• NURS 5461 Exam 09/13/2026
NURS 5461 Quiz 1 UPDATED ACTUAL Exam
| Actual Q&A with Rationale (NURS6521 Exam 1) |
Walden University
1. A nurse is explaining to a new colleague the similarities and differences between gerontology and geriatrics.
Which of the following situations would most likely be addressed by a geriatrician rather than a gerontologist?
A) Teaching older adults techniques to identify and deal with age-related changes
B) Organizing and leading exercise classes to facilitate mobility
C) Identifying and treating a client's vascular dementia
D) Rearranging an older adult's apartment to minimize the risk of falls –
P 1
, • NURS 5461 Exam 09/13/2026
Correct Answer :Ans: C
Geriatricians are medical specialists concerned with the treatment of diseases and disabilities common among
older adults. The focus of gerontologists is a multidisciplinary approach aimed at emphasizing healthy and
successful aging. Options A, B, and D fall under the auspices of gerontology.
2. A nurse works with a program that performs interviews, blood work, and digital rectal examinations aimed at
identifying older men with benign prostatic hyperplasia (BPH). The program also facilitates bathroom alterations
in older adults' homes to ensure men with BPH have easy access to a toilet. Which of the following components
of health promotion has yet to be implemented in the program?
A) Screening
B) Risk assessment
C) Environmental modification
D) Risk-reduction interventions
- Correct Answer :Ans: D
Risk-reduction interventions are actions that have a direct bearing on preventing an older adult from acquiring a
health problem in the future; none of the components of the program have this effect. Screening and risk
assessment are accomplished through interviewing older adults and performing blood work and digital rectal
examinations. Bathroom alterations are an example of environmental modification.
3. A nurse is teaching nursing students about the importance of health promotion among older adults. Which of
the following statements by a student indicates a need for further teaching?
A) "Teaching older adults how to live with diabetes would be a useful health promotion initiative."
B) "I can see why we would want to promote timely discharge back to the community following hospitalization."
C) "I think that attending to spiritual growth could likely be a part of health promotion."
P 2
, • NURS 5461 Exam 09/13/2026
D) "If we could promote healthy, simple diets, then some diseases could likely be prevented." –
Correct Answer :Ans: B
Discharge planning is not a core component of health promotion. Health promotion denotes interventions or
programs that focus on behavior changes that can improve health and wellbeing. Teaching older adults how to
live with a particular disease, fostering spiritual growth, and promoting good nutrition are all components of
health promotion.
4. Which of the following interventions most closely aligns with the practices of health promotion?
A) Leading a flexibility and mobility class among older adults
B) Providing presurgical teaching to an older adult prior to hip replacement
C) Administering an anti-inflammatory and analgesics to an older adult with osteoarthritis
D) Teaching an older adult how to administer her inhaled bronchodilators independently
- Correct Answer :Ans: A
The practice that best characterizes health promotion is facilitating exercise. Presurgical teaching, administering
drugs, and teaching independence with medication are useful interventions, but they do not characterize the
behavior changes of health promotion as well as an intervention such as an exercise class.
5. Which of the following circumstances would be most likely to render a screening program unnecessary?
A) Treatment of the disease is available at low cost.
B) The disease follows a predictable course.
P 3
, • NURS 5461 Exam 09/13/2026
C) The disease is more common among older adults than among younger and middle-aged adults.
D) The symptoms of the disease appear at the same time that it is detectable by screening.
- Correct Answer :Ans: D
For a screening program to be effective, the test must be able to detect the disease in question earlier than it
would be detected without screening. While cost-effectiveness is a consideration in screening programs, low
treatment costs would not necessarily mean screening is undesirable. The predictability of the course of a
disease is not cited as a reason to forgo screening, nor is the fact that the disease may be more common among
older adults.
6. A nurse who works with older adults is teaching a colleague about the similarities and differences between
gerontology and geriatrics. Which of the following questions best conveys the focus of gerontology?
A) "How can we secure more funding for research and development of drugs specifically for older adults?"
B) "How can we teach older adults about the relationship between their lifestyle and their health?"
C) "How can we help older adults maintain wellness as they age?"
D) "How can we reduce the incidence of falls among older adults who live in care facilities?" –
Correct Answer :Ans: C
Gerontology is the study of aging and older adults, and the focus of the discipline has shifted in recent decades
to an emphasis on wellness and healthy, successful aging. As such, a focus on promoting and maintaining
wellness best exemplifies the discipline. Geriatrics is associated with the diseases and disabilities of old people,
and geriatric medicine is a subspecialty of internal medicine or family practice that focuses on the medical
problems of older people.
