NUR 257 – Concepts of Aging and Chronic Illness Exam 3
10-Point Exam Coverage
1. Normal aging changes and functional assessment
2. Chronic illness management and self-management
3. Polypharmacy and medication safety in older adults
4. Cognitive impairment, dementia, and delirium
5. Mobility, falls, and injury prevention
6. Nutrition, hydration, and swallowing concerns
7. Chronic cardiovascular and respiratory conditions
8. Diabetes, renal disease, and metabolic issues
9. Palliative, end-of-life, and advance care planning
10. Psychosocial health, caregiver support, and community resources
,1. Under normal conditions, careful review of the principle asks which option most appropriately
describes functional assessment when distinguishing the concept from a closely related but
incorrect idea?
A. a laboratory culture
B. evaluation of functional abilities
C. a medication dose calculation
D. examines abilities needed for daily activities and can reveal changes in independence
Correct Answer: D
Rationale: The key reason is that examines abilities needed for daily activities and can reveal
changes in independence.
2. Why professional reviewing this situation should identify which option best describes ageism
when responding to an unexpected finding during normal work?
A. involves stereotypes, prejudice, or discrimination based on age and can affect healthcare
quality
B. a normal developmental stage
C. bias or discrimination based on age
D. a protective factor against falls
Correct Answer: A
Rationale: The principle applies because involves stereotypes, prejudice, or discrimination
based on age and can affect healthcare quality.
,3. In a field situation, candidate preparing for this examination should select the response that
best identifies normal aging when applying the principle during routine professional work?
A. expected age-associated physiological change
B. complete loss of independence
C. includes expected physiological changes that should be distinguished from disease-related
pathology
D. inevitable severe disease
Correct Answer: C
Rationale: This is correct because includes expected physiological changes that should be
distinguished from disease-related pathology.
4. The trained practitioner should recognize which statement most accurately explains a fall-risk
assessment when deciding which action is most consistent with the stated professional
principle?
A. a medication prescription
B. identifies individual and environmental factors that increase the likelihood of falling
C. a test for hearing only
D. evaluation of factors contributing to falls
Correct Answer: B
Rationale: The correct choice is supported because identifies individual and environmental
factors that increase the likelihood of falling.
, 5. The careful review of the principle asks which option most appropriately describes diabetes
self-management when deciding which action is most consistent with the stated professional
principle?
A. a single laboratory test
B. includes medication use, glucose monitoring when prescribed, nutrition, activity, and
recognition of complications
C. daily behaviors supporting diabetes control
D. a replacement for patient education
Correct Answer: B
Rationale: The correct choice is supported because includes medication use, glucose
monitoring when prescribed, nutrition, activity, and recognition of complications.
6. From a clinical perspective, professional reviewing this situation should identify which option
best describes a fall-risk assessment when checking whether a procedure follows the underlying
standard?
A. a medication prescription
B. evaluation of factors contributing to falls
C. identifies individual and environmental factors that increase the likelihood of falling
D. a test for hearing only
Correct Answer: C
10-Point Exam Coverage
1. Normal aging changes and functional assessment
2. Chronic illness management and self-management
3. Polypharmacy and medication safety in older adults
4. Cognitive impairment, dementia, and delirium
5. Mobility, falls, and injury prevention
6. Nutrition, hydration, and swallowing concerns
7. Chronic cardiovascular and respiratory conditions
8. Diabetes, renal disease, and metabolic issues
9. Palliative, end-of-life, and advance care planning
10. Psychosocial health, caregiver support, and community resources
,1. Under normal conditions, careful review of the principle asks which option most appropriately
describes functional assessment when distinguishing the concept from a closely related but
incorrect idea?
A. a laboratory culture
B. evaluation of functional abilities
C. a medication dose calculation
D. examines abilities needed for daily activities and can reveal changes in independence
Correct Answer: D
Rationale: The key reason is that examines abilities needed for daily activities and can reveal
changes in independence.
2. Why professional reviewing this situation should identify which option best describes ageism
when responding to an unexpected finding during normal work?
A. involves stereotypes, prejudice, or discrimination based on age and can affect healthcare
quality
B. a normal developmental stage
C. bias or discrimination based on age
D. a protective factor against falls
Correct Answer: A
Rationale: The principle applies because involves stereotypes, prejudice, or discrimination
based on age and can affect healthcare quality.
,3. In a field situation, candidate preparing for this examination should select the response that
best identifies normal aging when applying the principle during routine professional work?
A. expected age-associated physiological change
B. complete loss of independence
C. includes expected physiological changes that should be distinguished from disease-related
pathology
D. inevitable severe disease
Correct Answer: C
Rationale: This is correct because includes expected physiological changes that should be
distinguished from disease-related pathology.
4. The trained practitioner should recognize which statement most accurately explains a fall-risk
assessment when deciding which action is most consistent with the stated professional
principle?
A. a medication prescription
B. identifies individual and environmental factors that increase the likelihood of falling
C. a test for hearing only
D. evaluation of factors contributing to falls
Correct Answer: B
Rationale: The correct choice is supported because identifies individual and environmental
factors that increase the likelihood of falling.
, 5. The careful review of the principle asks which option most appropriately describes diabetes
self-management when deciding which action is most consistent with the stated professional
principle?
A. a single laboratory test
B. includes medication use, glucose monitoring when prescribed, nutrition, activity, and
recognition of complications
C. daily behaviors supporting diabetes control
D. a replacement for patient education
Correct Answer: B
Rationale: The correct choice is supported because includes medication use, glucose
monitoring when prescribed, nutrition, activity, and recognition of complications.
6. From a clinical perspective, professional reviewing this situation should identify which option
best describes a fall-risk assessment when checking whether a procedure follows the underlying
standard?
A. a medication prescription
B. evaluation of factors contributing to falls
C. identifies individual and environmental factors that increase the likelihood of falling
D. a test for hearing only
Correct Answer: C
