NUR 3311 Final Exam Questions And Answers Latest Updated 2024 (GRADED A+)

A nurse who works on a subacute medical unit of a hospital has noticed that the population of older adults being admitted to the unit has been increasing over the past few years. The nurse engages a colleague in a discussion about this finding. Which statement by the colleague would be most reflective of current thinking about older adults? A)"Fortunately, Social Security ensures a sufficient level of income for people over 65." B)"It helps that older people don't have to incur any costs for their medical care." C)"Most of the older clients on the unit will have come to us from nursing homes." D)"It's reassuring older adults are receiving more concern than in decades past." - Answer D)"It's reassuring older adults are receiving more concern than in decades past." A public health nurse who directs a homecare program that serves an area with a large population of older adults is conducting a long-term strategic plan. Which phenomenon would be most important for the nurse to integrate when planning for the future? A)While life expectancy will continue to rise, the percentage of older adults in the United States relative to the overall population will decrease. B)By 2030, it is expected that the number of adults over age 85 will triple. C)Both life expectancy and the percentage of people over 65 in the population will increase in coming decades. D)Chronic conditions are expected to gradually cause a decrease in the number of older adults in 10 years. - Answer C)Both life expectancy and the percentage of people over 65 in the population will increase in coming decades. A nurse who practices in a long-term care facility is providing care for a 101-year-old black female. The nurse's coworker states, "It's gratifying that black people in this country are finally reaching the same levels of health that white people are enjoying." Which response would be most appropriate? A)"Actually, the difference in life expectancy between blacks and whites is growing, not shrinking." B)"We've not yet arrived at a place where the life expectancies are equal between black and white people, but the gap is decreasing gradually." C)"Black women do tend to live longer than white women, but the overall life expectancies when men are included are not yet equal." D)"Since the 1980s, the life expectancies of black and white Americans have remained nearly the same." - Answer A)"Actually, the difference in life expectancy between blacks and whites is growing, not shrinking." A nurse is providing care to a group of older adults who attend activities at the local senior center. When interacting with the group, the nurse notes that more of the women than men live alone. Which phenomena would the nurse most likely attribute to this situation? A)Women tend to live longer than men and marry men older than themselves. NUR 3311 Final Exam Questions And Answers Latest Updated 2024 (GRADED A+) B)Men tend to have greater access to care facilities due to higher incomes and savings. C)Men are more likely to live with younger family members following the death of a spouse. D)Social pressures tend to stigmatize older men who live alone. - Answer A)Women tend to live longer than men and marry men older than themselves. A nurse is conducting a class for a group of nurses who are employed at the local community health center that serves a large older adult population. As part of the class, the nurse discusses the impact of the older adult's financial status on their life. The nurse determines that the teaching was successful based on which statement by the group? A)"The percentage of older people living below the poverty level has been increasing." B)"The financial needs of most older adults are well met by Social Security income alone." C)"The recent decline in housing prices has made many older adults 'asset rich and cash poor.'" D)"Women 65 years of age and older are the fastest growing group of employment." - Answer C)"The recent decline in housing prices has made many older adults 'asset rich and cash poor.'" A nursing care aide employed on a medical unit of a hospital expresses frustration that "old people get sick so much more often than young people." Which response by the nurse would be most appropriate? A)"Truthfully, the prevalence of obesity and accompanying chronic illnesses mean that young people actually have more chronic conditions than older adults." B)"It's actually a myth that older adults require more hospitalization than young people." C)"Actually, older adults experience fewer acute illnesses than younger people; it's just that they tend to take longer to recover from them." D)"With the increase in life expectancies in recent years, most older people actually live free of chronic diseases until very late in life." - Answer C)"Actually, older adults experience fewer acute illnesses than younger people; it's just that they tend to take longer to recover from them." ) A nurse is conducting a presentation for a group of older