NUR 257- Exam 2 Enrichment Questions and Correct Answers (verified answers)
| New Version | Galen College of Nursing
Question 1
As a nurse, what is the primary method used to establish rapport with an older adult patient?
A) Handing the patient a written questionnaire to fill out alone.
B) Conducting an interview, using report by proxy, and observation/assessment.
C) Asking the family to leave the room immediately upon arrival.
D) Performing a physical exam before introducing yourself.
E) Only speaking to the patient's power of attorney.
Correct Answer: B) Conducting an interview, using report by proxy, and
observation/assessment.
Rationale: Establishing rapport in nursing involves a combination of direct communication
(interview), gathering data from secondary sources (proxy), and clinical observation.
Question 2
What does "report by proxy" mean in the context of geriatric assessment?
A) The patient provides their own medical history.
B) The nurse uses a computer to generate a report.
C) Information is obtained from a family member or caregiver when the patient cannot provide
it.
D) The physician dictates the assessment to the nurse.
E) The patient uses sign language to communicate.
Correct Answer: C) Information is obtained from a family member or caregiver when the
patient cannot provide it.
Rationale: Proxy reports are essential when assessing older adults with cognitive
impairments or those who are unable to communicate their own history.
Question 3
Establishing rapport is essential because it:
A) Increases the speed of the physical assessment.
B) Ensures the patient will agree to all treatments.
C) Builds trust and facilitates the collection of accurate data.
D) Allows the nurse to skip the Mini-Mental State Exam.
E) Decreases the need for a family report.
Correct Answer: C) Builds trust and facilitates the collection of accurate data.
Rationale: Rapport is the foundation of a therapeutic relationship, making the patient more
comfortable sharing sensitive information.
Question 4
The Mini-Mental State Exam (MMSE) is primarily used to screen for which of the following?
A) Physical mobility and gait.
B) Cognitive status and orientation.
C) Nutritional deficiencies.
, 2
D) Skin breakdown and pressure ulcers.
E) Respiratory function and aeration.
Correct Answer: B) Cognitive status and orientation.
Rationale: The MMSE is a validated tool used to screen for cognitive impairment and
monitor changes in mental status over time.
Question 5
Which of the following is a component of the Mini-Mental State Exam (MMSE)?
A) Measuring the patient’s blood pressure.
B) Assessing the patient’s ability to walk 10 feet.
C) Testing short-term memory and attention.
D) Observing for signs of incontinence.
E) Calculating the patient's Body Mass Index (BMI).
Correct Answer: C) Testing short-term memory and attention.
Rationale: The MMSE evaluates five areas of cognitive function: orientation, registration,
attention and calculation, recall (memory), and language.
Question 6
A patient is asked to copy a complex geometric figure during an assessment. Which skill is being
evaluated?
A) Calculation ability.
B) Auditory comprehension.
C) Visuospatial proficiency.
D) Short-term recall.
E) Socialization.
Correct Answer: C) Visuospatial proficiency.
Rationale: The ability to correctly copy a figure (like intersecting pentagons) is a measure of
visuospatial proficiency within the MMSE.
Question 7
The Fulmer SPICES tool is used to assess which of the following?
A) Pediatric developmental milestones.
B) Common geriatric syndromes.
C) Critical care hemodynamics.
D) Maternal-fetal health.
E) Adolescent psychiatric disorders.
Correct Answer: B) Common geriatric syndromes.
Rationale: SPICES is an acronym representing six common "geriatric syndromes" that can
lead to increased morbidity and mortality in older adults.
, 3
Question 8
In the SPICES tool, what does the "S" stand for?
A) Socialization.
B) Sleep problems.
C) Skin turgor.
D) Sexual dysfunction.
E) Spiritual distress.
Correct Answer: B) Sleep problems.
Rationale: Sleep problems (S) is the first component of the SPICES tool, as sleep
disturbances are common in the elderly.
Question 9
Which of the following is assessed under the "P" in the Fulmer SPICES tool?
A) Pain management.
B) Pressure ulcer prevention.
C) Problems with eating and feeding.
D) Psychological distress.
E) Peripheral vascular disease.
Correct Answer: C) Problems with eating and feeding.
Rationale: P stands for Problems with eating and feeding, which often leads to malnutrition
in older adults.
Question 10
The "I" in SPICES stands for:
A) Intellectual impairment.
B) Infection.
C) Incontinence.
D) Insomnia.
E) Intravenous access.
Correct Answer: C) Incontinence.
Rationale: Incontinence (I) is a significant geriatric syndrome that affects quality of life and
skin integrity.
Question 11
When using the SPICES tool, the "C" stands for:
A) Calculation.
B) Communication.
C) Confusion.
D) Cardiovascular health.
E) Constipation.
