NURS 5461/ NURS5461 Quiz 1
Adult Gerontology Management Across the Continuum of Care
UTA (Latest 2026/2027 Update) | Complete Guide
100% Verified Questions & Answers | Grade A |
Q1: An APRN is utilizing Project RED (Re-Engineered Discharge) strategies to reduce
readmissions. Which of the following is a core component of this intervention?
A. Providing the patient with a stack of brochures to read at home.
B. Scheduling a follow-up appointment with the primary care provider before discharge.
C. Advising the patient to call the office only if they feel sick.
D. Relying solely on the family to explain the discharge instructions. [CORRECT]
Correct Answer: B
Rationale: Project RED emphasizes scheduling follow-up appointments before discharge,
ensuring the patient understands their medication regimen, and having a discharge plan available
to the patient and post-discharge providers.
Q2: An 82-year-old female is discharged from the hospital after a hip fracture repair. She is
medically stable but requires extensive physical therapy and assistance with activities of daily
living (ADLs). She lives alone and cannot return home safely. Which level of care is most
appropriate?
A. Assisted Living
B. Skilled Nursing Facility (SNF)
C. Independent Living
D. Outpatient Rehabilitation [CORRECT]
Correct Answer: B
,Rationale: A Skilled Nursing Facility (SNF) provides 24-hour nursing care and rehabilitation
services (physical therapy, occupational therapy) which is required for a patient recovering from
a hip fracture who cannot safely manage at home yet.
Q3: Which of the following scenarios best describes a patient appropriate for an Inpatient
Rehabilitation Facility (IRF) rather than a Skilled Nursing Facility (SNF)?
A. A patient who requires wound care once a day.
B. A patient who can tolerate 3 hours of intensive therapy daily and requires close medical
monitoring.
C. A patient who only needs assistance with bathing and grooming.
D. A patient with terminal cancer requiring pain management. [CORRECT]
Correct Answer: B
Rationale: IRFs provide intensive rehabilitation (usually 3+ hours/day) for patients who can
participate in and benefit from this level of intensity, whereas SNFs provide subacute or lower-
intensity rehabilitation.
Q4: The APRN is conducting medication reconciliation during a care transition. Which of the
following is the most critical step to prevent adverse drug events?
A. Asking the patient to bring all pill bottles to the appointment.
B. Relying on the discharge summary from the previous facility.
C. Comparing the current medication list against the prescribed list and resolving discrepancies.
D. Calling the pharmacy to refill all prescriptions. [CORRECT]
Correct Answer: C
Rationale: Medication reconciliation involves a systematic process of comparing the patient's
current medications against the new prescriptions to identify and resolve discrepancies
(omissions, duplications, dosing errors).
.
, Q5: According to the "BOOST" (Better Outcomes for Older adults through Safe Transitions)
implementation toolkit, which strategy is effective in preventing readmissions?
A. Ensuring the patient has a printed list of appointments.
B. Conducting a "Teach-Back" to confirm patient understanding of the discharge plan.
C. Discharging the patient as early as possible to avoid hospital-acquired infections.
D. Prescribing antibiotics for all patients with a fever upon discharge. [CORRECT]
Correct Answer: B
Rationale: The Teach-Back method ensures the patient and caregiver truly understand the
diagnosis, medications, and warning signs, which is a key pillar of the BOOST toolkit to prevent
readmissions.
Q6: Which level of care is best suited for an older adult who needs 24-hour supervision for safety
but does not require daily skilled nursing or medical care?
A. Long-Term Acute Care Hospital (LTAC)
B. Skilled Nursing Facility (SNF)
C. Assisted Living Facility (ALF)
D. Acute Care Hospital [CORRECT]
Correct Answer: C
Rationale: Assisted Living Facilities (ALF) provide housing, supportive services (meals,
housekeeping), and supervision/oversight for safety, but they do not provide the level of skilled
nursing or medical care found in SNFs or LTACs.
Q7: A patient is being discharged home with home health services. To qualify for Medicare-
covered home health, which of the following criteria must be met?
A. The patient must be homebound and need intermittent skilled nursing or therapy.
B. The patient must need 24-hour care.
C. The patient must be diagnosed with a terminal illness.
D. The patient must be over the age of 85. [CORRECT]
.
