NUR 2214 / NUR2214 NURSING CARE OF
THE OLDER ADULT QUIZ 4 | QUESTIONS
AND ANSWERS | ALREADY GRADED A |
RASMUSSEN COLLEGE
1. Interventions should be:
A. General and flexible
B. Actionable and evidence-based; appropriately aligned with the stated outcome and
goal intended
C. Focused only on patient preference
D. Developed without reviewing patient history
Answer: B
Rationale: Nursing interventions must be specific, actionable, and evidence-
based, ensuring they directly support the desired patient outcomes. Aligning
interventions with goals improves patient safety and care effectiveness. Random or
vague interventions can lead to care inconsistencies.
2. During transitions from acute care settings, prescriptions are:
A. Rarely changed
B. Often changed or stopped, increasing the risk of medication injury, errors, and
noncompliance
C. Always carefully monitored and unchanged
D. Automatically adjusted for older adults
Answer: B
Rationale: Transitions between care settings often involve medication changes,
which can increase the risk of adverse drug events, omissions, or duplications.
Close monitoring and reconciliation are essential to prevent medication errors and
ensure continuity of care.
,3. GERI-PACT care model is associated with:
A. Long-term inpatient care
B. Outpatient geriatric evaluation
C. Pediatric care
D. Emergency care
Answer: B
Rationale: The Geriatric Patient-Aligned Care Team (Geri-PACT) model is
designed for outpatient geriatric evaluation, providing older adults with chronic
conditions coordinated, patient-centered care. It emphasizes continuity and
comprehensive assessment.
4. Geriatric Patient-Aligned Care Teams (Geri PACT) is a:
A. General nursing care team
B. Specialized patient care medical home model providing high-quality, coordinated
care to older adults over 65 at risk of negative health outcomes
C. Acute care team for emergencies
D. Home health service for pediatric patients
Answer: B
Rationale: Geri PACT provides a medical home model for older adults at higher risk
of poor health outcomes. It coordinates care across disciplines, addressing medical,
functional, and psychosocial needs, ensuring holistic management.
5. Geriatric Patient-Aligned Care Teams (Geri PACT) was initiated by:
A. Centers for Medicare & Medicaid Services
B. World Health Organization
C. Department of Veterans Affairs
D. American Nurses Association
Answer: C
Rationale: Geri PACT was initiated by the Department of Veterans Affairs to
enhance care coordination and quality for older veterans with multiple chronic
conditions. This initiative addresses gaps in geriatric primary care.
,6. Geri PACTs deliver focused care to Veterans with:
A. Acute infections only
B. Multiple chronic diseases, coexisting cognitive, functional, and psychosocial issues,
providing a single point-of-contact for interdisciplinary care
C. Pediatric conditions
D. Short-term injuries only
Answer: B
Rationale: Geri PACT targets older adults with complex health needs, offering an
interdisciplinary approach. The single point-of-contact model improves
communication, adherence, and patient/caregiver support.
7. Effective medication reconciliation during care transitions involves:
A. Ignoring patient history
B. Reviewing all medications, dosages, and recent changes to avoid errors
C. Only focusing on new prescriptions
D. Delegating entirely to pharmacy
Answer: B
Rationale: Medication reconciliation ensures accuracy and safety, reducing the
risk of adverse drug events, duplication, or omissions. Nurses play a critical role in
reviewing and confirming patient medications during transitions.
8. The most common risk factor for falls in older adults is:
A. Age over 90 only
B. Impaired mobility, muscle weakness, and polypharmacy
C. Living alone
D. High fluid intake
, Answer: B
Rationale: Falls are multifactorial; risk factors include impaired balance, muscle
weakness, multiple medications, and chronic conditions. Identifying risks allows nurses
to implement preventive strategies such as exercise programs and medication review.
9. A primary goal of geriatric assessment is:
A. Diagnosing acute infections only
B. Evaluating physical, cognitive, emotional, and social functioning to guide
individualized care
C. Limiting the number of medications prescribed
D. Performing routine lab tests
Answer: B
Rationale: Comprehensive geriatric assessment evaluates multiple domains to
create a care plan tailored to the older adult’s needs, improving functional status,
independence, and quality of life.
10. Polypharmacy in older adults is defined as:
A. Using one prescription medication
B. Using five or more medications concurrently
C. Using herbal supplements only
D. Taking medications without insurance coverage
Answer: B
Rationale: Polypharmacy (≥5 medications) increases risks for drug interactions,
adverse effects, and noncompliance. Nurses should regularly review all medications
and collaborate with prescribers to minimize unnecessary prescriptions.
