WEEK 2 BSN 425 FOUNDATIONS OF NURSING CARE
FOR THE OLDER ADULT EXAM (2026–2027) LATEST
UPDATE) – REAL EXAM QUESTIONS WITH VERIFIED
ANSWERS, A+ GRADED STUDY MATERIAL
Models of Evidence-Based Care Delivery for the Older Adult
Nurses Improving Care for Healthsystem Elders (NICHE) is a national
program that focuses on system-wide improvement in the health care of
older adults.
Goals of NICHE:
Goals are directed toward system improvement of care of older adults.
Additional goals of NICHE are to improve the quality of care provided to
older patients and improve nurse competence in the care of older adults.
Modification of The Practice Environment:
NICHE teaches facilities how to modify the nurse practice environment
with the incorporation of the following:
-Specific geriatric core values into the mission statement of the facility
-A toolkit to assist organizations in implementation
-Special equipment, supplies, and other resources
-Protocols and techniques that promote interprofessional collaboration
The System-Level Approach:
The system level approach of NICHE provides a structure for nurses to
collaborate with other disciplines and to actively participate in geriatric
acute care models (NICHE, n.d.). The NICHE coordinator undertakes the
,leadership role by facilitating, teaching, and mentoring others and
changing processes of care. Application of evidence-based practice at the
bedside is facilitated by organizational strategies such as system-wide
geriatric clinical protocols and guidelines.
Question 1 of 5
Which statements describe NICHE?
Select all that apply.
NICHE stands for Nurses Improving Care for Healthsystem Elders.
NICHE stands for National Institute for the Care of Hospitalized Elders.
NICHE is a state-run program designed to improve care for older adults.
A goal of NICHE is to improve the competence of nurses providing care to
older adults.
NICHE is a national program aimed at system improvement in the care of
the older adult.
NICHE stands for Nurses Improving Care for Healthsystem Elders.
A goal of NICHE is to improve the competence of nurses providing care to
older adults.
NICHE is a national program aimed at system improvement in the care of
the older adult.
Question 2 of 5
How does the system-level approach of NICHE support the health care
organization?
NICHE provides specially trained nurses to care for the hospitalized older
adult.
NICHE publishes medical protocols for health care organizations to use in
,caring for older adults.
NICHE provides additional funding to assist health care organizations in
the provision of care necessary for the older adult.
NICHE provides a structure for nurses to collaborate with other disciplines
and to actively participate in geriatric acute care models.
NICHE provides a structure for nurses to collaborate with other disciplines
and to actively participate in geriatric acute care models.
The system-level approach of NICHE provides a structure for nurses to
collaborate with other disciplines and to actively participate in geriatric
care models.
Question 3 of 5
Which statement describes the purpose of the Geriatric Resource Nurse
(GRN) model?
To shorten the duration of stay and decrease hospital costs
To provide physicians with a resource in planning treatment modalities
To provide community resources to facilitate keeping older adults out of
the hospital
To address the adverse events and functional decline that accompanies
hospitalization
To address the adverse events and functional decline that accompanies
hospitalization
The GRN model is foundational to NICHE and was designed to address the
adverse events and functional decline that accompanies hospitalization.
Question 4 of 5
Which content does the GRN Model provide to direct care/staff nurses?
, Delirium prevention techniques
Information regarding financial assistance
Care management for geriatric syndromes
Geriatric expertise related to nursing assessments
Care management for geriatric syndromes
The GRN model provides direct care/staff nurses with content focusing on
care management for geriatric syndromes.
Question 5 of 5
How does an Acute Care for Elders (ACE) Unit contribute to improved care
for the older adult?
Removes the burden of care from the family of the older adult.
Provides comprehensive geriatric assessments by a team specializing in
geriatrics.
Works directly with third party payers to relieve the stress of financial
responsibilities.
Provides discounted care based on the multiple disciplines involved in the
patient's care.
Provides comprehensive geriatric assessments by a team specializing in
geriatrics.
It provides comprehensive geriatric assessments by a team consisting of a
geriatrician, geriatric advanced practice nurse, social worker as well as
specialists from other disciplines, and the geriatric resource nurse.
Question 1 of 3
What is the driving focus of the Hospital Elder Life Program (HELP) Model?
