Gerontological Nursing Final Exam Review: Questions and Solutions, Exams
of Nursing
1. A nurse is discussing an older adult's recent diagnosis of rheumatoid
arthritis with a colleague. Which of the nurse's statements reflects an
accurate view of the relationship between aging and wellness?
A. "It's important that the individual knows this is an expected part of
growing older."
B. We need to teach the older adult how he can keep living a fruitful life in
spite of his diagnosis."
C) "We need to make sure our teaching is not too detailed for someone of his
age."
D) "We need to ensure his expectations of continuing to live alone are
realistic." - ANSWERAns: B
ANSWER B reflects a desire to foster a fulfilling and productive life for the
older adult despite his diagnosis, and reflects an understanding of wellness
and aging. Option A implies that illness is an inevitability of aging. Option C
suggests that older adults have a limited capacity to learn by virtue of their
,age, and option D implies pessimism about the health and functioning of the
older adult.
2. A nurse is teaching an older person about the concept of successful aging.
Which of the nurse's questions addresses an important contributor to
successful aging?
A) "Are you largely free of acute or chronic illnesses?"
B) "Do you feel financially secure?"
C) "Do you feel like you actively engage with life?"
D) "Do you have a reliable support network?" - ANSWERAns: C
Research has indicated that an active engagement with life is central to
successful and healthy aging. Absence of illness, financial security, and the
nature of a person's support network are not identified components of
successful aging.
3. An older adult has recently begun to display unprecedented lapses in
short-term memory. The nurse overhears a colleague reassuring the person
by saying, "Try not to worry; it's just a part of growing older." The nurse
recognizes that this is an example of what phenomenon?
A) Multiple jeopardy
,B) Gerontophobia
C) Age attribution
D) Implicit ageism - ANSWERAns: C
Age attribution is the act of attributing a problem to age rather than to a
pathology, as in the colleague's statement. Multiple jeopardy is the
compounding of discrimination based on factors such as race and gender,
while gerontophobia is the fear or hatred of older people. Implicit ageism is
the unrecognized, negative perception of older people.
4. A nurse hears a colleague make the statement, "Most older adults have
nothing to worry about financially." Which of the following responses is most
appropriate?
A) "You have to remember that there's a huge economic disparity among
older adults."
B) "Actually, the number of older people living below the poverty line has
been increasing, not decreasing."
C) "This isn't really true now, but it is true that the gaps that disadvantaged
groups live with are expected to shrink."
D) "This is true for some groups, but not for minorities who are less likely to
be living with their relatives." - ANSWERAns: A
, An important consideration with regard to economic conditions of older
adults is the tremendous range in financial status, which varies significantly
according to race, gender, and living arrangements. The number of adults
living below the poverty line, however, has decreased in recent years. The
disparities that separate disadvantaged groups from more economically
secure older adults are predicted to persist. Minorities are more likely, not
less likely, to be living with their relatives.
5. A nurse is conducting a study on the needs and living situations of older
adults in the community. Which of the following statements should the nurse
take into account?
A) A majority of older Americans will live in a nursing home at some point.
B) More older men live alone than older women.
C) Assisted living arrangements have become increasingly common.
D) Most older Americans reside in some form of institutional arrangement. -
ANSWERAns: C
Assisted living arrangements have become an increasingly common
alternative to nursing homes. The number of Americans living in nursing
homes has recently decreased, not increased, and more older women live
alone than do older men. Ninety percent of older Americans live in an
apartment or house, rather than in an institutional arrangement.
of Nursing
1. A nurse is discussing an older adult's recent diagnosis of rheumatoid
arthritis with a colleague. Which of the nurse's statements reflects an
accurate view of the relationship between aging and wellness?
A. "It's important that the individual knows this is an expected part of
growing older."
B. We need to teach the older adult how he can keep living a fruitful life in
spite of his diagnosis."
C) "We need to make sure our teaching is not too detailed for someone of his
age."
D) "We need to ensure his expectations of continuing to live alone are
realistic." - ANSWERAns: B
ANSWER B reflects a desire to foster a fulfilling and productive life for the
older adult despite his diagnosis, and reflects an understanding of wellness
and aging. Option A implies that illness is an inevitability of aging. Option C
suggests that older adults have a limited capacity to learn by virtue of their
,age, and option D implies pessimism about the health and functioning of the
older adult.
2. A nurse is teaching an older person about the concept of successful aging.
Which of the nurse's questions addresses an important contributor to
successful aging?
A) "Are you largely free of acute or chronic illnesses?"
B) "Do you feel financially secure?"
C) "Do you feel like you actively engage with life?"
D) "Do you have a reliable support network?" - ANSWERAns: C
Research has indicated that an active engagement with life is central to
successful and healthy aging. Absence of illness, financial security, and the
nature of a person's support network are not identified components of
successful aging.
3. An older adult has recently begun to display unprecedented lapses in
short-term memory. The nurse overhears a colleague reassuring the person
by saying, "Try not to worry; it's just a part of growing older." The nurse
recognizes that this is an example of what phenomenon?
A) Multiple jeopardy
,B) Gerontophobia
C) Age attribution
D) Implicit ageism - ANSWERAns: C
Age attribution is the act of attributing a problem to age rather than to a
pathology, as in the colleague's statement. Multiple jeopardy is the
compounding of discrimination based on factors such as race and gender,
while gerontophobia is the fear or hatred of older people. Implicit ageism is
the unrecognized, negative perception of older people.
4. A nurse hears a colleague make the statement, "Most older adults have
nothing to worry about financially." Which of the following responses is most
appropriate?
A) "You have to remember that there's a huge economic disparity among
older adults."
B) "Actually, the number of older people living below the poverty line has
been increasing, not decreasing."
C) "This isn't really true now, but it is true that the gaps that disadvantaged
groups live with are expected to shrink."
D) "This is true for some groups, but not for minorities who are less likely to
be living with their relatives." - ANSWERAns: A
, An important consideration with regard to economic conditions of older
adults is the tremendous range in financial status, which varies significantly
according to race, gender, and living arrangements. The number of adults
living below the poverty line, however, has decreased in recent years. The
disparities that separate disadvantaged groups from more economically
secure older adults are predicted to persist. Minorities are more likely, not
less likely, to be living with their relatives.
5. A nurse is conducting a study on the needs and living situations of older
adults in the community. Which of the following statements should the nurse
take into account?
A) A majority of older Americans will live in a nursing home at some point.
B) More older men live alone than older women.
C) Assisted living arrangements have become increasingly common.
D) Most older Americans reside in some form of institutional arrangement. -
ANSWERAns: C
Assisted living arrangements have become an increasingly common
alternative to nursing homes. The number of Americans living in nursing
homes has recently decreased, not increased, and more older women live
alone than do older men. Ninety percent of older Americans live in an
apartment or house, rather than in an institutional arrangement.
