NURS 232-GERONTOLOGICAL NURSING EXAM
QUESTIONS AND CORRECT ANSWERS GRADED
A+ 2025
The nurse is performing an assessment on an older adult client. What assessment
data would indicate a potential complication associated with the skin of this
client?- Crusting, Wrinkling, or thinning/loss of elasticity of skin
Crusting- indicates a potential complication
The nurse who volunteers at a senior citizens' center is planning activities for the
members. What activity would best promote health and maintenance?
Walking 3-5 times per week for 30 minutes. Exercise and activity are essential for
health promotion and maintenance.
The home health nurse is visiting a client for the first time. While assessing the
client's medication, it is noted that there are 19 prescription and several over the
counter medications that the client is taking. What intervention should the nurse
take first?
Determine whether there are medication duplications. Polypharamacy is a concern
in the geriatric population.
The nurse is working with older clients in a long term care facility. Which
activities performed by the nurse fosters reminiscence among these clients?
,Having storytelling hours- clients who like to retell stories or past events need to
be provided time to do so. It is a way for the older adult to relive and restructure
life experiences and is a part of achieving ego identity.
The home care nurse is performing an environmental assessment in the home of an
older adult. Which of the following requires immediate nursing action?
Unsecured scattered rugs, operable smoke detector, or prefilled medication
cassette?
Unsecured scattered rugs- trauma to the older client in the home may be caused by
a variety of factors. These include unsteady gait, the presence of unsecured scatter
rugs, clattered passageways, and inoperable smoke detectors.
The nurse is teaching an older client about measures to prevent constipation. What
statement made by the client indicates further teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday"
"I need to decrease fiber in my diet" -Adequate dietary fiber is an important factor
in aiding bowel function. Dietary fiber increases fecal weight and water content
and accelerates the transit of fecal mass through the GI tract.
Define Ageism.
Ageism is a form of prejudice in which older adults are stereotyped by
characteristics found in only a few members of their group. Fundamental to ageism
, is the view that older persons are different from "me" and will remain different
from "me." Therefore, they are portrayed as not experiencing the same desires,
needs, and concerns.
The nurse is providing medication instructions to an older client who is taking
digoxin (Lanoxin) daily. What age related body changes could place the client at
risk for digoxin toxicity?
Decreased lean body mass and decreased glomerular filtration rate.
The nurse employed in a long term care facility is caring for an older male client.
What nursing action contributes to encouraging autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities
Client choosing own activities. Autonomy is the personal freedom to direct one's
own life as long as it does not impinge on the rights of others. An autonomous
person is capable of rational thought.
The home care nurse is visiting an older female client whose husband died 6
months ago. What behavior by the client indicates ineffective coping?
- Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
QUESTIONS AND CORRECT ANSWERS GRADED
A+ 2025
The nurse is performing an assessment on an older adult client. What assessment
data would indicate a potential complication associated with the skin of this
client?- Crusting, Wrinkling, or thinning/loss of elasticity of skin
Crusting- indicates a potential complication
The nurse who volunteers at a senior citizens' center is planning activities for the
members. What activity would best promote health and maintenance?
Walking 3-5 times per week for 30 minutes. Exercise and activity are essential for
health promotion and maintenance.
The home health nurse is visiting a client for the first time. While assessing the
client's medication, it is noted that there are 19 prescription and several over the
counter medications that the client is taking. What intervention should the nurse
take first?
Determine whether there are medication duplications. Polypharamacy is a concern
in the geriatric population.
The nurse is working with older clients in a long term care facility. Which
activities performed by the nurse fosters reminiscence among these clients?
,Having storytelling hours- clients who like to retell stories or past events need to
be provided time to do so. It is a way for the older adult to relive and restructure
life experiences and is a part of achieving ego identity.
The home care nurse is performing an environmental assessment in the home of an
older adult. Which of the following requires immediate nursing action?
Unsecured scattered rugs, operable smoke detector, or prefilled medication
cassette?
Unsecured scattered rugs- trauma to the older client in the home may be caused by
a variety of factors. These include unsteady gait, the presence of unsecured scatter
rugs, clattered passageways, and inoperable smoke detectors.
The nurse is teaching an older client about measures to prevent constipation. What
statement made by the client indicates further teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday"
"I need to decrease fiber in my diet" -Adequate dietary fiber is an important factor
in aiding bowel function. Dietary fiber increases fecal weight and water content
and accelerates the transit of fecal mass through the GI tract.
Define Ageism.
Ageism is a form of prejudice in which older adults are stereotyped by
characteristics found in only a few members of their group. Fundamental to ageism
, is the view that older persons are different from "me" and will remain different
from "me." Therefore, they are portrayed as not experiencing the same desires,
needs, and concerns.
The nurse is providing medication instructions to an older client who is taking
digoxin (Lanoxin) daily. What age related body changes could place the client at
risk for digoxin toxicity?
Decreased lean body mass and decreased glomerular filtration rate.
The nurse employed in a long term care facility is caring for an older male client.
What nursing action contributes to encouraging autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities
Client choosing own activities. Autonomy is the personal freedom to direct one's
own life as long as it does not impinge on the rights of others. An autonomous
person is capable of rational thought.
The home care nurse is visiting an older female client whose husband died 6
months ago. What behavior by the client indicates ineffective coping?
- Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
