GERO-BC Exam Prep: Clinical Communication & Sensory Support
GERO-BC Test 02: Communication and Safety
This set of questions focuses on sensory deficits, therapeutic communication techniques, and the legal protections for elderly residents.
Macular Degeneration: Patients often report that straight lines look wavy or distorted as the center of their vision blurs.
Hearing Loss: Using a lower-pitched voice and speaking slowly helps older adults hear and understand health history questions better.
Vision Deficits: Patients with hemianopsia should have their meal trays arranged so all food sits within their visible field.
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Explanation
Q:1A gerontological nurse is assessing an older adult for signs of age-related macular degeneration (AMD). Which of the following is a classic symptom of this condition?
AMD causes the center of your vision to get blurry or wavy. Straight lines will look crooked.
Q:2An 80-year-old patient who is the sole caregiver for their spouse requires minor surgery. The patient is concerned about their spouse's care during their recovery. What is the gerontological nurse's best recommendation?
Respite care gives the caregiver a break. The spouse stays in a safe place while the patient recovers from surgery.
Q:3An older adult patient is prescribed an anticholinergic medication for overactive bladder. The gerontological nurse should reinforce the need for routine dental visits because a common side effect of this medication is a decrease in:
These meds often cause dry mouth. Less spit means more cavities and gum problems.
Q:4A 90-year-old patient is struggling to answer health history questions logically. The nurse's initial and most appropriate action to improve communication is to:
Older ears hear lower sounds better than high ones. Speak slowly and keep your voice deep.
Q:5As people age, a common physiological change is a decrease in thirst sensation. What is the primary nursing concern related to this change?
Seniors may not feel thirsty even when their body needs water. This makes them get dehydrated easily.
Q:6A state ombudsman begins an investigation into a complaint about a nursing home. Which statement accurately describes the ombudsman's authority during this process?
An ombudsman can check records and investigate without telling names or getting a special court paper.
Q:7Based on the following laboratory results, which patient is at the greatest risk for developing arteriosclerotic heart disease?
High "bad" cholesterol (LDL) and high fats (triglycerides) put the heart at risk.
Q:8A 65-year-old patient has hemianopsia (a visual field deficit). Which nursing intervention is most appropriate to ensure the patient's safety and independence during mealtimes?
The patient cannot see out of one side of their eyes. Put all their food where they can see it.
Q:9An 80-year-old patient is resistant to following a new 2g sodium diet. What is the nurse's most effective initial approach to promote dietary adherence?
Find out what the patient likes to eat first. This helps you build a plan they will actually follow.
Q:10When an older adult patient is prescribed a neuroleptic medication, the nurse's primary concern regarding long-term side effects is the potential development of:
This is a movement problem that makes the face or tongue move in ways the patient cannot control.
Q:11A gerontological nurse is discussing complementary and integrative health. Which of the following is classified as a "whole medical system" rather than just a single therapy or modality?
A whole system has its own history and rules for healing. Traditional Chinese Medicine is an example of a whole system.
Q:12A patient has dysarthria, a motor speech disorder affecting the clarity of their speech. When assessing this patient, what is the nurse's most effective communication strategy?
It is hard for these patients to form words. Yes or No questions are much easier for them.
Q:13For older adults with diabetes, a nurse plans to provide group instruction. Which of the following topics is most appropriate for a group setting?
General tips work well in groups. Specific skills like shots should be taught one-on-one.
Q:14What is the legal document that designates a specific person to make medical and end-of-life decisions for a patient if they become incapacitated?
This paper names a person to speak for the patient if the patient cannot speak for themselves.
Q:15An older adult patient reports trouble sleeping and states they feel drowsy during the day. The gerontological nurse recognizes this as a sign of which age-related sleep change?
Seniors get less "deep" sleep. This makes them feel tired during the day.
Q:16In gerontological nursing research and quality improvement, which category of outcomes focuses on measuring the cost-effectiveness and the length of stay in a healthcare facility?
System outcomes look at the money and time used by the hospital. They show if the facility is running well.
Q:17A patient with chronic obstructive pulmonary disease (COPD) is experiencing air trapping. Which breathing technique should the nurse teach to help the patient expel air more effectively?
Pursing the lips while breathing out helps push old air out of the lungs.
Q:18A 68-year-old patient with Parkinson disease is experiencing anticipatory grief. The patient is withdrawn, angry, and has changes in eating habits. What is the nurse's most appropriate initial action?
Focusing on what the patient can still do helps them feel better and build trust with you.
Q:19A patient with advanced cancer states, "I can't stand this pain anymore. I'm going to take my gun and shoot myself." What is the nurse's best and most therapeutic response?
This response takes the threat seriously and offers to fix the pain right now.
Q:20A 65-year-old patient has a stroke affecting the left cerebral hemisphere. In addition to right-sided paralysis, the nurse should anticipate the patient will also exhibit which common symptom?
The left side of the brain controls talking. Damage there makes it hard to speak or understand words.
Test 02 Study Summary
1. Medication EffectsAnticholinergic drugs reduce saliva production which leads to dry mouth and an increased risk of severe dental cavities.
2. Breathing TechniquesPursed-lip breathing is a vital skill for COPD patients to help them push trapped air out of their lungs.
3. Legal AdvocacyA durable power of attorney for healthcare names a specific person to make medical decisions if the patient becomes incapacitated.
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