NUR 326- Exam 1 Questions with Correct
Detailed Solutions Graded A+ 2025
What are population health status considerations based on?
-Life expectancy
-Morbidity
-Mortality
What is life expectancy?
The expected average number of years that a cohort will live
What is life span?
Maximum number of years an individual can live
What has changed more over the last 100 years: life expectancy or life span?
Life expectancy
How much has life span changed since the beginning of recorded time?
Very little. (It is around 130 years old)
What determines life expectancy?
-How we define the population
-Ex: women are slightly higher than men and there are disparities between
ethnic/cultural groups
What is geriatrics?
-Treatment of medical problems/disease in older adults
-Coined to recognized that medical care of persons in later life differed from other
groups in the population
-Hint: Ger=old age, iatrics=medicine
What is gerontology?
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-The study of aging and the elderly
-Considers the nexus of time and human development
Is nursing geriatric or gerontological?
Both because our work is holistic
What is the newer perception of health/health care of the older adult?
-The picture of health changes as someone ages (across the continuum of disease
and disability)
-Older adults can be healthy and still have chronic disease/disability
What is an important aspect of mental health?
-Social well-being
-Isolation can be harmful
What may be a reason that women outlive men?
Women tend to have a broader/bigger social network
What is changing the perceptions of health and health care?
A wellness model based on a holistic paradigm
What is something that gerontological nurses have the ability to do?
Shape the world of persons where they can thrive and grow old, not merely survive
What does the wellness-based model, whether acute or chronic, consist of for a
gerontological nurse?
-Maximize strengths
-Minimize limitations (ex: look at available resources, make sure nutrition and
activity level is good)
-Facilitate adaptation (ex: visual aids, hearing aids, helping adapt to loss)
-Encourage growth
What % of nursing time is spent with older adults?
70%
Who are gerontological nurses?
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Anyone in the nurses field who does not specialize in OB or Pediatrics.
Are older adults more or less likely to be able to adapt?
More! They have had to adapt to a lot of different changes
What will happen to the number of persons over the age of 60 worldwide in 2050?
The number will double
Who will be the majority of persons over the age of 60 in 2050?
Women, but the gap between women and men is narrowing (women decreasing
and men increasing)
Which country has the reputation for being the best country in which to be an "old
person"?
-Denmark
-It is known for it's quality of life for all, especially for supporting active, healthy
aging
What will happen to the number of people in the world over the age of 85 by 2050?
The number will triple
What fraction of all humans that have lived past 65 are alive today?
Nearly 2/3 of all human
When was the first medical textbook about the older adult published and what was
it's focus?
-Published in 1914
-Focused that being "old" must be reversed, eradicated, or delayed
What are examples of the variety of terms that different cultures use to refer to the
aging person?
Elder, senior citizen, granny, older adult, etc.
Functionally, when is a person considered an aging person/older adult?
When the person is no longer able to perform usual activities
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What is considered biological aging?
Outward expression of individual genetic makeup
When does biological aging begin?
Around age 30
What eventually happens in biological aging?
By the mid 80s, anyone is living with about 50% less cellular and tissue function
(including the brain and immune system)
What can happen as a result of 50% less cellular and tissue function?
The stress response when there is acute stress is slower, so they have different
responses than the younger person (ex: no febrile response, confusion)
When does chronological aging typically happen?
Generally around 50-65 years
Why might the expected years of biological and chronological aging change in the
future?
Average life expectancy rises
What does the physiological declines across body systems result in?
-Atypical symptoms for many diseases
-"Geriatric syndromes"
-Acute confusion more than fever when they have infections
What was the life expectancy at birth, by race and sex in 2010?
What are super-centenarians?
-Those that are still alive at 110 years of age
-There are 200-300 worldwide, with 60 of those in the United States
-Survived outbreaks and pandemic diseases
What is the theorized reason that super-centenarians have survived to this point?
The reason is rare and unpredictable
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