NUR 2214 Nursing Care of the Older Adult
Quiz 4 Practice Questions and Answers
1. Dementia Care Models
Which system can be used to improve access and quality of dementia care for patients
and caregivers in rural areas?
A. Hospice
• B. Telehealth
C. Assisted living
D. Home health nursing
Answer: Telehealth – Telehealth expands access to specialized dementia care in
underserved areas.
2. Purpose of Care Models
Which statement best describes the purpose of most care models in older adults?
A. Focuses only on acute illness treatment
• B. Targets interventions to maintain health and well-being
C. Provides only end-of-life care
D. Reduces hospital staffing needs
Answer: Targets interventions to maintain health and well-being – Care models
emphasize prevention and holistic support.
3. Future of Care Models
Which statement best describes the future of care models in older adults?
A. Reliance on traditional hospital-based care
• B. New care delivery models are needed to improve primary health care
C. Focus only on pharmacological interventions
D. Elimination of community-based services
Answer: New care delivery models are needed to improve primary health care –
Innovation is required to meet aging population needs.
4. Dementia Symptom Management
Which intervention is most effective in reducing agitation in dementia patients?
A. Physical restraints
• B. Structured routine and familiar environment
C. Increasing medication dosage
D. Social isolation
Answer: Structured routine and familiar environment – Predictability reduces confusion
and agitation.
5. Polypharmacy in Older Adults
Polypharmacy increases the risk of:
A. Improved adherence
• B. Drug interactions and adverse effects
,C. Enhanced cognitive function
D. Reduced hospitalization
Answer: Drug interactions and adverse effects – Multiple medications heighten risks in
older adults.
6. Fall Prevention
Which nursing intervention is most effective in preventing falls in older adults?
A. Encourage bed rest
• B. Install grab bars and ensure adequate lighting
C. Limit mobility
D. Increase sedative use
Answer: Install grab bars and ensure adequate lighting – Environmental modifications
reduce fall risk.
7. Depression in Older Adults
Which statement is true about depression in older adults?
A. It is a normal part of aging
• B. It is a treatable medical condition
C. It always resolves without intervention
D. It is rare in nursing home residents
Answer: It is a treatable medical condition – Depression requires recognition and
treatment.
8. Nutrition in Older Adults
Which nutrient is most important to prevent osteoporosis in older adults?
A. Vitamin C
• B. Calcium and Vitamin D
C. Iron
D. Potassium
Answer: Calcium and Vitamin D
9. Delirium vs Dementia
Which feature distinguishes delirium from dementia?
A. Gradual onset
• B. Acute onset and fluctuating course
C. Progressive decline
D. Irreversible condition
Answer: Acute onset and fluctuating course
10. Pressure Injury Prevention
Which intervention is most effective in preventing pressure injuries?
A. Restricting fluids
• B. Frequent repositioning and skin assessment
C. Applying restraints
D. Increasing sedatives
Answer: Frequent repositioning and skin assessment
, 11. Elder Abuse Indicators
Which finding may indicate elder abuse?
A. Consistent medication adherence
• B. Unexplained bruises or burns
C. Appropriate clothing for weather
D. Regular medical visits
Answer: Unexplained bruises or burns
12. Polypharmacy Management
What is the nurse’s best action to reduce polypharmacy risks?
A. Encourage self-medication
• B. Review medications regularly with provider
C. Increase dosage for effectiveness
D. Avoid discussing side effects
Answer: Review medications regularly with provider
13. Sleep in Older Adults
Which intervention promotes sleep in older adults?
A. Encourage daytime naps
• B. Maintain consistent bedtime routine
C. Increase caffeine intake
D. Use sedatives nightly
Answer: Maintain consistent bedtime routine
14. Urinary Incontinence
Which intervention is most appropriate for stress incontinence?
A. Restrict fluids
• B. Pelvic floor (Kegel) exercises
C. Indwelling catheter
D. Increase diuretics
Answer: Pelvic floor (Kegel) exercises
15. Cognitive Stimulation
Which activity best supports cognitive function in older adults?
A. Social isolation
• B. Crossword puzzles and group activities
C. Sedative use
D. Limiting conversation
Answer: Crossword puzzles and group activities
16. Medication Safety
Which teaching is most important for older adults taking multiple medications?
