,Brown Older Adult Nursing Care, 1/E
Chapter 1
Question 1
Type: MCSA
An experienced nurse is attempting to explain the term gerontology to a novice nurse. Which of the following
explanations made by the experienced nurse would be accurate?
1. “Gerontology involves the study of the diagnosis and treatment of diseases affecting the elderly.”
2. “Gerontology encompasses the study of all areas of the aging process, including physical, psychological, social,
spiritual, and financial, as well as the impact these have on the aging person.”
3. “Gerontology focuses on the physical changes occurring in the elderly and the effects of these changes on all
aspects of their lives.”
4. “Gerontology emphasizes the study of the healthy, well, aging adult in society.”
Correct Answer: 2
Rationale 1: The study of the diagnosis and treatment of diseases affecting the elderly is not gerontology, but
geriatrics.
Rationale 2: Correct. Gerontology does involve the study of all of areas of the aging process as well as their
effects on the aging person.
Rationale 3: Gerontology focuses not only on physical changes but also on psychological, spiritual, and financial
changes.
Rationale 4: Gerontology focuses not only on the healthy, well, aging adult in society, but also on changes
occurring as a result of aging on the aging adult’s psychological, social, spiritual, physical, and financial status.
Global Rationale:
Cognitive Level: Remembering
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Differentiate between geriatrics and gerontology.
Question 2
Type: MCSA
The home health nurse visits a 75-year-old client who is homebound and uses a walker when ambulating, due to
aftereffects of a stroke. Which of the following age-related terms would be the most comprehensive in describing
this client?
Brown, Older Adult Nursing Care, 1/E Test Bank
Copyright 2013 by Pearson Education, Inc.
,1. Old-old
2. Middle-old
3. Frail elderly
4. Vigorous elderly
Correct Answer: 3
Rationale 1: Old-old is used to describe individuals who are chronologically 85 years and older.
Rationale 2: Middle-old describes individuals whose chronological age is between 75 and 85 years.
Rationale 3: Correct. Frail elderly describes an adult 65 years of age or older with functional impairments or
poor physical health, such as the client described here.
Rationale 4: Vigorous elderly is used to describe a healthy, active, independent, older adult and not one with
functional impairments or poor physical health, such as the client described here.
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts:
Learning Outcome: Explain the terms used to describe the age groups of older adults.
Question 3
Type: MCSA
Which of the following comments made by a nurse regarding an older adult client would indicate ageism?
1. “This client has several questions for his physician regarding his upcoming procedure.”
2. “You are going to love working with this client. He is such a cute, funny, little old man.”
3. “I think this client is depressed. He is isolating himself in his room and not speaking.”
4. “This client is going to need some further sessions on how to administer his insulin.”
Correct Answer: 2
Rationale 1: This option indicates objective assessment data from the nurse.
Rationale 2: Correct. Positive as well as negative terms that stereotype the elderly in terms of their age group are
now considered to be examples of ageism.
Rationale 3: This option indicates objective assessment data from the nurse.
Brown, Older Adult Nursing Care, 1/E Test Bank
Copyright 2013 by Pearson Education, Inc.
, Rationale 4: This option indicates objective assessment data from the nurse.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Discuss ageism and age discrimination.
Question 4
Type: MCMA
The nurse would recognize which of the following statements as representing myths regarding aging?
Standard Text: Select all that apply.
1. More than 2/3 of older adults are active in their communities.
2. The majority of older adults eventually end up in nursing homes.
3. Older adults need to exercise their minds daily to stay mentally strong.
4. The majority of older adults suffer from problems associated with memory loss.
5. The majority of older adults have outlived their ability to contribute anything to society.
Correct Answer: 2,4
Rationale 1: It is a fact that more than 2/3 of adults are active in their communities.
Rationale 2: Correct. It is a myth that the majority of older adults eventually end up in nursing homes; less than
5% do.
Rationale 3: It is a fact that older adults need to exercise their minds daily to stay mentally strong.
Rationale 4: Correct. It is a myth that the majority of older adults suffer from problems associated with memory
loss.
Rationale 5: It is a myth that the majority of adults have outlived their ability to contribute to society.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Discuss the myths and facts of aging.
Brown, Older Adult Nursing Care, 1/E Test Bank
Copyright 2013 by Pearson Education, Inc.
