NURS 245 Comprehensive Final Exam Modules 1-7 , With Complete Verified Solution 2023/2024 100%
A nurse is planning care for a group of super-centenarians in an assisted living facility. The nurse considers which of the following ?
a. Most super-centenarians are functionally independent or require minimal assistance with activities of daily living
b. The majority of super-centenarians have cognitive impairment
c. The number of super-centenarians is expected to decrease in coming years as a result of heart disease and stroke
d. It is theorized that super-centenarians survived as long as they have due to genetic mutations that made them less susceptible to common diseases
Most super-centenarians are functionally independent or require minimal assistance with activities of daily living
One reason why many baby boomers have multiple chronic conditions such as heart disease, diabetes, and arthritis is that:
a. they have less access to medication and other treatment regimens
b. there was a lack of importance placed on healthy living as they were growing up
c. they did not have access to immunization against communicable disease when
they were children
d.they grew up in an era of rampant poverty and malnutrition
there was a lack of importance placed on healthy living as they were growing up
A nurse is planning an education program on wellness in a local senior citizen center. The nurse plans to provide education on the importance of immunizations, annual physical examinations, screening for diabetes, and vision and hearing screening. It is important for the nurse to understand which of the following?
a. Less than 50% of older adults (ages 65 and older) utilize available preventive services.
b. Preventive strategies are more widely used in the 50-64 age-group than in the 65 and over age-group.
c. The research on health promotion strategies in older adults demonstrates that they have low efficacy.
d. There is an abundance of research specific to health promotion and aging.
Less than 50% of older adults (ages 65 and older) utilize available preventive services
A nurse is caring for an 85-year-old male client with diabetes in a community setting. The nurse promotes functional wellness by which of the following activities? a. Encouraging the client to maintain current levels of physical activity
b. Assisting the client to receive all the recommended preventive screenings that are appropriate for his age-group
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer distances
d. Encouraging the client to attend his weekly chess games
encouraging the client to maintain current levels of physical activity
Based on the census reports of 2015, the typical profile of a centenarian includes which of the following characteristics?
a. An American woman with no signs of dementia
b. A Japanese woman with chronic inflammation
c. A Chinese man with an immune disorder
d. An American man who is a lifelong vegetarian
An American woman with no signs of dementia
Primary prevention strategies for older adults include which of the following? (Select all that apply. )
a. An annual influenza immunization clinic
b. A smoking cessation program
c. A prostate screening program
d. A cardiac rehabilitation program
e. A meal planning education program for type 2 diabetics
An annual influenza immunization clinic
A smoking cessation program
A nurse organizes a symposium for health care professionals in the field of geriatrics. Which of the following topics align with Healthy People 2020 s emerging issues relevant to healthy aging? (Select all that apply. )
a. Fair pay and compensation standards for informal caregivers
b. Longevity and genetics
c. Emerging chronic conditions among baby boomers
d. Minimum competency levels for health care professionals
e. Health disparities in LGBT older adults
Fair pay and compensation standards for informal caregivers
Emerging chronic conditions among baby boomers
Minimum competency levels for health care professionals
Health disparities in LGBT older adults
Baby boomers born before 1960 were subject to which of the following health challenges during their childhood? ( Select all that apply. )
a. Measles
b. Scarlet fever c. Rubella d. Smallpox e. HIV/AIDS
measles, scarlet fever, and rubella
A nursing student is preparing a presentation on the wellness-based model for healthy aging. Which of the following concepts should the student include in the presentation? (Select all that apply .)
a. Healthy aging is defined by the absence of physical illness alone.
b. Healthy aging is individually defined and can change over time.
c. There are many strategies to promote healthy aging that are believed to be helpful but do not have empirical evidence to support them.
d. Healthy aging cannot be achieved by only focusing on later life. It is a lifelong process.
e. According to this model, an individual with a chronic disease would not be
Healthy aging is individually defined and can change over time.
There are many strategies to promote healthy aging that are believed to be helpful but do not have empirical evidence to support them.
Healthy aging cannot be achieved by only focusing on later life. It is a lifelong process.
When asked by new parents what the life expectancy is for their African American
newborn, the nurse replies that, "2015 statistics indicate that your son:
a. will have a life expectancy of approximately 65 years."
b. can realistically expect to live into his late 80s."
c. has a good chance of celebrating his 75th birthday."
d. is likely to live into his late 90s."
has a good chance of celebrating his 75th birthday
Serious and well-controlled research studies on aging have been available:
a. only in the past 60 years.
b. since the turn of the 20th century.
c. following the Great Depression.
d. since the year 2000.
only in the past 60 years
The son of a nursing home resident asks a nurse: "What is the significance of being certified in gerontology? I see that you are, but not all of the nurses are." The best response by the nurse is which of the following?
a. "National certification as a gerontological nurse is a way to demonstrate special knowledge in caring for older adults."
b. "National certification in gerontology is required for all nurses who have worked in this setting for 2 or more years."
c. "National certification is only available to nurses who have a Baccalaureate degree in nursing."
d. "Only advanced practice nurses, like nurse practitioners, are certified in
gerontology." "National certification as a gerontological nurse is a way to demonstrate special knowledge in caring for older adults."
