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Gerontological Nursing Final Exam
Test Bank
Answer Review Question: A 70-year-old couple is considering marriage and is concerned about whether they will be
Create Batch able to participate in sexual activities. What is the nurse's most appropriate response?
Change Password a) ?Both of you may have to adapt to possible changes in sexuality.?
Log Out b) ?Sexual activity is probably too demanding for older adults.?
c) ?Older men have erectile dysfunction while women maintain sexuality.?
d) ?Older adults are not interested in sexual activity.?
Correct Answer: A
Answer Explanation:
Question: The nursing student asks the nursing clinical instructor how to evaluate Erickson's
developmental stage with the elderly client the student is caring for. What would the best response by
the nursing instructor be?
a) "Sit quietly with the client and pretend to be watching TV…this which will allow the client to talk."
b) "Tell the client you want to know if they had a good life or not."
c) "Ask the client to tell you about more about their life and their experiences."
d) "Begin telling the client about your life and the client will open up."
Correct Answer: C
Answer Explanation:
Question: Which of the following clients should the nurse monitor more closely for signs of developing
depression?
a) A 58-year-old Hispanic female raising a grandchild
b) A 70-year-old married African-American male
c) A 68-year-old Caucasian male that lives alone
d) A 46-year-old married mother of three
Correct Answer: C
Answer Explanation:
Question: An 83-year-old client has recently lost a spouse of 60 years. Which assessment question
should the nurse understand will least likely increase the client's risk of depression and limit
independence?
a) ?"Do you consider yourself to be physical healthy??"
b) ?"Are you affiliated with a specific church, synagogue, temple or mosque??"
c) ?"Are you concerned about your finances and being able to pay your bills??"
d) ?"Do you have family living nearby??"
Correct Answer: B
Answer Explanation:
Question: An older adult client residing in an extended care facility is very depressed about the
current phase of life. How can the nurse, according to Erikson, best help the client achieve
psychosocial development?
a) Encourage reminiscence.
b) Assist the client to focus on necessary adjustments.
c) Accomplish the developmental task of developing trust with caregivers.
d) Achieve optimal successful transitions.
Correct Answer: A
Answer Explanation:
Question: An elderly client in an extended care center is depressed as a result of the physiologic and
psychosocial changes occuring with age. The nurse has to comfort and educate the client. The nurse
knows that which is a psychosocial challenge for older adults according to Erickson?
a) Inevitable physical changes in the body
b) Choosing modes of living more freely
c) Despair at the cost of ego integrity
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d) New balance of involvement with society and self
Correct Answer: C
Answer Explanation:
Question: What should the nurse consider as having the psychosocial priority for maintaining the
independence of the older client?
a) Encourage volunteerism activities with the younger people who visit.
b) Move out of the assisted living facility to live alone.
c) Maintain mental stability and satisfactory relationships with family members.
d) Sustain optimal health, social responsibilities, and financial stability.
Correct Answer: D
Answer Explanation:
Question: An older client has just experienced the loss of a spouse. How can the nurse best help this
client overcome the depression?
a) Tell the client to join the local community fitness center.
b) Explore with the client her beliefs about religion and spirituality.
c) Teach the client to explore local volunteer opportunities.
d) Encourage the client to explore continuing education programs at the local school.
Correct Answer: B
Answer Explanation:
Question: A nurse is working with community leaders to present a program discussing issues related
to the growing population of older adults. What issue is the nurse's priority when considering
measures to lower healthcare costs?
a) Financial planning
b) Urban transportation
c) Fitness programs
d) Nutrition counseling
Correct Answer: C
Answer Explanation:
Question: The nurse observes that an 88-year-old woman at an assisted living facility frequently
shares stories about her military service during World War II. What action should the nurse take
based on the client's behavior?
a) Refer the client for a geriatric psychiatric evaluation.
b) Listen and ask the client questions about World War II.
c) Distract the client and change the subject of the conversation.
d) Involve the client in the facility's social activities.
Correct Answer: B
Answer Explanation:
Question: Considering Erikson's theory of psychosocial development, what is an activity associated
with the psychosocial challenge facing an older adult?
a) Reentering a serious relationship or remaining single after the death of a spouse.
b) Coping with the physical changes associated with aging.
c) Making decisions related to career achievements and finances.
d) Reflecting on events and decisions made over one's lifetime.
Correct Answer: D
Answer Explanation:
Question: The nurse and a social activist are discussing topics for a planned seminar on issues
related to the growing population of older adults. Which issue is the priority when considering
continued concerns of both the individual and society?
a) Healthcare training opportunities in the area of aging
b) Legal and ethical issues of the process of dying and death
c) Urban transportation systems
d) Use and benefit of the Internet
Correct Answer: B
Answer Explanation:
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Gerentology FinalInc.
