ELIOPOULOS GERONTOLOGICAL
NURSING CERTIFICATION EVALUATION
QUESTIONS AND SOLUTIONS PREMIUM
REVIEW MATERIAL
●● 2. 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 of the following phenomena should the nurse take
into account 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 2020, it is expected that over one-third of Americans will be over
the age of 65.
C) Both life expectancy and the percentage of people over 65 in the
population will increase in coming decades.
D) Chronic conditions, such as diabetes, are expected to bring a gradual
decrease in the number of older adults by 2020.
Answer: Ans: C
Feedback:
Both life expectancy and the percentage of individuals over age 65 are
expected to increase in coming years. About 17% of the population is
expected to be over 65 by 2020.
,●● 3. 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." How can the nurse best
respond?
A) "Actually, the difference in life expectancy between black people and
white people 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) "You're right. Since the 1980s the life expectancies of black and
white Americans have remained nearly the same."
Answer: Ans: A
Feedback:
Since the 1980s, the gap between life expectancies of black Americans
and white Americans has been increasing rather than decreasing. Black
women do not tend to live longer than white women.
●● 4. Which of the following phenomena most likely accounts for the
fact that more women than men live alone later in life?
A) Women tend to both live longer than men and marry men older than
themselves.
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: Ans: A
Feedback:
The facts that women live longer than men and often marry men older
than themselves account for their higher rates of living alone in old age.
Men are not noted to have greater access to care facilities, to be more
likely to live with younger family members or to face stigma for living
alone.
●● 5. Which of the following statements most accurately captures the
financial status of older adults in the United States?
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 is the fastest growing group of
employment.
Answer: Ans: C
Feedback:
The percentage of older people living below the poverty level has been
declining, with about 10% now falling into this category. Most older
NURSING CERTIFICATION EVALUATION
QUESTIONS AND SOLUTIONS PREMIUM
REVIEW MATERIAL
●● 2. 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 of the following phenomena should the nurse take
into account 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 2020, it is expected that over one-third of Americans will be over
the age of 65.
C) Both life expectancy and the percentage of people over 65 in the
population will increase in coming decades.
D) Chronic conditions, such as diabetes, are expected to bring a gradual
decrease in the number of older adults by 2020.
Answer: Ans: C
Feedback:
Both life expectancy and the percentage of individuals over age 65 are
expected to increase in coming years. About 17% of the population is
expected to be over 65 by 2020.
,●● 3. 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." How can the nurse best
respond?
A) "Actually, the difference in life expectancy between black people and
white people 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) "You're right. Since the 1980s the life expectancies of black and
white Americans have remained nearly the same."
Answer: Ans: A
Feedback:
Since the 1980s, the gap between life expectancies of black Americans
and white Americans has been increasing rather than decreasing. Black
women do not tend to live longer than white women.
●● 4. Which of the following phenomena most likely accounts for the
fact that more women than men live alone later in life?
A) Women tend to both live longer than men and marry men older than
themselves.
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: Ans: A
Feedback:
The facts that women live longer than men and often marry men older
than themselves account for their higher rates of living alone in old age.
Men are not noted to have greater access to care facilities, to be more
likely to live with younger family members or to face stigma for living
alone.
●● 5. Which of the following statements most accurately captures the
financial status of older adults in the United States?
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 is the fastest growing group of
employment.
Answer: Ans: C
Feedback:
The percentage of older people living below the poverty level has been
declining, with about 10% now falling into this category. Most older