The major goal of the NICHE (Nurses Improving Care for Health System Elders) program includes which of the following?
a. Improve outcomes for hospitalized older adults.
b. Increase the number of older adults cared for in hospitals.
c. Increase the number of iatrogenic complications that occur in hospitalized older adults.
d. Decrease 30-day readmission rates for hospitalized older adults.
Improve outcomes for hospitalized older adults
The impact of the Hospital Readmission Reduction Program (HRRP) on avoidable
readmissions includes which of the following? ( Select all that apply. )
a. Readmission rates for the selected conditions have dropped nationwide.
b. Many hospitals have instituted system-wide interventions to prevent readmissions. c. Hospitals are keeping patients longer to avoid readmissions.
d. Potentially avoidable hospitalizations among nursing home residents is increasing. e. Hospitals have a financial incentive to develop programs to reduce readmissions.
Readmission rates for the selected conditions have dropped nationwide.
Many hospitals have instituted system-wide interventions to prevent readmissions.
Hospitals have a financial incentive to develop programs to reduce readmissions.
Which of the following are true statements about the current health care workforce? (Select all that apply .)
a. Approximately 10% of registered nurses (RNs) are certified in gerontological nursing.
b. The number of geriatricians is expected to increase about 50% over the next 25
years.
c. The professions of social work, physical therapy, and psychiatry are demonstrating the same trends as nursing.
d. Europe and the developing countries are experiencing similar shortages in health care workers with geriatric expertise as in the United States.
e. It is anticipated that there will be a need for approximately 3.5 million additional
direct care and professional health care workers by the year 2030.
The professions of social work, physical therapy, and psychiatry are demonstrating the same trends as nursing.
Europe and the developing countries are experiencing similar shortages in health care workers with geriatric expertise as in the United States.
It is anticipated that there will be a need for approximately 3.5 million additional direct care and professional health care workers by the year 2030.
A nurse is planning care for a group of super-centenarians in an assisted living facility. The nurse considers which of the following ?
a. Most super-centenarians are functionally independent or require minimal assistance with activities of daily living
b. The majority of super-centenarians have cognitive impairment
c. The number of super-centenarians is expected to decrease in coming years as a result of heart disease and stroke
d. It is theorized that super-centenarians survived as long as they have due to genetic mutations that made them less susceptible to common diseases
Most super-centenarians are functionally independent or require minimal assistance with activities of daily living
One reason why many baby boomers have multiple chronic conditions such as heart disease, diabetes, and arthritis is that:
a. they have less access to medication and other treatment regimens
b. there was a lack of importance placed on healthy living as they were growing up
c. they did not have access to immunization against communicable disease when
they were children
d.they grew up in an era of rampant poverty and malnutrition
there was a lack of importance placed on healthy living as they were growing up
A nurse is planning an education program on wellness in a local senior citizen center. The nurse plans to provide education on the importance of immunizations, annual physical examinations, screening for diabetes, and vision and hearing screening. It is important for the nurse to understand which of the following?
a. Less than 50% of older adults (ages 65 and older) utilize available preventive services.
b. Preventive strategies are more widely used in the 50-64 age-group than in the 65 and over age-group.
c. The research on health promotion strategies in older adults demonstrates that they have low efficacy.
d. There is an abundance of research specific to health promotion and aging.
Less than 50% of older adults (ages 65 and older) utilize available preventive services
A nurse is caring for an 85-year-old male client with diabetes in a community setting. The nurse promotes functional wellness by which of the following activities? a. Encouraging the client to maintain current levels of physical activity
b. Assisting the client to receive all the recommended preventive screenings that are appropriate for his age-group
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer distances
d. Encouraging the client to attend his weekly chess games
encouraging the client to maintain current levels of physical activity
Based on the census reports of 2015, the typical profile of a centenarian includes which of the following characteristics?
