ATI LPN
Gerontology Nursing Questions And Answers PDF Questions
Question 1 of 5
A gerontological nurse is conducting an in-service program for a group of nurses who work with a wide range of culturally diverse older adults. After teaching the group about the impact of culture on health and illness, the nurse determines that the teaching was successful when the group identifies which reason as underlying the need to understand culture?
Correct Answer: B
Rationale: The correct answer is B because understanding the impact of culture on health and illness enables nurses to provide individualized and culturally sensitive care to older adults from diverse backgrounds. This approach ensures that the cultural, religious, and sexual orientation differences of older adults are acknowledged, respected, and factored into their care. Choice A is not as comprehensive as B, as the goal goes beyond just respecting customary practices. Choice C, while important, is more focused on medical treatments rather than holistic care. Choice D is not the primary reason for understanding culture; the main goal is to provide personalized care that respects individual differences.
Question 2 of 5
A gerontological nurse is providing care at a local community health center that serves large black American and white American older adult populations. The nurse is working to develop culturally appropriate programs to meet each group's health needs and notes differences in health status between the groups. Which reason would the nurse most likely identify as accounting for the differences between the populations?
Correct Answer: D
Rationale: The correct answer is D. Black older adults historically possess many health problems that have accumulated over a lifetime due to a poor standard of living and limited access to health care services. Option A is incorrect because it presents stereotypes about the black population that are not supported by evidence. Option B is incorrect because it generalizes the behavior of the white population without a strong basis. Option C is incorrect as it also generalizes the white population and does not address the disparities in health status between the two groups.
Question 3 of 5
A nurse is determining ways to address ethnic diversity among clients being provided care. Which action would be the most direct way for the nurse to do this?
Correct Answer: C
Rationale: Listening to the life stories of clients is an effective way for nurses to understand the cultural influences that shape their beliefs and practices. By actively listening, nurses can gain insight into the clients' backgrounds, values, and preferences, allowing them to provide more personalized and culturally sensitive care. Choices A, B, and D are not as direct as listening to the life stories of clients. While explaining how cultural backgrounds influence health beliefs and practices is important, directly listening to clients' life stories provides a deeper understanding of their individual cultural influences.
Question 4 of 5
A nurse working with a population of black clients is cognizant that some health conditions are more prevalent in this population than in the white population and is working to address them. Which health assessment would be the priority for this client population?
Correct Answer: B
Rationale: In the context of medical-surgical nursing, the priority health assessment for a population of black clients would be monitoring their blood pressure due to a blunted nocturnal response. This is because black individuals have been shown to have a higher prevalence of hypertension compared to white individuals. Hypertension is a significant risk factor for cardiovascular diseases, stroke, and other serious health conditions. By monitoring blood pressure, the nurse can detect and manage hypertension early, thus reducing the risk of associated complications. Option A is incorrect as mandating different lifestyle choices based on race is not appropriate and could perpetuate stereotypes. Health promotion should be individualized and based on evidence-based practices rather than assumptions about life expectancy. Option C is incorrect as examining buccal mucosa for skin color assessment is not a priority health assessment for black individuals. Skin color variations do exist, but they do not significantly impact the accuracy of health assessments. Option D is incorrect as while HIV/AIDS is a serious health concern, monitoring for it should not be the priority health assessment for all black clients. Health assessments should be tailored to individual risk factors and health needs rather than being based solely on race. Educationally, this question highlights the importance of culturally competent care and evidence-based practice in nursing. It emphasizes the need to understand how different populations may have varying health risks and the importance of individualized care based on assessment findings rather than assumptions.
Question 5 of 5
A nurse cares for an Asian American client with a fractured femur. During shift report, which statement by the nurse will another nurse challenge?
Correct Answer: D
Rationale: The correct answer is D. Stereotyping the client as stoic and unlikely to complain about pain is incorrect and can lead to inadequate pain management. It is essential for the nurse to assess and address the client's pain regardless of cultural background. Choices A, B, and C are not as critical as they respect the client's autonomy, cultural preferences regarding family visits, and provide relevant background information about the client's immigrant status.