NUR257 Exam 2 Concepts of Aging and Chronic
Illness in Nursing
Covers
Physiological changes of aging
Psychosocial aspects of aging
Chronic illness management (Diabetes, COPD, CHF, Arthritis, Dementia, etc.)
Nursing interventions and patient education
Ethical/legal issues in gerontological nursing
1. Which physiological change is most commonly associated with normal aging?
A. Increased cardiac output
B. Decreased renal function
C. Increased lung elasticity
D. Enhanced immune response
2. A nurse is caring for an older adult with chronic obstructive pulmonary disease
(COPD). Which nursing intervention is most appropriate?
A. Encourage fluid restriction
B. Promote pursed-lip breathing
C. Limit physical activity
D. Provide high-flow oxygen continuously
3. Which psychosocial theory of aging emphasizes the importance of maintaining social
roles and activities?
A. Disengagement theory
B. Activity theory
,C. Continuity theory
D. Wear-and-tear theory
4. An older adult with type 2 diabetes reports difficulty remembering to take
medications. What is the best nursing intervention?
A. Suggest stopping medications
B. Recommend a pill organizer
C. Increase medication dosage
D. Encourage skipping doses occasionally
5. Which chronic illness is most associated with progressive memory loss in older
adults?
A. Osteoarthritis
B. Dementia
C. COPD
D. Hypertension
6. A nurse is teaching an older adult with congestive heart failure about fluid
management. Which instruction is most appropriate?
A. Drink unlimited fluids
B. Weigh yourself daily
C. Avoid all salt substitutes
D. Restrict all physical activity
7. Which nursing intervention best supports an older adult experiencing social isolation?
A. Encourage participation in community activities
B. Limit family visits
C. Suggest increased television watching
D. Promote strict independence
, 8. Which age-related change increases the risk of drug toxicity in older adults?
A. Increased liver metabolism
B. Decreased renal clearance
C. Enhanced immune function
D. Increased gastric motility
9. An older adult with arthritis reports difficulty opening medication bottles. What is the
best nursing action?
A. Suggest skipping doses
B. Recommend childproof containers
C. Provide easy-open containers
D. Encourage self-reliance
10. Which ethical principle is most relevant when respecting an older adult’s decision to
refuse treatment?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
11. Which age-related change increases the risk of constipation in older adults?
A. Increased gastric motility
B. Decreased peristalsis
C. Enhanced appetite
D. Increased fluid intake
12. An older adult with Parkinson’s disease is at greatest risk for which complication?
A. Hypertension
Illness in Nursing
Covers
Physiological changes of aging
Psychosocial aspects of aging
Chronic illness management (Diabetes, COPD, CHF, Arthritis, Dementia, etc.)
Nursing interventions and patient education
Ethical/legal issues in gerontological nursing
1. Which physiological change is most commonly associated with normal aging?
A. Increased cardiac output
B. Decreased renal function
C. Increased lung elasticity
D. Enhanced immune response
2. A nurse is caring for an older adult with chronic obstructive pulmonary disease
(COPD). Which nursing intervention is most appropriate?
A. Encourage fluid restriction
B. Promote pursed-lip breathing
C. Limit physical activity
D. Provide high-flow oxygen continuously
3. Which psychosocial theory of aging emphasizes the importance of maintaining social
roles and activities?
A. Disengagement theory
B. Activity theory
,C. Continuity theory
D. Wear-and-tear theory
4. An older adult with type 2 diabetes reports difficulty remembering to take
medications. What is the best nursing intervention?
A. Suggest stopping medications
B. Recommend a pill organizer
C. Increase medication dosage
D. Encourage skipping doses occasionally
5. Which chronic illness is most associated with progressive memory loss in older
adults?
A. Osteoarthritis
B. Dementia
C. COPD
D. Hypertension
6. A nurse is teaching an older adult with congestive heart failure about fluid
management. Which instruction is most appropriate?
A. Drink unlimited fluids
B. Weigh yourself daily
C. Avoid all salt substitutes
D. Restrict all physical activity
7. Which nursing intervention best supports an older adult experiencing social isolation?
A. Encourage participation in community activities
B. Limit family visits
C. Suggest increased television watching
D. Promote strict independence
, 8. Which age-related change increases the risk of drug toxicity in older adults?
A. Increased liver metabolism
B. Decreased renal clearance
C. Enhanced immune function
D. Increased gastric motility
9. An older adult with arthritis reports difficulty opening medication bottles. What is the
best nursing action?
A. Suggest skipping doses
B. Recommend childproof containers
C. Provide easy-open containers
D. Encourage self-reliance
10. Which ethical principle is most relevant when respecting an older adult’s decision to
refuse treatment?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
11. Which age-related change increases the risk of constipation in older adults?
A. Increased gastric motility
B. Decreased peristalsis
C. Enhanced appetite
D. Increased fluid intake
12. An older adult with Parkinson’s disease is at greatest risk for which complication?
A. Hypertension