adults at the local community center about chronic illnesses. When describing the effect of chronic illness on this population, which concept would be most important for the nurse to integrate into the discussion? A)Chronic illnesses constitute the leading cause of death for older adults. B)More older adults die from acute illnesses than from chronic diseases. C)While chronic diseases used to be the leading cause of death, this trend is no longer true. D)While cancer rates have fallen, other chronic diseases remain a common cause of death. - Answer A)Chronic illnesses constitute the leading cause of death for older adults The board of a large chain of hospitals has commissioned a strategic plan to meet the care needs of baby boomers in coming years. When developing a plan for the future, which characteristic would be most important to incorporate into the plan? Select all that apply. A)Baby boomers typically have fewer children to help with care later than those of earlier generations. B)Adjusting for inflation, baby boomers have lower incomes than their parents had. C)Due to technology, baby boomers have more leisure time than other adults. D)Baby boomers perform physical exercise more frequently than other adults. E)The educational level of baby boomers is usually lower than preceding generations. - Answer A)Baby boomers typically have fewer children to help with care later than those of earlier generations D)Baby boomers perform physical exercise more frequently than other adults. An 85-year-old man has been admitted to the hospital with exacerbation of his chronic obstructive pulmonary disease (COPD). His family has expressed concern about their ability to pay for his present and future care. The nurse offers support and guidance to the family, offering suggestions based on which aspect associated with the payment for care services by older adults? A)The financial burden of care for most older adults is minimal due to ownership of high-value assets. B)Private insurers most often cover the payment for long-term care of older adults. C)Most older adults have their basic care needs provided in a long-term facility. D)Federal money pays for more care than do older adults or private insurers. - Answer D)Federal money pays for more care than do older adults or private insurers. A nurse is providing care to an 89-year-old female resident of a nursing home. While visiting, the resident's daughter makes a statement about older adults. Which statement, if made by the resident's daughter, would require the nurse to respond? A)"It seems like more and more people are living well into their 80s like my mom." B)"My mom has a house worth loads of money but little cash flow, like many older adults." C)"It seems like heart disease is getting more common even though people live longer than they used to." D)"There are more women living to my mother's age than there are men." - Answer C)"It seems like heart disease is getting more common even though people live longer than they used to." A gerontological nurse is preparing a plan of care for an older adult applying the error theory of aging as the foundation of the plan. Which concept would the nurse most likely integrate into the plan? A)Perpetuation of DNA mutations results in organ and system malfunction. B)Age-related dysfunction of organs and body systems results in DNA mutation. C)The number of cell divisions is genetically predetermined. D)Errors in organ function contribute to changes in the cells' genetic code - Answer A)Perpetuation of DNA mutations results in organ and system malfunction A gerontological nurse is conducting an in-service presentation to a group of nurses working at a long-term care facility about the various theories of aging. When describing the error theory of aging, the nurse explains the steps involved. Which step would the nurse describe first? A)Organ, tissue, and system malfunction B)Perpetuation of mutation during cell divisions C)DNA mutation D)Overall decline in body functions E)Decline in body function - Answer C)DNA mutation A nurse is explaining to an older adult client that many of the changes in his body that are currently causing him frustration may have their origins in genetic changes that may have in fact benefited him during his younger years. Which theory of aging underlies the nurse's explanation? A)Disposable soma theory B)Free radical theory C)Mutation accumulation theory D)Antagonistic pleiotropy theory - Answer D)Antagonistic pleiotropy theory An 80-year-old female client who enjoys good health explains to the nurse that she attributes her health status to her regular intake of berries, fruit juices, and green tea, which she states "help cleanse the damaging molecules out of my body." The nurse interprets this statement as reflecting which theory of aging? A)Free radical theory B)Biogerontology C)Disposable soma theory D)Cross-linking theory - Answer A)Free radical theory A nurse is discussing an older adult client's apparent increased susceptibility to infection with his