GerI Final Jersey College 2025 questions
|\ |\ |\ |\ |\ |\
with answers |\
What statement made by a nurse reflects a lack of understanding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
regarding sexual intimacy and the older adult patient?
|\ |\ |\ |\ |\ |\ |\ |\
"Older adults express less interest in intimacy as both acute and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chronic illnesses develop" |\ |\
To effectively assess an older adult patient's sexual needs, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse must initially do what to prevent a biased assessment?
|\ |\ |\ |\ |\ |\ |\ |\ |\
Reflect on personal feelings that create barriers to effective
|\ |\ |\ |\ |\ |\ |\ |\ |\
communication with the patient. |\ |\ |\
The nurse notes the patient's chart lists "dyspareunia" as a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complaint. What teaching does the nurse plan to provide?
|\ |\ |\ |\ |\ |\ |\ |\
Use of water-soluble lubricants.
|\ |\ |\
Through the open door of the patient's room, the nurse observes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a male patient and his long-term partner in a romantic embrace.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse's priority intervention at the time is directed towards:
|\ |\ |\ |\ |\ |\ |\ |\ |\
Quietly closing the door to address the patient's right to privacy.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,Suzanne Jackson is a registered nurse working in the office of an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
internal medicine physician. In this setting, Ms. Jackson has
|\ |\ |\ |\ |\ |\ |\ |\ |\
encountered a significant number of patients who identify with |\ |\ |\ |\ |\ |\ |\ |\ |\
the older adult population. Many of them have significant
|\ |\ |\ |\ |\ |\ |\ |\ |\
comorbid conditions. Mrs. Bortello presents to the primary care
|\ |\ |\ |\ |\ |\ |\ |\ |\
office requesting assistance in the home. She is 86 years old and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has a medical history of diabetes and congestive heart failure.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
She states she has noticed a recent increase in weakness when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
she is ambulating within the home and she is fearful about falling
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and suffering a hip fracture. Further discussion between Ms.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Jackson and Mrs. Bortello indicates that the patient is interested
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in assistance with shopping and activities of daily living (ADLs).
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following settings of care would be most appropriate
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for Mrs. Bortello's housing needs?
|\ |\ |\ |\ |\
Independent living. |\
What are three things nurses can do to help and support the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
caregiver in their role? |\ |\ |\
Educate them in understanding the older adult's medical
|\ |\ |\ |\ |\ |\ |\ |\
problem.
Give them a list of community services.
|\ |\ |\ |\ |\ |\
Inform them of respite care options and encourage their use.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Offer to hold a family meeting to help siblings express concerns
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and manage their roles.
|\ |\ |\
Provide written materials. |\ |\
,The nurse on a medical acute care unit is preparing for the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
admission of an 84 y/o patient with several diagnosed chronic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
illnesses. The nurse begins the plan of care for this patient based
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on the understanding that the older adult is likely to:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
present with a need for a high level of nursing care.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What action by the nurse best shows an understanding of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
effects of acute hospitalization on the functional abilities of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
older patient? |\
Assessing for a decline from the original baseline function.
|\ |\ |\ |\ |\ |\ |\ |\
the effects of acute hospitalization result in a decline from the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
original baseline. |\
The nurse is planning the discharge of a 70 y/o patient who lives
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
alone and is recovering from a fractured ankle. What action by
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse shows an understanding of factors affecting the
|\ |\ |\ |\ |\ |\ |\ |\ |\
patient's ultimate return from preinjury function?
|\ |\ |\ |\ |\
assesses barriers to self-ambulation in the patient's home.
|\ |\ |\ |\ |\ |\ |\
Which individual would the nurse refer to the local Area Agency
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on Aging?
|\
One who needs nutritious meals.
|\ |\ |\ |\
, A nursing faculty explains to the student the definition of
|\ |\ |\ |\ |\ |\ |\ |\ |\
"homebound." Which is the best explanation for this situation?
|\ |\ |\ |\ |\ |\ |\ |\ |\
leaving home requires great effort
|\ |\ |\ |\
Your patient will be discharged soon, after suffering a fall in his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
home. He only fractured two ribs but is not as strong and steady
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on his feet as he was before the fall. He has DM, mild CHF, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
htn. He still needs some PT to regain his strength. He has lived
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on his own and managed his own medications well prior to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
admission. You are helping his family decide on placement
|\ |\ |\ |\ |\ |\ |\ |\ |\
options. What do you think is the best option for your patient?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Return to his own home with home care and physical therapy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
visits.
