Geri Final Study Guide Exam Questions
And 100% Correct Answers.
1. An 80-year-old is seen in the emergency department for a fall. The client has bruises on the upper
arms and appears depressed. The client is accompanied by a grandchild, who is unkempt, glassy-eyed,
and whose breath smells of alcohol. Which of the following should be a priority with the nurse?
A) Assess whether the older adult is safe in the home environment.
B) Determine whether legal interventions are appropriate.
C) Assess the client's degree of frailty and chronic health problems.
D) Determine the mental capacity of the older adult. - Answer A
2. Which of the following is true about cognitive impairment and abuse of older adults?
A) Older adults who live alone are always willing to acknowledge their impairments.
B) Cognitively impaired older adults are usually able to meet minimum standards of care.
C) When the older adult denies cognitive impairment, the risk for abuse declines.
D) Older adults become more vulnerable to abuse because of cognitive impairment. - Answer D
3. A neighbor notices an 81-year-old getting water from someone's outside faucet. The neighbor notices
that this person's ankles are very swollen and there is an open wound on her left leg. The older adult
says, "I stopped taking my pills because the water department turned off my water and I can't use the
bathroom. My daughter did not pay the water bill, and she never has time to take me to the doctor so
my legs can be checked." The neighbor calls adult protective services. Which of the following
interventions is the priority when the nurse visits for an evaluation and does not find any immediate
danger?
,A) The competency of the older adult in making decisions needs to be determined.
B) The daughter needs to be picked up by the police on a neglect charge.
C) The older adult needs to be involuntarily committed to a long-term care facility.
D) An involuntary legal intervention needs to be initiated immediately. - Answer A
4. Which of the following statements is true about the laws of mandatory abuse reporting?
A) Government agencies, not individual nurses, are responsible for reporting abuse.
B) Mandatory reporting laws require reporters to know whether abuse or neglect has occurred, rather
than just suspecting it has occurred.
C) The use of an abuse reporting protocol replaces individual responsibility for reporting.
D) A registered nurse is mandated to report abuse or neglect if it is suspected. - Answer D
5. A 30-year-old grandchild lives with and provides care for the 75-year-old grandparent. The
grandparent has congestive heart failure, hypothyroidism, and chronic pain from a compression fracture
and osteoporosis. The grandchild supervises the older adult's medications. The home health nurse notes
that the older adult has extra diuretic pills and that the pain medications for a month have been used
and cannot be refilled for 2 more weeks. The older adult tells the nurse: "Those pain pills don't work, my
back is always hurting." The nurse notes that the older adult's ankles are very swollen. Which of the
following things should the nurse do first?
A) Call adult protective services and ask for an immediate evaluation.
B) Assess the grandchild's understanding of her grandmother's needs.
,C) Take the grandmother to the emergency department immediately.
D) Tell the older adult that her grandchild is probably taking he - Answer B
6. A nurse who works with the older population is aware that elder abuse takes many forms. Which of
the following examples most clearly constitutes elder abuse?
A) A paid caregiver cleans and assists with shopping for an older adult who lives alone.
B) An older adult assists with child care in exchange for room and board at her niece's house.
C) A daughter manages her mother's finances after the older adult granted her power of attorney.
D) A daughter changes her mother's incontinence brief only after the urine has soaked through all her
clothing because she wants to save money - Answer D
7. A nurse who provides care in a clinic comes into contact with numerous older adults, many of whom
have bruises of various sizes and stages on their body. What pattern of bruising is most suggestive of
possible abuse?
A) Significant bruising on the shin region of a client's leg
B) Bruising on both ears and both sides of the neck
C) Bruising on the back of a client's hands
D) Bruising on both of a client's elbows - Answer B
, 8. An 81-year-old has been living for the past 2 years in a long-term care facility. However, financial
pressures have required that the resident move in with the oldest child and spouse. Which of the
following statements if made by the child's spouse should signal a potential risk for elder abuse?
A) "I sure hope that we'll qualify for some home care because this seems pretty overwhelming."
B) "This won't be easy for anyone. I think I might even end up having to juggle my work schedule."
C) "He's used to being waited on here, but at our place he's going to have to fend for himself."
D) "I'm probably going to even have to get some friends or neighbors to help out from time to time." -
Answer C
9. A wound care nurse is assessing a 76-year-old client. The client has intimated to the nurse that her son
sometimes "flies off the handle and gets rough with me." Which response made by the nurse is the best
response?
A) "When you say 'gets rough,' what does that look like?"
B) "What do you think usually provokes this to happens?"
C) "I'm going to have to phone adult protective services right now."
D) "Why do you think that there is that response with anger or frustration?" - Answer A
10. An older adult who appears to be between 85 and 95 has been brought to the emergency
department by emergency medical services after being found wandering in the street. The older adult is
filthy, confused, and exhibits numerous bruises to the face and neck as well as signs of malnutrition and
dehydration. What problem should the nurses prioritize for assessment and intervention?
