GERI FINAL JERSEY COLLEGE EXAM
QUESTIONS AND ANSWERS
What statement made by a nurse reflects a lack of understanding regarding sexual
intimacy and the older adult patient? - Correct Answers -"Older adults express less
interest in intimacy as both acute and chronic illnesses develop"
To effectively assess an older adult patient's sexual needs, the nurse must initially do
what to prevent a biased assessment? - Correct Answers -Reflect on personal feelings
that create barriers to effective communication with the patient.
The nurse notes the patient's chart lists "dyspareunia" as a complaint. What teaching
does the nurse plan to provide? - Correct Answers -Use of water-soluble lubricants.
Through the open door of the patient's room, the nurse observes a male patient and his
long-term partner in a romantic embrace. The nurse's priority intervention at the time is
directed towards: - Correct Answers -Quietly closing the door to address the patient's
right to privacy.
Suzanne Jackson is a registered nurse working in the office of an internal medicine
physician. In this setting, Ms. Jackson has encountered a significant number of patients
who identify with the older adult population. Many of them have significant comorbid
conditions. Mrs. Bortello presents to the primary care office requesting assistance in the
home. She is 86 years old and has a medical history of diabetes and congestive heart
failure. She states she has noticed a recent increase in weakness when she is
ambulating within the home and she is fearful about falling and suffering a hip fracture.
Further discussion between Ms. Jackson and Mrs. Bortello indicates that the patient is
interested in assistance with shopping and activities of daily living (ADLs). Which of the
following settings of care would be most appropriate for Mrs. Bortello's housing needs? -
Correct Answers -Independent living.
What are three things nurses can do to help and support the caregiver in their role? -
Correct Answers -Educate them in understanding the older adult's medical problem.
Give them a list of community services.
Inform them of respite care options and encourage their use.
Offer to hold a family meeting to help siblings express concerns and manage their roles.
Provide written materials.
,The nurse on a medical acute care unit is preparing for the admission of an 84 y/o
patient with several diagnosed chronic illnesses. The nurse begins the plan of care for
this patient based on the understanding that the older adult is likely to: - Correct
Answers -present with a need for a high level of nursing care.
What action by the nurse best shows an understanding of the effects of acute
hospitalization on the functional abilities of the older patient? - Correct Answers -
Assessing for a decline from the original baseline function.
the effects of acute hospitalization result in a decline from the original baseline.
The nurse is planning the discharge of a 70 y/o patient who lives alone and is
recovering from a fractured ankle. What action by the nurse shows an understanding of
factors affecting the patient's ultimate return from preinjury function? - Correct Answers -
assesses barriers to self-ambulation in the patient's home.
Which individual would the nurse refer to the local Area Agency on Aging? - Correct
Answers -One who needs nutritious meals.
A nursing faculty explains to the student the definition of "homebound." Which is the
best explanation for this situation? - Correct Answers -leaving home requires great effort
Your patient will be discharged soon, after suffering a fall in his home. He only fractured
two ribs but is not as strong and steady on his feet as he was before the fall. He has
DM, mild CHF, and htn. He still needs some PT to regain his strength. He has lived on
his own and managed his own medications well prior to admission. You are helping his
family decide on placement options. What do you think is the best option for your
patient? - Correct Answers -Return to his own home with home care and physical
therapy visits.
Which action does the nurse delegate to the unlicensed assistive personnel pertaining
to pressure ulcer prevention? - Correct Answers -Keeping the patient's skin clean and
dry.
When planning care for the older adult experiencing pain, the nurse bases interventions
on the realization that: - Correct Answers -Pain is under treated in this cohort compared
to younger adults.
A confused patient is admitted to the hospital after suffering a fall. When asked about
pain, the patient does not respond. What action by the nurse is best? - Correct Answers
-Observe the patient's nonverbal behaviors.