Which action does the nurse delegate to the unlicensed assistive
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
personnel pertaining to pressure ulcer prevention?
|\ |\ |\ |\ |\
Keeping the patient's skin clean and dry.
|\ |\ |\ |\ |\ |\
When planning care for the older adult experiencing pain, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse bases interventions on the realization that:
|\ |\ |\ |\ |\ |\
Pain is under treated in this cohort compared to younger adults.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\
with answers |\
What statement made by a nurse reflects a lack of understanding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
regarding sexual intimacy and the older adult patient?
|\ |\ |\ |\ |\ |\ |\ |\
"Older adults express less interest in intimacy as both acute and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chronic illnesses develop" |\ |\
To effectively assess an older adult patient's sexual needs, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse must initially do what to prevent a biased assessment?
|\ |\ |\ |\ |\ |\ |\ |\ |\
Reflect on personal feelings that create barriers to effective
|\ |\ |\ |\ |\ |\ |\ |\ |\
communication with the patient. |\ |\ |\
The nurse notes the patient's chart lists "dyspareunia" as a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complaint. What teaching does the nurse plan to provide?
|\ |\ |\ |\ |\ |\ |\ |\
Use of water-soluble lubricants.
|\ |\ |\
Through the open door of the patient's room, the nurse observes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a male patient and his long-term partner in a romantic embrace.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse's priority intervention at the time is directed towards:
|\ |\ |\ |\ |\ |\ |\ |\ |\
Quietly closing the door to address the patient's right to privacy.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,Suzanne Jackson is a registered nurse working in the office of an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
internal medicine physician. In this setting, Ms. Jackson has
|\ |\ |\ |\ |\ |\ |\ |\ |\
encountered a significant number of patients who identify with |\ |\ |\ |\ |\ |\ |\ |\ |\
the older adult population. Many of them have significant
|\ |\ |\ |\ |\ |\ |\ |\ |\
comorbid conditions. Mrs. Bortello presents to the primary care
|\ |\ |\ |\ |\ |\ |\ |\ |\
office requesting assistance in the home. She is 86 years old and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has a medical history of diabetes and congestive heart failure.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
She states she has noticed a recent increase in weakness when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
she is ambulating within the home and she is fearful about falling
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and suffering a hip fracture. Further discussion between Ms.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Jackson and Mrs. Bortello indicates that the patient is interested
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in assistance with shopping and activities of daily living (ADLs).
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following settings of care would be most appropriate
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for Mrs. Bortello's housing needs?
|\ |\ |\ |\ |\
Independent living. |\
What are three things nurses can do to help and support the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
caregiver in their role? |\ |\ |\
Educate them in understanding the older adult's medical
|\ |\ |\ |\ |\ |\ |\ |\
problem.
Give them a list of community services.
|\ |\ |\ |\ |\ |\
Inform them of respite care options and encourage their use.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Offer to hold a family meeting to help siblings express concerns
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and manage their roles.
|\ |\ |\
Provide written materials. |\ |\
,The nurse on a medical acute care unit is preparing for the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
admission of an 84 y/o patient with several diagnosed chronic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
illnesses. The nurse begins the plan of care for this patient based
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on the understanding that the older adult is likely to:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
present with a need for a high level of nursing care.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What action by the nurse best shows an understanding of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
effects of acute hospitalization on the functional abilities of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
older patient? |\
Assessing for a decline from the original baseline function.
|\ |\ |\ |\ |\ |\ |\ |\
the effects of acute hospitalization result in a decline from the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
original baseline. |\
The nurse is planning the discharge of a 70 y/o patient who lives
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
alone and is recovering from a fractured ankle. What action by
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse shows an understanding of factors affecting the
|\ |\ |\ |\ |\ |\ |\ |\ |\
patient's ultimate return from preinjury function?
|\ |\ |\ |\ |\
assesses barriers to self-ambulation in the patient's home.
|\ |\ |\ |\ |\ |\ |\
Which individual would the nurse refer to the local Area Agency
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on Aging?
|\
One who needs nutritious meals.
|\ |\ |\ |\
, A nursing faculty explains to the student the definition of
|\ |\ |\ |\ |\ |\ |\ |\ |\
"homebound." Which is the best explanation for this situation?
|\ |\ |\ |\ |\ |\ |\ |\ |\
leaving home requires great effort
|\ |\ |\ |\
Your patient will be discharged soon, after suffering a fall in his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
home. He only fractured two ribs but is not as strong and steady
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on his feet as he was before the fall. He has DM, mild CHF, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
htn. He still needs some PT to regain his strength. He has lived
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on his own and managed his own medications well prior to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
admission. You are helping his family decide on placement
|\ |\ |\ |\ |\ |\ |\ |\ |\
options. What do you think is the best option for your patient?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Return to his own home with home care and physical therapy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
visits.
Which action does the nurse delegate to the unlicensed assistive
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
personnel pertaining to pressure ulcer prevention?
|\ |\ |\ |\ |\
Keeping the patient's skin clean and dry.
|\ |\ |\ |\ |\ |\
When planning care for the older adult experiencing pain, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse bases interventions on the realization that:
|\ |\ |\ |\ |\ |\
Pain is under treated in this cohort compared to younger adults.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