A) Hygiene
B) Malnutrition
And 100% Correct Answers.
1. An 80-year-old is seen in the emergency department for a fall. The client has bruises on the upper
arms and appears depressed. The client is accompanied by a grandchild, who is unkempt, glassy-eyed,
and whose breath smells of alcohol. Which of the following should be a priority with the nurse?
A) Assess whether the older adult is safe in the home environment.
B) Determine whether legal interventions are appropriate.
C) Assess the client's degree of frailty and chronic health problems.
D) Determine the mental capacity of the older adult. - Answer A
2. Which of the following is true about cognitive impairment and abuse of older adults?
A) Older adults who live alone are always willing to acknowledge their impairments.
B) Cognitively impaired older adults are usually able to meet minimum standards of care.
C) When the older adult denies cognitive impairment, the risk for abuse declines.
D) Older adults become more vulnerable to abuse because of cognitive impairment. - Answer D
3. A neighbor notices an 81-year-old getting water from someone's outside faucet. The neighbor notices
that this person's ankles are very swollen and there is an open wound on her left leg. The older adult
says, "I stopped taking my pills because the water department turned off my water and I can't use the
bathroom. My daughter did not pay the water bill, and she never has time to take me to the doctor so
my legs can be checked." The neighbor calls adult protective services. Which of the following
interventions is the priority when the nurse visits for an evaluation and does not find any immediate
danger?
,A) The competency of the older adult in making decisions needs to be determined.
B) The daughter needs to be picked up by the police on a neglect charge.
C) The older adult needs to be involuntarily committed to a long-term care facility.
D) An involuntary legal intervention needs to be initiated immediately. - Answer A
4. Which of the following statements is true about the laws of mandatory abuse reporting?
A) Government agencies, not individual nurses, are responsible for reporting abuse.
B) Mandatory reporting laws require reporters to know whether abuse or neglect has occurred, rather
than just suspecting it has occurred.
C) The use of an abuse reporting protocol replaces individual responsibility for reporting.
D) A registered nurse is mandated to report abuse or neglect if it is suspected. - Answer D
5. A 30-year-old grandchild lives with and provides care for the 75-year-old grandparent. The
grandparent has congestive heart failure, hypothyroidism, and chronic pain from a compression fracture
and osteoporosis. The grandchild supervises the older adult's medications. The home health nurse notes
that the older adult has extra diuretic pills and that the pain medications for a month have been used
and cannot be refilled for 2 more weeks. The older adult tells the nurse: "Those pain pills don't work, my
back is always hurting." The nurse notes that the older adult's ankles are very swollen. Which of the
following things should the nurse do first?
A) Call adult protective services and ask for an immediate evaluation.
B) Assess the grandchild's understanding of her grandmother's needs.
,C) Take the grandmother to the emergency department immediately.
D) Tell the older adult that her grandchild is probably taking he - Answer B
6. A nurse who works with the older population is aware that elder abuse takes many forms. Which of
the following examples most clearly constitutes elder abuse?
A) A paid caregiver cleans and assists with shopping for an older adult who lives alone.
B) An older adult assists with child care in exchange for room and board at her niece's house.
C) A daughter manages her mother's finances after the older adult granted her power of attorney.
D) A daughter changes her mother's incontinence brief only after the urine has soaked through all her
clothing because she wants to save money - Answer D
7. A nurse who provides care in a clinic comes into contact with numerous older adults, many of whom
have bruises of various sizes and stages on their body. What pattern of bruising is most suggestive of
possible abuse?
A) Significant bruising on the shin region of a client's leg
B) Bruising on both ears and both sides of the neck
C) Bruising on the back of a client's hands
D) Bruising on both of a client's elbows - Answer B
, 8. An 81-year-old has been living for the past 2 years in a long-term care facility. However, financial
pressures have required that the resident move in with the oldest child and spouse. Which of the
following statements if made by the child's spouse should signal a potential risk for elder abuse?
A) "I sure hope that we'll qualify for some home care because this seems pretty overwhelming."
B) "This won't be easy for anyone. I think I might even end up having to juggle my work schedule."
C) "He's used to being waited on here, but at our place he's going to have to fend for himself."
D) "I'm probably going to even have to get some friends or neighbors to help out from time to time." -
Answer C
9. A wound care nurse is assessing a 76-year-old client. The client has intimated to the nurse that her son
sometimes "flies off the handle and gets rough with me." Which response made by the nurse is the best
response?
A) "When you say 'gets rough,' what does that look like?"
B) "What do you think usually provokes this to happens?"
C) "I'm going to have to phone adult protective services right now."
D) "Why do you think that there is that response with anger or frustration?" - Answer A
10. An older adult who appears to be between 85 and 95 has been brought to the emergency
department by emergency medical services after being found wandering in the street. The older adult is
filthy, confused, and exhibits numerous bruises to the face and neck as well as signs of malnutrition and
dehydration. What problem should the nurses prioritize for assessment and intervention?
A) Hygiene
B) Malnutrition