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Answer : Answer Review Page 3 of 16
Question: The student is researching the aging process and the medical concerns associated with the
care associated with older adults. What term would yield the most information for the student to
review?
a) Reminiscence
b) Ageism
c) Mortality
d) Gerontology
Correct Answer: D
Answer Explanation:
Question: The nurse is planning on completing a community assessment followed by a meeting of
community leaders to address the needs of the elderly in the community. Which measure would the
nurse identify as helping the elderly maintain the most independence?
a) Encouraging easy access to shopping, retail and dining options the elderly enjoy
b) Efficient, safe and affordable community transportation for the elderly
c) Fitness programs specially designed for older adults in the community and surrounding areas
d) Better financial planning opportunities for the elderly
Correct Answer: B
Answer Explanation:
Question: The nurse understands that chronic conditions in the elderly population have what effect on
healthcare in general?
a) The elderly are not living as long as in years past because of chronic conditions
b) The elderly population use less medical resources than any other age group or population
c) The need for more helathcare will increase as the aging population lives longer with
chronic conditions
d) The use of medical technology has been unsuccessful in raising the life expectancy in general
Correct Answer: C
Answer Explanation:
Question: What one word summarizes many stressors that older adults encounter?
a) Loss
b) Ageism
c) Mortaility
d) Gerontology
Correct Answer: A
Answer Explanation:
Question: A senior adult nurse wishes to mentor the younger new nurse and asks the supervisor for
permission to be a mentor. What developmental stage according to Erikson, is the senior nurse
experiencing?
a) Stagnation
b) Generativity
c) Integrity
d) Despair
Correct Answer: B
Answer Explanation:
Question: A nurse is caring for an older adult client with a history of substance abuse. What
information should the nurse provide the client's family when educating them on substance abuse in
their loved one?
a) Older adults often admit being a substance abuser.
b) Alcoholism can be easily detected in the client.
c) Client may have low self-esteem and tend to be a loner.
d) Substance abuse by the client cannot be controlled or cured.
Correct Answer: C
Answer Explanation:
Question: A nurse suspects that the client, who lives in a group home setting, is a victim of elder
abuse. What warning sign should the nurse watch for when caring for the client?
a) Client does not like spending his own money.
b) Client shows signs of recent weight gain.
http://www.homesteadschools.net/nclex1/answer_details.aspx?id=1085 12/13/2017
Gerentology FinalInc.
Exam- NCLEX Testsreview
Answer : Answer Review Page 1 of 16
HOME 3:35 Hour's Left for your Timeout
Gerontological Nursing Final Exam
Test Bank
Answer Review Question: A 70-year-old couple is considering marriage and is concerned about whether they will be
Create Batch able to participate in sexual activities. What is the nurse's most appropriate response?
Change Password a) ?Both of you may have to adapt to possible changes in sexuality.?
Log Out b) ?Sexual activity is probably too demanding for older adults.?
c) ?Older men have erectile dysfunction while women maintain sexuality.?
d) ?Older adults are not interested in sexual activity.?
Correct Answer: A
Answer Explanation:
Question: The nursing student asks the nursing clinical instructor how to evaluate Erickson's
developmental stage with the elderly client the student is caring for. What would the best response by
the nursing instructor be?
a) "Sit quietly with the client and pretend to be watching TV…this which will allow the client to talk."
b) "Tell the client you want to know if they had a good life or not."
c) "Ask the client to tell you about more about their life and their experiences."
d) "Begin telling the client about your life and the client will open up."
Correct Answer: C
Answer Explanation:
Question: Which of the following clients should the nurse monitor more closely for signs of developing
depression?
a) A 58-year-old Hispanic female raising a grandchild
b) A 70-year-old married African-American male
c) A 68-year-old Caucasian male that lives alone
d) A 46-year-old married mother of three
Correct Answer: C
Answer Explanation:
Question: An 83-year-old client has recently lost a spouse of 60 years. Which assessment question
should the nurse understand will least likely increase the client's risk of depression and limit
independence?
a) ?"Do you consider yourself to be physical healthy??"
b) ?"Are you affiliated with a specific church, synagogue, temple or mosque??"
c) ?"Are you concerned about your finances and being able to pay your bills??"
d) ?"Do you have family living nearby??"
Correct Answer: B
Answer Explanation:
Question: An older adult client residing in an extended care facility is very depressed about the
current phase of life. How can the nurse, according to Erikson, best help the client achieve
psychosocial development?
a) Encourage reminiscence.
b) Assist the client to focus on necessary adjustments.
c) Accomplish the developmental task of developing trust with caregivers.
d) Achieve optimal successful transitions.
Correct Answer: A
Answer Explanation:
Question: An elderly client in an extended care center is depressed as a result of the physiologic and
psychosocial changes occuring with age. The nurse has to comfort and educate the client. The nurse
knows that which is a psychosocial challenge for older adults according to Erickson?
a) Inevitable physical changes in the body
b) Choosing modes of living more freely
c) Despair at the cost of ego integrity
http://www.homesteadschools.net/nclex1/answer_details.aspx?id=1085 12/13/2017
,Homestead Schools,
Gerentology FinalInc.