Chapter 1
Question 1
Type: MCSA
An experienced nurse is attempting to explain the term gerontology to a novice nurse. Which of the following
explanations made by the experienced nurse would be accurate?
1. “Gerontology involves the study of the diagnosis and treatment of diseases affecting the elderly.”
2. “Gerontology encompasses the study of all areas of the aging process, including physical, psychological, social,
spiritual, and financial, as well as the impact these have on the aging person.”
3. “Gerontology focuses on the physical changes occurring in the elderly and the effects of these changes on all
aspects of their lives.”
4. “Gerontology emphasizes the study of the healthy, well, aging adult in society.”
Correct Answer: 2
Rationale 1: The study of the diagnosis and treatment of diseases affecting the elderly is not gerontology, but
geriatrics.
Rationale 2: Correct. Gerontology does involve the study of all of areas of the aging process as well as their
effects on the aging person.
Rationale 3: Gerontology focuses not only on physical changes but also on psychological, spiritual, and financial
changes.
Rationale 4: Gerontology focuses not only on the healthy, well, aging adult in society, but also on changes
occurring as a result of aging on the aging adult’s psychological, social, spiritual, physical, and financial status.
Global Rationale:
Cognitive Level: Remembering
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Differentiate between geriatrics and gerontology.
Question 2
Type: MCSA
The home health nurse visits a 75-year-old client who is homebound and uses a walker when ambulating, due to
aftereffects of a stroke. Which of the following age-related terms would be the most comprehensive in describing
this client?
Brown, Older Adult Nursing Care, 1/E Test Bank
Copyright 2013 by Pearson Education, Inc.
,1. Old-old
2. Middle-old
3. Frail elderly
4. Vigorous elderly
Correct Answer: 3
Rationale 1: Old-old is used to describe individuals who are chronologically 85 years and older.
Rationale 2: Middle-old describes individuals whose chronological age is between 75 and 85 years.
Rationale 3: Correct. Frail elderly describes an adult 65 years of age or older with functional impairments or
poor physical health, such as the client described here.
Rationale 4: Vigorous elderly is used to describe a healthy, active, independent, older adult and not one with
functional impairments or poor physical health, such as the client described here.
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts:
Learning Outcome: Explain the terms used to describe the age groups of older adults.
Question 3
Type: MCSA
Which of the following comments made by a nurse regarding an older adult client would indicate ageism?
1. “This client has several questions for his physician regarding his upcoming procedure.”
2. “You are going to love working with this client. He is such a cute, funny, little old man.”
3. “I think this client is depressed. He is isolating himself in his room and not speaking.”
4. “This client is going to need some further sessions on how to administer his insulin.”
Correct Answer: 2
Rationale 1: This option indicates objective assessment data from the nurse.
Rationale 2: Correct. Positive as well as negative terms that stereotype the elderly in terms of their age group are
now considered to be examples of ageism.
Rationale 3: This option indicates objective assessment data from the nurse.
Brown, Older Adult Nursing Care, 1/E Test Bank
Copyright 2013 by Pearson Education, Inc.
, Rationale 4: This option indicates objective assessment data from the nurse.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Discuss ageism and age discrimination.
Question 4
Type: MCMA
The nurse would recognize which of the following statements as representing myths regarding aging?
Standard Text: Select all that apply.
1. More than 2/3 of older adults are active in their communities.
2. The majority of older adults eventually end up in nursing homes.
3. Older adults need to exercise their minds daily to stay mentally strong.
4. The majority of older adults suffer from problems associated with memory loss.
5. The majority of older adults have outlived their ability to contribute anything to society.
Correct Answer: 2,4
Rationale 1: It is a fact that more than 2/3 of adults are active in their communities.
Rationale 2: Correct. It is a myth that the majority of older adults eventually end up in nursing homes; less than
5% do.
Rationale 3: It is a fact that older adults need to exercise their minds daily to stay mentally strong.
Rationale 4: Correct. It is a myth that the majority of older adults suffer from problems associated with memory
loss.
Rationale 5: It is a myth that the majority of adults have outlived their ability to contribute to society.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Discuss the myths and facts of aging.
Brown, Older Adult Nursing Care, 1/E Test Bank
Copyright 2013 by Pearson Education, Inc.
