Rasmussen University NUR 2214 Module 8 (pdf) | 2026/2027 | Older
Adult Q&A | Geriatric Nursing
**1. The nurse is caring for an older adult client who has been admitted to a
long-term care facility. The nurse understands that the term used to describe
clients living in long-term care institutions is:**
A) Patients
B) Clients
C) Residents
D) Consumers
Correct Answer: C) Residents
Rationale: In long-term care settings, individuals are referred to as
"residents" because the facility is considered their home. This term promotes
dignity and a sense of belonging, which is essential for quality of life.
**2. A nurse is educating a group of nursing students about the factors
associated with the need for long-term care placement. Which of the
following is a primary factor contributing to this need?**
A) Increased financial resources
B) Strong family support system
C) Functional decline and inability to perform activities of daily living (ADLs)
D) Desire for social interaction
Correct Answer: C) Functional decline and inability to perform activities of
daily living (ADLs)
Rationale: The primary reason for long-term care placement is the inability to
perform basic ADLs due to functional decline, cognitive impairment, or
,chronic illness. This loss of independence makes it unsafe for the older adult
to remain at home.
**3. A nurse is explaining the Resident Assessment Instrument (RAI) to a new
graduate. The nurse correctly states that the RAI is a comprehensive
assessment used in long-term care facilities to:**
A) Diagnose acute medical conditions
B) Determine the resident's eligibility for Medicare
C) Identify the resident's strengths, preferences, and needs to develop an
individualized care plan
D) Evaluate the resident's financial status
Correct Answer: C) Identify the resident's strengths, preferences, and needs
to develop an individualized care plan
Rationale: The RAI is a standardized assessment tool mandated by federal
regulations for long-term care facilities. It includes the Minimum Data Set
(MDS) and is used to develop a personalized care plan that meets the
resident's unique needs and preferences.
**4. A home health nurse is assessing an older adult client for eligibility for
home health services. Which of the following is a requirement for Medicare
home health coverage?**
A) The client must live alone
B) The client must be homebound
C) The client must have a caregiver present 24 hours a day
D) The client must have a terminal illness
Correct Answer: B) The client must be homebound
,Rationale: For Medicare to cover home health services, the client must be
considered homebound, meaning it requires a considerable and taxing effort
to leave the home. Additionally, the client must need skilled nursing care or
therapy on an intermittent basis.
**5. The nurse is caring for a client who is receiving hospice care. Which of
the following best describes the primary focus of hospice services?**
A) Aggressive treatment to cure the terminal illness
B) Symptom management and comfort at the end of life
C) Rehabilitation to improve functional status
D) Long-term care in a skilled nursing facility
Correct Answer: B) Symptom management and comfort at the end of life
Rationale: Hospice care focuses on providing comfort, managing pain and
symptoms, and supporting the patient and family during the end-of-life
process. It is provided when a cure is no longer expected or desired.
**6. A nurse is educating the family of a client receiving hospice care. Which
statement by the family indicates a correct understanding of bereavement
services?**
A) "Bereavement services will continue indefinitely after my loved one
passes."
B) "Bereavement services are provided to the family for a period of time
after the client expires."
C) "Bereavement services are only provided to the surviving spouse."
D) "Bereavement services are not a part of hospice care."
Correct Answer: B) "Bereavement services are provided to the family for a
period of time after the client expires."
, Rationale: Hospice programs are required to provide bereavement services
to the family for a period of time, typically up to 13 months, after the client's
death. This support includes counseling and spiritual guidance.
**7. A nurse is assessing the need for home care services for an older adult
client. When should the initial assessment of home care needs typically
begin?**
A) After the client is discharged from the hospital
B) During the client's hospital stay
C) At the first primary care visit after discharge
D) When the client is unable to perform activities of daily living
Correct Answer: B) During the client's hospital stay
Rationale: The assessment of home care needs is a critical component of
discharge planning and should be initiated during the client's hospital stay.
This allows for a smooth transition and helps identify the necessary services
and support for a safe discharge.