The nurse has just started a hospital job where the majority of her patients are older
adults. It is important that the nurse remember the following regarding older adults and
pain EXCEPT which one? - Correct Answers -They tend to overuse pain medication.
,When planning nursing care for an older adult who is experiencing chronic pain, the
nurse includes all of the following interventions EXCEPT which one? - Correct Answers
-provide economical sensitive pain relief.
The nurse is caring for an older adult patient who was admitted for pneumonia. The
nurse institutes fall precautions based upon the following assessments of normal age-
related changes that could contribute to falls with the EXCEPTION of... - Correct
Answers -The patient uses the call light frequently.
A patient is brought to the emergency department after an unexpected fall. What action
would the nurse NOT anticipate as part of care for an elderly patient who has fallen? -
Correct Answers -Apply restraint devices.
A nurse is watching a parade during the summer and notices an older adult looking faint
and acting somewhat confused. The patient has hot, dry skin. While waiting for the
rescue squad, what action by the nurse is most effective? - Correct Answers -Spray the
person with a cool water mist.
True or False:
Reduced REM sleep causes irritability or anxiety the next day. - Correct Answers -True.
True/False:
Insomnia leads to increased daytime falls. - Correct Answers -False
True/False:
Older adults commonly take naps during the day. - Correct Answers -True.
True/False:
Cooler temperature at night is better for sleeping. - Correct Answers -False
True/False:
Acute or chronic pain interferes with falling asleep. - Correct Answers -True.
The nurse caring for older adult patients best minimizes the patient's risk of developing
dehydration by: - Correct Answers -Identifying the patient's oral fluid preferences and
offering them regularly.
elderly patients don't have adequate thirst triggers to recognize the need for fluids;
offering regularly helps them stay hydrated.
An older adult patient has experienced severe nausea and vomiting for 2 days since
undergoing abdominal surgery. A prealbumin serum blood test is ordered. The nurse
explains the rational for the test to the patient's family by saying... - Correct Answers -
This test is designed to determine how the body is meeting current demands for protein.
, Your patient is not eating well, and you have consulted a dietician to see them. Which of
the patient's assessment and lab findings have you most concerned? - Correct Answers
-The patient has COPD and usually does not finish all the food on her tray.
The patient is widowed and does not seem to have visitors.
The patient's transferrin level is 188 mg/dL.
The patient's prealbumin level is 10 mg/dL.
The nurse is conducting an admission assessment on a mildly confused older patient.
The nurse best assures an accurate history by first: - Correct Answers -Directing
questions to both patient and family.
Janet flew home to visit her older adult parents for Christmas. As the week progressed,
she noticed some things about her father, John, that were "different". He was often
confused, seemed disorganized, and was not his usual jovial self. Her mom reported
that John, who loved to watch foot ball, seemed to have forgotten how the game was
played. Janet made an appointment for John with his doctor, who diagnosed him with
early Alzheimer's disease.
Early symptoms of Alzheimer's include all of the following except: - Correct Answers -
failure to recognize close friends and family members
John is prescribed Aricept by his physician. The nurse explains the purpose of Aricept
is: - Correct Answers -to delay symptoms of Alzheimer's disease.
Which type of delirium/dementia is it?
Progressive decline in behavior, language and motor skills - Correct Answers -Frontal-
temporal dementia
Which type of delirium/dementia is it?
Rigidity, bradykinesia, shuffling gait - Correct Answers -Lewy body dementia
Which type of delirium/dementia is it?
Brain tissue is affected by small emboli - Correct Answers -Vascular dementia
Which type of delirium/dementia is it?
Increased problems with memory, orientation, poor judgment, confusion - Correct
Answers -Alzheimer's
Which type of delirium/dementia is it?
Occurs rapidly; may be response to infection or electrolyte imbalance - Correct Answers
-Delirium
The priority focus of nursing care for the patient with dementia is: - Correct Answers -
Maintaining cognitive and global function early in the disease to postpone the need for
institutional care.