P 4
NURS 5461 Quiz 1 UPDATED ACTUAL Exam
| Actual Q&A with Rationale (NURS6521 Exam 1) |
Walden University
1. A nurse is explaining to a new colleague the similarities and differences between gerontology and geriatrics.
Which of the following situations would most likely be addressed by a geriatrician rather than a gerontologist?
A) Teaching older adults techniques to identify and deal with age-related changes
B) Organizing and leading exercise classes to facilitate mobility
C) Identifying and treating a client's vascular dementia
D) Rearranging an older adult's apartment to minimize the risk of falls –
P 1
, • NURS 5461 Exam 09/13/2026
Correct Answer :Ans: C
Geriatricians are medical specialists concerned with the treatment of diseases and disabilities common among
older adults. The focus of gerontologists is a multidisciplinary approach aimed at emphasizing healthy and
successful aging. Options A, B, and D fall under the auspices of gerontology.
2. A nurse works with a program that performs interviews, blood work, and digital rectal examinations aimed at
identifying older men with benign prostatic hyperplasia (BPH). The program also facilitates bathroom alterations
in older adults' homes to ensure men with BPH have easy access to a toilet. Which of the following components
of health promotion has yet to be implemented in the program?
A) Screening
B) Risk assessment
C) Environmental modification
D) Risk-reduction interventions
- Correct Answer :Ans: D
Risk-reduction interventions are actions that have a direct bearing on preventing an older adult from acquiring a
health problem in the future; none of the components of the program have this effect. Screening and risk
assessment are accomplished through interviewing older adults and performing blood work and digital rectal
examinations. Bathroom alterations are an example of environmental modification.
3. A nurse is teaching nursing students about the importance of health promotion among older adults. Which of
the following statements by a student indicates a need for further teaching?
A) "Teaching older adults how to live with diabetes would be a useful health promotion initiative."
B) "I can see why we would want to promote timely discharge back to the community following hospitalization."
C) "I think that attending to spiritual growth could likely be a part of health promotion."
P 2
, • NURS 5461 Exam 09/13/2026
D) "If we could promote healthy, simple diets, then some diseases could likely be prevented." –
Correct Answer :Ans: B
Discharge planning is not a core component of health promotion. Health promotion denotes interventions or
programs that focus on behavior changes that can improve health and wellbeing. Teaching older adults how to
live with a particular disease, fostering spiritual growth, and promoting good nutrition are all components of
health promotion.
4. Which of the following interventions most closely aligns with the practices of health promotion?
A) Leading a flexibility and mobility class among older adults
B) Providing presurgical teaching to an older adult prior to hip replacement
C) Administering an anti-inflammatory and analgesics to an older adult with osteoarthritis
D) Teaching an older adult how to administer her inhaled bronchodilators independently
- Correct Answer :Ans: A
The practice that best characterizes health promotion is facilitating exercise. Presurgical teaching, administering
drugs, and teaching independence with medication are useful interventions, but they do not characterize the
behavior changes of health promotion as well as an intervention such as an exercise class.
5. Which of the following circumstances would be most likely to render a screening program unnecessary?
A) Treatment of the disease is available at low cost.
B) The disease follows a predictable course.
P 3
, • NURS 5461 Exam 09/13/2026
C) The disease is more common among older adults than among younger and middle-aged adults.
D) The symptoms of the disease appear at the same time that it is detectable by screening.
- Correct Answer :Ans: D
For a screening program to be effective, the test must be able to detect the disease in question earlier than it
would be detected without screening. While cost-effectiveness is a consideration in screening programs, low
treatment costs would not necessarily mean screening is undesirable. The predictability of the course of a
disease is not cited as a reason to forgo screening, nor is the fact that the disease may be more common among
older adults.
6. A nurse who works with older adults is teaching a colleague about the similarities and differences between
gerontology and geriatrics. Which of the following questions best conveys the focus of gerontology?
A) "How can we secure more funding for research and development of drugs specifically for older adults?"
B) "How can we teach older adults about the relationship between their lifestyle and their health?"
C) "How can we help older adults maintain wellness as they age?"
D) "How can we reduce the incidence of falls among older adults who live in care facilities?" –
Correct Answer :Ans: C
Gerontology is the study of aging and older adults, and the focus of the discipline has shifted in recent decades
to an emphasis on wellness and healthy, successful aging. As such, a focus on promoting and maintaining
wellness best exemplifies the discipline. Geriatrics is associated with the diseases and disabilities of old people,
and geriatric medicine is a subspecialty of internal medicine or family practice that focuses on the medical
problems of older people.
P 4
