ATI RN
geriatric nursing exam questions with rationale Questions
Question 1 of 9
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 9
Which approach requires the nurse to integrate and balance all aspects of an individual’s life into the plan of care?
Correct Answer: A
Rationale: Holistic nursing is the correct answer because it considers the physical, emotional, social, and spiritual aspects of an individual's life in the care plan. It emphasizes treating the whole person rather than just the symptoms. Healthy People 2020 focuses on improving the overall health of the population. Maslow's hierarchy of needs prioritizes basic human needs. Orem's self-care requirements focus on the individual's ability to care for themselves. Holistic nursing is the only approach that integrates and balances all aspects of an individual's life into the care plan, making it the most comprehensive and patient-centered approach.
Question 3 of 9
Postural hypotension may be caused by all of the following except______
Correct Answer: B
Rationale: Postural hypotension is a drop in blood pressure when standing up. Increased cholesterol levels do not directly affect blood pressure regulation or lead to postural hypotension. Medications, decreased baroreceptor sensitivity, and arterial stiffness can all contribute to postural hypotension by affecting blood pressure regulation mechanisms. Therefore, choice B, increased cholesterol level, is the correct answer as it does not directly cause postural hypotension.
Question 4 of 9
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 5 of 9
Which of the following is a true statement about differing health belief systems?
Correct Answer: B
Rationale: The correct answer is B because in most cultures, including Western ones, older adults are more likely to initially seek traditional or cultural methods of treatment before resorting to biomedical professionals. This is often due to cultural beliefs and practices ingrained in societies. A is incorrect because personalistic or magicoreligious beliefs still exist in Western societies alongside biomedical principles. C is incorrect because Ayurvedic medicine is a traditional Indian system of medicine, not the same as traditional Chinese medicine. D is incorrect because the belief in balancing opposite qualities is characteristic of holistic or traditional medicine practices, not necessarily magicoreligious belief systems.
Question 6 of 9
The nurse observes older women learning advanced knitting techniques. The nurse concludes that this learning activity is suitable for these women because it accomplishes which of the following?
Correct Answer: D
Rationale: The correct answer is D because learning advanced knitting techniques adds to the existing knowledge base of older women. This activity stimulates cognitive functioning, enhances problem-solving skills, and fosters creativity. It also helps maintain mental acuity and memory. Choice A is incorrect because although knitting may involve hand movements, it primarily benefits cognitive functions. Choice B is incorrect as the primary focus is on individual learning rather than group cohesion. Choice C is incorrect as the main purpose of the activity is intellectual growth rather than social interaction.
Question 7 of 9
In gerontological nursing, what is the most important factor in assessing the risk for elder abuse?
Correct Answer: B
Rationale: The correct answer is B: Cognitive decline or dementia. Elder abuse risk assessment in gerontological nursing involves considering cognitive decline or dementia as the most important factor. This is because individuals with cognitive impairments are more vulnerable and may have difficulty recognizing and reporting abuse. Family history of violence (A), history of physical ailments (C), and medication regimen (D) are important factors to consider but do not directly impact the elder abuse risk assessment as significantly as cognitive decline or dementia.
Question 8 of 9
Which of the following best describes the role of a gerontological nurse practitioner?
Correct Answer: B
Rationale: The correct answer is B because a gerontological nurse practitioner is trained to manage chronic conditions and promote health in older adults through preventive care, education, and treatment. This role involves a holistic approach to addressing the physical, mental, and social aspects of aging. Choice A is incorrect as palliative care is just one aspect of their role. Choice C is incorrect as they work in various settings, not just nursing homes. Choice D is incorrect as they work with a range of older adult patients, not just those with psychiatric conditions.
Question 9 of 9
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.