QUESTIONS AND ANSWERS
What statement made by a nurse reflects a lack of understanding regarding sexual
intimacy and the older adult patient? - Correct Answers -"Older adults express less
interest in intimacy as both acute and chronic illnesses develop"
To effectively assess an older adult patient's sexual needs, the nurse must initially do
what to prevent a biased assessment? - Correct Answers -Reflect on personal feelings
that create barriers to effective communication with the patient.
The nurse notes the patient's chart lists "dyspareunia" as a complaint. What teaching
does the nurse plan to provide? - Correct Answers -Use of water-soluble lubricants.
Through the open door of the patient's room, the nurse observes a male patient and his
long-term partner in a romantic embrace. The nurse's priority intervention at the time is
directed towards: - Correct Answers -Quietly closing the door to address the patient's
right to privacy.
Suzanne Jackson is a registered nurse working in the office of an internal medicine
physician. In this setting, Ms. Jackson has encountered a significant number of patients
who identify with the older adult population. Many of them have significant comorbid
conditions. Mrs. Bortello presents to the primary care office requesting assistance in the
home. She is 86 years old and has a medical history of diabetes and congestive heart
failure. She states she has noticed a recent increase in weakness when she is
ambulating within the home and she is fearful about falling and suffering a hip fracture.
Further discussion between Ms. Jackson and Mrs. Bortello indicates that the patient is
interested in assistance with shopping and activities of daily living (ADLs). Which of the
following settings of care would be most appropriate for Mrs. Bortello's housing needs? -
Correct Answers -Independent living.
What are three things nurses can do to help and support the caregiver in their role? -
Correct Answers -Educate them in understanding the older adult's medical problem.
Give them a list of community services.
Inform them of respite care options and encourage their use.
Offer to hold a family meeting to help siblings express concerns and manage their roles.
Provide written materials.
,The nurse on a medical acute care unit is preparing for the admission of an 84 y/o
patient with several diagnosed chronic illnesses. The nurse begins the plan of care for
this patient based on the understanding that the older adult is likely to: - Correct
Answers -present with a need for a high level of nursing care.
What action by the nurse best shows an understanding of the effects of acute
hospitalization on the functional abilities of the older patient? - Correct Answers -
Assessing for a decline from the original baseline function.
the effects of acute hospitalization result in a decline from the original baseline.
The nurse is planning the discharge of a 70 y/o patient who lives alone and is
recovering from a fractured ankle. What action by the nurse shows an understanding of
factors affecting the patient's ultimate return from preinjury function? - Correct Answers -
assesses barriers to self-ambulation in the patient's home.
Which individual would the nurse refer to the local Area Agency on Aging? - Correct
Answers -One who needs nutritious meals.
A nursing faculty explains to the student the definition of "homebound." Which is the
best explanation for this situation? - Correct Answers -leaving home requires great effort
Your patient will be discharged soon, after suffering a fall in his home. He only fractured
two ribs but is not as strong and steady on his feet as he was before the fall. He has
DM, mild CHF, and htn. He still needs some PT to regain his strength. He has lived on
his own and managed his own medications well prior to admission. You are helping his
family decide on placement options. What do you think is the best option for your
patient? - Correct Answers -Return to his own home with home care and physical
therapy visits.
Which action does the nurse delegate to the unlicensed assistive personnel pertaining
to pressure ulcer prevention? - Correct Answers -Keeping the patient's skin clean and
dry.
When planning care for the older adult experiencing pain, the nurse bases interventions
on the realization that: - Correct Answers -Pain is under treated in this cohort compared
to younger adults.
A confused patient is admitted to the hospital after suffering a fall. When asked about
pain, the patient does not respond. What action by the nurse is best? - Correct Answers
-Observe the patient's nonverbal behaviors.