a. An American woman with no signs of dementia
b. A Japanese woman with chronic inflammation
c. A Chinese man with an immune disorder
d. An American man who is a lifelong vegetarian
An American woman with no signs of dementia
Primary prevention strategies for older adults include which of the following? (Select all that apply. )
a. An annual influenza immunization clinic
b. A smoking cessation program
c. A prostate screening program
d. A cardiac rehabilitation program
e. A meal planning education program for type 2 diabetics
An annual influenza immunization clinic
A smoking cessation program
A nurse organizes a symposium for health care professionals in the field of geriatrics. Which of the following topics align with Healthy People 2020 s emerging issues relevant to healthy aging? (Select all that apply. )
a. Fair pay and compensation standards for informal caregivers
b. Longevity and genetics
c. Emerging chronic conditions among baby boomers
d. Minimum competency levels for health care professionals
e. Health disparities in LGBT older adults
Fair pay and compensation standards for informal caregivers
Emerging chronic conditions among baby boomers
Minimum competency levels for health care professionals
Health disparities in LGBT older adults
Baby boomers born before 1960 were subject to which of the following health challenges during their childhood? ( Select all that apply. )
a. Measles
b. Scarlet fever c. Rubella d. Smallpox e. HIV/AIDS
measles, scarlet fever, and rubella
A nursing student is preparing a presentation on the wellness-based model for healthy aging. Which of the following concepts should the student include in the presentation? (Select all that apply .)
a. Healthy aging is defined by the absence of physical illness alone.
b. Healthy aging is individually defined and can change over time.
c. There are many strategies to promote healthy aging that are believed to be helpful but do not have empirical evidence to support them.
d. Healthy aging cannot be achieved by only focusing on later life. It is a lifelong process.
e. According to this model, an individual with a chronic disease would not be
Healthy aging is individually defined and can change over time.
There are many strategies to promote healthy aging that are believed to be helpful but do not have empirical evidence to support them.
Healthy aging cannot be achieved by only focusing on later life. It is a lifelong process.
When asked by new parents what the life expectancy is for their African American
newborn, the nurse replies that, "2015 statistics indicate that your son:
a. will have a life expectancy of approximately 65 years."
b. can realistically expect to live into his late 80s."
c. has a good chance of celebrating his 75th birthday."
d. is likely to live into his late 90s."
has a good chance of celebrating his 75th birthday
Serious and well-controlled research studies on aging have been available:
a. only in the past 60 years.
b. since the turn of the 20th century.
c. following the Great Depression.
d. since the year 2000.
only in the past 60 years
The son of a nursing home resident asks a nurse: "What is the significance of being certified in gerontology? I see that you are, but not all of the nurses are." The best response by the nurse is which of the following?
a. "National certification as a gerontological nurse is a way to demonstrate special knowledge in caring for older adults."
b. "National certification in gerontology is required for all nurses who have worked in this setting for 2 or more years."
c. "National certification is only available to nurses who have a Baccalaureate degree in nursing."
d. "Only advanced practice nurses, like nurse practitioners, are certified in
gerontology." "National certification as a gerontological nurse is a way to demonstrate special knowledge in caring for older adults."
The major goal of the NICHE (Nurses Improving Care for Health System Elders) program includes which of the following?
a. Improve outcomes for hospitalized older adults.
b. Increase the number of older adults cared for in hospitals.
c. Increase the number of iatrogenic complications that occur in hospitalized older adults.
d. Decrease 30-day readmission rates for hospitalized older adults.
Improve outcomes for hospitalized older adults
The impact of the Hospital Readmission Reduction Program (HRRP) on avoidable
readmissions includes which of the following? ( Select all that apply. )
a. Readmission rates for the selected conditions have dropped nationwide.
b. Many hospitals have instituted system-wide interventions to prevent readmissions. c. Hospitals are keeping patients longer to avoid readmissions.
d. Potentially avoidable hospitalizations among nursing home residents is increasing. e. Hospitals have a financial incentive to develop programs to reduce readmissions.
Readmission rates for the selected conditions have dropped nationwide.
Many hospitals have instituted system-wide interventions to prevent readmissions.
Hospitals have a financial incentive to develop programs to reduce readmissions.
Which of the following are true statements about the current health care workforce? (Select all that apply .)
a. Approximately 10% of registered nurses (RNs) are certified in gerontological nursing.
b. The number of geriatricians is expected to increase about 50% over the next 25
years.
c. The professions of social work, physical therapy, and psychiatry are demonstrating the same trends as nursing.
d. Europe and the developing countries are experiencing similar shortages in health care workers with geriatric expertise as in the United States.
e. It is anticipated that there will be a need for approximately 3.5 million additional
direct care and professional health care workers by the year 2030.
The professions of social work, physical therapy, and psychiatry are demonstrating the same trends as nursing.
Europe and the developing countries are experiencing similar shortages in health care workers with geriatric expertise as in the United States.
It is anticipated that there will be a need for approximately 3.5 million additional direct care and professional health care workers by the year 2030.
