TEST BANK FOR HAM'S PRIMARY CARE
GERIATRICS A CASE BASED APPROACH 6TH
EDITION EXAM QUESTIONS AND ANSWERS WITH
RATIONALES CHAPTER 1 TO CHAPTER 53 ALL
COMPLETE 2026 NEW UPDATE
Principles of Primary Care of Older Adults: Chapter 1
1. A nurse working with the older adult population is most likely to assess a need for a
financial
social services referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American female.
ANS: B
The poverty rate among older black women is substantially higher than that seen among
males or
females of other ethnic groups. White males had the least poverty.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
2. Which of the following statements made by a nurse preparing to complete a health
assessment
and history on an older patient reflects an understanding of the general health status of this
Page 1 of 846
,population?
a. Ill need to document well regarding the medications the patient is currently prescribed.
b. I would like to understand how supportive the patients family members are.
c. Most older patients are being treated for a variety of chronic health care issues.
d. It will be interesting to see whether this patient sees herself as being healthy.
ANS: D
It is a misconception that old age is synonymous with disease and illness. The nurse should
always determine the patients sense of wellness and independence when conducting a health
and history assessment. An assessment of medication use and family support is important for
any patient. Many older adults do have chronic health conditions, but their perception is more
important than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
3. The nurse is caring for an older adult who has been admitted to an acute care hospital for
treatment of a fractured femur. The family expresses concern about the patients pending
transfer
to a subacute care facility. What response by the nurse is best?
a. Acute care facilities lack the long-term physical therapy support your dad requires.
b. Your dad will be much happier in a more serene, private environment.
c. The subacute facility will focus on helping your dad maintain his independence.
d. Insurance, including Medicare, will cover only a limited amount of time here.
ANS: C
The transfer of the patient to a subacute facility is based on the need to maintain the patients
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,level of function and independence, a task the acute care facility is not prepared to address
once the patient is physiologically stable. The patient may or may not be happier in the new
setting; the nurse should not make this judgment. It is true that insurance only pays for a
limited amount of time in an acute care facility, but this is not the best reason for the patient
to transfer.
DIF: Applying (Application) REF: N/A OBJ: 1-6
TOP: Communication and Documentation
MSC: Health Promotion and Maintenance
4. To best assure both the quality of care and the safety of the older adult patient who requires
in- home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
a. evaluates the competency of the UAP staff.
b. assumes the roles of case manager and patient advocate.
c. arranges for the needed UAP provided services.
d. assesses the patient for functional limitations.
ANS: A
As more care traditionally provided by professional nurses is being transferred to UAP, the
nurse
must assume more responsibility for educating, training, and evaluating the competency of
UAP
staff to provide safe, effective care for the older adult patient.
DIF: Applying (Application) REF: N/A OBJ: 1-2
TOP: Communication and Documentation
MSC: Safe and Effective Care Environment
5. The nurse working with older adults understands what information about certification in
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, gerontologic nursing?
a. It is mandatory for those in long-term care settings.
b. It is voluntary and shows clinical expertise in an area.
c. It allows nurses to be paid by third-party payers.
d. It allows nurses to advance their careers in a job.
ANS: B
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a
certain area of practice. It is not mandatory in specific care settings. It does not allow for
third-
party reimbursement. It may be part of a career ladder program, but that is not true of all
work
settings.
DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-2
TOP: Teaching-Learning MSC: Safe Effective Care Environment
6. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
a. Serving as a patient advocate
b. Educating patients about diseases
c. Helping patients remain independent
d. Referring patients to home health care
ANS: C
One of the challenges and priorities of the gerontologic nurse is helping patients maintain
their
independence.
DIF: Remembering (Knowledge) REF: msc: 10 OBJ: 1-2
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GERIATRICS A CASE BASED APPROACH 6TH
EDITION EXAM QUESTIONS AND ANSWERS WITH
RATIONALES CHAPTER 1 TO CHAPTER 53 ALL
COMPLETE 2026 NEW UPDATE
Principles of Primary Care of Older Adults: Chapter 1
1. A nurse working with the older adult population is most likely to assess a need for a
financial
social services referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American female.
ANS: B
The poverty rate among older black women is substantially higher than that seen among
males or
females of other ethnic groups. White males had the least poverty.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
2. Which of the following statements made by a nurse preparing to complete a health
assessment
and history on an older patient reflects an understanding of the general health status of this
Page 1 of 846
,population?
a. Ill need to document well regarding the medications the patient is currently prescribed.
b. I would like to understand how supportive the patients family members are.
c. Most older patients are being treated for a variety of chronic health care issues.
d. It will be interesting to see whether this patient sees herself as being healthy.
ANS: D
It is a misconception that old age is synonymous with disease and illness. The nurse should
always determine the patients sense of wellness and independence when conducting a health
and history assessment. An assessment of medication use and family support is important for
any patient. Many older adults do have chronic health conditions, but their perception is more
important than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
3. The nurse is caring for an older adult who has been admitted to an acute care hospital for
treatment of a fractured femur. The family expresses concern about the patients pending
transfer
to a subacute care facility. What response by the nurse is best?
a. Acute care facilities lack the long-term physical therapy support your dad requires.
b. Your dad will be much happier in a more serene, private environment.
c. The subacute facility will focus on helping your dad maintain his independence.
d. Insurance, including Medicare, will cover only a limited amount of time here.
ANS: C
The transfer of the patient to a subacute facility is based on the need to maintain the patients
Page 2 of 846
,level of function and independence, a task the acute care facility is not prepared to address
once the patient is physiologically stable. The patient may or may not be happier in the new
setting; the nurse should not make this judgment. It is true that insurance only pays for a
limited amount of time in an acute care facility, but this is not the best reason for the patient
to transfer.
DIF: Applying (Application) REF: N/A OBJ: 1-6
TOP: Communication and Documentation
MSC: Health Promotion and Maintenance
4. To best assure both the quality of care and the safety of the older adult patient who requires
in- home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
a. evaluates the competency of the UAP staff.
b. assumes the roles of case manager and patient advocate.
c. arranges for the needed UAP provided services.
d. assesses the patient for functional limitations.
ANS: A
As more care traditionally provided by professional nurses is being transferred to UAP, the
nurse
must assume more responsibility for educating, training, and evaluating the competency of
UAP
staff to provide safe, effective care for the older adult patient.
DIF: Applying (Application) REF: N/A OBJ: 1-2
TOP: Communication and Documentation
MSC: Safe and Effective Care Environment
5. The nurse working with older adults understands what information about certification in
Page 3 of 846
, gerontologic nursing?
a. It is mandatory for those in long-term care settings.
b. It is voluntary and shows clinical expertise in an area.
c. It allows nurses to be paid by third-party payers.
d. It allows nurses to advance their careers in a job.
ANS: B
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a
certain area of practice. It is not mandatory in specific care settings. It does not allow for
third-
party reimbursement. It may be part of a career ladder program, but that is not true of all
work
settings.
DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-2
TOP: Teaching-Learning MSC: Safe Effective Care Environment
6. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
a. Serving as a patient advocate
b. Educating patients about diseases
c. Helping patients remain independent
d. Referring patients to home health care
ANS: C
One of the challenges and priorities of the gerontologic nurse is helping patients maintain
their
independence.
DIF: Remembering (Knowledge) REF: msc: 10 OBJ: 1-2
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