ATI LPN
Gerontology Nursing Questions And Answers PDF Questions
Question 1 of 5
A nurse is reviewing the client population of a local community health center and identifying the health care needs of the group. The nurse decides to develop a screening program for hypertension. Which client population would the nurse most likely be working with?
Correct Answer: B
Rationale: Hypertension is disproportionately high among Native American/First Nations clients. This condition is not noted to be a major health problem among Jewish Americans, prisoners, or Americans of Chinese ancestry. Developing a screening program for hypertension in a Native American reservation/Canadian aboriginal reserve would be most appropriate based on the prevalence of the condition in this population.
Question 2 of 5
A nurse is reading a journal article about life expectancy and various cultural groups. The article describes statistics, stating that a baby born to a black American couple has a life expectancy lower than that of a baby born to a white American couple. The article goes on to describe the life expectancy as the babies get older. Which finding would the nurse most likely identify as reflecting the life expectancy of the baby born to the black American couple by the seventh decade?
Correct Answer: A
Rationale: Historically, black Americans have experienced a lower standard of living and less access to health care than their white counterparts, leading to a lower life expectancy. However, by the seventh decade of life, survival rates for black individuals begin to equal that of similarly aged white individuals. Choice B is incorrect as it indicates a higher life expectancy for black individuals, which is not supported by the information provided. Choice C is incorrect as it suggests a drastic decrease in life expectancy for black individuals, which is not in line with the trend described. Choice D is incorrect as it implies a temporary increase in life expectancy for black individuals until age 75, which is not supported by the information that survival rates begin to equal by the seventh decade.
Question 3 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 4 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 5 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.