NR601 Primary Care of the Maturing & Aged
Family
Expanded Original Midterm Q&A; Study Guide
Inspired by the publicly visible preview of the referenced Stuvia document.
Important: This is original educational material. It does not reproduce the paid document, hidden/locked questions, secure
exam items, or guarantee a grade.
The public page lists the source as a 49-page 2023/2024 exam elaboration uploaded July 26, 2024. Its preview includes
ageism, healthy aging, geriatric syndromes, functional assessment, iatrogenic illness, care philosophy, health promotion,
immunization and lifestyle topics.
NR601 — Expanded Original Primary Care Study Guide Page 1
, 1. Aging, Ageism & Positive Adjustment
Ageism: Stereotyping, prejudice or discrimination based on age. Avoid assuming that an older adult is frail, dependent,
cognitively impaired or uninterested in treatment simply because of chronological age.
Positive adjustment: Look for meaning, engagement, realistic acceptance, relationships, autonomy and continued
participation in valued activities.
Disengagement theory: Historically proposed that aging naturally involves withdrawal from social roles. Modern practice
emphasizes individualized activity, engagement and function rather than automatic withdrawal.
Activity theory: Maintaining meaningful activity and social participation can support physical, psychological and social
well-being.
Clinical mindset: Ask what the patient can do, what matters to them and what support is needed rather than focusing only
on diagnoses.
NR601 — Expanded Original Primary Care Study Guide Page 2
, 2. Geriatric Syndromes & Functional Health
Geriatric syndromes: Multifactorial problems such as falls, frailty, dizziness, gait impairment, weakness, incontinence and
confusion. They often arise from interacting medical, functional, medication and environmental factors.
Function over labels: For many older adults, functional limitations can be more actionable than simply counting
diagnoses. The goal is independence, dignity and quality of life.
ADLs: Bathing, dressing, toileting, transferring, continence and feeding are core activities of daily living.
IADLs: Medication management, finances, shopping, transportation, food preparation, housekeeping and communication
are examples of instrumental activities.
Observed function: Direct observation can reveal limitations that a patient or caregiver may not recognize or report.
NR601 — Expanded Original Primary Care Study Guide Page 3
Family
Expanded Original Midterm Q&A; Study Guide
Inspired by the publicly visible preview of the referenced Stuvia document.
Important: This is original educational material. It does not reproduce the paid document, hidden/locked questions, secure
exam items, or guarantee a grade.
The public page lists the source as a 49-page 2023/2024 exam elaboration uploaded July 26, 2024. Its preview includes
ageism, healthy aging, geriatric syndromes, functional assessment, iatrogenic illness, care philosophy, health promotion,
immunization and lifestyle topics.
NR601 — Expanded Original Primary Care Study Guide Page 1
, 1. Aging, Ageism & Positive Adjustment
Ageism: Stereotyping, prejudice or discrimination based on age. Avoid assuming that an older adult is frail, dependent,
cognitively impaired or uninterested in treatment simply because of chronological age.
Positive adjustment: Look for meaning, engagement, realistic acceptance, relationships, autonomy and continued
participation in valued activities.
Disengagement theory: Historically proposed that aging naturally involves withdrawal from social roles. Modern practice
emphasizes individualized activity, engagement and function rather than automatic withdrawal.
Activity theory: Maintaining meaningful activity and social participation can support physical, psychological and social
well-being.
Clinical mindset: Ask what the patient can do, what matters to them and what support is needed rather than focusing only
on diagnoses.
NR601 — Expanded Original Primary Care Study Guide Page 2
, 2. Geriatric Syndromes & Functional Health
Geriatric syndromes: Multifactorial problems such as falls, frailty, dizziness, gait impairment, weakness, incontinence and
confusion. They often arise from interacting medical, functional, medication and environmental factors.
Function over labels: For many older adults, functional limitations can be more actionable than simply counting
diagnoses. The goal is independence, dignity and quality of life.
ADLs: Bathing, dressing, toileting, transferring, continence and feeding are core activities of daily living.
IADLs: Medication management, finances, shopping, transportation, food preparation, housekeeping and communication
are examples of instrumental activities.
Observed function: Direct observation can reveal limitations that a patient or caregiver may not recognize or report.
NR601 — Expanded Original Primary Care Study Guide Page 3
