Question 16
Type: MCSA
A gerontological nurse is helping a potential home health client acquire the supplies that will be needed once the
client is discharged from acute care. When considering these supplies, what should the nurse recall?
1. Medicare will cover supplies, but only with a physician’s written order.
2. Between insurance supplements and Medicare, the older client shouldn’t have any difficulty with coverage.
3. Most clients in this age group live on a fixed income, and supplies used should be as economical as possible.
4. Clients have to be responsible for their own supplies.
Question 17
Type: MCMA
A group of older clients is interested in living options available in the community when they may need some
assistance with their daily needs. What should the nurse suggest as possibilities to meet these needs?
1. Adult foster care
2. Group homes
3. Retirement villages
4. Long-term care facilities
5. Adult day-care centers
Question 18
Type: MCSA
An elderly client who has had a stroke is ready for hospital discharge. How should the gerontological nurse case
manager support this client’s independence?
1. Allow the client to be actively involved in all decisions made.
2. Make arrangements based on what the nurse feels is in the best interest of the client.
3. Work closely with the social worker and physician to make the decisions necessary for the client.
4. Set up a meeting with the family members so decisions can be made.
Question 19
Type: MCSA
Some nursing students are doing their first clinical rotation in a long-term care facility. What should the nurse
educator remind the students to do to meet the needs of this particular client group?
1. Do all care for the clients, as they’re unable to do it independently.
2. Always remember that the clients’ self-respect must be maintained in all interactions of the students.
3. Make sure the clients’ care is done in a timely manner, and sometimes that means doing things for the client.
4. Treat this group of clients with a greater level of respect than younger clients.
Question 20
Type: MCSA
A nurse is working with clients in an assisted living facility. In the past month, there have been several deaths
among the residents and their spouses. In helping the remaining residents deal with these deaths, the nurse
understands that adjustment may be easier for which resident?
1. A resident who spent most of her days attending to her partner who is now deceased
2. A resident who had a wide circle of friends, besides her spouse
3. A resident who was not inclined to participate in any activities offered at the facility
4. A resident who started to become more dependent on the nursing staff at the facility
Question 21
Type: MCSA
A nurse who works in a long-term care facility has noticed that one of the residents has been showing signs of
impaired cognitive and self-care abilities over the last 2 weeks. The nurse should
1. remember that memory loss is a normal, age-related change.
2. investigate for possible physiologic problems.
3. instruct the staff to be extra attentive, as this person needs more assistance.
4. inform the resident’s family that the resident probably has some form of dementia.
Question 22
Type: MCSA
A client has been diagnosed with dementia. The family wants to know how to plan for the future. What is the best
response by the nurse?
1. “Your family member’s symptoms will get worse, but there are medications to stop the progress.”
2. “You should plan right now on which long-term care facility you will want to utilize when the time comes.”
3. “Dementia is a progressive deterioration. It’s important for you to clearly understand what to look for in
symptoms.”
4. “Dementia can be treated once the cause is known.”
Question 23
Type: MCSA
A client has had Alzheimer’s dementia for a period of time and continues to live at home with his spouse. What
would be one of the gerontological nurse’s responsibilities?
1. Make sure the client is being prescribed appropriate medication.
2. Provide support for the spouse.
3. Assess the client early to ensure proper care.
4. Find a suitable long-term care facility for the client.
Question 24
Type: MCSA
The nurse is explaining the difference between dementia and delirium to the spouse of a client with Alzheimer’s
disease. What should the nurse say to make this distinction?
1. “Delirium is easily distinguished from dementia.”
2. “Dementia is reversible and treatable.”
3. “Delirium is an acute and reversible syndrome.”
4. “Dementia is the only condition that is characterized by changes in memory, judgment, language, mathematic
calculation, abstract reasoning, and problem-solving ability.”
Question 25
Type: MCSA
A hospitalized older client is recovering from an acute illness. As the client nears the end of his hospitalization, he
questions the nurse about medications and care after discharge. The gerontological nurse should
1. inform the physician that the client needs to go to a nursing home.
2. assess the client’s independence and ability to function in his own home before discharge.
3. tell the client not to worry about going home.
4. invite the client’s family to come to the hospital so the nurse can explain the client’s care to them.
New Questions
Question 26
Type: MCSA
The nurse is completing an assessment to determine an older patient’s development of moral reasoning. Which
observation indicates that the client has developed moral reasoning as anticipated?
1. Considers relationships as well as justice in moral decisions
2. Approaches moral decisions based upon the consequences to self
3. Follows society’s rules of conduct in response to the expectations of others
4. Bases moral judgments on connectedness to others and the value of relationships
Question 27
Type: MCMA
The nurse is identifying health promotion needs for an older adult client. What should the nurse consider for this
client?
Standard Text: Select all that apply.
1. Offering to arrange a pneumococcal vaccine for a client turning 60 years old
2. Assessing the 62-year-old client for situational depression.
3. Discussing smoking cessation classes with a 64-year-old
4. Asking a 78-year-old client whether he had his cholesterol tested within the last 3 years
5. Measuring the 79-year-old client’s height and weight
Question 28
Type: MCMA
The nurse is caring for an older client living in the community. Which nurse actions demonstrate an understanding
of the prevalent health concerns specific to the older adult client?
Standard Text: Select all that apply.
1. Discusses the need for proper lighting—especially at night—to minimize the risk of falls
2. Assesses amount and frequency of the client’s alcohol consumption patterns
3. Assesses the client’s orientation to time, place, and person, as well as short-term memory
4. Discusses the client’s views on long-term residential care if the need arises
5. Asks the client to name and provide the reason for each medication he is currently taking
