NURS 209 MIDTERM EXAM 2025
QUESTIONS AND ANSWERS
What are the trends of the geriatric population - ANS People are living longer and longer
The population of 65+ is getting larger and larger (differentiate between 65+ and 85+)
Women are living longer than men in the geriatric population
The centenarian (100+) group is the fastest growing group
Growing amount of 85+ living in a collective dwelling
What are the trends of elderly people and their personal activites - ANS Lots of people are
actively pursuing exercising, socializing, and technology
Tons of elderly engage in passive leisure activities
What is aging in place - ANS Helping adults live independently in their homes, which includes
home modifications, consultation, energy conservation, home safety and social interaction
Also includes safe and accessible transportation, and available community support and health
services
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,What are the social determinants of health - ANS 50%: Life/Social Environment/Upbringing:
Lifestyle, food, education, income, race, housing...
25%: Health Care System; wait times, access, resources
15%: Genetics and Biology
10%: Physical Environment; Air Quality, Civic Infrastructure
What is the dahlgren rainbow model of aging - ANS How SES, culture, environment interact
with living/working, social, lifestyle, and genetics
(like a brofenbrenner circles)
What is the active aging model - ANS Social determinants of health, behaviours, medical,
environment, lifestyle+culture+gender influence active aging
What are the common issues in gerontology - ANS Aging in place - People need to be able to
age where they want (house modifications)
Support caregivers/aging workforce - Older people are staying in the workforce too long,
overworked or understaffed
Social engagement - less family support
Elder abuse - overworked elders for example
What are the factors that affect socioeconomic status - ANS Education, income, gender,
race/ethnicity, immigration, mortality, health resource utilization
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,How does education affect socioeconomic status - ANS More educated are able to thrive, are
healthier, and have better function
Could be due to being educated on how to navigate a complex health system and
understanding the available health services
How does income affect socioeconomic status - ANS Higher income = healthier lifestyles
Low income is linked with higher functional disability
How does gender affect socioeconomic status - ANS Women live longer than men but are
less healthy
How does race affect socioeconomic status - ANS Indigenous people are disadvantaged
Other socioeconomic factors are affects (available resources, lower income, social isolation)
How does immigration affect socioeconomic status - ANS Health immigrant effect - Health
starts out higher than Canadians but quickly dissolves
Changes in diet, activity, habits, discrimination, lack of navigating the system
How does mortality affect socioeconomic status - ANS More comorbidities
Cancer is the leading cause of death
How does health resource utilization affect socioeconomic status - ANS Geriatric population
represents a large majority of inpatient population and ALC use
ALC = elder using health resources ($$) while still awaiting placement
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, What are the physiological theories of againg - ANS Genetic mutations - mutations that
cause abnormalities
Cellular waste accumulation - bodies can't clean the toxic stuff up
Wear and tear - bodily processes function poorly as we age
What is the telomere shortening aging theory - ANS During cell replication, telomeres at the
end of chromosomes get shorter and shorter
Eventually there is DNA loss and a weaker repair and regeneration process
What is the antagonistic pleiotropy aging theory - ANS A single gene causes many effects,
both positive and negative
Estrogen which helps fertility but can cause risks for chronic diseases
As we age the negative effect dominates
What is the circadian clock aging theory - ANS We have a typical rhythm which represents
out day to day.
A disturbed circadian rhythm causes disruptions in homeostasis which causes the problems
associated with aging
What is the reliability aging theory - ANS "A car just will eventually start breaking down"
Ex: thymus gets smaller and smaller which affects it own hormones and affects all other organs
that interact with it
COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 4
QUESTIONS AND ANSWERS
What are the trends of the geriatric population - ANS People are living longer and longer
The population of 65+ is getting larger and larger (differentiate between 65+ and 85+)
Women are living longer than men in the geriatric population
The centenarian (100+) group is the fastest growing group
Growing amount of 85+ living in a collective dwelling
What are the trends of elderly people and their personal activites - ANS Lots of people are
actively pursuing exercising, socializing, and technology
Tons of elderly engage in passive leisure activities
What is aging in place - ANS Helping adults live independently in their homes, which includes
home modifications, consultation, energy conservation, home safety and social interaction
Also includes safe and accessible transportation, and available community support and health
services
COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 1
,What are the social determinants of health - ANS 50%: Life/Social Environment/Upbringing:
Lifestyle, food, education, income, race, housing...
25%: Health Care System; wait times, access, resources
15%: Genetics and Biology
10%: Physical Environment; Air Quality, Civic Infrastructure
What is the dahlgren rainbow model of aging - ANS How SES, culture, environment interact
with living/working, social, lifestyle, and genetics
(like a brofenbrenner circles)
What is the active aging model - ANS Social determinants of health, behaviours, medical,
environment, lifestyle+culture+gender influence active aging
What are the common issues in gerontology - ANS Aging in place - People need to be able to
age where they want (house modifications)
Support caregivers/aging workforce - Older people are staying in the workforce too long,
overworked or understaffed
Social engagement - less family support
Elder abuse - overworked elders for example
What are the factors that affect socioeconomic status - ANS Education, income, gender,
race/ethnicity, immigration, mortality, health resource utilization
COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 2
,How does education affect socioeconomic status - ANS More educated are able to thrive, are
healthier, and have better function
Could be due to being educated on how to navigate a complex health system and
understanding the available health services
How does income affect socioeconomic status - ANS Higher income = healthier lifestyles
Low income is linked with higher functional disability
How does gender affect socioeconomic status - ANS Women live longer than men but are
less healthy
How does race affect socioeconomic status - ANS Indigenous people are disadvantaged
Other socioeconomic factors are affects (available resources, lower income, social isolation)
How does immigration affect socioeconomic status - ANS Health immigrant effect - Health
starts out higher than Canadians but quickly dissolves
Changes in diet, activity, habits, discrimination, lack of navigating the system
How does mortality affect socioeconomic status - ANS More comorbidities
Cancer is the leading cause of death
How does health resource utilization affect socioeconomic status - ANS Geriatric population
represents a large majority of inpatient population and ALC use
ALC = elder using health resources ($$) while still awaiting placement
COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 3
, What are the physiological theories of againg - ANS Genetic mutations - mutations that
cause abnormalities
Cellular waste accumulation - bodies can't clean the toxic stuff up
Wear and tear - bodily processes function poorly as we age
What is the telomere shortening aging theory - ANS During cell replication, telomeres at the
end of chromosomes get shorter and shorter
Eventually there is DNA loss and a weaker repair and regeneration process
What is the antagonistic pleiotropy aging theory - ANS A single gene causes many effects,
both positive and negative
Estrogen which helps fertility but can cause risks for chronic diseases
As we age the negative effect dominates
What is the circadian clock aging theory - ANS We have a typical rhythm which represents
out day to day.
A disturbed circadian rhythm causes disruptions in homeostasis which causes the problems
associated with aging
What is the reliability aging theory - ANS "A car just will eventually start breaking down"
Ex: thymus gets smaller and smaller which affects it own hormones and affects all other organs
that interact with it
COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 4