family. Which explanation by the nurse would be most congruent with current thought around the autoimmune role in the aging process? A)"Changes that we call 'mutations' in your father's cells make his organs more vulnerable to chronic illness and germs." B)"Older adults often have more difficulty fighting off infections because of their weaker immune systems, and their bodies can even attack themselves." C)"Diseases such as arthritis, which we term 'autoimmune,' make older people more likely to catch viruses and other bugs." D)"Our bodies seem to have an 'expiration date,' after which we are far more likely to get infections and develop chronic illness." - Answer B)"Older adults often have more difficulty fighting off infections because of their weaker immune systems, and their bodies can even attack themselves." A clinical nurse specialist is espousing the disengagement theory of aging when teaching staff how best to meet the needs of older clients. Which teaching points best captures the disengagement theory of aging? A)"Older adults often benefit from a gradual and controlled withdrawal of their own interests from society's interests." B)"The disengagement between an older adult's abilities and desires can lead to frustration and, ultimately, to illness." C)"The lack of synchronicity between older adults' immune systems and their environments can be the root of many problems." D)"It is imperative that we ensure older adults remain engaged with interests and events beyond themselves." - Answer A)"Older adults often benefit from a gradual and controlled withdrawal of their own interests from society's interests." The nurse manager of a long-term care facility is developing programs for the residents, integrating the concepts of the activity theory of aging. When explaining these programs to the staff, which statement would be most appropriate? A)"We need to facilitate older adults' desire to step back from the responsibilities and roles they had in earlier years." B)"It's hard to overestimate the importance of regular, physical exercise in maintaining health and healthy aging." C)"We need to remember that the psychological roles and characters of our residents change profoundly in later years of life." D)"We have to treat our residents like younger people and keep them engaged in meaningful acts." - Answer D)"We have to treat our residents like younger people and keep them engaged in meaningful acts." A nurse is assessing several older adult clients. Which client would the nurse identify as continuing to struggle with achieving Erikson's task of reconciling ego integrity with despair? A)An 80-year-old man is struggling to determine his identity apart from his lifelong career as a business leader. B)A 79-year-old woman has established habits that EMAIL ME: EMAIL ME: promote her financial independence despite a lack of savings. C)An 80-year-old man revels in his large, happy family rather than focusing on his mobility limitations resulting from Parkinson disease. D)A 77-year-old man is trying to determine whether his life has had deep significance and meaning. - Answer B)A 79-year-old woman has established habits that promote her financial independence despite a lack of savings. A gerontological nurse working at an assisted living facility is developing programs for the clients to promote healthy aging. Which area would the nurse most likely include? Select all that apply. A)Discussing current events with clients who read and watch television. B)Placing a bib on each client during meal times to ensure cleanliness C)Challenging clients to learn new skills and develop pre-existing talents D)Facilitating introductions between new and existing clients E)Fostering a focus on the here and now instead of reminiscing about the past - Answer A)Discussing current events with clients who read and watch television. C)Challenging clients to learn new skills and develop pre-existing talents D)Facilitating introductions between new and existing clients A nurse notes that a 90-year-old male client on a hospital medical unit with a high population of older adults has been talking about death frequently. Given that the nurse has good rapport with the client, which response by the nurse would be most appropriate? A)"Try to focus more on the positive benefits of healing rather than what might happen." B)"Remember that in this day and age, many people can live far beyond 90 years of age." C)"I've noticed you've brought up the issue of dying a lot. How do you feel about that?" D)"You'll find that aiming for health rather than thinking about death will have positive results." - Answer C)"I've noticed you've brought up the issue of dying a lot. How do you feel about that?" A gerontological nurse is planning care for older adult clients on the unit. The nurse would focus attention on which health problem due to an increased occurrence in older adults? Select all that apply. A)Cellulitis B)Pneumonia C)HIV/AIDS D)Diverticulitis E)Endocarditis - Answer B)Pneumonia D)Diverticulitis E)Endocarditis