NU176 Exam 4: (Latest 2026/2027) Geriatric Care – Relocation
Stress, Rehabilitation, End-of-Life, Grief, Dementia, Mental Health
& Legal/Ethical Issues | Q&A Grade A
Complete Review: Assisted Living, Relocation Stress Syndrome, Holistic Care, ADL Assistance, Rehabilitation Goals, Home
Safety, Advance Directives, Living Will, Grief Stages, Palliative vs Hospice Care, Delirium, Dementia, Paranoia, Depression,
Failure to Thrive, Mini-Cog, Restraints, End-of-Life Care
SUBJECT SOURCE FORMAT
Geriatrics / NU 176 Galen Exam 4 Study Guide 2026/2027 Q&A Guide with Rationale
Q1
The nurse is talking with an older adult client who is considering a move from their home to an assisted
living facility. Which benefit does the nurse expect the client to list?
CORRECT ANSWER
Availability of a community dining room (socialization and convenience).
RATIONALE
• Assisted living provides meals, social activities, and assistance with ADLs.
• Benefits include safety, socialization, and reduced home maintenance burden.
• Relocation stress syndrome: declining a tub bath and washing at sink (resistance to new routines).
Q2
The nurse is caring for an older adult client recovering from a fractured hip who is struggling with loss
of independence. Which holistic care principle should the nurse remember?
CORRECT ANSWER
The perceived loss and meaning will be different for each client (individualized response).
RATIONALE
• Holistic care addresses physical, emotional, social, and spiritual needs.
• Loss of independence affects each person differently based on values and coping.
• Physical therapy (PT) with weight‑lifting exercises helps rebuild strength.
, Q3
The nurse is contributing to the rehabilitation plan for an older adult client. Which is the priority goal?
CORRECT ANSWER
Promoting the highest level of functioning (maximize independence).
RATIONALE
• Rehabilitation focuses on restoring function and preventing further deterioration.
• Gradually increase activity as tolerated.
• A thick‑handled hairbrush helps maintain independence with weak hand grasps.
Q4
The nurse is conducting a home assessment of an older adult client. Which observation is a safety
concern?
CORRECT ANSWER
A toaster that has a break in the power cord (electrical hazard/fire risk).
RATIONALE
• Faulty electrical cords increase risk of shock or fire.
• Other safety concerns: lack of grab bars, poor lighting, loose rugs.
• Priority when discharging after a fall: ask how long daughter will stay to assist.
Q5
The nurse is caring for an older adult client with bowel incontinence who is started on a bowel‑training
program. This program consists of:
CORRECT ANSWER
Maintaining a toileting schedule (scheduled prompts, habit training).
RATIONALE
• Bowel training includes scheduled toileting after meals (gastrocolic reflex).
• Increase fiber and fluids, encourage mobility.
• Restorative care focuses on preventing further deterioration.
Stress, Rehabilitation, End-of-Life, Grief, Dementia, Mental Health
& Legal/Ethical Issues | Q&A Grade A
Complete Review: Assisted Living, Relocation Stress Syndrome, Holistic Care, ADL Assistance, Rehabilitation Goals, Home
Safety, Advance Directives, Living Will, Grief Stages, Palliative vs Hospice Care, Delirium, Dementia, Paranoia, Depression,
Failure to Thrive, Mini-Cog, Restraints, End-of-Life Care
SUBJECT SOURCE FORMAT
Geriatrics / NU 176 Galen Exam 4 Study Guide 2026/2027 Q&A Guide with Rationale
Q1
The nurse is talking with an older adult client who is considering a move from their home to an assisted
living facility. Which benefit does the nurse expect the client to list?
CORRECT ANSWER
Availability of a community dining room (socialization and convenience).
RATIONALE
• Assisted living provides meals, social activities, and assistance with ADLs.
• Benefits include safety, socialization, and reduced home maintenance burden.
• Relocation stress syndrome: declining a tub bath and washing at sink (resistance to new routines).
Q2
The nurse is caring for an older adult client recovering from a fractured hip who is struggling with loss
of independence. Which holistic care principle should the nurse remember?
CORRECT ANSWER
The perceived loss and meaning will be different for each client (individualized response).
RATIONALE
• Holistic care addresses physical, emotional, social, and spiritual needs.
• Loss of independence affects each person differently based on values and coping.
• Physical therapy (PT) with weight‑lifting exercises helps rebuild strength.
, Q3
The nurse is contributing to the rehabilitation plan for an older adult client. Which is the priority goal?
CORRECT ANSWER
Promoting the highest level of functioning (maximize independence).
RATIONALE
• Rehabilitation focuses on restoring function and preventing further deterioration.
• Gradually increase activity as tolerated.
• A thick‑handled hairbrush helps maintain independence with weak hand grasps.
Q4
The nurse is conducting a home assessment of an older adult client. Which observation is a safety
concern?
CORRECT ANSWER
A toaster that has a break in the power cord (electrical hazard/fire risk).
RATIONALE
• Faulty electrical cords increase risk of shock or fire.
• Other safety concerns: lack of grab bars, poor lighting, loose rugs.
• Priority when discharging after a fall: ask how long daughter will stay to assist.
Q5
The nurse is caring for an older adult client with bowel incontinence who is started on a bowel‑training
program. This program consists of:
CORRECT ANSWER
Maintaining a toileting schedule (scheduled prompts, habit training).
RATIONALE
• Bowel training includes scheduled toileting after meals (gastrocolic reflex).
• Increase fiber and fluids, encourage mobility.
• Restorative care focuses on preventing further deterioration.
