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Gerontological Nursing: Competencies
for Care (Mauk) Test Bank
Edition/Reference: 5th Edition
Chapters
1. Introduction to Gerontological Nursing
2. The Aging Population
3. Theories of Aging
4. Review of the Aging Physiological Systems
5. Teaching and Communication with Older Adults and Their Families
6. Comprehensive Assessment of the Older Adult
7. Promoting Healthy Aging, Independence, and Quality of Life
8. Identifying and Preventing Common Risk Factors Among Older Adults
9. Management of Common Illnesses, Diseases, and Health Conditions
10. Nursing Management of Dementia
11. Polypharmacy
12. Falls in Older Adults
13. Delirium
14. Anxiety and Depression in the Older Adult
15. Urinary Incontinence
16. Sleep Disorders
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17. Dysphagia and Malnutrition
18. Pressure Injuries
19. The Gerontological Nurse as Manager and Leader Within the Interprofessional
Team
20. Culture and Spirituality
21. Sexuality
22. Elder Abuse and Mistreatment
23. Pain Management and Alternative Health Modalities
24. Disaster Preparation, Response, and Recovery
25. End-of-Life Care
26. Care Transitions, System Models, and Health Policy in Aging
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Chapter 1: Introduction to Gerontological Nursing
1. A nurse is planning care related to Chapter 'Introduction to Gerontological
Nursing'. Which action best reflects the assessment priority when the goal is
age-sensitive care?
A. Prioritize a structured, patient-centered plan that addresses introduction to
gerontological nursing while using current assessment data and timely
reassessment.
B. Delay intervention until all possible secondary concerns are clarified, even if
priority findings are already present.
C. Use a routine approach that is unrelated to the patient’s current presentation so
care remains standardized.
D. Focus documentation on completed tasks only and omit the response to
interventions until the end of the shift.
Correct Answer: A
Rationale: This option is best because it integrates assessment, intervention, and
evaluation in a way that is directly tied to introduction to gerontological nursing. A
structured, patient-centered response supports safer decisions, earlier detection of
deterioration, and clearer communication with the team. The other options are
weaker because they either delay needed care, ignore individualized findings, or
separate documentation from clinical reasoning. High-quality nursing care in this
content area depends on linking observed cues to prompt action and then
reassessing whether the chosen strategy improved outcomes.
DIF: Easy
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TOP: Introduction to Gerontological Nursing
MSC: Client Needs: Safe and Effective Care Environment
2. A nurse is planning care related to Chapter 'Introduction to Gerontological
Nursing'. Which action best reflects the best initial nursing action when the
goal is age-sensitive care?
A. Prioritize a structured, patient-centered plan that addresses introduction to
gerontological nursing while using current assessment data and timely
reassessment.
B. Delay intervention until all possible secondary concerns are clarified, even if
priority findings are already present.
C. Use a routine approach that is unrelated to the patient’s current presentation so
care remains standardized.
D. Focus documentation on completed tasks only and omit the response to
interventions until the end of the shift.
Correct Answer: A
Rationale: This option is best because it integrates assessment, intervention, and
evaluation in a way that is directly tied to introduction to gerontological nursing. A
structured, patient-centered response supports safer decisions, earlier detection of
deterioration, and clearer communication with the team. The other options are
weaker because they either delay needed care, ignore individualized findings, or
separate documentation from clinical reasoning. High-quality nursing care in this
content area depends on linking observed cues to prompt action and then
reassessing whether the chosen strategy improved outcomes.
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DIF: Moderate
TOP: Introduction to Gerontological Nursing
MSC: Client Needs: Safe and Effective Care Environment
3. A nurse is planning care related to Chapter 'Introduction to Gerontological
Nursing'. Which action best reflects the patient teaching emphasis when the
goal is age-sensitive care?
A. Prioritize a structured, patient-centered plan that addresses introduction to
gerontological nursing while using current assessment data and timely
reassessment.
B. Delay intervention until all possible secondary concerns are clarified, even if
priority findings are already present.
C. Use a routine approach that is unrelated to the patient’s current presentation so
care remains standardized.
D. Focus documentation on completed tasks only and omit the response to
interventions until the end of the shift.
Correct Answer: A
Rationale: This option is best because it integrates assessment, intervention, and
evaluation in a way that is directly tied to introduction to gerontological nursing. A
structured, patient-centered response supports safer decisions, earlier detection of
deterioration, and clearer communication with the team. The other options are
weaker because they either delay needed care, ignore individualized findings, or
separate documentation from clinical reasoning. High-quality nursing care in this
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content area depends on linking observed cues to prompt action and then
reassessing whether the chosen strategy improved outcomes.
