NU 240 Gerontology Exam
1 Questions with All
Correct Answers
What is the Error Theory? - Answer- Errors that occur in the synthesis of DNA
eventually lead to systems that do not function at the optimum level.(Box 2-2 p. 16)
What is the Free Radical Theory? - Answer- Free radicals-the products of metabolites-
accumulate and damage the cell membrane. (Box 2-2 p. 16)
What is the Cross-Linkage Theory? - Answer- With age, some peotweins become cross
linked thus creating a disruption in normal metabolic processes and waste products
build up in the cell disrupting cell efficiency. (Box 2-2 p. 16)
What is the Wear and Tear Theory? - Answer- It quates humans with machines, and
that aging is the result of use. (Box 2-2 p. 16)
What is the Programmed Theory? - Answer- Hayflick and Moorehead demonstrated that
cells con only divide so many times, and they hypothesized that life expectancy was
preprogrammed. (Box 2-2 p. 16)
What is the Immunity Theory? - Answer- Changes occur in the immune systems, as a
result of aging, and these changes leave the individual to be more vulnerable to
disease. (Box 2-2 p. 16)
Although aging brings with it a normal decrease in immune function; - Answer- Older
adults should not suffer needlessly from infections or disease. (p.20)
The three stages within the 8th stage of Erickson's stages are what? - Answer- Ego
differentiation vs work role preoccupation (to achieve identity and feelings of worth from
sources other than that work role), body transcendence vs body preoccupation (the
older persons view of the physical changes that occur as a result of the aging process)
and ego transcendence vs ego preoccupation (acceptance of the individuals eventual
death without dwelling on the prospect of it) (p.24)
Older adults should be encouraged to engage in a "life review process", this can be
accomplished how? - Answer- By using a variety of techniques such as ; reminiscence,
oral histories and story telling. (p.25)
, The nurses need to keep in mind that the intellectual functioning does what in the
majority of older adults? - Answer- Remains intact. (p.25)
What is the Standard of care for? - Answer- It is a guideline for nursing practice and
sets an expectation to provide safe and appropriate care 29
What is OBRA? - Answer- Omnibus Budget Reconciliation Act that merged the terms
skilled and intermediate into a single term into "nursing facility" for medicaid purposes.
29
Ombudsmen function as what? - Answer- Trained volunteers who receive and resolve
health and human services complaints effecting residents. 30
Who can create a DNR? - Answer- Physicians ONLY. HAS to be constructed and
signed by physician.
What is ethical code for end of life care? - Answer- Maintain pt autonomy, maintain or
improve health status and do no harm. (43)
Why is comprehensive assessment of physical and psychosocial function important? -
Answer- It provides valuable clues to a diseases effect on functional status
The characteristic presentation of illness of older adults is more commonly what? -
Answer- A blunted or atypical signs and symptoms. (p56)
What is dementia? - Answer- A global sustained deterioration of cognitive function in an
alert client. Memory impairment, aphasia apraxia, agnosia, or disturbances in executive
functioning.
Why is it important to establish a therapeutic relationship at the start of a full health
history assessment? - Answer- Because the clients well being should be established as
the mutual concern. (p.59)
The nurse must be aware of what factors about her/himself before conducting the
assessment? - Answer- Their own personal beliefs about aging and older people
because they affect communication and attitudes during the assessment. (p.59)
What is the role of the general gerontologic nurse? - Answer- To identify the older
clients' strengths and assist them with maximizing their independence. (p.3)
What are the requirements to become a general gerontologic nurse? - Answer- 2 years
as an RN, 2000 hours within 3 years of gerontologic nursing, 30 contact hours of
continuing education r/t gerontology (p.3 Box 1-1)
1 Questions with All
Correct Answers
What is the Error Theory? - Answer- Errors that occur in the synthesis of DNA
eventually lead to systems that do not function at the optimum level.(Box 2-2 p. 16)
What is the Free Radical Theory? - Answer- Free radicals-the products of metabolites-
accumulate and damage the cell membrane. (Box 2-2 p. 16)
What is the Cross-Linkage Theory? - Answer- With age, some peotweins become cross
linked thus creating a disruption in normal metabolic processes and waste products
build up in the cell disrupting cell efficiency. (Box 2-2 p. 16)
What is the Wear and Tear Theory? - Answer- It quates humans with machines, and
that aging is the result of use. (Box 2-2 p. 16)
What is the Programmed Theory? - Answer- Hayflick and Moorehead demonstrated that
cells con only divide so many times, and they hypothesized that life expectancy was
preprogrammed. (Box 2-2 p. 16)
What is the Immunity Theory? - Answer- Changes occur in the immune systems, as a
result of aging, and these changes leave the individual to be more vulnerable to
disease. (Box 2-2 p. 16)
Although aging brings with it a normal decrease in immune function; - Answer- Older
adults should not suffer needlessly from infections or disease. (p.20)
The three stages within the 8th stage of Erickson's stages are what? - Answer- Ego
differentiation vs work role preoccupation (to achieve identity and feelings of worth from
sources other than that work role), body transcendence vs body preoccupation (the
older persons view of the physical changes that occur as a result of the aging process)
and ego transcendence vs ego preoccupation (acceptance of the individuals eventual
death without dwelling on the prospect of it) (p.24)
Older adults should be encouraged to engage in a "life review process", this can be
accomplished how? - Answer- By using a variety of techniques such as ; reminiscence,
oral histories and story telling. (p.25)
, The nurses need to keep in mind that the intellectual functioning does what in the
majority of older adults? - Answer- Remains intact. (p.25)
What is the Standard of care for? - Answer- It is a guideline for nursing practice and
sets an expectation to provide safe and appropriate care 29
What is OBRA? - Answer- Omnibus Budget Reconciliation Act that merged the terms
skilled and intermediate into a single term into "nursing facility" for medicaid purposes.
29
Ombudsmen function as what? - Answer- Trained volunteers who receive and resolve
health and human services complaints effecting residents. 30
Who can create a DNR? - Answer- Physicians ONLY. HAS to be constructed and
signed by physician.
What is ethical code for end of life care? - Answer- Maintain pt autonomy, maintain or
improve health status and do no harm. (43)
Why is comprehensive assessment of physical and psychosocial function important? -
Answer- It provides valuable clues to a diseases effect on functional status
The characteristic presentation of illness of older adults is more commonly what? -
Answer- A blunted or atypical signs and symptoms. (p56)
What is dementia? - Answer- A global sustained deterioration of cognitive function in an
alert client. Memory impairment, aphasia apraxia, agnosia, or disturbances in executive
functioning.
Why is it important to establish a therapeutic relationship at the start of a full health
history assessment? - Answer- Because the clients well being should be established as
the mutual concern. (p.59)
The nurse must be aware of what factors about her/himself before conducting the
assessment? - Answer- Their own personal beliefs about aging and older people
because they affect communication and attitudes during the assessment. (p.59)
What is the role of the general gerontologic nurse? - Answer- To identify the older
clients' strengths and assist them with maximizing their independence. (p.3)
What are the requirements to become a general gerontologic nurse? - Answer- 2 years
as an RN, 2000 hours within 3 years of gerontologic nursing, 30 contact hours of
continuing education r/t gerontology (p.3 Box 1-1)
