NUR 257 EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
How to define old age
Answer:
Every culture has its own definition of when one is recognized as "old"
Question:
Biological Aging
Answer:
Traits we identify as getting older (Aging Phenotype) - Gray Hair, Wrinkled Skin etc.
changes in external expression of genetic makeup + Internal changes the deterioration
of organisms that leads inevitably to their death
Question:
Chronological Aging
Answer:
aging based on a person's years lived from birth Considered old/Late life between ages
50-65 years old Retire at 65 Supercentarians 110+ Centenarians 100+ Those in between
(1915-1945) Baby boomers (1946-1964)
Question:
Why is geriatric care in high-demand?
Answer:
people are living longer d/t being healthier, advances in medicine More people 60+ than
people under the age of 5
Question:
Resident Bill of Rights for LTC residents*
Answer:
Rights identified in OBRA that relate to how residents must be treated in a long term
care facility; ethical code of conduct Right to voice grievances and have them remedied
Right to info about health conditions and treatments and to participate in OWN care to
the greatest extent possible Right to be transferred or discharged only for appropriate
reasons Right to choose one's own HCP and to speak privately with HCP Right to consent
or refuse all aspects of care and treatment Right to immediate visitation and access at
any time for family, health care providers and legal advisors; right to reasonable
visitation and access for others Right to be FREE from all forms of abuse Right to be free
from all form of restraint to the extent compatible with safety Right to privacy and
confidentiality- personal and medical info Right to be treated with dignity,
consideration and respect in keeping individuality
,Question:
Functional Aging
Answer:
Person is no longer able to perform activities they used to How well a person functions
physically
Question:
Social Aging
Answer:
Changes in roles such as retirement, appointment as a wise person of the community,
or at the birth of a grand child
Question:
Super centenarians (110+)
Answer:
older adults who have reached age 110+ and beyond
Question:
Longevity is influenced by:
Answer:
Genetics, environment and lifestyle Long lived persons do not smoke, not obese and
handle stress well.
Question:
Centenarians (100+)
Answer:
people who have reached the age of 100-109 years or older Many had all or most of the
"childhood diseases" such as measles, mumps, chicken pox, whooping cough + lived
through polio
Question:
Those In-Between
Answer:
Those between the centenarians and the baby boomers, born between 1915 and 1945
Question:
Baby boomers
Answer:
people born between 1946 and 1964
Question:
Role of the Gerontological Nurse
Answer:
-Assist the older person to achieve the highest level of wellness in relation to whatever
situation exists -Empower, enhance, and support the achievement of wellness -Use
available resources -Work with the person and significant others to develop affirming
and appropriate plans of care
, Question:
Healthy aging
Answer:
Functional ability rather than absence of disease R/T:
- Functional Status
- Socioeconomic Factors
- Degree of social interaction
- Marital Status
- Living Situation and Environment
Question:
Preventive services/screenings:
Immunizations
Answer:
Promote Influenza, pneumonia, Covid, strep* vaccines YEARLY!
Question:
Preventive services/screenings:
Breast-cancer Screenings
Answer:
Yearly Breast Exams!
Question:
Health Enhancing Behaviors
Answer:
YEARLY PHYSICAL EXAM: check for diabetes, HTN, heart disease
- More often if pt has a chronic illness Manage stress though coping mechanisms Avoid
isolation and socialize with others in a variety of settings - hang with people own age
helps with physical health Reminisce about life though reflective discussions and
journaling
Question:
Geriatric Diet Considerations (HEALTH ENHANCING BEHAVIORS)
Answer:
INCREASE daily dietary intake of COMPLEX CARBS AND FIBER containing food to
- 5 of more servings of fruits and veggies
- 6 or more servings of grain products Recommended fat intake: Reduce dietary fat to
no more than 30% of calories:
saturated fat to less than 10% of calories Increase calcium intake to between 1000 and
1500 Mg daily; take vitamin D supplements every day is not exposed to sunlight Spend
10-15 minutes in the sun 2/3 times a week for vitamin D intake. AVOID PROLONGED
SUN EXPOSURE (Cover Up) Exercise 3-5 times a week Alcohol in moderation, STOP
SMOKING, Wear seatbelts
CORRECT ANSWERS
Question:
How to define old age
Answer:
Every culture has its own definition of when one is recognized as "old"
Question:
Biological Aging
Answer:
Traits we identify as getting older (Aging Phenotype) - Gray Hair, Wrinkled Skin etc.