DIF: Difficult
TOP: Introduction to Gerontological Nursing
MSC: Client Needs: Safe and Effective Care Environment
4. A nurse is planning care related to Chapter 'Introduction to Gerontological
Nursing'. Which action best reflects the safety-focused intervention when the
goal is age-sensitive care?
A. Prioritize a structured, patient-centered plan that addresses introduction to
gerontological nursing while using current assessment data and timely
reassessment.
B. Delay intervention until all possible secondary concerns are clarified, even if
priority findings are already present.
C. Use a routine approach that is unrelated to the patient’s current presentation so
care remains standardized.
D. Focus documentation on completed tasks only and omit the response to
interventions until the end of the shift.
Correct Answer: A
Rationale: This option is best because it integrates assessment, intervention, and
evaluation in a way that is directly tied to introduction to gerontological nursing. A
structured, patient-centered response supports safer decisions, earlier detection of
deterioration, and clearer communication with the team. The other options are
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weaker because they either delay needed care, ignore individualized findings, or
separate documentation from clinical reasoning. High-quality nursing care in this
content area depends on linking observed cues to prompt action and then
reassessing whether the chosen strategy improved outcomes.
DIF: Easy
TOP: Introduction to Gerontological Nursing
MSC: Client Needs: Safe and Effective Care Environment
5. A nurse is planning care related to Chapter 'Introduction to Gerontological
Nursing'. Which action best reflects the clinical interpretation when the goal
is age-sensitive care?
A. Prioritize a structured, patient-centered plan that addresses introduction to
gerontological nursing while using current assessment data and timely
reassessment.
B. Delay intervention until all possible secondary concerns are clarified, even if
priority findings are already present.
C. Use a routine approach that is unrelated to the patient’s current presentation so
care remains standardized.
D. Focus documentation on completed tasks only and omit the response to
interventions until the end of the shift.
Correct Answer: A
Rationale: This option is best because it integrates assessment, intervention, and
evaluation in a way that is directly tied to introduction to gerontological nursing. A
, 2
Gerontological Nursing: Competencies
for Care (Mauk) Test Bank
Edition/Reference: 5th Edition
Chapters
1. Introduction to Gerontological Nursing
2. The Aging Population
3. Theories of Aging
4. Review of the Aging Physiological Systems
5. Teaching and Communication with Older Adults and Their Families
6. Comprehensive Assessment of the Older Adult
7. Promoting Healthy Aging, Independence, and Quality of Life
8. Identifying and Preventing Common Risk Factors Among Older Adults
9. Management of Common Illnesses, Diseases, and Health Conditions
10. Nursing Management of Dementia
11. Polypharmacy
12. Falls in Older Adults
13. Delirium
14. Anxiety and Depression in the Older Adult
15. Urinary Incontinence
16. Sleep Disorders
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17. Dysphagia and Malnutrition
18. Pressure Injuries
19. The Gerontological Nurse as Manager and Leader Within the Interprofessional
Team
20. Culture and Spirituality
21. Sexuality
22. Elder Abuse and Mistreatment
23. Pain Management and Alternative Health Modalities
24. Disaster Preparation, Response, and Recovery
25. End-of-Life Care
26. Care Transitions, System Models, and Health Policy in Aging
, 4
Chapter 1: Introduction to Gerontological Nursing
1. A nurse is planning care related to Chapter 'Introduction to Gerontological
Nursing'. Which action best reflects the assessment priority when the goal is
age-sensitive care?
A. Prioritize a structured, patient-centered plan that addresses introduction to
gerontological nursing while using current assessment data and timely
reassessment.
B. Delay intervention until all possible secondary concerns are clarified, even if
priority findings are already present.
C. Use a routine approach that is unrelated to the patient’s current presentation so
care remains standardized.
D. Focus documentation on completed tasks only and omit the response to
interventions until the end of the shift.
Correct Answer: A
Rationale: This option is best because it integrates assessment, intervention, and
evaluation in a way that is directly tied to introduction to gerontological nursing. A
structured, patient-centered response supports safer decisions, earlier detection of
deterioration, and clearer communication with the team. The other options are
weaker because they either delay needed care, ignore individualized findings, or
separate documentation from clinical reasoning. High-quality nursing care in this
content area depends on linking observed cues to prompt action and then
reassessing whether the chosen strategy improved outcomes.