Correct Answer: C) Confusion.
| New Version | Galen College of Nursing
Question 1
As a nurse, what is the primary method used to establish rapport with an older adult patient?
A) Handing the patient a written questionnaire to fill out alone.
B) Conducting an interview, using report by proxy, and observation/assessment.
C) Asking the family to leave the room immediately upon arrival.
D) Performing a physical exam before introducing yourself.
E) Only speaking to the patient's power of attorney.
Correct Answer: B) Conducting an interview, using report by proxy, and
observation/assessment.
Rationale: Establishing rapport in nursing involves a combination of direct communication
(interview), gathering data from secondary sources (proxy), and clinical observation.
Question 2
What does "report by proxy" mean in the context of geriatric assessment?
A) The patient provides their own medical history.
B) The nurse uses a computer to generate a report.
C) Information is obtained from a family member or caregiver when the patient cannot provide
it.
D) The physician dictates the assessment to the nurse.
E) The patient uses sign language to communicate.
Correct Answer: C) Information is obtained from a family member or caregiver when the
patient cannot provide it.
Rationale: Proxy reports are essential when assessing older adults with cognitive
impairments or those who are unable to communicate their own history.
Question 3
Establishing rapport is essential because it:
A) Increases the speed of the physical assessment.
B) Ensures the patient will agree to all treatments.
C) Builds trust and facilitates the collection of accurate data.
D) Allows the nurse to skip the Mini-Mental State Exam.
E) Decreases the need for a family report.
Correct Answer: C) Builds trust and facilitates the collection of accurate data.
Rationale: Rapport is the foundation of a therapeutic relationship, making the patient more
comfortable sharing sensitive information.
Question 4
The Mini-Mental State Exam (MMSE) is primarily used to screen for which of the following?
A) Physical mobility and gait.
B) Cognitive status and orientation.
C) Nutritional deficiencies.
, 2
D) Skin breakdown and pressure ulcers.
E) Respiratory function and aeration.
Correct Answer: B) Cognitive status and orientation.
Rationale: The MMSE is a validated tool used to screen for cognitive impairment and
monitor changes in mental status over time.
Question 5
Which of the following is a component of the Mini-Mental State Exam (MMSE)?
A) Measuring the patient’s blood pressure.
B) Assessing the patient’s ability to walk 10 feet.
C) Testing short-term memory and attention.
D) Observing for signs of incontinence.
E) Calculating the patient's Body Mass Index (BMI).
Correct Answer: C) Testing short-term memory and attention.
Rationale: The MMSE evaluates five areas of cognitive function: orientation, registration,
attention and calculation, recall (memory), and language.
Question 6
A patient is asked to copy a complex geometric figure during an assessment. Which skill is being
evaluated?
A) Calculation ability.
B) Auditory comprehension.
C) Visuospatial proficiency.
D) Short-term recall.
E) Socialization.
Correct Answer: C) Visuospatial proficiency.
Rationale: The ability to correctly copy a figure (like intersecting pentagons) is a measure of
visuospatial proficiency within the MMSE.
Question 7
The Fulmer SPICES tool is used to assess which of the following?
A) Pediatric developmental milestones.
B) Common geriatric syndromes.
C) Critical care hemodynamics.
D) Maternal-fetal health.
E) Adolescent psychiatric disorders.
Correct Answer: B) Common geriatric syndromes.
Rationale: SPICES is an acronym representing six common "geriatric syndromes" that can
lead to increased morbidity and mortality in older adults.
, 3
Question 8
In the SPICES tool, what does the "S" stand for?
A) Socialization.
B) Sleep problems.
C) Skin turgor.
D) Sexual dysfunction.
E) Spiritual distress.
Correct Answer: B) Sleep problems.
Rationale: Sleep problems (S) is the first component of the SPICES tool, as sleep
disturbances are common in the elderly.
Question 9
Which of the following is assessed under the "P" in the Fulmer SPICES tool?
A) Pain management.
B) Pressure ulcer prevention.
C) Problems with eating and feeding.
D) Psychological distress.
E) Peripheral vascular disease.
Correct Answer: C) Problems with eating and feeding.
Rationale: P stands for Problems with eating and feeding, which often leads to malnutrition
in older adults.
Question 10
The "I" in SPICES stands for:
A) Intellectual impairment.
B) Infection.
C) Incontinence.
D) Insomnia.
E) Intravenous access.
Correct Answer: C) Incontinence.
Rationale: Incontinence (I) is a significant geriatric syndrome that affects quality of life and
skin integrity.
Question 11
When using the SPICES tool, the "C" stands for:
A) Calculation.
B) Communication.
C) Confusion.
D) Cardiovascular health.
E) Constipation.
Correct Answer: C) Confusion.
