NU 627 Exam 1 Gerontological
Nursing Questions With Correct
Solutions| Herzing
EXAM
Q1. A 78-year-old female cardiac patient reports fatigue and
limited mobility. The nurse understands that in assessing
functional decline, which of the following is NOT a recognized
risk factor?
A. Presence of one comorbidity
B. Polypharmacy
C. Urinary incontinence
D. Cognitive impairment
Correct Answer: A. Presence of one comorbidity
Rationale: Functional decline is associated with multiple
comorbidities, polypharmacy (taking 5+ medications), urinary
incontinence, cognitive impairment, and depression. The presence
of a single comorbidity alone is not considered a primary risk
factor for functional decline.
Q2. A nurse is discussing an older adult's recent diagnosis of
rheumatoid arthritis with a colleague. Which statement
,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. "At his age, there's not much we can do to manage this
condition."
Correct Answer: B. "We need to teach the older adult how he
can keep living a fruitful life in spite of his diagnosis."
Rationale: This statement reflects a positive, strengths-based
approach to aging and wellness. It recognizes that older adults
can continue to live fruitful, meaningful lives even with chronic
conditions.
Q3. 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?"
,Correct Answer: C. "Do you feel like you actively engage with
life?"
Rationale: Active engagement with life is a key component of
successful aging, emphasizing social and productive activities.
Q4. 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
Correct Answer: C. Age attribution
Rationale: Age attribution occurs when a health problem is
incorrectly attributed to the aging process itself, rather than to a
potentially treatable condition.
Q5. The nurse is differentiating between an 81-year-old
patient's age-related changes and his risk factors for disease.
Which of the following characteristics of the patient would
the nurse consider as a risk factor?
A. Decreased vital lung capacity
, B. Chronic bronchitis
C. Decreased skin elasticity
D. Decreased gastric motility
Correct Answer: B. Chronic bronchitis
Rationale: Chronic bronchitis is a disease process and a risk
factor, whereas decreased lung capacity, skin elasticity, and gastric
motility are normal age-related physiological changes.
Q6. The nurse is using the Functional Consequences Theory as
a lens for planning patient care. The nurse recognizes that
which of the following is an element of this nursing theory?
A. Wellness is a concept that is broader than just physiologic
functioning.
B. Aging is a pathologic process that must be managed.
C. Older adults cannot adapt to age-related changes.
D. Functional decline is inevitable and irreversible.
Correct Answer: A. Wellness is a concept that is broader than
just physiologic functioning
Rationale: The Functional Consequences Theory emphasizes that
wellness encompasses more than just physiological functioning,
including psychosocial and environmental factors.
Q7. Despite the fact that older adults are proportionately the
highest users of health care services, many nurses harbor
Nursing Questions With Correct
Solutions| Herzing
EXAM
Q1. A 78-year-old female cardiac patient reports fatigue and
limited mobility. The nurse understands that in assessing
functional decline, which of the following is NOT a recognized
risk factor?
A. Presence of one comorbidity
B. Polypharmacy
C. Urinary incontinence
D. Cognitive impairment
Correct Answer: A. Presence of one comorbidity
Rationale: Functional decline is associated with multiple
comorbidities, polypharmacy (taking 5+ medications), urinary
incontinence, cognitive impairment, and depression. The presence
of a single comorbidity alone is not considered a primary risk
factor for functional decline.
Q2. A nurse is discussing an older adult's recent diagnosis of
rheumatoid arthritis with a colleague. Which statement
,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. "At his age, there's not much we can do to manage this
condition."
Correct Answer: B. "We need to teach the older adult how he
can keep living a fruitful life in spite of his diagnosis."
Rationale: This statement reflects a positive, strengths-based
approach to aging and wellness. It recognizes that older adults
can continue to live fruitful, meaningful lives even with chronic
conditions.
Q3. 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?"
,Correct Answer: C. "Do you feel like you actively engage with
life?"
Rationale: Active engagement with life is a key component of
successful aging, emphasizing social and productive activities.
Q4. 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
Correct Answer: C. Age attribution
Rationale: Age attribution occurs when a health problem is
incorrectly attributed to the aging process itself, rather than to a
potentially treatable condition.
Q5. The nurse is differentiating between an 81-year-old
patient's age-related changes and his risk factors for disease.
Which of the following characteristics of the patient would
the nurse consider as a risk factor?
A. Decreased vital lung capacity
, B. Chronic bronchitis
C. Decreased skin elasticity
D. Decreased gastric motility
Correct Answer: B. Chronic bronchitis
Rationale: Chronic bronchitis is a disease process and a risk
factor, whereas decreased lung capacity, skin elasticity, and gastric
motility are normal age-related physiological changes.
Q6. The nurse is using the Functional Consequences Theory as
a lens for planning patient care. The nurse recognizes that
which of the following is an element of this nursing theory?
A. Wellness is a concept that is broader than just physiologic
functioning.
B. Aging is a pathologic process that must be managed.
C. Older adults cannot adapt to age-related changes.
D. Functional decline is inevitable and irreversible.
Correct Answer: A. Wellness is a concept that is broader than
just physiologic functioning
Rationale: The Functional Consequences Theory emphasizes that
wellness encompasses more than just physiological functioning,
including psychosocial and environmental factors.
Q7. Despite the fact that older adults are proportionately the
highest users of health care services, many nurses harbor
