NR601 / NR 601 Midterm Exam (Latest
Update 2025/2026) Primary Care of the
Maturing & Aged Family Practicum
Chamberlain University | Questions and Answers |
100% Correct | Grade A
EXAM OVERVIEW
Course: NR601 - Primary Care of the Maturing & Aged Family
Practicum
Institution: Chamberlain University
Academic Year: 2025/2026
Focus Areas: Geriatric assessments, preventative care, pharmacologic
considerations, and management of chronic conditions in older adults
DOMAIN 1: PRINCIPLES OF PRIMARY CARE OF
OLDER ADULTS
Question 1
Which one of the following is most true about the rule of fourths?
A) One-fourth of geriatric problems are iatrogenic.
B) Little can be done to prevent three-fourths of the problems of
,aging.
C) For every medical complaint a patient presents with, a careful
assessment can identify three other diagnoses.
D) What used to be called normal aging can be largely explained by
processes that are not normal.
E) A good way to conduct a geriatric assessment is to use four
categories: mental, physical, psychosocial, and environmental.
Answer: D
Rationale: The Rule of Fourths categorizes problems as disease
(medical treatment indicated), disuse (activity regimen), misuse
(prevent deterioration), or physiologic aging (adapt and compensate).
What was once called "normal aging" often has identifiable causes.
Question 2
Which one of the following is most true about aging changes?
A) Stage 3 and 4 sleep decreases.
B) Renal perfusion is not reduced, but renal function is reduced.
C) Hearing acuity declines beginning in middle age.
D) Prostatic enlargement occurs only in a minority of men.
Answer: A
Rationale: Stage 3 and 4 (deep) sleep decreases significantly with
aging. Renal perfusion does reduce, hearing decline typically begins
later, and prostatic enlargement occurs in the majority of older men.
Question 3
An old woman who is cared for by attentive, cautious, concerned
family is particularly likely to suffer from which one of the following
complications after an episode of gastroenteritis?
, A) Immobility related to overconcern
B) Continued vomiting caused by too-rapid feeding
C) Diarrhea resulting from administration of milk products
D) Constipation related to overtreatment of diarrhea
Answer: A
Rationale: Overly cautious family members may restrict activity
unnecessarily, leading to deconditioning and immobility.
Question 4
Which one of the following is most true about psychological aging?
A) Disengagement tends to promote better psychological health than
continued engagement.
B) Most older adults do not worry about memory loss.
C) Happiness declines starting in middle age.
D) Ageism can lead to isolation and depression.
Answer: D
Rationale: Ageism (discrimination based on age) can lead to social
isolation, withdrawal, and depression in older adults.
Question 5
Of the following conditions, which one is most common and most
often preventable?
A) Falls
B) Frailty
C) Cognitive impairment
D) Iatrogenic disease
E) Depression
Answer: D
Rationale: Iatrogenic disease (illness caused by medical treatment) is
Update 2025/2026) Primary Care of the
Maturing & Aged Family Practicum
Chamberlain University | Questions and Answers |
100% Correct | Grade A
EXAM OVERVIEW
Course: NR601 - Primary Care of the Maturing & Aged Family
Practicum
Institution: Chamberlain University
Academic Year: 2025/2026
Focus Areas: Geriatric assessments, preventative care, pharmacologic
considerations, and management of chronic conditions in older adults
DOMAIN 1: PRINCIPLES OF PRIMARY CARE OF
OLDER ADULTS
Question 1
Which one of the following is most true about the rule of fourths?
A) One-fourth of geriatric problems are iatrogenic.
B) Little can be done to prevent three-fourths of the problems of
,aging.
C) For every medical complaint a patient presents with, a careful
assessment can identify three other diagnoses.
D) What used to be called normal aging can be largely explained by
processes that are not normal.
E) A good way to conduct a geriatric assessment is to use four
categories: mental, physical, psychosocial, and environmental.
Answer: D
Rationale: The Rule of Fourths categorizes problems as disease
(medical treatment indicated), disuse (activity regimen), misuse
(prevent deterioration), or physiologic aging (adapt and compensate).
What was once called "normal aging" often has identifiable causes.
Question 2
Which one of the following is most true about aging changes?
A) Stage 3 and 4 sleep decreases.
B) Renal perfusion is not reduced, but renal function is reduced.
C) Hearing acuity declines beginning in middle age.
D) Prostatic enlargement occurs only in a minority of men.
Answer: A
Rationale: Stage 3 and 4 (deep) sleep decreases significantly with
aging. Renal perfusion does reduce, hearing decline typically begins
later, and prostatic enlargement occurs in the majority of older men.
Question 3
An old woman who is cared for by attentive, cautious, concerned
family is particularly likely to suffer from which one of the following
complications after an episode of gastroenteritis?
, A) Immobility related to overconcern
B) Continued vomiting caused by too-rapid feeding
C) Diarrhea resulting from administration of milk products
D) Constipation related to overtreatment of diarrhea
Answer: A
Rationale: Overly cautious family members may restrict activity
unnecessarily, leading to deconditioning and immobility.
Question 4
Which one of the following is most true about psychological aging?
A) Disengagement tends to promote better psychological health than
continued engagement.
B) Most older adults do not worry about memory loss.
C) Happiness declines starting in middle age.
D) Ageism can lead to isolation and depression.
Answer: D
Rationale: Ageism (discrimination based on age) can lead to social
isolation, withdrawal, and depression in older adults.
Question 5
Of the following conditions, which one is most common and most
often preventable?
A) Falls
B) Frailty
C) Cognitive impairment
D) Iatrogenic disease
E) Depression
Answer: D
Rationale: Iatrogenic disease (illness caused by medical treatment) is
