Gero Exam 1 questions with complete
solutions already passed
1.
The nurse visits the home of an older person with chronic lung disease. Which observation
indicates that the person is engaged in health improvement activities?
A. Walks a pet dog twice a day
B. Talks with family once a week
C. Prepares pasta for dinner
D. Sleeps in a recliner in the living room
A. Walks a pet dog twice a day
Rationale: One myth of aging is health promotion is wasted on older people. The fact is that it is
never too late to begin good lifestyle habits, such as eating a healthy diet and engaging in
exercise. Walking the pet dog twice a day indicates that the person is engaged in a health-
improvement activity. Pasta is high in carbohydrates which would have an adverse effect on
weight and overall health. Talking with family may fill a psychosocial need; however, does not
indicate engagement in a health-improvement activity. Sleeping in a recliner in the living room
may help respiratory function; however, does not indicate engagement in a health-improvement
activity.
2.
The nurse visits the home of an older person recovering from an exacerbation of a chronic
illness. Which observation indicates to the nurse that the person has dispelled the myth that
older people cannot learn new things?
A. Preparing a shopping list
,B. Researching medications on the internet
C. Scheduling an ophthalmologic examination
D. Planning to meet friends for lunch
B. Researching medications on the internet
Rationale: One common myth about older people is being set in familiar ways and having the
inability to learn new things. Researching medications on the internet dispels this myth.
Preparing a shopping list demonstrates engagement in everyday-life activities. Meeting friends
for lunch indicates interest in socialization. Scheduling a health appointment indicates interest
in health-promotion activities.
3.
The nurse prepares an educational program on healthy aging for a community group. Which
segment of the population should the nurse explain as being the fastest growing in the United
States?
A. Middle-age
B. Young-old
C. Old-old
D. Middle-old
C. Old-old
Rationale: The old-old (ages 85+) are the fastest growing segment of the population, growing at
twice the rate of those ages 65 and over and four times faster than the total U.S. population.
This group will triple from the current 5.7 million to over 19 million by 2060. During the next 13
years, the young-old (ages 65–74), 74 million baby boomers will retire. During the next decade,
increased life expectancy will add to the number of middle-old (ages 75–84) baby boomers.
Middle-age individuals are not identified as being the fastest growing population segment in the
United States.
,4.
A resident of an assisted living facility enjoys the new apartment but is disappointed that so
many females reside there alone. What does this resident's observation suggest about older
men?
A. They do not like to live in assisted living facilities
B. They do not live as long as women
C. They are healthy enough to live in their own homes
D. They tend to live with family when they age
B. They do not live as long as women
Rationale: The gender differences in life expectancy may be explained by the complex
interaction among biological, social, and behavioral factors. Greater male exposure to risk
factors, such as tobacco, alcohol, and occupational hazards, might negatively affect male life
expectancy. There is no evidence to support that older men tend to live with family when they
age, dislike assisted-living facilities, or are healthy enough to live in their own homes.
5.
The nurse notes that an older person has difficulty removing clothes in preparation for a
physical assessment. On which area should the nurse focus when determining this person's
ability to perform activities of daily living?
A. Housekeeping
B. Laundry
C. Walking
D. Bathing
, D. Bathing
Rationale: Categories when determining competence in performing activities of daily living
include bathing, dressing, toileting, transferring, continence, and feeding. Since the nurse
observed the person’s difficulty with dressing, additional assessment would focus on the other
categories. Laundry and housekeeping are criteria within functional activities of daily living.
There is no evidence to suggest that the person has difficulty walking.
6.
The nurse plans an educational wellness program for a group of older adults residing in the
community. On which topic should the nurse focus the majority of the information?
A. Benefits of treating depression with medications
B. Managing heart failure symptoms
C. Managing Alzheimer's Disease symptoms
D. Benefits of remaining socially active
B. Managing heart failure symptoms
Rationale: Five chronic diseases—heart disease, cancer, stroke, chronic obstructive pulmonary
disease, and diabetes—cause more than two-thirds of all deaths each year. To help reduce the
incidence of death from heart disease and stroke, and possible adverse effects from diabetes,
the nurse should focus the majority of information on blood pressure control. Although
socialization, cognitive activities, and socioeconomic support are useful topics for senior
community members, the topic that has the greatest impact on wellness is blood pressure
control.
