimuli is negatively associated with cognitive performance in older adults.
Reducing visual clutter and providing a calm environment can help address this
sensory processing challenge .
3. A nurse is implementing a sensory stimulation program for cognitively
impaired older adults. Which finding would support the effectiveness of this
intervention?
A) Decreased need for supervision during activities.
B) Improvement in mental attitudes, motivation, concentration, and space
orientation.
C) Complete reversal of dementia symptoms.
D) Increased need for physical restraints.
Correct Answer: B
Rationale: Research on sensory stimuli treatment for bedridden dementia
patients showed significant improvement in mental attitudes, motivation,
cooperativeness, concentration, perseverance, and space orientation. Sensory
stimulation helps improve patients' dormant potential, especially in daily living
skills .
4. A nursing home resident with dementia is wandering at night and at risk for
falls. The nurse is developing a care plan. Which intervention should the nurse
implement FIRST, in accordance with OBRA regulations?
