GERIATRIC HESI PACKAGE DEAL
COMPREHENSIVE SCRIPT 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
⩥ You are providing care for a patient who has been admitted to the
hospital after a fall. Which of the following is NOT appropriate when
providing patient education for when the patient returns home?
The patient should resume regular activities as soon as possible.
The patient should avoid returning to full activity until he is fully
recovered.
The patient should take extra care of his feet.
The patient should engage in some type of regular exercise. Answer:
The patient should avoid returning to full activity until he is fully
recovered.
Patients who have suffered a fall should return to normal activity as soon
as possible. Avoiding routine activities may increase fear of falling and
actually increase the risk of falling. Regular exercise and foot care can
also help reduce the risk of falls.
⩥ Which of the following is true when performing a functional
assessment with a geriatric patient?
,It may be necessary to allow more time for the assessment if the patient
has impaired mobility.
It is not necessary to perform the assessment if the patient uses a
wheelchair.
It may be necessary to bring in someone to assist the patient with the
assessment.
It is only necessary when the patient returns for follow-up after
treatment.. Answer: It may be necessary to allow more time for the
assessment if the patient has impaired mobility.
Functional assessments may take longer with geriatric patients due to
impaired mobility. Allow for extra time to conduct the functional
assessment if you are working with a geriatric patient whose mobility is
limited.
⩥ You are managing a patient who has irritable bowel syndrome (IBS).
Altering the gut pain threshold in IBS is a possible therapeutic outcome
with the use of:
amitriptyline (Elavil)
loperamide (Immodium)
dicyclomine (Bentyl)
metrodionazole (Flagyl). Answer: amitriptyline (Elavil)
,Low dose tricyclic antidepressant or selective serotonin reuptake
inhibitor use can be helpful in altering the gut pain threshold, resulting in
less abdominal pain. Imodium and Bentyl are prescribed to treat
diarrhea. Flagyl is not used in IBS, but is used to treat certain types of
infectious colitis.
⩥ Which of the following is NOT a sign of depression in an older adult?
She neglects personal grooming.
She has difficulty concentrating.
She often becomes lost even in familiar places.
She worries about lapses in memory.. Answer: She often becomes lost
even in familiar places.
Older adults who are depressed may have trouble concentrating or may
have memory lapses. They often express concern about these lapses.
Depression may lead to neglect of personal grooming as well.
Depression does not lead to patients being disoriented or becoming
easily lost. These symptoms are more often associated with dementia.
⩥ Change can be scary to anyone, but may be especially hard to deal
with in the elderly population. According to the Lewin Theory of
Change, which of the following is the second step?
Freezing.
, Resisting.
Unfreezing
Change.. Answer: Change.
The Lewin Theory of Change represents three steps with regard to
change. These are: Unfreezing - During this step, the individual realizes
change is necessary and mentally prepares himself to do so. Change -
Self-explanatory. Freezing (or refreezing) - Once the change has taken
place, the individual regains a sense of stability or normalcy.
⩥ Which medication can cause urinary incontinence by relaxing the
internal urethral sphincter and is used to treat BPH for this reason?
librium, a benzodiazepine
furosemide, a diuretic
prazosin, an alpha-adrenergic antagonist
amitripylline, a tricyclic antidepressant. Answer: prazosin, an alpha-
adrenergic antagonist
This is not a good medication to use with a woman who has continence
issues. These medication s potentially increase the risk of postural
hypotension in the older adult, as well. Benzodiazepines cause alteration
in sensorium and can lead to functional urinary incontinence. Diuretics
increase frequency of voiding and volume of urine. Tricyclic
COMPREHENSIVE SCRIPT 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
⩥ You are providing care for a patient who has been admitted to the
hospital after a fall. Which of the following is NOT appropriate when
providing patient education for when the patient returns home?
The patient should resume regular activities as soon as possible.
The patient should avoid returning to full activity until he is fully
recovered.
The patient should take extra care of his feet.
The patient should engage in some type of regular exercise. Answer:
The patient should avoid returning to full activity until he is fully
recovered.
Patients who have suffered a fall should return to normal activity as soon
as possible. Avoiding routine activities may increase fear of falling and
actually increase the risk of falling. Regular exercise and foot care can
also help reduce the risk of falls.
⩥ Which of the following is true when performing a functional
assessment with a geriatric patient?
,It may be necessary to allow more time for the assessment if the patient
has impaired mobility.
It is not necessary to perform the assessment if the patient uses a
wheelchair.
It may be necessary to bring in someone to assist the patient with the
assessment.
It is only necessary when the patient returns for follow-up after
treatment.. Answer: It may be necessary to allow more time for the
assessment if the patient has impaired mobility.
Functional assessments may take longer with geriatric patients due to
impaired mobility. Allow for extra time to conduct the functional
assessment if you are working with a geriatric patient whose mobility is
limited.
⩥ You are managing a patient who has irritable bowel syndrome (IBS).
Altering the gut pain threshold in IBS is a possible therapeutic outcome
with the use of:
amitriptyline (Elavil)
loperamide (Immodium)
dicyclomine (Bentyl)
metrodionazole (Flagyl). Answer: amitriptyline (Elavil)
,Low dose tricyclic antidepressant or selective serotonin reuptake
inhibitor use can be helpful in altering the gut pain threshold, resulting in
less abdominal pain. Imodium and Bentyl are prescribed to treat
diarrhea. Flagyl is not used in IBS, but is used to treat certain types of
infectious colitis.
⩥ Which of the following is NOT a sign of depression in an older adult?
She neglects personal grooming.
She has difficulty concentrating.
She often becomes lost even in familiar places.
She worries about lapses in memory.. Answer: She often becomes lost
even in familiar places.
Older adults who are depressed may have trouble concentrating or may
have memory lapses. They often express concern about these lapses.
Depression may lead to neglect of personal grooming as well.
Depression does not lead to patients being disoriented or becoming
easily lost. These symptoms are more often associated with dementia.
⩥ Change can be scary to anyone, but may be especially hard to deal
with in the elderly population. According to the Lewin Theory of
Change, which of the following is the second step?
Freezing.
, Resisting.
Unfreezing
Change.. Answer: Change.
The Lewin Theory of Change represents three steps with regard to
change. These are: Unfreezing - During this step, the individual realizes
change is necessary and mentally prepares himself to do so. Change -
Self-explanatory. Freezing (or refreezing) - Once the change has taken
place, the individual regains a sense of stability or normalcy.
⩥ Which medication can cause urinary incontinence by relaxing the
internal urethral sphincter and is used to treat BPH for this reason?
librium, a benzodiazepine
furosemide, a diuretic
prazosin, an alpha-adrenergic antagonist
amitripylline, a tricyclic antidepressant. Answer: prazosin, an alpha-
adrenergic antagonist
This is not a good medication to use with a woman who has continence
issues. These medication s potentially increase the risk of postural
hypotension in the older adult, as well. Benzodiazepines cause alteration
in sensorium and can lead to functional urinary incontinence. Diuretics
increase frequency of voiding and volume of urine. Tricyclic
