Gero Nurse Prep Module 1 Post Test questions
and answers with solutions 2025
The nurse is attempting to justify the need for education in cultural competence in the health
care venue. Which of the following statements accurately reflects the need for nurses to be
culturally competent?
Select one:
a. The proportion of health care consumers who are minorities will increase significantly in the
future.
b. Life expectancies among minorities are expected to increase while those among non-
minorities are expected to decrease.
c. Nurses have a moral obligation to achieve cultural competency with all cultural groups.
d. Government and health care organizations have discouraged the teaching of culturally
appropriate care. - ANSWER a.
Rationale: There is no data to support "Life expectancies among minorities are expected to
increase while those among non-minorities are expected to decrease." "Government and health
care organizations have discouraged the teaching of culturally appropriate care" is also false, as
the government and health organizations do recognize that there are differences in health
amongst various groups, and therefore cannot discourage practice that addresses these
differences. For "Nurses have a moral obligation to achieve cultural competency with all cultural
groups," although nursing does interrelate with moralism, this is not directly required of nurses.
In addition, when a question option says "all," It is a clue that this may not be accurate, as rarely
can we use this word to describe people. "The proportion of health care consumers who are
minorities will increase significantly in the future" is based on census data, and is an accurate
statement that answers the question directly.
What assessment question most clearly addresses the potential for optimal functioning of a 73-
year-old man who is a regular client of the hospital's outpatient diabetes clinic?
Select one:
a. "Is there anything that you're doing that might be exacerbating your diabetes?"
b. "What are some goals that you have for maximizing your level of wellness?"
, c. "Do you have anyone that can take ownership of your health conditions?"
d. "How long do you think that you'll be able to live independently?" - ANSWER b.
Rationale: The question stem is asking us for a "question" that addresses "optimal functioning"
for an older patient with diabetes. The option "Do you have anyone..." delegates ownership of
the patient's condition to someone else. This violates best practice in that older adults must be
engaged in their own health, and the nurse must help the person work towards their own
health goals. "How long do you think that you'll be able to live independently?" is a broad
question that does not address specific functioning, and also the answer to the question asked
is speculative. This leaves two options. "Is there anything that you're doing that might be
exacerbating your diabetes?" addresses physical illness, whereas "What are some goals that you
have for maximizing your level of wellness?" addresses overall wellness goals and is the best
answer.
Following knee replacement surgery 10 days earlier, a 79-year-old woman has been diagnosed
with an infection in the knee. A sample of synovial fluid has been cultured in order to determine
the causative microorganism and to select an appropriate antibiotic. This course of events
characterizes what major health belief system?
Select one:
a. Scientific (biomedical) paradigm
b. Analytical paradigm
c. Magico-religious paradigm
d. Holistic paradigm - ANSWER a.
Rationale: Before this rationale is provided, I want you to see why it is even asked. I understand
that for day to day interactions with patients, your first thoughts are not going to include "I
wonder within what paradigm this person operate?" However, getting to know these paradigms
can help you to frame your health-related messages when communicating with various
patients. So, the question asks which paradigm encompasses the situation. We can immediately
remove "Analytical paradigm," as this is not described in the literature. Looking at the question
stem, we see "causative microorganism" and "select an appropriate antibiotic." The holistic
paradigm deals with balance of the body, and the magico-religious deals with the influence of
supernatural forces. Both of these are incongruent with the scientific, which focuses on
biochemical/physical control and manipulation.
and answers with solutions 2025
The nurse is attempting to justify the need for education in cultural competence in the health
care venue. Which of the following statements accurately reflects the need for nurses to be
culturally competent?
Select one:
a. The proportion of health care consumers who are minorities will increase significantly in the
future.
b. Life expectancies among minorities are expected to increase while those among non-
minorities are expected to decrease.
c. Nurses have a moral obligation to achieve cultural competency with all cultural groups.
d. Government and health care organizations have discouraged the teaching of culturally
appropriate care. - ANSWER a.
Rationale: There is no data to support "Life expectancies among minorities are expected to
increase while those among non-minorities are expected to decrease." "Government and health
care organizations have discouraged the teaching of culturally appropriate care" is also false, as
the government and health organizations do recognize that there are differences in health
amongst various groups, and therefore cannot discourage practice that addresses these
differences. For "Nurses have a moral obligation to achieve cultural competency with all cultural
groups," although nursing does interrelate with moralism, this is not directly required of nurses.
In addition, when a question option says "all," It is a clue that this may not be accurate, as rarely
can we use this word to describe people. "The proportion of health care consumers who are
minorities will increase significantly in the future" is based on census data, and is an accurate
statement that answers the question directly.
What assessment question most clearly addresses the potential for optimal functioning of a 73-
year-old man who is a regular client of the hospital's outpatient diabetes clinic?
Select one:
a. "Is there anything that you're doing that might be exacerbating your diabetes?"
b. "What are some goals that you have for maximizing your level of wellness?"
, c. "Do you have anyone that can take ownership of your health conditions?"
d. "How long do you think that you'll be able to live independently?" - ANSWER b.
Rationale: The question stem is asking us for a "question" that addresses "optimal functioning"
for an older patient with diabetes. The option "Do you have anyone..." delegates ownership of
the patient's condition to someone else. This violates best practice in that older adults must be
engaged in their own health, and the nurse must help the person work towards their own
health goals. "How long do you think that you'll be able to live independently?" is a broad
question that does not address specific functioning, and also the answer to the question asked
is speculative. This leaves two options. "Is there anything that you're doing that might be
exacerbating your diabetes?" addresses physical illness, whereas "What are some goals that you
have for maximizing your level of wellness?" addresses overall wellness goals and is the best
answer.
Following knee replacement surgery 10 days earlier, a 79-year-old woman has been diagnosed
with an infection in the knee. A sample of synovial fluid has been cultured in order to determine
the causative microorganism and to select an appropriate antibiotic. This course of events
characterizes what major health belief system?
Select one:
a. Scientific (biomedical) paradigm
b. Analytical paradigm
c. Magico-religious paradigm
d. Holistic paradigm - ANSWER a.
Rationale: Before this rationale is provided, I want you to see why it is even asked. I understand
that for day to day interactions with patients, your first thoughts are not going to include "I
wonder within what paradigm this person operate?" However, getting to know these paradigms
can help you to frame your health-related messages when communicating with various
patients. So, the question asks which paradigm encompasses the situation. We can immediately
remove "Analytical paradigm," as this is not described in the literature. Looking at the question
stem, we see "causative microorganism" and "select an appropriate antibiotic." The holistic
paradigm deals with balance of the body, and the magico-religious deals with the influence of
supernatural forces. Both of these are incongruent with the scientific, which focuses on
biochemical/physical control and manipulation.