Exam- NCLEX Testsreview
Answer : Answer Review Page 2 of 16
d) New balance of involvement with society and self
Correct Answer: C
Answer Explanation:
Question: What should the nurse consider as having the psychosocial priority for maintaining the
independence of the older client?
a) Encourage volunteerism activities with the younger people who visit.
b) Move out of the assisted living facility to live alone.
c) Maintain mental stability and satisfactory relationships with family members.
d) Sustain optimal health, social responsibilities, and financial stability.
Correct Answer: D
Answer Explanation:
Question: An older client has just experienced the loss of a spouse. How can the nurse best help this
client overcome the depression?
a) Tell the client to join the local community fitness center.
b) Explore with the client her beliefs about religion and spirituality.
c) Teach the client to explore local volunteer opportunities.
d) Encourage the client to explore continuing education programs at the local school.
Correct Answer: B
Answer Explanation:
Question: A nurse is working with community leaders to present a program discussing issues related
to the growing population of older adults. What issue is the nurse's priority when considering
measures to lower healthcare costs?
a) Financial planning
b) Urban transportation
c) Fitness programs
d) Nutrition counseling
Correct Answer: C
Answer Explanation:
Question: The nurse observes that an 88-year-old woman at an assisted living facility frequently
shares stories about her military service during World War II. What action should the nurse take
based on the client's behavior?
a) Refer the client for a geriatric psychiatric evaluation.
b) Listen and ask the client questions about World War II.
c) Distract the client and change the subject of the conversation.
d) Involve the client in the facility's social activities.
Correct Answer: B
Answer Explanation:
Question: Considering Erikson's theory of psychosocial development, what is an activity associated
with the psychosocial challenge facing an older adult?
a) Reentering a serious relationship or remaining single after the death of a spouse.
b) Coping with the physical changes associated with aging.
c) Making decisions related to career achievements and finances.
d) Reflecting on events and decisions made over one's lifetime.
Correct Answer: D
Answer Explanation:
Question: The nurse and a social activist are discussing topics for a planned seminar on issues
related to the growing population of older adults. Which issue is the priority when considering
continued concerns of both the individual and society?
a) Healthcare training opportunities in the area of aging
b) Legal and ethical issues of the process of dying and death
c) Urban transportation systems
d) Use and benefit of the Internet
Correct Answer: B
Answer Explanation:
http://www.homesteadschools.net/nclex1/answer_details.aspx?id=1085 12/13/2017
, Homestead Schools,
Gerentology FinalInc.
Exam- NCLEX Testsreview
Answer : Answer Review Page 3 of 16
Question: The student is researching the aging process and the medical concerns associated with the
care associated with older adults. What term would yield the most information for the student to
review?
a) Reminiscence
b) Ageism
c) Mortality
d) Gerontology
Correct Answer: D
Answer Explanation:
Question: The nurse is planning on completing a community assessment followed by a meeting of
community leaders to address the needs of the elderly in the community. Which measure would the
nurse identify as helping the elderly maintain the most independence?
a) Encouraging easy access to shopping, retail and dining options the elderly enjoy
b) Efficient, safe and affordable community transportation for the elderly
c) Fitness programs specially designed for older adults in the community and surrounding areas
d) Better financial planning opportunities for the elderly
Correct Answer: B
Answer Explanation:
Question: The nurse understands that chronic conditions in the elderly population have what effect on
healthcare in general?
a) The elderly are not living as long as in years past because of chronic conditions
b) The elderly population use less medical resources than any other age group or population
c) The need for more helathcare will increase as the aging population lives longer with
chronic conditions
d) The use of medical technology has been unsuccessful in raising the life expectancy in general
Correct Answer: C
Answer Explanation:
Question: What one word summarizes many stressors that older adults encounter?
a) Loss
b) Ageism
c) Mortaility
d) Gerontology
Correct Answer: A
Answer Explanation:
Question: A senior adult nurse wishes to mentor the younger new nurse and asks the supervisor for
permission to be a mentor. What developmental stage according to Erikson, is the senior nurse
experiencing?
a) Stagnation
b) Generativity
c) Integrity
d) Despair
Correct Answer: B
Answer Explanation:
Question: A nurse is caring for an older adult client with a history of substance abuse. What
information should the nurse provide the client's family when educating them on substance abuse in
their loved one?
a) Older adults often admit being a substance abuser.
b) Alcoholism can be easily detected in the client.
c) Client may have low self-esteem and tend to be a loner.
d) Substance abuse by the client cannot be controlled or cured.
Correct Answer: C
Answer Explanation:
Question: A nurse suspects that the client, who lives in a group home setting, is a victim of elder
abuse. What warning sign should the nurse watch for when caring for the client?
a) Client does not like spending his own money.
b) Client shows signs of recent weight gain.
http://www.homesteadschools.net/nclex1/answer_details.aspx?id=1085 12/13/2017
