NUR257 Exam 1 – Concepts of Aging & Chronic Illness
Covers
physiological changes
psychosocial aspects
chronic disease management
nursing interventions, ethical/legal issues
patient education
Q1. Which physiological change is most common in normal aging?
a) Increased cardiac output
b) Decreased renal function
c) Increased bone density
d) Enhanced immune response
Q2. Polypharmacy in older adults increases the risk of: Commented [AW1]:
a) Improved adherence
b) Drug interactions
c) Enhanced metabolism
d) Reduced side effects
Q3. The most prevalent chronic illness among older adults is:
a) Asthma
b) Hypertension
c) Tuberculosis
d) Epilepsy
Q4. Which nursing intervention best promotes independence in older adults?
a) Doing tasks for them
b) Encouraging self-care activities
c) Limiting mobility
d) Restricting decision-making
Q5. Age-related macular degeneration primarily affects:
a) Peripheral vision
b) Central vision
c) Hearing
d) Balance
Q6. The term “gerontology” refers to:
a) Study of childhood diseases
b) Study of aging
c) Study of chronic illness only
d) Study of genetics
,Q7. Which psychosocial theory of aging emphasizes role changes?
a) Continuity theory
b) Role theory
c) Activity theory
d) Disengagement theory
Answer: b) Role theory
Q8.A major risk factor for osteoporosis in older women is:
a) High calcium intake
b) Estrogen deficiency
c) Excessive exercise
d) Obesity
Q9. The leading cause of death in older adults worldwide is:
a) Cancer
b) Cardiovascular disease
c) Accidents
d) Dementia
Q10.Which nursing diagnosis is most appropriate for an older adult with arthritis?
a) Risk for infection
b) Impaired physical mobility
c) Ineffective airway clearance
d) Disturbed sensory perception
Q11.The Mini-Mental State Examination (MMSE) is used to assess:
a) Nutritional status
b) Cognitive function
c) Pain levels
d) Sleep quality
Q12.Which chronic illness is strongly associated with aging and insulin resistance?
a) Type 1 diabetes
b) Type 2 diabetes
c) Rheumatoid arthritis
d) COPD
Q13. An age-related change in the cardiovascular system includes:
a) Increased elasticity of vessels
b) Decreased cardiac reserve
c) Enhanced baroreceptor sensitivity
d) Increased stroke volume
Q14.The most effective fall-prevention strategy in nursing care is:
a) Restraining patients
, b) Encouraging bed rest
c) Environmental safety modifications
d) Limiting fluid intake
Q15.Which chronic illness is characterized by progressive airflow limitation?
a) COPD
b) Osteoarthritis
c) Parkinson’s disease
d) Alzheimer’s disease
Q16.The “sandwich generation” refers to:
a) Older adults living alone
b) Middle-aged adults caring for children and parents
c) Adolescents supporting siblings
d) Nurses caring for multiple patients
Q17.Which vitamin deficiency is common in older adults due to reduced absorption?
a) Vitamin A
b) Vitamin B12
c) Vitamin C
d) Vitamin D
Q18.The most common type of dementia is:
a) Vascular dementia
b) Alzheimer’s disease
c) Lewy body dementia
d) Frontotemporal dementia
Q19.A primary nursing goal in chronic illness management is:
a) Cure of disease
b) Symptom control and quality of life
c) Elimination of aging effects
d) Avoidance of medications
Q20.Which psychosocial theory suggests older adults withdraw from society?
a) Activity theory
b) Disengagement theory
c) Continuity theory
d) Role theory
Q21.The “frailty syndrome” in older adults is characterized by:
a) Increased muscle strength
b) Weight gain
c) Weakness, fatigue, and vulnerability
d) Enhanced immunity
Covers
physiological changes
psychosocial aspects
chronic disease management
nursing interventions, ethical/legal issues
patient education
Q1. Which physiological change is most common in normal aging?
a) Increased cardiac output
b) Decreased renal function
c) Increased bone density
d) Enhanced immune response
Q2. Polypharmacy in older adults increases the risk of: Commented [AW1]:
a) Improved adherence
b) Drug interactions
c) Enhanced metabolism
d) Reduced side effects
Q3. The most prevalent chronic illness among older adults is:
a) Asthma
b) Hypertension
c) Tuberculosis
d) Epilepsy
Q4. Which nursing intervention best promotes independence in older adults?
a) Doing tasks for them
b) Encouraging self-care activities
c) Limiting mobility
d) Restricting decision-making
Q5. Age-related macular degeneration primarily affects:
a) Peripheral vision
b) Central vision
c) Hearing
d) Balance
Q6. The term “gerontology” refers to:
a) Study of childhood diseases
b) Study of aging
c) Study of chronic illness only
d) Study of genetics
,Q7. Which psychosocial theory of aging emphasizes role changes?
a) Continuity theory
b) Role theory
c) Activity theory
d) Disengagement theory
Answer: b) Role theory
Q8.A major risk factor for osteoporosis in older women is:
a) High calcium intake
b) Estrogen deficiency
c) Excessive exercise
d) Obesity
Q9. The leading cause of death in older adults worldwide is:
a) Cancer
b) Cardiovascular disease
c) Accidents
d) Dementia
Q10.Which nursing diagnosis is most appropriate for an older adult with arthritis?
a) Risk for infection
b) Impaired physical mobility
c) Ineffective airway clearance
d) Disturbed sensory perception
Q11.The Mini-Mental State Examination (MMSE) is used to assess:
a) Nutritional status
b) Cognitive function
c) Pain levels
d) Sleep quality
Q12.Which chronic illness is strongly associated with aging and insulin resistance?
a) Type 1 diabetes
b) Type 2 diabetes
c) Rheumatoid arthritis
d) COPD
Q13. An age-related change in the cardiovascular system includes:
a) Increased elasticity of vessels
b) Decreased cardiac reserve
c) Enhanced baroreceptor sensitivity
d) Increased stroke volume
Q14.The most effective fall-prevention strategy in nursing care is:
a) Restraining patients
, b) Encouraging bed rest
c) Environmental safety modifications
d) Limiting fluid intake
Q15.Which chronic illness is characterized by progressive airflow limitation?
a) COPD
b) Osteoarthritis
c) Parkinson’s disease
d) Alzheimer’s disease
Q16.The “sandwich generation” refers to:
a) Older adults living alone
b) Middle-aged adults caring for children and parents
c) Adolescents supporting siblings
d) Nurses caring for multiple patients
Q17.Which vitamin deficiency is common in older adults due to reduced absorption?
a) Vitamin A
b) Vitamin B12
c) Vitamin C
d) Vitamin D
Q18.The most common type of dementia is:
a) Vascular dementia
b) Alzheimer’s disease
c) Lewy body dementia
d) Frontotemporal dementia
Q19.A primary nursing goal in chronic illness management is:
a) Cure of disease
b) Symptom control and quality of life
c) Elimination of aging effects
d) Avoidance of medications
Q20.Which psychosocial theory suggests older adults withdraw from society?
a) Activity theory
b) Disengagement theory
c) Continuity theory
d) Role theory
Q21.The “frailty syndrome” in older adults is characterized by:
a) Increased muscle strength
b) Weight gain
c) Weakness, fatigue, and vulnerability
d) Enhanced immunity