The nurse has just started a hospital job where the majority of her patients are older
adults. It is important that the nurse remember the following regarding older adults and
pain EXCEPT which one? - Correct Answers -They tend to overuse pain medication.
,When planning nursing care for an older adult who is experiencing chronic pain, the
nurse includes all of the following interventions EXCEPT which one? - Correct Answers
-provide economical sensitive pain relief.
The nurse is caring for an older adult patient who was admitted for pneumonia. The
nurse institutes fall precautions based upon the following assessments of normal age-
related changes that could contribute to falls with the EXCEPTION of... - Correct
Answers -The patient uses the call light frequently.
A patient is brought to the emergency department after an unexpected fall. What action
would the nurse NOT anticipate as part of care for an elderly patient who has fallen? -
Correct Answers -Apply restraint devices.
A nurse is watching a parade during the summer and notices an older adult looking faint
and acting somewhat confused. The patient has hot, dry skin. While waiting for the
rescue squad, what action by the nurse is most effective? - Correct Answers -Spray the
person with a cool water mist.
True or False:
Reduced REM sleep causes irritability or anxiety the next day. - Correct Answers -True.
True/False:
Insomnia leads to increased daytime falls. - Correct Answers -False
True/False:
Older adults commonly take naps during the day. - Correct Answers -True.
True/False:
Cooler temperature at night is better for sleeping. - Correct Answers -False
True/False:
Acute or chronic pain interferes with falling asleep. - Correct Answers -True.
The nurse caring for older adult patients best minimizes the patient's risk of developing
dehydration by: - Correct Answers -Identifying the patient's oral fluid preferences and
offering them regularly.
elderly patients don't have adequate thirst triggers to recognize the need for fluids;
offering regularly helps them stay hydrated.
An older adult patient has experienced severe nausea and vomiting for 2 days since
undergoing abdominal surgery. A prealbumin serum blood test is ordered. The nurse
explains the rational for the test to the patient's family by saying... - Correct Answers -
This test is designed to determine how the body is meeting current demands for protein.
, Your patient is not eating well, and you have consulted a dietician to see them. Which of
the patient's assessment and lab findings have you most concerned? - Correct Answers
-The patient has COPD and usually does not finish all the food on her tray.
The patient is widowed and does not seem to have visitors.
The patient's transferrin level is 188 mg/dL.
The patient's prealbumin level is 10 mg/dL.
The nurse is conducting an admission assessment on a mildly confused older patient.
The nurse best assures an accurate history by first: - Correct Answers -Directing
questions to both patient and family.
Janet flew home to visit her older adult parents for Christmas. As the week progressed,
she noticed some things about her father, John, that were "different". He was often
confused, seemed disorganized, and was not his usual jovial self. Her mom reported
that John, who loved to watch foot ball, seemed to have forgotten how the game was
played. Janet made an appointment for John with his doctor, who diagnosed him with
early Alzheimer's disease.
Early symptoms of Alzheimer's include all of the following except: - Correct Answers -
failure to recognize close friends and family members
John is prescribed Aricept by his physician. The nurse explains the purpose of Aricept
is: - Correct Answers -to delay symptoms of Alzheimer's disease.
Which type of delirium/dementia is it?
Progressive decline in behavior, language and motor skills - Correct Answers -Frontal-
temporal dementia
Which type of delirium/dementia is it?
Rigidity, bradykinesia, shuffling gait - Correct Answers -Lewy body dementia
Which type of delirium/dementia is it?
Brain tissue is affected by small emboli - Correct Answers -Vascular dementia
Which type of delirium/dementia is it?
Increased problems with memory, orientation, poor judgment, confusion - Correct
Answers -Alzheimer's
Which type of delirium/dementia is it?
Occurs rapidly; may be response to infection or electrolyte imbalance - Correct Answers
-Delirium
The priority focus of nursing care for the patient with dementia is: - Correct Answers -
Maintaining cognitive and global function early in the disease to postpone the need for
institutional care.
