C475 Care of the
Older Adult | WGU |
Complete 100-
Question Test Bank |
Latest 2025/2026
,Table of Contents
C475 Care of the Older Adult | WGU | Complete 100-Question Test Bank | Latest 2025/2026 . 1
...................................................................................................................................................................... 2
Section 1: Competency 1 – Compassionate & Respectful Care (Questions 1-17)
...................................................................................................................................................................... 2
Section 3 Key Takeaways (Competency 3) ................................................................................. 42
Section 4: Competency 4 – Promoting Independence & Reducing Risk (Questions 51-66) ..... 42
Section 4 Key Takeaways (Competency 4) ................................................................................. 54
Section 5: Competency 5 – Physiological & Psychological Changes (Questions 67-82) ............ 55
Section 5 Key Takeaways (Competency 5) ................................................................................. 68
Section 6: Competency 6 – Technology-Assisted Care (Questions 83-100)................................. 68
Section 6 Key Takeaways (Competency 6) ................................................................................. 83
Section 1: Competency 1 – Compassionate & Respectful Care (Questions
1-17)
Question 1
A nurse tells a newly admitted 85-year-old patient, "Don't worry your pretty
little head about the medication schedule. We'll handle everything." This
statement is an example of:
A) Beneficence
B) Ageism
C) Patient advocacy
D) Informed consent
Correct Answer: B
,Rationale:
Correct (B): Ageism is discrimination or stereotyping based on age. The
nurse's patronizing tone ("pretty little head") and assumption that the patient
cannot understand their own care exemplifies ageist communication, which
undermines patient autonomy and dignity. Ageism negatively impacts health
outcomes and is unethical in gerontological nursing.
Incorrect (A): Beneficence means doing good; this statement is not
beneficent.
Incorrect (C): Advocacy means supporting patient choice; this strips choice
away.
Incorrect (D): Informed consent involves explaining risks and benefits, not
patronizing.
Study Tip: "Elderspeak is ageism in disguise – speak with respect, not with
surprise."
Question 2
An 88-year-old patient refuses to take prescribed antihypertensive
medication because it "makes me feel tired." The nurse's best response is:
A) "You must take it or you'll have a stroke."
B) "I'll call your doctor to discuss your concerns."
C) "Your family wants you to take it."
D) "You're being unreasonable."
Correct Answer: B
Rationale:
Correct (B): Respecting patient autonomy means addressing concerns
collaboratively, not coercively. The nurse should advocate for the patient by
communicating their preference and symptom (fatigue) to the provider.
, Alternative medications or dosing schedules may be available. This approach
honors the patient's right to refuse while seeking a solution.
Incorrect (A): Threatening with fear undermines autonomy and trust.
Incorrect (C): Family wishes do not override patient autonomy.
Incorrect (D): Judgmental statements are unprofessional and disrespectful.
Study Tip: "Autonomy means they choose – threats and fear you lose."
Question 3
A family member tells the nurse, "Don't tell my father he has cancer. It will
destroy him." The nurse should:
A) Agree to withhold the information
B) Tell the father anyway because he has a right to know
C) Explore the family's concerns and clarify the patient's legal right to
information
D) Report the family to hospital administration
Correct Answer: C
Rationale:
Correct (C): Patients have a legal and ethical right to know their diagnosis
unless they have previously stated they do not want to know. The nurse
should explore the family's fears, educate them about patient rights, and offer
to facilitate a discussion with the healthcare team. Withholding information
without patient consent violates autonomy and informed consent principles.
Incorrect (A): Agreeing violates patient rights and ethical codes.
Incorrect (B): Telling without addressing the family may damage family
dynamics; a collaborative approach is better.
Incorrect (D): Reporting is an overreaction unless there is abuse.
Older Adult | WGU |
Complete 100-
Question Test Bank |
Latest 2025/2026
,Table of Contents
C475 Care of the Older Adult | WGU | Complete 100-Question Test Bank | Latest 2025/2026 . 1
...................................................................................................................................................................... 2
Section 1: Competency 1 – Compassionate & Respectful Care (Questions 1-17)
...................................................................................................................................................................... 2
Section 3 Key Takeaways (Competency 3) ................................................................................. 42
Section 4: Competency 4 – Promoting Independence & Reducing Risk (Questions 51-66) ..... 42
Section 4 Key Takeaways (Competency 4) ................................................................................. 54
Section 5: Competency 5 – Physiological & Psychological Changes (Questions 67-82) ............ 55
Section 5 Key Takeaways (Competency 5) ................................................................................. 68
Section 6: Competency 6 – Technology-Assisted Care (Questions 83-100)................................. 68
Section 6 Key Takeaways (Competency 6) ................................................................................. 83
Section 1: Competency 1 – Compassionate & Respectful Care (Questions
1-17)
Question 1
A nurse tells a newly admitted 85-year-old patient, "Don't worry your pretty
little head about the medication schedule. We'll handle everything." This
statement is an example of:
A) Beneficence
B) Ageism
C) Patient advocacy
D) Informed consent
Correct Answer: B
,Rationale:
Correct (B): Ageism is discrimination or stereotyping based on age. The
nurse's patronizing tone ("pretty little head") and assumption that the patient
cannot understand their own care exemplifies ageist communication, which
undermines patient autonomy and dignity. Ageism negatively impacts health
outcomes and is unethical in gerontological nursing.
Incorrect (A): Beneficence means doing good; this statement is not
beneficent.
Incorrect (C): Advocacy means supporting patient choice; this strips choice
away.
Incorrect (D): Informed consent involves explaining risks and benefits, not
patronizing.
Study Tip: "Elderspeak is ageism in disguise – speak with respect, not with
surprise."
Question 2
An 88-year-old patient refuses to take prescribed antihypertensive
medication because it "makes me feel tired." The nurse's best response is:
A) "You must take it or you'll have a stroke."
B) "I'll call your doctor to discuss your concerns."
C) "Your family wants you to take it."
D) "You're being unreasonable."
Correct Answer: B
Rationale:
Correct (B): Respecting patient autonomy means addressing concerns
collaboratively, not coercively. The nurse should advocate for the patient by
communicating their preference and symptom (fatigue) to the provider.
, Alternative medications or dosing schedules may be available. This approach
honors the patient's right to refuse while seeking a solution.
Incorrect (A): Threatening with fear undermines autonomy and trust.
Incorrect (C): Family wishes do not override patient autonomy.
Incorrect (D): Judgmental statements are unprofessional and disrespectful.
Study Tip: "Autonomy means they choose – threats and fear you lose."
Question 3
A family member tells the nurse, "Don't tell my father he has cancer. It will
destroy him." The nurse should:
A) Agree to withhold the information
B) Tell the father anyway because he has a right to know
C) Explore the family's concerns and clarify the patient's legal right to
information
D) Report the family to hospital administration
Correct Answer: C
Rationale:
Correct (C): Patients have a legal and ethical right to know their diagnosis
unless they have previously stated they do not want to know. The nurse
should explore the family's fears, educate them about patient rights, and offer
to facilitate a discussion with the healthcare team. Withholding information
without patient consent violates autonomy and informed consent principles.
Incorrect (A): Agreeing violates patient rights and ethical codes.
Incorrect (B): Telling without addressing the family may damage family
dynamics; a collaborative approach is better.
Incorrect (D): Reporting is an overreaction unless there is abuse.
