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GERI MIDTERM EXAM — JERSEY COLLEGE
NUR202 Geriatric Nursing: Management Concepts for Elder Care
2026/2027 Complete Study Guide
Original Practice Questions • Correct Answers • Detailed Rationales
QUESTIONS 1–50: AGING THEORIES & GERONTOLOGIC FOUNDATIONS
1. Which statement best describes gerontologic nursing?
A. Nursing care provided only to terminally ill older adults
B. Specialized nursing care focused on the health and well-being of older adults
C. Nursing care limited to residents of nursing homes
D. Medical treatment of age-related diseases only
Correct Answer: B
Rationale: Gerontologic nursing focuses on promoting health, preventing complications,
managing illness, maintaining function, and supporting quality of life in older adults.
2. Which age-related change is considered a normal physiological change?
A. New-onset confusion
B. Severe depression
C. Decreased skin elasticity
D. Sudden urinary incontinence
,Correct Answer: C
Rationale: Aging commonly causes decreased skin elasticity because of changes in collagen,
elastin, and subcutaneous tissue. Sudden confusion, severe depression, and sudden
incontinence require assessment because they may indicate illness.
3. The nurse is teaching an older adult about normal aging. Which statement is most
appropriate?
A. "Memory loss is unavoidable with aging."
B. "Older adults normally become dependent on others."
C. "Some physiological changes occur with aging, but significant functional decline is not
inevitable."
D. "Chronic illness is always caused by aging."
Correct Answer: C
Rationale: Aging does not automatically cause dependence or severe cognitive decline. Many
older adults remain independent and active.
4. Which theory proposes that aging results partly from cumulative damage caused by
environmental factors and normal cellular processes?
A. Activity theory
B. Disengagement theory
C. Wear-and-tear theory
D. Continuity theory
Correct Answer: C
Rationale: The wear-and-tear theory proposes that body systems experience cumulative
damage over time.
5. According to activity theory, successful aging is associated with:
A. Withdrawal from social activities
B. Maintaining meaningful activities and relationships
C. Avoiding all physical activity
D. Increasing dependence on family members
,Correct Answer: B
Rationale: Activity theory proposes that maintaining meaningful activities and social
engagement contributes to satisfaction and adaptation during aging.
6. Which concept emphasizes maintaining familiar patterns of behavior as a person ages?
A. Continuity theory
B. Disengagement theory
C. Wear-and-tear theory
D. Immunological theory
Correct Answer: A
Rationale: Continuity theory suggests that older adults tend to maintain established patterns,
values, relationships, and activities when adapting to aging.
7. Which statement about chronological age is correct?
A. It always predicts functional ability.
B. It determines cognitive ability.
C. It refers to the number of years a person has lived.
D. It determines whether a person needs nursing care.
Correct Answer: C
Rationale: Chronological age is simply the number of years since birth. Functional and biological
age can differ significantly among individuals.
8. Which assessment finding should the nurse recognize as potentially abnormal rather than
automatically attributing it to aging?
A. Presbyopia
B. Mild decrease in muscle mass
C. Sudden disorientation
D. Decreased skin elasticity
Correct Answer: C
, Rationale: Sudden disorientation may indicate delirium, infection, medication effects, metabolic
abnormalities, or another acute condition.
9. Presbyopia refers to:
A. Age-related hearing loss
B. Difficulty focusing on nearby objects
C. Loss of taste
D. Reduced balance
Correct Answer: B
Rationale: Presbyopia is an age-related decrease in the ability of the eye to focus on near
objects.
10. Presbycusis is:
A. Age-related hearing loss
B. Age-related visual loss
C. Age-related loss of smell
D. Age-related loss of balance
Correct Answer: A
Rationale: Presbycusis is progressive sensorineural hearing loss associated with aging.
11. Which intervention best promotes communication with an older adult who has hearing
impairment?
A. Shout directly into the client's ear.
B. Speak rapidly.
C. Face the client and speak clearly at a moderate pace.
D. Speak only with the client's family.
Correct Answer: C
Rationale: Facing the client allows use of visual cues and lip-reading. Clear, moderately paced
speech improves understanding.