Assessment, Medications, Hydration, Continence,
Nutrition, Safety
Q&A | Grade A | 100% Correct (Verified Answers) – Nursing Program
SUBJECT COURSE FORMAT
Geriatric Nursing - Assessment, NUR 257 Exam 2 Q&A Guide with Rationale
Pharmacology, Elimination,
Nutrition, Safety
Question 1
What are key communication strategies when assessing an older adult?
A. Listen patiently, allow for pauses, and ask questions that are not often asked
B. Speak loudly and quickly to save time
C. Avoid asking personal questions
D. Use medical jargon to appear professional
CORRECT ANSWER
A. Listen patiently, allow for pauses, and ask questions that are not often asked
CLINICAL RATIONALE
• Older adults may need more time to process and respond to questions.
• Asking sensitive questions matter-of-factly helps obtain accurate information.
,Question 2
Why is the assessment of an older adult considered more complex than other populations?
A. It is more detailed, takes longer to perform, requires special abilities, and involves biological, psychosocial,
and functional data
B. Older adults are uncooperative
C. Only physical assessment is needed
D. Geriatric assessment is less complex than adult assessment
CORRECT ANSWER
A. It is more detailed, takes longer to perform, requires special abilities, and involves biological,
psychosocial, and functional data
CLINICAL RATIONALE
• Comprehensive geriatric assessment addresses multiple domains including function, cognition, and social
support.
• It is more time-intensive but essential for identifying reversible conditions.
Question 3
What are the three primary data collection approaches for an older adult assessment?
A. Self-report, report by proxy, and observation
B. Lab tests, imaging, and physical exam
C. Interview, physical assessment, and chart review
D. Family interview, cognitive testing, and functional assessment
CORRECT ANSWER
A. Self-report, report by proxy, and observation
CLINICAL RATIONALE
• Self-report is preferred when the patient is cognitively intact.
• Proxy reports from family or caregivers are used when the patient has cognitive impairment.
, Question 4
What is the primary goal of the FANCAPES assessment tool?
A. To assess physical and functional health, including Fluids, Aeration, Nutrition, Communication, Activity,
Pain, Elimination, and Socialization
B. To assess cognitive status and memory
C. To screen for depression in older adults
D. To evaluate medication adherence
CORRECT ANSWER
A. To assess physical and functional health, including Fluids, Aeration, Nutrition, Communication,
Activity, Pain, Elimination, and Socialization
CLINICAL RATIONALE
• FANCAPES provides a comprehensive framework for evaluating basic needs and functional status.
• It helps identify areas where the older adult may need assistance.
Question 5
When should a nurse conduct an assessment of an older adult's mental status?
A. Whenever there is a change in the elder's condition or safety
B. Only at admission to a facility
C. Only when the family requests it
D. Once per year during annual physical
CORRECT ANSWER
A. Whenever there is a change in the elder's condition or safety
CLINICAL RATIONALE
• Sudden cognitive change may indicate delirium from infection, medication, or metabolic disturbance.
• Serial assessments track progression of dementia or response to treatment.