NURS 245 (Modules 1-7) Comprehensive Final Exam –
Questions Answered With Expert Insight
A nurse is planning an education program on wellness in a local senior citizen
center. The nurse plans to provide education on the importance of
immunizations, annual physical examinations, screening for diabetes, and
vision and hearing screening. It is important for the nurse to understand
which of the following?
a. Less than 50% of older adults (ages 65 and older) utilize available
preventive services.
b. Preventive strategies are more widely used in the 50-64 age-group than in
the 65 and over age-group.
c. The research on health promotion strategies in older adults demonstrates
that they have low efficacy.
d. There is an abundance of research specific to health promotion and aging.
Correct Answer - Less than 50% of older adults (ages 65 and older) utilize
available preventive services
A nurse is caring for an 85-year-old male client with diabetes in a community
setting. The nurse promotes functional wellness by which of the following
activities?
a. Encouraging the client to maintain current levels of physical activity
b. Assisting the client to receive all the recommended preventive screenings
that are appropriate for his age-group
c. Teaching the patient how to use a rolling walker so that he can ambulate for
longer distances
d. Encouraging the client to attend his weekly chess games Correct Answer
- encouraging the client to maintain current levels of physical activity
Based on the census reports of 2015, the typical profile of a centenarian
includes which of the following characteristics?
a. An American woman with no signs of dementia
b. A Japanese woman with chronic inflammation
c. A Chinese man with an immune disorder
,d. An American man who is a lifelong vegetarian Correct Answer - An
American woman with no signs of dementia
Primary prevention strategies for older adults include which of the following?
(Select all that apply.)
a. An annual influenza immunization clinic
b. A smoking cessation program
c. A prostate screening program
d. A cardiac rehabilitation program
e. A meal planning education program for type 2 diabetics Correct Answer -
An annual influenza immunization clinic
A smoking cessation program
A nurse organizes a symposium for health care professionals in the field of
geriatrics. Which of the following topics align with Healthy People 2020s
emerging issues relevant to healthy aging?
(Select all that apply.)
a. Fair pay and compensation standards for informal caregivers
b. Longevity and genetics
c. Emerging chronic conditions among baby boomers
d. Minimum competency levels for health care professionals
e. Health disparities in LGBT older adults Correct Answer - Fair pay and
compensation standards for informal caregivers
Emerging chronic conditions among baby boomers
Minimum competency levels for health care professionals
Health disparities in LGBT older adults
A nurse is planning care for a group of super-centenarians in an assisted living
facility. The nurse considers which of the following?
a. Most super-centenarians are functionally independent or require minimal
assistance with activities of daily living
b. The majority of super-centenarians have cognitive impairment
,c. The number of super-centenarians is expected to decrease in coming years
as a result of heart disease and stroke
d. It is theorized that super-centenarians survived as long as they have due to
genetic mutations that made them less susceptible to common diseases
Correct Answer - Most super-centenarians are functionally independent or
require minimal assistance with activities of daily living
One reason why many baby boomers have multiple chronic conditions such as
heart disease, diabetes, and arthritis is that:
a. they have less access to medication and other treatment regimens
b. there was a lack of importance placed on healthy living as they were
growing up
c. they did not have access to immunization against communicable disease
when they were children
d.they grew up in an era of rampant poverty and malnutrition Correct
Answer - there was a lack of importance placed on healthy living as they
were growing up
Baby boomers born before 1960 were subject to which of the following health
challenges during their childhood? (Select all that apply.)
a. Measles
b. Scarlet fever
c. Rubella
d. Smallpox
e. HIV/AIDS Correct Answer - measles, scarlet fever, and rubella
A nursing student is preparing a presentation on the wellness-based model
for healthy aging. Which of the following concepts should the student include
in the presentation? (Select all that apply.)
a. Healthy aging is defined by the absence of physical illness alone.
b. Healthy aging is individually defined and can change over time.
c. There are many strategies to promote healthy aging that are believed to be
helpful but do not have empirical evidence to support them.
d. Healthy aging cannot be achieved by only focusing on later life. It is a
lifelong process.
, e. According to this model, an individual with a chronic disease would not be
Correct Answer - Healthy aging is individually defined and can change
over time.
There are many strategies to promote healthy aging that are believed to be
helpful but do not have empirical evidence to support them.
Healthy aging cannot be achieved by only focusing on later life. It is a lifelong
process.
When asked by new parents what the life expectancy is for their African
American newborn, the nurse replies that, "2015 statistics indicate that your
son:
a. will have a life expectancy of approximately 65 years."
b. can realistically expect to live into his late 80s."
c. has a good chance of celebrating his 75th birthday."
d. is likely to live into his late 90s." Correct Answer - has a good chance
of celebrating his 75th birthday
Serious and well-controlled research studies on aging have been available:
a. only in the past 60 years.
b. since the turn of the 20th century.
c. following the Great Depression.
d. since the year 2000. Correct Answer - only in the past 60 years
The son of a nursing home resident asks a nurse: "What is the significance of
being certified in gerontology? I see that you are, but not all of the nurses are."