7.
solutions already passed
1.
The nurse visits the home of an older person with chronic lung disease. Which observation
indicates that the person is engaged in health improvement activities?
A. Walks a pet dog twice a day
B. Talks with family once a week
C. Prepares pasta for dinner
D. Sleeps in a recliner in the living room
A. Walks a pet dog twice a day
Rationale: One myth of aging is health promotion is wasted on older people. The fact is that it is
never too late to begin good lifestyle habits, such as eating a healthy diet and engaging in
exercise. Walking the pet dog twice a day indicates that the person is engaged in a health-
improvement activity. Pasta is high in carbohydrates which would have an adverse effect on
weight and overall health. Talking with family may fill a psychosocial need; however, does not
indicate engagement in a health-improvement activity. Sleeping in a recliner in the living room
may help respiratory function; however, does not indicate engagement in a health-improvement
activity.
2.
The nurse visits the home of an older person recovering from an exacerbation of a chronic
illness. Which observation indicates to the nurse that the person has dispelled the myth that
older people cannot learn new things?
A. Preparing a shopping list
,B. Researching medications on the internet
C. Scheduling an ophthalmologic examination
D. Planning to meet friends for lunch
B. Researching medications on the internet
Rationale: One common myth about older people is being set in familiar ways and having the
inability to learn new things. Researching medications on the internet dispels this myth.
Preparing a shopping list demonstrates engagement in everyday-life activities. Meeting friends
for lunch indicates interest in socialization. Scheduling a health appointment indicates interest
in health-promotion activities.
3.
The nurse prepares an educational program on healthy aging for a community group. Which
segment of the population should the nurse explain as being the fastest growing in the United
States?
A. Middle-age
B. Young-old
C. Old-old
D. Middle-old
C. Old-old
Rationale: The old-old (ages 85+) are the fastest growing segment of the population, growing at
twice the rate of those ages 65 and over and four times faster than the total U.S. population.
This group will triple from the current 5.7 million to over 19 million by 2060. During the next 13
years, the young-old (ages 65–74), 74 million baby boomers will retire. During the next decade,
increased life expectancy will add to the number of middle-old (ages 75–84) baby boomers.
Middle-age individuals are not identified as being the fastest growing population segment in the
United States.
,4.
A resident of an assisted living facility enjoys the new apartment but is disappointed that so
many females reside there alone. What does this resident's observation suggest about older
men?
A. They do not like to live in assisted living facilities
B. They do not live as long as women
C. They are healthy enough to live in their own homes
D. They tend to live with family when they age
B. They do not live as long as women
Rationale: The gender differences in life expectancy may be explained by the complex
interaction among biological, social, and behavioral factors. Greater male exposure to risk
factors, such as tobacco, alcohol, and occupational hazards, might negatively affect male life
expectancy. There is no evidence to support that older men tend to live with family when they
age, dislike assisted-living facilities, or are healthy enough to live in their own homes.
5.
The nurse notes that an older person has difficulty removing clothes in preparation for a
physical assessment. On which area should the nurse focus when determining this person's
ability to perform activities of daily living?
A. Housekeeping
B. Laundry
C. Walking
D. Bathing
, D. Bathing
Rationale: Categories when determining competence in performing activities of daily living
include bathing, dressing, toileting, transferring, continence, and feeding. Since the nurse
observed the person’s difficulty with dressing, additional assessment would focus on the other
categories. Laundry and housekeeping are criteria within functional activities of daily living.
There is no evidence to suggest that the person has difficulty walking.
6.
The nurse plans an educational wellness program for a group of older adults residing in the
community. On which topic should the nurse focus the majority of the information?
A. Benefits of treating depression with medications
B. Managing heart failure symptoms
C. Managing Alzheimer's Disease symptoms
D. Benefits of remaining socially active
B. Managing heart failure symptoms
Rationale: Five chronic diseases—heart disease, cancer, stroke, chronic obstructive pulmonary
disease, and diabetes—cause more than two-thirds of all deaths each year. To help reduce the
incidence of death from heart disease and stroke, and possible adverse effects from diabetes,
the nurse should focus the majority of information on blood pressure control. Although
socialization, cognitive activities, and socioeconomic support are useful topics for senior
community members, the topic that has the greatest impact on wellness is blood pressure
control.
7.
