ATI RN
geriatric nursing exam questions with rationale Questions
Question 1 of 5
A nurse in an assisted living facility is planning an educational program on exercise for the residents. The nurse needs to consider which of the following when planning the activity?
Correct Answer: B
Rationale: The correct answer is B because using large size fonts on written material is important for elderly individuals in assisted living facilities who may have visual impairments. This accommodation ensures that the residents can easily read and understand the information being presented. This is crucial for effective communication and engagement in the educational program. A: While using simple language is generally beneficial, the primary concern for this specific population is visual accessibility rather than language complexity. C: Providing the program in a quiet area is important for minimizing distractions, but it is not as critical as ensuring the residents can read the material. D: While building on prior knowledge is a good practice in teaching, it is secondary to ensuring that the information is visually accessible to the residents.
Question 2 of 5
In the management of older adults with dementia, which approach is considered best for reducing agitation and aggression?
Correct Answer: C
Rationale: The correct answer is C because consistent routines and environmental modifications have been shown to be the most effective approach in reducing agitation and aggression in older adults with dementia. This approach focuses on providing structure and familiarity, which can help decrease confusion and anxiety in individuals with dementia. Physical restraints (A) are not recommended as they can lead to further agitation and pose risks of injury. Increased sedation with antipsychotics (B) should be used as a last resort due to potential side effects and risks. Ignoring the behavior (D) is not appropriate as it can exacerbate the situation and lead to further distress for the individual.
Question 3 of 5
The vision of Nurses Improving Care for Health System Elders (NICHE) is:
Correct Answer: D
Rationale: The correct answer is D: For patients 65 years and older to be given sensitive and exemplary care. NICHE aims to provide specialized, high-quality care for older adults through evidence-based practices. This answer aligns with NICHE's goal of improving care quality for elderly patients. Choice A is too restrictive and does not encompass the holistic approach of NICHE. Choice B focuses on cost rather than quality of care. Choice C is vague and does not capture the essence of NICHE's mission to enhance care for older adults.
Question 4 of 5
Which factor(s) are associated with the provision of culturally competent care? (Select all that apply.)
Correct Answer: A, B
Rationale: Step-by-step rationale: 1. Cultural awareness is crucial for understanding one's own biases and recognizing cultural differences. 2. Cultural knowledge involves understanding diverse cultural practices, beliefs, and values. 3. Cultural skills refer to the ability to effectively communicate and adapt care to meet individual cultural needs. 4. Cultural connections, while important, do not directly relate to providing culturally competent care. In summary, A and B are correct as they form the foundation for providing culturally competent care, while C and D do not encompass all aspects necessary for culturally competent care.
Question 5 of 5
Researchers hypothesize that most super-centenarians survive and are in good health due to which of the following factors?
Correct Answer: C
Rationale: The correct answer is C because it states that the exact cause of super-centenarians' longevity and good health is not known. This acknowledges the uncertainty and complexity of the situation, highlighting the need for further research and understanding. Explanation for why the other choices are incorrect: A: Genetic makeup alone may not fully explain super-centenarians' survival, as there are likely additional factors involved. B: Living in wealthier areas does not guarantee longevity or good health, as there are many other factors at play. D: While quality medical care and improved social conditions can contribute to health, they are not the sole reasons for super-centenarians' exceptional longevity.