The best response by the nurse is which of the following?
a. "National certification as a gerontological nurse is a way to demonstrate
special knowledge in caring for older adults."
b. "National certification in gerontology is required for all nurses who have
worked in this setting for 2 or more years."
c. "National certification is only available to nurses who have a Baccalaureate
degree in nursing."
d. "Only advanced practice nurses, like nurse practitioners, are certified in
Questions Answered With Expert Insight
A nurse is planning an education program on wellness in a local senior citizen
center. The nurse plans to provide education on the importance of
immunizations, annual physical examinations, screening for diabetes, and
vision and hearing screening. It is important for the nurse to understand
which of the following?
a. Less than 50% of older adults (ages 65 and older) utilize available
preventive services.
b. Preventive strategies are more widely used in the 50-64 age-group than in
the 65 and over age-group.
c. The research on health promotion strategies in older adults demonstrates
that they have low efficacy.
d. There is an abundance of research specific to health promotion and aging.
Correct Answer - Less than 50% of older adults (ages 65 and older) utilize
available preventive services
A nurse is caring for an 85-year-old male client with diabetes in a community
setting. The nurse promotes functional wellness by which of the following
activities?
a. Encouraging the client to maintain current levels of physical activity
b. Assisting the client to receive all the recommended preventive screenings
that are appropriate for his age-group
c. Teaching the patient how to use a rolling walker so that he can ambulate for
longer distances
d. Encouraging the client to attend his weekly chess games Correct Answer
- encouraging the client to maintain current levels of physical activity
Based on the census reports of 2015, the typical profile of a centenarian
includes which of the following characteristics?
a. An American woman with no signs of dementia
b. A Japanese woman with chronic inflammation
c. A Chinese man with an immune disorder
,d. An American man who is a lifelong vegetarian Correct Answer - An
American woman with no signs of dementia
Primary prevention strategies for older adults include which of the following?
(Select all that apply.)
a. An annual influenza immunization clinic
b. A smoking cessation program
c. A prostate screening program
d. A cardiac rehabilitation program
e. A meal planning education program for type 2 diabetics Correct Answer -
An annual influenza immunization clinic
A smoking cessation program
A nurse organizes a symposium for health care professionals in the field of
geriatrics. Which of the following topics align with Healthy People 2020s
emerging issues relevant to healthy aging?
(Select all that apply.)
a. Fair pay and compensation standards for informal caregivers
b. Longevity and genetics
c. Emerging chronic conditions among baby boomers
d. Minimum competency levels for health care professionals
e. Health disparities in LGBT older adults Correct Answer - Fair pay and
compensation standards for informal caregivers
Emerging chronic conditions among baby boomers
Minimum competency levels for health care professionals
Health disparities in LGBT older adults
A nurse is planning care for a group of super-centenarians in an assisted living
facility. The nurse considers which of the following?
a. Most super-centenarians are functionally independent or require minimal
assistance with activities of daily living
b. The majority of super-centenarians have cognitive impairment
,c. The number of super-centenarians is expected to decrease in coming years
as a result of heart disease and stroke
d. It is theorized that super-centenarians survived as long as they have due to
genetic mutations that made them less susceptible to common diseases
Correct Answer - Most super-centenarians are functionally independent or
require minimal assistance with activities of daily living
One reason why many baby boomers have multiple chronic conditions such as
heart disease, diabetes, and arthritis is that:
a. they have less access to medication and other treatment regimens
b. there was a lack of importance placed on healthy living as they were
growing up
c. they did not have access to immunization against communicable disease
when they were children
d.they grew up in an era of rampant poverty and malnutrition Correct
Answer - there was a lack of importance placed on healthy living as they
were growing up
Baby boomers born before 1960 were subject to which of the following health
challenges during their childhood? (Select all that apply.)
a. Measles
b. Scarlet fever
c. Rubella
d. Smallpox
e. HIV/AIDS Correct Answer - measles, scarlet fever, and rubella
A nursing student is preparing a presentation on the wellness-based model
for healthy aging. Which of the following concepts should the student include
in the presentation? (Select all that apply.)
a. Healthy aging is defined by the absence of physical illness alone.
b. Healthy aging is individually defined and can change over time.
c. There are many strategies to promote healthy aging that are believed to be
helpful but do not have empirical evidence to support them.
d. Healthy aging cannot be achieved by only focusing on later life. It is a
lifelong process.
, e. According to this model, an individual with a chronic disease would not be
Correct Answer - Healthy aging is individually defined and can change
over time.
There are many strategies to promote healthy aging that are believed to be
helpful but do not have empirical evidence to support them.
Healthy aging cannot be achieved by only focusing on later life. It is a lifelong
process.
When asked by new parents what the life expectancy is for their African
American newborn, the nurse replies that, "2015 statistics indicate that your
son:
a. will have a life expectancy of approximately 65 years."
b. can realistically expect to live into his late 80s."
c. has a good chance of celebrating his 75th birthday."
d. is likely to live into his late 90s." Correct Answer - has a good chance
of celebrating his 75th birthday
Serious and well-controlled research studies on aging have been available:
a. only in the past 60 years.
b. since the turn of the 20th century.
c. following the Great Depression.
d. since the year 2000. Correct Answer - only in the past 60 years
The son of a nursing home resident asks a nurse: "What is the significance of
being certified in gerontology? I see that you are, but not all of the nurses are."
The best response by the nurse is which of the following?
a. "National certification as a gerontological nurse is a way to demonstrate
special knowledge in caring for older adults."
b. "National certification in gerontology is required for all nurses who have
worked in this setting for 2 or more years."
c. "National certification is only available to nurses who have a Baccalaureate
degree in nursing."
d. "Only advanced practice nurses, like nurse practitioners, are certified in