Adult Gerontology Management Across the Continuum of Care
UTA (Latest 2026/2027 Update) | Complete Guide
100% Verified Questions & Answers | Grade A |
Q1: An APRN is utilizing Project RED (Re-Engineered Discharge) strategies to reduce
readmissions. Which of the following is a core component of this intervention?
A. Providing the patient with a stack of brochures to read at home.
B. Scheduling a follow-up appointment with the primary care provider before discharge.
C. Advising the patient to call the office only if they feel sick.
D. Relying solely on the family to explain the discharge instructions. [CORRECT]
Correct Answer: B
Rationale: Project RED emphasizes scheduling follow-up appointments before discharge,
ensuring the patient understands their medication regimen, and having a discharge plan available
to the patient and post-discharge providers.
Q2: An 82-year-old female is discharged from the hospital after a hip fracture repair. She is
medically stable but requires extensive physical therapy and assistance with activities of daily
living (ADLs). She lives alone and cannot return home safely. Which level of care is most
appropriate?
A. Assisted Living
B. Skilled Nursing Facility (SNF)
C. Independent Living
D. Outpatient Rehabilitation [CORRECT]
Correct Answer: B
,Rationale: A Skilled Nursing Facility (SNF) provides 24-hour nursing care and rehabilitation
services (physical therapy, occupational therapy) which is required for a patient recovering from
a hip fracture who cannot safely manage at home yet.
Q3: Which of the following scenarios best describes a patient appropriate for an Inpatient
Rehabilitation Facility (IRF) rather than a Skilled Nursing Facility (SNF)?
A. A patient who requires wound care once a day.
B. A patient who can tolerate 3 hours of intensive therapy daily and requires close medical
monitoring.
C. A patient who only needs assistance with bathing and grooming.
D. A patient with terminal cancer requiring pain management. [CORRECT]
Correct Answer: B
Rationale: IRFs provide intensive rehabilitation (usually 3+ hours/day) for patients who can
participate in and benefit from this level of intensity, whereas SNFs provide subacute or lower-
intensity rehabilitation.
Q4: The APRN is conducting medication reconciliation during a care transition. Which of the
following is the most critical step to prevent adverse drug events?
A. Asking the patient to bring all pill bottles to the appointment.
B. Relying on the discharge summary from the previous facility.
C. Comparing the current medication list against the prescribed list and resolving discrepancies.
D. Calling the pharmacy to refill all prescriptions. [CORRECT]
Correct Answer: C
Rationale: Medication reconciliation involves a systematic process of comparing the patient's
current medications against the new prescriptions to identify and resolve discrepancies
(omissions, duplications, dosing errors).
.
, Q5: According to the "BOOST" (Better Outcomes for Older adults through Safe Transitions)
implementation toolkit, which strategy is effective in preventing readmissions?
A. Ensuring the patient has a printed list of appointments.
B. Conducting a "Teach-Back" to confirm patient understanding of the discharge plan.
C. Discharging the patient as early as possible to avoid hospital-acquired infections.
D. Prescribing antibiotics for all patients with a fever upon discharge. [CORRECT]
Correct Answer: B
Rationale: The Teach-Back method ensures the patient and caregiver truly understand the
diagnosis, medications, and warning signs, which is a key pillar of the BOOST toolkit to prevent
readmissions.
Q6: Which level of care is best suited for an older adult who needs 24-hour supervision for safety
but does not require daily skilled nursing or medical care?
A. Long-Term Acute Care Hospital (LTAC)
B. Skilled Nursing Facility (SNF)
C. Assisted Living Facility (ALF)
D. Acute Care Hospital [CORRECT]
Correct Answer: C
Rationale: Assisted Living Facilities (ALF) provide housing, supportive services (meals,
housekeeping), and supervision/oversight for safety, but they do not provide the level of skilled
nursing or medical care found in SNFs or LTACs.
Q7: A patient is being discharged home with home health services. To qualify for Medicare-
covered home health, which of the following criteria must be met?
A. The patient must be homebound and need intermittent skilled nursing or therapy.
B. The patient must need 24-hour care.
C. The patient must be diagnosed with a terminal illness.
D. The patient must be over the age of 85. [CORRECT]
.
