HESI
GERONTOLOGY FINAL
EXAM
1. A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a
colleague. Which of the nurse's statements reflects an accurate view of the relationship
between aging and wellness?
A. "It's important that the individual knows this is an expected part of growing older."
B. We need to teach the older adult how he can keep living a fruitful life in spite of his diagnosis."
C)"We need to make sure our teaching is not too detailed for someone of his age."
D) "We need to ensure his expectations of continuing to live alone are realistic." - CORRECT
ANSWER - Ans: B
Answer B reflects a desire to foster a fulfilling and productive .life .for .the .older .adult .despite
.his .diagnosis, .and .reflects .an .understanding .of .wellness .and .aging. .Option .A .implies .that
.illness .is .an .inevitability .of .aging. .Option .C .suggests .that .older .adults .have .a .limited
.capacity .to .learn .by .virtue .of .their .age, .and .option .D .implies .pessimism .about .the .health
.and .functioning .of .the .older .adult.
2. A .nurse .is .teaching .an .older .person .about .the .concept .of .successful .aging. .Which .of
.the .nurse's .questions .addresses .an .important .contributor .to .successful .aging?
A) "Are .you .largely .free .of .acute .or .chronic .illnesses?"
,B) "Do .you .feel .financially .secure?"
,C)"Do .you .feel .like .you .actively .engage .with .life?"
D) "Do .you .have .a .reliable .support .network?" .- .CORRECT .ANSWER .-Ans: .C
Research .has .indicated .that .an .active .engagement .with .life .is .central .to .successful .and
.healthy .aging. .Absence .of .illness, .financial .security, .and .the .nature .of .a .person's .support
.network .are .not .identified .components .of .successful .aging.
3. An .older .adult .has .recently .begun .to .display .unprecedented .lapses .in .short-term .memory.
.The .nurse .overhears .a .colleague .reassuring .the .person .by .saying, ."Try .not .to .worry; .it's
.just .a .part .of .growing .older." .The .nurse .recognizes .that .this .is .an .example .of .what
.phenomenon?
A) Multiple .jeopardy
B) Gerontophobia
C)Age .attribution
D) Implicit .ageism .- .CORRECT .ANSWER .-Ans: .C
Age .attribution .is .the .act .of .attributing .a .problem .to .age .rather .than .to .a .pathology, .as .in .the
.colleague's .statement. .Multiple .jeopardy .is .the .compounding .of .discrimination .based .on
.factors .such .as .race .and .gender, .while .gerontophobia .is .the .fear .or .hatred .of .older .people.
.Implicit .ageism .is .the .unrecognized, .negative .perception .of .older .people.
4. A .nurse .hears .a .colleague .make .the .statement, ."Most .older .adults .have .nothing .to
.worry .about .financially." .Which .of .the .following .responses .is .most .appropriate?
, A) "You .have .to .remember .that .there's .a .huge .economic .disparity .among .older .adults."
B) "Actually, .the .number .of .older .people .living .below .the .poverty .line .has .been
.increasing, .not .decreasing."
C)"This .isn't .really .true .now, .but .it .is .true .that .the .gaps .that .disadvantaged .groups
.live .with .are .expected .to .shrink."
D) "This .is .true .for .some .groups, .but .not .for .minorities .who .are .less .likely .to .be
.living .with .their .relatives." .- .CORRECT .ANSWER .-Ans: .A
An .important .consideration .with .regard .to .economic .conditions .of .older .adults .is .the
.tremendous .range .in .financial .status, .which .varies .significantly .according .to .race, .gender,
.and .living .arrangements. .The .number .of .adults .living .below .the .poverty .line, .however, .has
.decreased .in .recent .years. .The .disparities .that .separate .disadvantaged .groups .from .more
.economically .secure .older .adults .are .predicted .to .persist. .Minorities .are .more .likely, .not
.less .likely, .to .be .living .with .their .relatives.
5. A .nurse .is .conducting .a .study .on .the .needs .and .living .situations .of .older .adults .in .the
.community. .Which .of .the .following .statements .should .the .nurse .take .into .account?
A) A .majority .of .older .Americans .will .live .in .a .nursing .home .at .some .point.
B) More .older .men .live .alone .than .older .women.
C)Assisted .living .arrangements .have .become .increasingly .common.
D) Most .older .Americans .reside .in .some .form .of .institutional .arrangement. .- .CORRECT
.ANSWER .-Ans: .C