THE OLDER ADULT QUIZ 4 | QUESTIONS
AND ANSWERS | ALREADY GRADED A |
RASMUSSEN COLLEGE
1. Interventions should be:
A. General and flexible
B. Actionable and evidence-based; appropriately aligned with the stated outcome and
goal intended
C. Focused only on patient preference
D. Developed without reviewing patient history
Answer: B
Rationale: Nursing interventions must be specific, actionable, and evidence-
based, ensuring they directly support the desired patient outcomes. Aligning
interventions with goals improves patient safety and care effectiveness. Random or
vague interventions can lead to care inconsistencies.
2. During transitions from acute care settings, prescriptions are:
A. Rarely changed
B. Often changed or stopped, increasing the risk of medication injury, errors, and
noncompliance
C. Always carefully monitored and unchanged
D. Automatically adjusted for older adults
Answer: B
Rationale: Transitions between care settings often involve medication changes,
which can increase the risk of adverse drug events, omissions, or duplications.
Close monitoring and reconciliation are essential to prevent medication errors and
ensure continuity of care.
,3. GERI-PACT care model is associated with:
A. Long-term inpatient care
B. Outpatient geriatric evaluation
C. Pediatric care
D. Emergency care
Answer: B
Rationale: The Geriatric Patient-Aligned Care Team (Geri-PACT) model is
designed for outpatient geriatric evaluation, providing older adults with chronic
conditions coordinated, patient-centered care. It emphasizes continuity and
comprehensive assessment.
4. Geriatric Patient-Aligned Care Teams (Geri PACT) is a:
A. General nursing care team
B. Specialized patient care medical home model providing high-quality, coordinated
care to older adults over 65 at risk of negative health outcomes
C. Acute care team for emergencies
D. Home health service for pediatric patients
Answer: B
Rationale: Geri PACT provides a medical home model for older adults at higher risk
of poor health outcomes. It coordinates care across disciplines, addressing medical,
functional, and psychosocial needs, ensuring holistic management.
5. Geriatric Patient-Aligned Care Teams (Geri PACT) was initiated by:
A. Centers for Medicare & Medicaid Services
B. World Health Organization
C. Department of Veterans Affairs
D. American Nurses Association
Answer: C
Rationale: Geri PACT was initiated by the Department of Veterans Affairs to
enhance care coordination and quality for older veterans with multiple chronic
conditions. This initiative addresses gaps in geriatric primary care.
,6. Geri PACTs deliver focused care to Veterans with:
A. Acute infections only
B. Multiple chronic diseases, coexisting cognitive, functional, and psychosocial issues,
providing a single point-of-contact for interdisciplinary care
C. Pediatric conditions
D. Short-term injuries only
Answer: B
Rationale: Geri PACT targets older adults with complex health needs, offering an
interdisciplinary approach. The single point-of-contact model improves
communication, adherence, and patient/caregiver support.
7. Effective medication reconciliation during care transitions involves:
A. Ignoring patient history
B. Reviewing all medications, dosages, and recent changes to avoid errors
C. Only focusing on new prescriptions
D. Delegating entirely to pharmacy
Answer: B
Rationale: Medication reconciliation ensures accuracy and safety, reducing the
risk of adverse drug events, duplication, or omissions. Nurses play a critical role in
reviewing and confirming patient medications during transitions.
8. The most common risk factor for falls in older adults is:
A. Age over 90 only
B. Impaired mobility, muscle weakness, and polypharmacy
C. Living alone
D. High fluid intake
, Answer: B
Rationale: Falls are multifactorial; risk factors include impaired balance, muscle
weakness, multiple medications, and chronic conditions. Identifying risks allows nurses
to implement preventive strategies such as exercise programs and medication review.
9. A primary goal of geriatric assessment is:
A. Diagnosing acute infections only
B. Evaluating physical, cognitive, emotional, and social functioning to guide
individualized care
C. Limiting the number of medications prescribed
D. Performing routine lab tests
Answer: B
Rationale: Comprehensive geriatric assessment evaluates multiple domains to
create a care plan tailored to the older adult’s needs, improving functional status,
independence, and quality of life.
10. Polypharmacy in older adults is defined as:
A. Using one prescription medication
B. Using five or more medications concurrently
C. Using herbal supplements only
D. Taking medications without insurance coverage
Answer: B
Rationale: Polypharmacy (≥5 medications) increases risks for drug interactions,
adverse effects, and noncompliance. Nurses should regularly review all medications
and collaborate with prescribers to minimize unnecessary prescriptions.
