NUR 2214 Week 2 Quiz V3 | NUR 2214
Nursing Care of the Older Adult | Actual
Q&A with Rationale (NUR2214 Week 2
Quiz) | Rasmussen University
1. According to Erikson’s developmental stages, what is the primary task for an older adult to
achieve a sense of fulfillment?
A. Generativity vs. Stagnation
B. Integrity vs. Despair
C. Identity vs. Role Confusion
D. Intimacy vs. Isolation
Answer: B
Rationale: Erikson defines the final stage of life as Integrity vs. Despair, where the
individual reflects on their life accomplishments. Achieving integrity means the person
views their life as meaningful and successful, leading to wisdom. If the individual views
their life as a series of failures, they may experience despair and fear of death.
2. Which biological theory of aging suggests that highly reactive molecules damage DNA and
proteins within the cell?
A. Wear-and-Tear Theory
B. Free Radical Theory
,C. Cross-Link Theory
D. Programmed Longevity Theory
Answer: B
Rationale: The Free Radical Theory posits that aging is the result of cumulative oxidative
damage from reactive oxygen species. These radicals are byproducts of normal metabolism
but can cause significant cellular dysfunction over time. Antioxidants are often studied for
their potential to neutralize these harmful molecules and slow the aging process.
3. A nurse is reviewing the Patient Self-Determination Act (PSDA). What is a primary
requirement of this legislation?
A. Asking all patients upon admission if they have advance directives
B. Requiring nurses to make medical decisions for incapacitated patients
C. Establishing mandatory hospice care for all terminal patients
D. Prohibiting the use of DNR orders in acute care settings
Answer: A
Rationale: The Patient Self-Determination Act of 1990 requires healthcare facilities to
inform patients of their right to make healthcare decisions. Specifically, facilities must ask if
the patient has an advance directive and provide educational materials regarding these
rights. This law aims to promote autonomy and ensure that a patient’s wishes are
respected if they become unable to communicate.
, 4. The nurse observes a student nurse shouting at a hearing-impaired patient. Which
communication technique should the nurse recommend instead?
A. Avoid eye contact to reduce the patient’s anxiety
B. Use high-frequency tones to catch the patient’s attention
C. Speak in a low-pitched, clear voice while facing the patient
D. Over-articulate every word with exaggerated mouth movements
Answer: C
Rationale: Presbycusis, or age-related hearing loss, typically affects the ability to hear
high-frequency sounds first. Shouting often raises the pitch of the voice, making it harder
for the patient to understand and potentially appearing aggressive. Facing the patient
allows for lip-reading and non-verbal cues, which significantly aids in comprehension.
5. Which assessment tool is most appropriate for evaluating an older adult’s ability to
perform activities of daily living (ADLs) such as bathing and dressing?
A. Lawton IADL Scale
B. Katz Index
C. Mini-Mental State Examination (MMSE)
D. Geriatric Depression Scale (GDS)
Answer: B
Nursing Care of the Older Adult | Actual
Q&A with Rationale (NUR2214 Week 2
Quiz) | Rasmussen University
1. According to Erikson’s developmental stages, what is the primary task for an older adult to
achieve a sense of fulfillment?
A. Generativity vs. Stagnation
B. Integrity vs. Despair
C. Identity vs. Role Confusion
D. Intimacy vs. Isolation
Answer: B
Rationale: Erikson defines the final stage of life as Integrity vs. Despair, where the
individual reflects on their life accomplishments. Achieving integrity means the person
views their life as meaningful and successful, leading to wisdom. If the individual views
their life as a series of failures, they may experience despair and fear of death.
2. Which biological theory of aging suggests that highly reactive molecules damage DNA and
proteins within the cell?
A. Wear-and-Tear Theory
B. Free Radical Theory
,C. Cross-Link Theory
D. Programmed Longevity Theory
Answer: B
Rationale: The Free Radical Theory posits that aging is the result of cumulative oxidative
damage from reactive oxygen species. These radicals are byproducts of normal metabolism
but can cause significant cellular dysfunction over time. Antioxidants are often studied for
their potential to neutralize these harmful molecules and slow the aging process.
3. A nurse is reviewing the Patient Self-Determination Act (PSDA). What is a primary
requirement of this legislation?
A. Asking all patients upon admission if they have advance directives
B. Requiring nurses to make medical decisions for incapacitated patients
C. Establishing mandatory hospice care for all terminal patients
D. Prohibiting the use of DNR orders in acute care settings
Answer: A
Rationale: The Patient Self-Determination Act of 1990 requires healthcare facilities to
inform patients of their right to make healthcare decisions. Specifically, facilities must ask if
the patient has an advance directive and provide educational materials regarding these
rights. This law aims to promote autonomy and ensure that a patient’s wishes are
respected if they become unable to communicate.
, 4. The nurse observes a student nurse shouting at a hearing-impaired patient. Which
communication technique should the nurse recommend instead?
A. Avoid eye contact to reduce the patient’s anxiety
B. Use high-frequency tones to catch the patient’s attention
C. Speak in a low-pitched, clear voice while facing the patient
D. Over-articulate every word with exaggerated mouth movements
Answer: C
Rationale: Presbycusis, or age-related hearing loss, typically affects the ability to hear
high-frequency sounds first. Shouting often raises the pitch of the voice, making it harder
for the patient to understand and potentially appearing aggressive. Facing the patient
allows for lip-reading and non-verbal cues, which significantly aids in comprehension.
5. Which assessment tool is most appropriate for evaluating an older adult’s ability to
perform activities of daily living (ADLs) such as bathing and dressing?
A. Lawton IADL Scale
B. Katz Index
C. Mini-Mental State Examination (MMSE)
D. Geriatric Depression Scale (GDS)
Answer: B
