NURS C475 CARE OF THE OLDER ADULT EXAM
PREP STUDY GUIDE 2026 PRACTICE
QUESTIONS AND SOLUTIONS GRADED A+
◉ An 85-year-old widow, living alone, tripped over her beloved dog
and broke her leg.
Which action should the home-care nurse recommend regarding the
dog? Answer: Find out the elder's ideas
◉ What is an effective way to communicate with an older adult
living with dementia? Answer: Approach in a non-threatening
manner
◉ Older women experience bone loss, which makes them more
susceptible to hip fracture.
How should an environment change after a hip-fracture repair?
Answer: Raise the toilet seat
◉ A vigorous recent widower visited his primary care team and
stated that he was lonely.
,Which recommendation should the team make for this patient?
Answer: Finding a new relationship
◉ Which lighting feature in most nursing homes compromises elder
adults' ability to function? Answer: Glare
◉ The assessment of which factor in the home environment is
required for a client with mobility problems? Answer: Presence of
stairs or other obstacles
◉ A home-care nurse visits an elder living with dementia whose
spouse is providing care. The nurse notices a restraint sitting in the
chair.
What is the most important thing the nurse should do? Answer: Help
the spouse plan care without using restraints
◉ Which is considered to be a permanent, progressive reduction in
mental capacity? Answer: Dementia
◉ When evaluating an older patient, a nurse finds the patient to be
highly depressed and suffering from low self-esteem.
, What psychosocial problem can the nurse deduce from these
symptoms? Answer: The patient is at risk for suicide.
◉ Which question included in the assessment questionnaire will
help the nurse to teach appropriate coping skills to the client with
prostate cancer? Answer: "What do you do to reduce stress?"
◉ Which patient statement is indicative of a midlife crisis? Answer:
"I feel I have not achieved anything noteworthy in my life. What can I
do to give my life more meaning?"
◉ A spiritual African American elder has terminal HIV.
Based on knowledge of spiritual beliefs common in African
American communities, why might this patient require careful
assessment and monitoring for pain? Answer: The patient may
understate pain levels because of a belief that the illness is God's
plan.
◉ Which assessment tool can be used to determine activities of daily
living (ADL) independence in older adults? Answer: The Katz index
◉ Functional incontinence refers to problems from factors external
to the lower urinary tract.
PREP STUDY GUIDE 2026 PRACTICE
QUESTIONS AND SOLUTIONS GRADED A+
◉ An 85-year-old widow, living alone, tripped over her beloved dog
and broke her leg.
Which action should the home-care nurse recommend regarding the
dog? Answer: Find out the elder's ideas
◉ What is an effective way to communicate with an older adult
living with dementia? Answer: Approach in a non-threatening
manner
◉ Older women experience bone loss, which makes them more
susceptible to hip fracture.
How should an environment change after a hip-fracture repair?
Answer: Raise the toilet seat
◉ A vigorous recent widower visited his primary care team and
stated that he was lonely.
,Which recommendation should the team make for this patient?
Answer: Finding a new relationship
◉ Which lighting feature in most nursing homes compromises elder
adults' ability to function? Answer: Glare
◉ The assessment of which factor in the home environment is
required for a client with mobility problems? Answer: Presence of
stairs or other obstacles
◉ A home-care nurse visits an elder living with dementia whose
spouse is providing care. The nurse notices a restraint sitting in the
chair.
What is the most important thing the nurse should do? Answer: Help
the spouse plan care without using restraints
◉ Which is considered to be a permanent, progressive reduction in
mental capacity? Answer: Dementia
◉ When evaluating an older patient, a nurse finds the patient to be
highly depressed and suffering from low self-esteem.
, What psychosocial problem can the nurse deduce from these
symptoms? Answer: The patient is at risk for suicide.
◉ Which question included in the assessment questionnaire will
help the nurse to teach appropriate coping skills to the client with
prostate cancer? Answer: "What do you do to reduce stress?"
◉ Which patient statement is indicative of a midlife crisis? Answer:
"I feel I have not achieved anything noteworthy in my life. What can I
do to give my life more meaning?"
◉ A spiritual African American elder has terminal HIV.
Based on knowledge of spiritual beliefs common in African
American communities, why might this patient require careful
assessment and monitoring for pain? Answer: The patient may
understate pain levels because of a belief that the illness is God's
plan.
◉ Which assessment tool can be used to determine activities of daily
living (ADL) independence in older adults? Answer: The Katz index
◉ Functional incontinence refers to problems from factors external
to the lower urinary tract.