To prevent the development of delirium
FOR THE OLDER ADULT EXAM (2026–2027) LATEST
UPDATE) – REAL EXAM QUESTIONS WITH VERIFIED
ANSWERS, A+ GRADED STUDY MATERIAL
Models of Evidence-Based Care Delivery for the Older Adult
Nurses Improving Care for Healthsystem Elders (NICHE) is a national
program that focuses on system-wide improvement in the health care of
older adults.
Goals of NICHE:
Goals are directed toward system improvement of care of older adults.
Additional goals of NICHE are to improve the quality of care provided to
older patients and improve nurse competence in the care of older adults.
Modification of The Practice Environment:
NICHE teaches facilities how to modify the nurse practice environment
with the incorporation of the following:
-Specific geriatric core values into the mission statement of the facility
-A toolkit to assist organizations in implementation
-Special equipment, supplies, and other resources
-Protocols and techniques that promote interprofessional collaboration
The System-Level Approach:
The system level approach of NICHE provides a structure for nurses to
collaborate with other disciplines and to actively participate in geriatric
acute care models (NICHE, n.d.). The NICHE coordinator undertakes the
,leadership role by facilitating, teaching, and mentoring others and
changing processes of care. Application of evidence-based practice at the
bedside is facilitated by organizational strategies such as system-wide
geriatric clinical protocols and guidelines.
Question 1 of 5
Which statements describe NICHE?
Select all that apply.
NICHE stands for Nurses Improving Care for Healthsystem Elders.
NICHE stands for National Institute for the Care of Hospitalized Elders.
NICHE is a state-run program designed to improve care for older adults.
A goal of NICHE is to improve the competence of nurses providing care to
older adults.
NICHE is a national program aimed at system improvement in the care of
the older adult.
NICHE stands for Nurses Improving Care for Healthsystem Elders.
A goal of NICHE is to improve the competence of nurses providing care to
older adults.
NICHE is a national program aimed at system improvement in the care of
the older adult.
Question 2 of 5
How does the system-level approach of NICHE support the health care
organization?
NICHE provides specially trained nurses to care for the hospitalized older
adult.
NICHE publishes medical protocols for health care organizations to use in
,caring for older adults.
NICHE provides additional funding to assist health care organizations in
the provision of care necessary for the older adult.
NICHE provides a structure for nurses to collaborate with other disciplines
and to actively participate in geriatric acute care models.
NICHE provides a structure for nurses to collaborate with other disciplines
and to actively participate in geriatric acute care models.
The system-level approach of NICHE provides a structure for nurses to
collaborate with other disciplines and to actively participate in geriatric
care models.
Question 3 of 5
Which statement describes the purpose of the Geriatric Resource Nurse
(GRN) model?
To shorten the duration of stay and decrease hospital costs
To provide physicians with a resource in planning treatment modalities
To provide community resources to facilitate keeping older adults out of
the hospital
To address the adverse events and functional decline that accompanies
hospitalization
To address the adverse events and functional decline that accompanies
hospitalization
The GRN model is foundational to NICHE and was designed to address the
adverse events and functional decline that accompanies hospitalization.
Question 4 of 5
Which content does the GRN Model provide to direct care/staff nurses?
, Delirium prevention techniques
Information regarding financial assistance
Care management for geriatric syndromes
Geriatric expertise related to nursing assessments
Care management for geriatric syndromes
The GRN model provides direct care/staff nurses with content focusing on
care management for geriatric syndromes.
Question 5 of 5
How does an Acute Care for Elders (ACE) Unit contribute to improved care
for the older adult?
Removes the burden of care from the family of the older adult.
Provides comprehensive geriatric assessments by a team specializing in
geriatrics.
Works directly with third party payers to relieve the stress of financial
responsibilities.
Provides discounted care based on the multiple disciplines involved in the
patient's care.
Provides comprehensive geriatric assessments by a team specializing in
geriatrics.
It provides comprehensive geriatric assessments by a team consisting of a
geriatrician, geriatric advanced practice nurse, social worker as well as
specialists from other disciplines, and the geriatric resource nurse.
Question 1 of 3
What is the driving focus of the Hospital Elder Life Program (HELP) Model?
To prevent the development of delirium