DIF: Easy
, 5
TOP: Introduction to Gerontological Nursing
MSC: Client Needs: Safe and Effective Care Environment
2. A nurse is planning care related to Chapter 'Introduction to Gerontological
Nursing'. Which action best reflects the best initial nursing action when the
goal is age-sensitive care?
A. Prioritize a structured, patient-centered plan that addresses introduction to
gerontological nursing while using current assessment data and timely
reassessment.
B. Delay intervention until all possible secondary concerns are clarified, even if
priority findings are already present.
C. Use a routine approach that is unrelated to the patient’s current presentation so
care remains standardized.
D. Focus documentation on completed tasks only and omit the response to
interventions until the end of the shift.
Correct Answer: A
Rationale: This option is best because it integrates assessment, intervention, and
evaluation in a way that is directly tied to introduction to gerontological nursing. A
structured, patient-centered response supports safer decisions, earlier detection of
deterioration, and clearer communication with the team. The other options are
weaker because they either delay needed care, ignore individualized findings, or
separate documentation from clinical reasoning. High-quality nursing care in this
content area depends on linking observed cues to prompt action and then
reassessing whether the chosen strategy improved outcomes.
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DIF: Moderate
TOP: Introduction to Gerontological Nursing
MSC: Client Needs: Safe and Effective Care Environment
3. A nurse is planning care related to Chapter 'Introduction to Gerontological
Nursing'. Which action best reflects the patient teaching emphasis when the
goal is age-sensitive care?
A. Prioritize a structured, patient-centered plan that addresses introduction to
gerontological nursing while using current assessment data and timely
reassessment.
B. Delay intervention until all possible secondary concerns are clarified, even if
priority findings are already present.
C. Use a routine approach that is unrelated to the patient’s current presentation so
care remains standardized.
D. Focus documentation on completed tasks only and omit the response to
interventions until the end of the shift.
Correct Answer: A
Rationale: This option is best because it integrates assessment, intervention, and
evaluation in a way that is directly tied to introduction to gerontological nursing. A
structured, patient-centered response supports safer decisions, earlier detection of
deterioration, and clearer communication with the team. The other options are
weaker because they either delay needed care, ignore individualized findings, or
separate documentation from clinical reasoning. High-quality nursing care in this
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content area depends on linking observed cues to prompt action and then
reassessing whether the chosen strategy improved outcomes.
DIF: Difficult
TOP: Introduction to Gerontological Nursing
MSC: Client Needs: Safe and Effective Care Environment
4. A nurse is planning care related to Chapter 'Introduction to Gerontological
Nursing'. Which action best reflects the safety-focused intervention when the
goal is age-sensitive care?
A. Prioritize a structured, patient-centered plan that addresses introduction to
gerontological nursing while using current assessment data and timely
reassessment.
B. Delay intervention until all possible secondary concerns are clarified, even if
priority findings are already present.
C. Use a routine approach that is unrelated to the patient’s current presentation so
care remains standardized.
D. Focus documentation on completed tasks only and omit the response to
interventions until the end of the shift.
Correct Answer: A
Rationale: This option is best because it integrates assessment, intervention, and
evaluation in a way that is directly tied to introduction to gerontological nursing. A
structured, patient-centered response supports safer decisions, earlier detection of
deterioration, and clearer communication with the team. The other options are
, 8
weaker because they either delay needed care, ignore individualized findings, or
separate documentation from clinical reasoning. High-quality nursing care in this
content area depends on linking observed cues to prompt action and then
reassessing whether the chosen strategy improved outcomes.
DIF: Easy
TOP: Introduction to Gerontological Nursing
MSC: Client Needs: Safe and Effective Care Environment
5. A nurse is planning care related to Chapter 'Introduction to Gerontological
Nursing'. Which action best reflects the clinical interpretation when the goal
is age-sensitive care?
A. Prioritize a structured, patient-centered plan that addresses introduction to
gerontological nursing while using current assessment data and timely
reassessment.
B. Delay intervention until all possible secondary concerns are clarified, even if
priority findings are already present.
C. Use a routine approach that is unrelated to the patient’s current presentation so
care remains standardized.
D. Focus documentation on completed tasks only and omit the response to
interventions until the end of the shift.
Correct Answer: A
Rationale: This option is best because it integrates assessment, intervention, and
evaluation in a way that is directly tied to introduction to gerontological nursing. A
