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BSN425: Gerontological Nursing questions with 100% correct answers

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BSN425: Gerontological Nursing questions with 100% correct answers

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BSN425: Gerontological Nursing
questions with 100% correct answers

According to biologic theory, which statement describes the effect of aging on organs and organ
systems?



Errors that are repeated lead to death of cells.

All organs within an organism do not age at the same rate.

Aging impacts the immune system, preventing the cross-linking agent from being established.

Free radicals do not attach themselves to molecules in the cell membranes of unsaturated lipids. -
correct answer ✔✔All organs within an organism do not age at the same rate.

Biological theory describes the effects of aging on organs and organ systems by stating that organs do
not age at the same rate.



Match the theory to its description.

Cannot detect foreign substances nor protect itself from pathogens.

Mistakes happen at the transcription during protein synthesis from DNA.

Byproducts of metabolism are retained, leading to cell membrane damage.

The number of cells contained within an organism is preset for life expectancy.

Free radical theory

Wear-and-tear theory

Error theory

Cross-linkage theory

Programmed theory

Immunity theory - correct answer ✔✔Cannot detect foreign substances nor protect itself from
pathogens. Immunity theory

Mistakes happen at the transcription during protein synthesis from DNA. Error theory

Byproducts of metabolism are retained, leading to cell membrane damage. Free radical theory

The number of cells contained within an organism is preset for life expectancy. Programmed theory

,When researching biologic theories related to aging, which statements are receiving increased
acceptance?

Select all that apply.

Free radicals cause damage to cells as people age.

Errors in protein synthesis transcription leads to cellular death.

Overuse of the human body can cause joint and muscle destruction.

Overexpression of damaged genes occurs from limited reproductive cellular ability.

Normal metabolic processes are interrupted by obstructing nutrient and waste movement.

NOT SURE - correct answer ✔✔Free radicals cause damage to cells as people age.

According to biologic theory, free radicals cause damage to cells over time. This is a biologic theory
receiving increased acceptance.



Overexpression of damaged genes occurs from limited reproductive cellular ability.

Cells have a limited ability to replicate that can cause overexpression of damaged genes, which leads to
oxidative cellular damage.



Which patient behavior indicates a maladaptive choice based on beliefs or past experiences?

Helping find meaning in life crises

Demonstrating withdrawal from group activities

Declining to participate in spiritual or religious activities

Refusing to take pain medication for cancer pain due to fear of addiction - correct answer ✔✔Refusing to
take pain medication for cancer pain due to fear of addictionA patient with cancer pain who refuses to
take pain medication for fear of addiction is making this choice based on beliefs.



According to sociologic theory, which nursing intervention would help an older patient maintain
independence?

Providing an assistive device for ambulation

Taking away the car keys due to decreased vision

Discussing what the nurse can do to assist the patient

,Giving positive feedback regarding the patent's abilities - correct answer ✔✔Giving positive feedback
regarding the patent's abilities

According to sociologic theory, it is important for the nurse to provide positive feedback and accentuate
the person's abilities, not disabilities.



According to the Americans with Disabilities Act (ADA) of 1990, which interventions should be provided
for older adults with regard to assisted living facilities?

Select all that apply.

Wider doorways

Working elevators

Stairs at entry ways

Medical alert devices

Phones with large numbers - correct answer ✔✔Wider doorwaysDoorways should be wider to allow
wheelchairs to move through easily.

Correct

Working elevatorsFacilities with multiple levels would require a working elevator according to the ADA.



The nurse is working with patients of different ages in a support group for those who have lost a family
member. In which ways can the nurse use the older adults to help younger adults learn from the past?

Select all that apply.

Storytelling

Reminiscence

Oral histories

Music therapy

Guided imagery - correct answer ✔✔StorytellingOlder adults can share life stories with younger group
members. This can provide information about life experiences for all members.

Correct

ReminiscenceThe nurse can ask older adults to reminisce about life and provide insight into life
experiences.

Correct

Oral historiesOlder adults can give an oral history of their life and describe ways to cope as a result of
their having had more years of life experiences.

, Place in order Maslow's hierarchy of needs, beginning with basic needs and ending with the highest level
need.

Love and belonging

Self-esteem

Self-actualization

Physiological

Safety and security

NOT SURE - correct answer ✔✔Physiological

Safety and security

Love and belonging

Self-esteem

Self-actualization

According to Maslow, a person must have basic needs met prior to higher level needs. Physiological
needs such as food, fluids, oxygen, and shelter need to be met first. Then a person must feel safety and
security. The next level is love and belonging. A person should feel love and belonging prior to good self-
esteem. The last level is reaching self-actualization, when the person feels complete and has met all of
life's goals.



According to Peck, which stage goes beyond Erikson's ego-integrity vs. despair and focuses on physical
changes related to aging?

Generativity vs. absorption

Ego transcendence vs. ego preoccupation

Ego differentiation vs. role preoccupation

Body transcendence vs. body preoccupation - correct answer ✔✔Body transcendence vs. body
preoccupation

Body transcendence vs. body preoccupation occurs when the older adult adjusts to the changes in
health that occur with aging.



Which model of care reports an increase in patient, family, and nurse satisfaction?

ACE Model

GRN Model

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