COMBINED VERSIONS OF GERI EXAM WITH
PRACTICE QUESTIONS WITH ANSWERS NEW
MODIFIED WITH RATIONALES GRADED A+
Which of the following actions exemplifies the nurses' role in home care of an older adult?
(Select all that apply.)
A) Coordinate a multidisciplinary team.
B) Perform ADL care for clients.
C)Provide resources to caregivers to reduce caregiver stress.
D)Refer available community resources.
E) Teach about interventions to provide quality care. --CORRECT ANSWER--A)Coordinate
a multidisciplinary team.
C)Provide resources to caregivers to reduce caregiver stress.
D)Refer available community resources.
E) Teach about interventions to provide quality care.
Feedback
Nurses who provide skilled home care services typically assume a primary coordinating role
with a multidisciplinary team. Nursing responsibilities include referrals for additional
services. Nurses direct their interventions toward the caregivers providing teaching about
interventions, and they address needs of the caregiver related to information about resources
and ways to reduce caregiver stress.
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,A nurse teaches an older adult client about the use of the telehealth equipment to monitor
congestive heart failure. Which of the following statements by the client shows
understanding?
A)"I will call the primary health care office everyday with my weight, and blood pressure."
B)"I won't touch this fancy equipment unless you are here."
C)"I need to step on this scale and use this automatic cuff each day."
D)"I will watch the prescribed television show every afternoon." --CORRECT ANSWER--
C)"I need to step on this scale and use this automatic cuff each day."
Feedback
Telehealth is used to collect and transmit assessment information. The client does not have to
call anyone, they are to use the equipment to collect weight and blood pressure to monitor
congestive heart failure, this equipment will transmit the data. Television is not included in
telehealth.
Active care management is often necessary in order to maintain wellness among older adults.
Which of these older adults is most likely to require care management?
A)A 90-year-old man who lives alone and has no living family members
B)A 77-year-old woman who enjoyed good health until she suffered a severe stroke 3 days
earlier
C)An 81-year-old resident of a nursing home whose Alzheimer disease is progressing rapidly
D)A 90-year-old man who has recently been transferred from an assisted living facility to an
acute care setting --CORRECT ANSWER--A)A 90-year-old man who lives alone and has no
living family members
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,Feedback
Community-dwelling older adults who may lack family involvement in their care often
require independent community-based professional geriatric care management. Individuals
who are experiencing acute medical conditions and who are in institutional or acute care
settings are not frequent recipients of care management.
A gerontological nurse is aware that out-of-pocket expenses for care can be onerous for many
older adults. Which action can the nurse take to potentially minimize these expenses for
clients?
A)Become familiar with the various funding sources and their eligibility requirements.
B)Teach older adults to be astute with their spending and saving patterns.
C)Encourage older adults to make care providers aware of each chronic condition they live
with.
D)Provide care that is primarily focused on acute, rather than chronic, health problems. --
CORRECT ANSWER--A)Become familiar with the various funding sources and their
eligibility requirements.
Feedback
Despite the complexity and limitations of programs, nurses need to know enough about the
most common sources of payment for health services so they can understand and address
some of the barriers to and challenges of implementing nursing care plans and discharge
plans. Ultimately, this may have the effect of reducing some older adults' out-of-pocket
expenses. Teaching about financial management is beyond the scope of the nurse and
focusing on acute, rather than chronic, health problems is inappropriate.
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, Admission to long-term care is typically a culmination in a long series of health problems and
functional limitations. Which of the following problems is most likely to precipitate
admission to long-term care?
A)Kidney disease
B)Traumatic injury
C)Chronic obstructive pulmonary disease
D)Dementia --CORRECT ANSWER--D)Dementia
Feedback
In contrast to admissions for skilled nursing care that are associated with a hospitalization,
admissions to long-term care commonly occur after a period of gradual decline in functioning
because of a chronic condition, such as dementia. Studies indicate that more severe functional
limitations, cognitive impairment, and problematic behaviors in people with dementia are
predictors of admission to nursing facilities for long-term care.
A hospital nurse is discussing with an older adult the possibility transfer to a nursing home
for skilled care after pneumonia. Which statement by the client indicates an understanding of
this possible transfer?
A) Old people who go to the nursing home don't get out.
B) They will take my home if I go to the nursing home.
C)I don't qualify for skilled care, I only had pneumonia.
D)I have already used 45 Medicare days this year. --CORRECT ANSWER--D)I have already
used 45 Medicare days this year.
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