, 2
Gerontological Nursing (Eliopoulos)
Test Bank
Edition/Reference: 11th Edition
Chapter List
UNIT 1 THE AGING EXPERIENCE
Chapter 1: The Aging Population
Chapter 2: Theories of Aging
Chapter 3: Diversity
Chapter 4: Life Transitions and Story
Chapter 5: Common Aging Changes
UNIT 2 FOUNDATIONS OF GERONTOLOGICAL NURSING
Chapter 6: The Specialty of Gerontological Nursing
Chapter 7: Holistic Assessment and Care Planning
Chapter 8: Legal Aspects of Gerontological Nursing
Chapter 9: Ethical Aspects of Gerontological Nursing
Chapter 10: Continuum of Care in Gerontological Nursing
UNIT 3 HEALTH PROMOTION
Chapter 11: Nutrition and Hydration
Chapter 12: Sleep and Rest
Chapter 13: Comfort and Pain Management
Chapter 14: Safety
Chapter 15: Safe Medication Use
UNIT 4 GERIATRIC CARE
, 3
Chapter 16: Respiration
Chapter 17: Circulation
Chapter 18: Digestion and Bowel Elimination
Chapter 19: Urinary Elimination
Chapter 20: Reproductive System Health
Chapter 21: Mobility
Chapter 22: Neurologic Function
Chapter 23: Vision and Hearing
Chapter 24: Endocrine Function
Chapter 25: Skin Health
Chapter 26: Cancer
Chapter 27: Mental Health Disorders
Chapter 28: Delirium and Dementia
Chapter 29: Living in Harmony with Chronic Conditions
UNIT 5 SETTINGS AND SPECIAL ISSUES IN GERIATRIC CARE
Chapter 30: Spirituality
Chapter 31: Sexuality and Intimacy
Chapter 32: Rehabilitative and Restorative Care
Chapter 33: Acute Care
Chapter 34: Long-Term Care
Chapter 35: Family Caregiving
Chapter 36: End-of-Life Care
, 4
UNIT 1 THE AGING EXPERIENCE
Chapter 1: The Aging Population
Question 1. A nurse is planning care related to the aging population and wants to
address demographic trends. Which action is most appropriate?
A. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
B. Collect focused data, identify risk factors, and tailor the plan to the patient’s
current goals and functional status.
C. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
D. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
✅ Correct Answer: B
Rationale: B is correct because demographic trends in the aging population is best
managed when the nurse uses patient-specific assessment data and connects those
findings to a plan that is timely, individualized, and measurable. This approach
supports safer clinical judgment, better symptom recognition, and more relevant
education or follow-up. The other options are less appropriate because they either
delay needed assessment, rely on a one-size-fits-all response, minimize potentially
important findings, or substitute documentation for active nursing decision-making.
DIF: Easy
TOP: The Aging Population / demographic trends
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological
Adaptation
, 5
Question 2. Which finding best indicates that care involving dependency ratio is
effective in the context of the aging population?
A. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
B. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
C. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
D. Use the least invasive evidence-informed intervention first while monitoring for
changes that require escalation.
✅ Correct Answer: D
Rationale: D is correct because dependency ratio in the aging population is best
managed when the nurse uses patient-specific assessment data and connects those
findings to a plan that is timely, individualized, and measurable. This approach
supports safer clinical judgment, better symptom recognition, and more relevant
education or follow-up. The other options are less appropriate because they either
delay needed assessment, rely on a one-size-fits-all response, minimize potentially
important findings, or substitute documentation for active nursing decision-making.
DIF: Moderate
TOP: The Aging Population / dependency ratio
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 3. The nurse provides teaching about longevity patterns during care
focused on the aging population. Which statement by the patient shows correct
understanding?
A. Involve the patient and family in clear teaching that links symptoms, self-
management steps, and when to seek help.
, 6
B. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
C. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
D. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
✅ Correct Answer: A
Rationale: A is correct because longevity patterns in the aging population is best
managed when the nurse uses patient-specific assessment data and connects those
findings to a plan that is timely, individualized, and measurable. This approach
supports safer clinical judgment, better symptom recognition, and more relevant
education or follow-up. The other options are less appropriate because they either
delay needed assessment, rely on a one-size-fits-all response, minimize potentially
important findings, or substitute documentation for active nursing decision-making.
DIF: Hard
TOP: The Aging Population / longevity patterns
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological
Adaptation
Question 4. A patient scenario involving the aging population raises a question
about service planning. Which nursing response is best?
A. Coordinate with the interprofessional team so assessment findings translate into
timely, individualized care decisions.
B. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
C. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
, 7
D. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
✅ Correct Answer: A
Rationale: A is correct because service planning in the aging population is best
managed when the nurse uses patient-specific assessment data and connects those
findings to a plan that is timely, individualized, and measurable. This approach
supports safer clinical judgment, better symptom recognition, and more relevant
education or follow-up. The other options are less appropriate because they either
delay needed assessment, rely on a one-size-fits-all response, minimize potentially
important findings, or substitute documentation for active nursing decision-making.
DIF: Easy
TOP: The Aging Population / service planning
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 5. During assessment of a 68-year-old patient, the nurse identifies an
issue linked to demographic trends within the aging population. What is the
priority nursing action?
A. Collect focused data, identify risk factors, and tailor the plan to the patient’s
current goals and functional status.
B. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
C. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
D. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
✅ Correct Answer: A
Rationale: A is correct because demographic trends in the aging population is best
, 8
managed when the nurse uses patient-specific assessment data and connects those
findings to a plan that is timely, individualized, and measurable. This approach
supports safer clinical judgment, better symptom recognition, and more relevant
education or follow-up. The other options are less appropriate because they either
delay needed assessment, rely on a one-size-fits-all response, minimize potentially
important findings, or substitute documentation for active nursing decision-making.
DIF: Moderate
TOP: The Aging Population / demographic trends
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological
Adaptation
Question 6. A nurse is planning care related to the aging population and wants to
address dependency ratio. Which action is most appropriate?
A. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
B. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
C. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
D. Use the least invasive evidence-informed intervention first while monitoring for
changes that require escalation.
✅ Correct Answer: D
Rationale: D is correct because dependency ratio in the aging population is best
managed when the nurse uses patient-specific assessment data and connects those
findings to a plan that is timely, individualized, and measurable. This approach
supports safer clinical judgment, better symptom recognition, and more relevant
education or follow-up. The other options are less appropriate because they either