changes in external expression of genetic makeup + Internal changes the deterioration
of organisms that leads inevitably to their death
Question:
Chronological Aging
Answer:
aging based on a person's years lived from birth Considered old/Late life between ages
50-65 years old Retire at 65 Supercentarians 110+ Centenarians 100+ Those in between
(1915-1945) Baby boomers (1946-1964)
Question:
Why is geriatric care in high-demand?
Answer:
people are living longer d/t being healthier, advances in medicine More people 60+ than
people under the age of 5
Question:
Resident Bill of Rights for LTC residents*
Answer:
Rights identified in OBRA that relate to how residents must be treated in a long term
care facility; ethical code of conduct Right to voice grievances and have them remedied
Right to info about health conditions and treatments and to participate in OWN care to
the greatest extent possible Right to be transferred or discharged only for appropriate
reasons Right to choose one's own HCP and to speak privately with HCP Right to consent
or refuse all aspects of care and treatment Right to immediate visitation and access at
any time for family, health care providers and legal advisors; right to reasonable
visitation and access for others Right to be FREE from all forms of abuse Right to be free
from all form of restraint to the extent compatible with safety Right to privacy and
confidentiality- personal and medical info Right to be treated with dignity,
consideration and respect in keeping individuality
,Question:
Functional Aging
Answer:
Person is no longer able to perform activities they used to How well a person functions
physically
Question:
Social Aging
Answer:
Changes in roles such as retirement, appointment as a wise person of the community,
or at the birth of a grand child
Question:
Super centenarians (110+)
Answer:
older adults who have reached age 110+ and beyond
Question:
Longevity is influenced by:
Answer:
Genetics, environment and lifestyle Long lived persons do not smoke, not obese and
handle stress well.
Question:
Centenarians (100+)
Answer:
people who have reached the age of 100-109 years or older Many had all or most of the
"childhood diseases" such as measles, mumps, chicken pox, whooping cough + lived
through polio
Question:
Those In-Between
Answer:
Those between the centenarians and the baby boomers, born between 1915 and 1945
Question:
Baby boomers
Answer:
people born between 1946 and 1964
Question:
Role of the Gerontological Nurse
Answer:
-Assist the older person to achieve the highest level of wellness in relation to whatever
situation exists -Empower, enhance, and support the achievement of wellness -Use
available resources -Work with the person and significant others to develop affirming
and appropriate plans of care
, Question:
Healthy aging
Answer:
Functional ability rather than absence of disease R/T:
- Functional Status
- Socioeconomic Factors
- Degree of social interaction
- Marital Status
- Living Situation and Environment
Question:
Preventive services/screenings:
Immunizations
Answer:
Promote Influenza, pneumonia, Covid, strep* vaccines YEARLY!
Question:
Preventive services/screenings:
Breast-cancer Screenings
Answer:
Yearly Breast Exams!
Question:
Health Enhancing Behaviors
Answer:
YEARLY PHYSICAL EXAM: check for diabetes, HTN, heart disease
- More often if pt has a chronic illness Manage stress though coping mechanisms Avoid
isolation and socialize with others in a variety of settings - hang with people own age
helps with physical health Reminisce about life though reflective discussions and
journaling
Question:
Geriatric Diet Considerations (HEALTH ENHANCING BEHAVIORS)
Answer:
INCREASE daily dietary intake of COMPLEX CARBS AND FIBER containing food to
- 5 of more servings of fruits and veggies
- 6 or more servings of grain products Recommended fat intake: Reduce dietary fat to
no more than 30% of calories:
saturated fat to less than 10% of calories Increase calcium intake to between 1000 and
1500 Mg daily; take vitamin D supplements every day is not exposed to sunlight Spend
10-15 minutes in the sun 2/3 times a week for vitamin D intake. AVOID PROLONGED
SUN EXPOSURE (Cover Up) Exercise 3-5 times a week Alcohol in moderation, STOP
SMOKING, Wear seatbelts
