Sample Questions-
Chapter 1: Seeing Older Adults Through the Eyes of Wellness
MULTIPLE CHOICE
1. In 2010, an updated version of the Standards and Scope of Gerontological Nursing Practice was released. Nurses
refer to these standards to:
a. Support the practice of gerontologic nursing in acute care settings.
b. Describe the fundamental principles and scope of gerontologic nursing.
c. Enhance the field of gerontologic nursing.
d. Implement recommendations from experienced gerontologic nurses.
Answer: D
The 2010 revision of the Standards and Scope of Gerontological Nursing Practice includes input from
gerontologic nurses nationwide. It does not serve to promote practice in acute care, define core concepts, or
advance the profession directly.
Difficulty Level: Recall (Knowledge)
Reference: MCS: 2
Objective: 1-1
Topic: N/A
Category: Safe and Effective Care Environment
2. To counteract the impact of ageism in nursing care for older adults, the first step a nurse should take is to:
a. Understand their role as an advocate for aging patients.
b. Recognize that older adults make up a significant portion of patients.
c. Reflect on their personal attitudes toward aging and older individuals.
d. Acknowledge that ageism is a widespread bias in American society.
Answer: C
Ageism is a growing prejudice against the aging process and older individuals. Since nurses are part of a society
that holds such views, it is essential for them to reflect on their own perceptions and assess how these might
influence the care they provide. Advocacy is important, but self-awareness is the first step. Accepting facts or
acknowledging biases does not actively combat ageism.
Difficulty Level: Application
Reference: N/A
Objective: 1-9
Topic: Teaching-Learning
Category: Safe and Effective Care Environment
3. A nurse discussing the reasons behind the increase in the number of healthy, independent older adults should
highlight:
a. The expansion of home care services.
b. Government financial assistance for retirees.
c. Advances in antibiotic treatments.
d. The development of therapies aimed at prolonging life.
Answer: C
The growing number of independent and healthy older adults is largely due to improvements in antibiotics,
sanitation, and vaccinations. These public health measures have played a more critical role than home care
services, government aid, or life-prolonging treatments.
Difficulty Level: Recall (Knowledge)
Reference: MCS: 2
Objective: 3-3
Topic: Nursing Process: Implementation
Category: Health Promotion and Maintenance
4. When preparing a discharge plan for an older patient, the nurse should direct education primarily toward:
a. A non-related caregiver.
b. A hired professional caregiver.
c. A family member.
d. A representative from an institution.
Answer: C
Less than 4% of older adults live in institutional care. Most reside at home, often with family members.
Difficulty Level: Application
Reference: N/A
Objective: 3-3
Topic: Nursing Process: Planning
Category: Safe and Effective Care Environment
5. When planning care for an older adult recently diagnosed with rheumatoid arthritis, the nurse prioritizes
maintaining the patient’s:
a. Age.
b. Financial resources.
c. Gender.
d. Functional abilities.
Answer: D
Preserving an older adult’s functional abilities is essential in preventing physical frailty and cognitive decline,
both of which increase the risk of institutionalization.
Difficulty Level: Recall (Knowledge)
Reference: MCS: 8
Objective: 1-6
Topic: Nursing Process: Planning
Category: Physiologic Integrity
6. A nurse working with older adults is most likely to refer which patient for financial social services?
a. A White male.
b. A Black female.
c. A Hispanic male.
d. An Asian American female.
Answer: B
Older Black women have a significantly higher poverty rate than men and women from other racial or ethnic
groups. White males are the least likely to experience poverty.
Difficulty Level: Application
Reference: N/A
Objective: 1-4
Topic: Nursing Process: Assessment
Category: Safe and Effective Care Environment
7. A nurse conducting a health assessment on an older adult demonstrates an understanding of this population’s
general health status by stating:
a. “I will need to document all prescribed medications carefully.”
b. “I want to assess the level of family support available.”
c. “Many older patients manage multiple chronic health conditions.”
d. “I am curious about the patient’s own perception of their health.”
Answer: D
It is a misconception that aging always leads to illness. When evaluating an older adult, a nurse should assess
their personal perception of well-being. While medication management and family support are important, an
individual’s view of their health is key.
Difficulty Level: Application
Reference: N/A
Objective: 1-4
Topic: Assessment
Category: Health Promotion
8. A patient’s family is concerned about their loved one’s upcoming transfer to a subacute care facility. The best
response from the nurse is:
a. “Acute care facilities don’t provide extended physical therapy.”
b. “Your father may find the new environment more peaceful and private.”
c. “The subacute facility will help him maintain his independence.”
d. “Insurance, including Medicare, limits the length of hospital stays.”
Answer: C
Subacute care is designed to maintain a patient’s functional ability and independence, which acute care facilities
are not equipped to support once the patient stabilizes. While insurance limitations exist, this is not the most
appropriate response.
Difficulty Level: Application
Reference: N/A
Objective: 1-6
Topic: Communication and Documentation
Category: Health Promotion and Maintenance
9. To ensure quality care and patient safety for an older adult requiring in-home assistance from unlicensed
personnel (UAP), the nurse should:
a. Assess the competency of UAP staff.
b. Act as a case manager and advocate.
c. Coordinate UAP services for the patient.
d. Evaluate the patient’s functional limitations.
Answer: A
As professional nursing responsibilities shift to include oversight of UAP staff, it is crucial to train and evaluate
their competency in providing safe care to older adults.
Difficulty Level: Application
Reference: N/A
Objective: 1-2
Topic: Communication and Documentation
Category: Safe and Effective Care Environment
10. A nurse working with older adults understands which fact about gerontologic nursing certification?
a. It is mandatory for those in long-term care settings.
b. It is optional and signifies expertise in the field.
c. It allows nurses to receive third-party reimbursements.
d. It is required for career advancement.
Answer: B
Certification is a voluntary credential that indicates specialized knowledge in gerontologic nursing. It is not mandatory,
nor does it automatically lead to reimbursement or career progression.
Difficulty Level: Recall (Knowledge)
Reference: MCS: 2
Objective: 1-2
Topic: Teaching-Learning
Category: Safe and Effective Care Environment
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