**8. The nurse is providing care in a long-term care facility. Which of the
following describes the primary purpose of a skin care program in this
setting?**
A) To reduce the cost of wound care supplies
B) To prevent pressure injuries and maintain skin integrity
C) To improve the appearance of the resident's skin
D) To comply with state regulations
Correct Answer: B) To prevent pressure injuries and maintain skin integrity
Adult Q&A | Geriatric Nursing
**1. The nurse is caring for an older adult client who has been admitted to a
long-term care facility. The nurse understands that the term used to describe
clients living in long-term care institutions is:**
A) Patients
B) Clients
C) Residents
D) Consumers
Correct Answer: C) Residents
Rationale: In long-term care settings, individuals are referred to as
"residents" because the facility is considered their home. This term promotes
dignity and a sense of belonging, which is essential for quality of life.
**2. A nurse is educating a group of nursing students about the factors
associated with the need for long-term care placement. Which of the
following is a primary factor contributing to this need?**
A) Increased financial resources
B) Strong family support system
C) Functional decline and inability to perform activities of daily living (ADLs)
D) Desire for social interaction
Correct Answer: C) Functional decline and inability to perform activities of
daily living (ADLs)
Rationale: The primary reason for long-term care placement is the inability to
perform basic ADLs due to functional decline, cognitive impairment, or
,chronic illness. This loss of independence makes it unsafe for the older adult
to remain at home.
**3. A nurse is explaining the Resident Assessment Instrument (RAI) to a new
graduate. The nurse correctly states that the RAI is a comprehensive
assessment used in long-term care facilities to:**
A) Diagnose acute medical conditions
B) Determine the resident's eligibility for Medicare
C) Identify the resident's strengths, preferences, and needs to develop an
individualized care plan
D) Evaluate the resident's financial status
Correct Answer: C) Identify the resident's strengths, preferences, and needs
to develop an individualized care plan
Rationale: The RAI is a standardized assessment tool mandated by federal
regulations for long-term care facilities. It includes the Minimum Data Set
(MDS) and is used to develop a personalized care plan that meets the
resident's unique needs and preferences.
**4. A home health nurse is assessing an older adult client for eligibility for
home health services. Which of the following is a requirement for Medicare
home health coverage?**
A) The client must live alone
B) The client must be homebound
C) The client must have a caregiver present 24 hours a day
D) The client must have a terminal illness
Correct Answer: B) The client must be homebound
,Rationale: For Medicare to cover home health services, the client must be
considered homebound, meaning it requires a considerable and taxing effort
to leave the home. Additionally, the client must need skilled nursing care or
therapy on an intermittent basis.
**5. The nurse is caring for a client who is receiving hospice care. Which of
the following best describes the primary focus of hospice services?**
A) Aggressive treatment to cure the terminal illness
B) Symptom management and comfort at the end of life
C) Rehabilitation to improve functional status
D) Long-term care in a skilled nursing facility
Correct Answer: B) Symptom management and comfort at the end of life
Rationale: Hospice care focuses on providing comfort, managing pain and
symptoms, and supporting the patient and family during the end-of-life
process. It is provided when a cure is no longer expected or desired.
**6. A nurse is educating the family of a client receiving hospice care. Which
statement by the family indicates a correct understanding of bereavement
services?**
A) "Bereavement services will continue indefinitely after my loved one
passes."
B) "Bereavement services are provided to the family for a period of time
after the client expires."
C) "Bereavement services are only provided to the surviving spouse."
D) "Bereavement services are not a part of hospice care."
Correct Answer: B) "Bereavement services are provided to the family for a
period of time after the client expires."
, Rationale: Hospice programs are required to provide bereavement services
to the family for a period of time, typically up to 13 months, after the client's
death. This support includes counseling and spiritual guidance.
**7. A nurse is assessing the need for home care services for an older adult
client. When should the initial assessment of home care needs typically
begin?**
A) After the client is discharged from the hospital
B) During the client's hospital stay
C) At the first primary care visit after discharge
D) When the client is unable to perform activities of daily living
Correct Answer: B) During the client's hospital stay
Rationale: The assessment of home care needs is a critical component of
discharge planning and should be initiated during the client's hospital stay.
This allows for a smooth transition and helps identify the necessary services
and support for a safe discharge.
**8. The nurse is providing care in a long-term care facility. Which of the
following describes the primary purpose of a skin care program in this
setting?**
A) To reduce the cost of wound care supplies
B) To prevent pressure injuries and maintain skin integrity
C) To improve the appearance of the resident's skin
D) To comply with state regulations
Correct Answer: B) To prevent pressure injuries and maintain skin integrity