A. Store pills in multiple containers
• B. Use a pill organizer and follow schedule
C. Skip doses when feeling well
Quiz 4 Practice Questions and Answers
1. Dementia Care Models
Which system can be used to improve access and quality of dementia care for patients
and caregivers in rural areas?
A. Hospice
• B. Telehealth
C. Assisted living
D. Home health nursing
Answer: Telehealth – Telehealth expands access to specialized dementia care in
underserved areas.
2. Purpose of Care Models
Which statement best describes the purpose of most care models in older adults?
A. Focuses only on acute illness treatment
• B. Targets interventions to maintain health and well-being
C. Provides only end-of-life care
D. Reduces hospital staffing needs
Answer: Targets interventions to maintain health and well-being – Care models
emphasize prevention and holistic support.
3. Future of Care Models
Which statement best describes the future of care models in older adults?
A. Reliance on traditional hospital-based care
• B. New care delivery models are needed to improve primary health care
C. Focus only on pharmacological interventions
D. Elimination of community-based services
Answer: New care delivery models are needed to improve primary health care –
Innovation is required to meet aging population needs.
4. Dementia Symptom Management
Which intervention is most effective in reducing agitation in dementia patients?
A. Physical restraints
• B. Structured routine and familiar environment
C. Increasing medication dosage
D. Social isolation
Answer: Structured routine and familiar environment – Predictability reduces confusion
and agitation.
5. Polypharmacy in Older Adults
Polypharmacy increases the risk of:
A. Improved adherence
• B. Drug interactions and adverse effects
,C. Enhanced cognitive function
D. Reduced hospitalization
Answer: Drug interactions and adverse effects – Multiple medications heighten risks in
older adults.
6. Fall Prevention
Which nursing intervention is most effective in preventing falls in older adults?
A. Encourage bed rest
• B. Install grab bars and ensure adequate lighting
C. Limit mobility
D. Increase sedative use
Answer: Install grab bars and ensure adequate lighting – Environmental modifications
reduce fall risk.
7. Depression in Older Adults
Which statement is true about depression in older adults?
A. It is a normal part of aging
• B. It is a treatable medical condition
C. It always resolves without intervention
D. It is rare in nursing home residents
Answer: It is a treatable medical condition – Depression requires recognition and
treatment.
8. Nutrition in Older Adults
Which nutrient is most important to prevent osteoporosis in older adults?
A. Vitamin C
• B. Calcium and Vitamin D
C. Iron
D. Potassium
Answer: Calcium and Vitamin D
9. Delirium vs Dementia
Which feature distinguishes delirium from dementia?
A. Gradual onset
• B. Acute onset and fluctuating course
C. Progressive decline
D. Irreversible condition
Answer: Acute onset and fluctuating course
10. Pressure Injury Prevention
Which intervention is most effective in preventing pressure injuries?
A. Restricting fluids
• B. Frequent repositioning and skin assessment
C. Applying restraints
D. Increasing sedatives
Answer: Frequent repositioning and skin assessment
, 11. Elder Abuse Indicators
Which finding may indicate elder abuse?
A. Consistent medication adherence
• B. Unexplained bruises or burns
C. Appropriate clothing for weather
D. Regular medical visits
Answer: Unexplained bruises or burns
12. Polypharmacy Management
What is the nurse’s best action to reduce polypharmacy risks?
A. Encourage self-medication
• B. Review medications regularly with provider
C. Increase dosage for effectiveness
D. Avoid discussing side effects
Answer: Review medications regularly with provider
13. Sleep in Older Adults
Which intervention promotes sleep in older adults?
A. Encourage daytime naps
• B. Maintain consistent bedtime routine
C. Increase caffeine intake
D. Use sedatives nightly
Answer: Maintain consistent bedtime routine
14. Urinary Incontinence
Which intervention is most appropriate for stress incontinence?
A. Restrict fluids
• B. Pelvic floor (Kegel) exercises
C. Indwelling catheter
D. Increase diuretics
Answer: Pelvic floor (Kegel) exercises
15. Cognitive Stimulation
Which activity best supports cognitive function in older adults?
A. Social isolation
• B. Crossword puzzles and group activities
C. Sedative use
D. Limiting conversation
Answer: Crossword puzzles and group activities
16. Medication Safety
Which teaching is most important for older adults taking multiple medications?
A. Store pills in multiple containers
• B. Use a pill organizer and follow schedule
C. Skip doses when feeling well
