Nursing for Wellness in Older Adults: Test
Bank Overview with Rationales (2025
Update)
1.
What is the trend regarding life expectancies among minorities compared to non-Hispanic
whites?
a) Life expectancies among minorities are decreasing while whites are increasing
b) Both groups are increasing at the same rate
c) Life expectancies among minorities are expected to increase while those among non-Hispanic
whites are expected to decrease ✅
d) Life expectancies are stable for both groups
Rationale: Minority populations are projected to gain in longevity, while non-Hispanic whites
may experience smaller or declining changes.
2.
What supports the need for education regarding cultural competency in healthcare?
a) The growing use of technology in care
b) The increasing proportion of minority health care consumers ✅
c) The decreasing number of older adults
d) The decline of cultural differences in urban areas
Rationale: The expanding minority population requires culturally competent healthcare
providers.
3.
What is a common misconception about ageism?
a) That it only affects older adults
b) That it is influenced by stereotypes and cultural values
c) That it is not influenced by stereotypes and cultural values ✅
d) That it is only found in Western cultures
Rationale: Ageism is shaped by cultural beliefs and stereotypes, not purely biological aging.
,4.
What is the reality about older adults living independently?
a) Most require daily institutional care
b) Most live with family caregivers
c) Most live independently and report good health ✅
d) Most depend on professional home care
Rationale: A majority of older adults live on their own and self-report high levels of health and
function.
5.
What is the significance of educational level in relation to health outcomes?
a) Education has little impact on health
b) Lower educational levels are associated with better outcomes
c) Higher educational levels are associated with better health outcomes ✅
d) Educational level only affects economic outcomes
Rationale: Education is directly tied to improved health knowledge, behaviors, and access to
resources.
6.
What is the fastest growing segment of the older adult population?
a) 65–74 years
b) 75–84 years
c) 85 years and older ✅
d) 55–64 years
Rationale: The “oldest-old” (85+) group is increasing the fastest, driving demand for healthcare
services.
7.
What percentage of deaths in the United States are attributed to chronic diseases?
a) 25%
,b) 50%
c) 70% ✅
d) 90%
Rationale: Chronic conditions such as heart disease, cancer, and diabetes cause ~70% of U.S.
deaths.
8.
What is the most frequently occurring condition in older adults?
a) Alzheimer’s disease
b) Hypertension ✅
c) Osteoarthritis
d) Diabetes
Rationale: Hypertension is the most common chronic condition among those 65+.
9.
What is the leading cause of death among older adults in the United States?
a) Stroke
b) Alzheimer’s disease
c) Cancer
d) Heart disease ✅
Rationale: Cardiovascular disease is the primary cause of death in this population.
10.
What is the projected ratio of workers to retirees by the year 2030?
a) 5:1
b) 3:1 ✅
c) 7:1
d) 10:1
Rationale: By 2030, fewer workers will be available to support each retiree, straining healthcare
and social systems.
, 11.
What is a critical barrier to healthcare for older adults?
a) Lack of interest in health
b) Lack of healthcare professionals
c) Financial limitations ✅
d) Geographic mobility
Rationale: Many older adults live on fixed incomes, making healthcare costs a major barrier.
12.
What is the most common cause of disability among older adults?
a) Stroke
b) Arthritis ✅
c) Vision loss
d) Osteoporosis
Rationale: Arthritis is the leading cause of functional limitation in older adults.
13.
Which group of older adults has the highest poverty rates?
a) White men
b) White women
c) African American women ✅
d) Hispanic men
Rationale: Minority women, especially African American and Hispanic women, experience
higher poverty levels.
14.
What is the fastest growing minority group among older adults?
a) African Americans
b) Asian Americans
c) Hispanic Americans ✅
d) Native Americans
Bank Overview with Rationales (2025
Update)
1.
What is the trend regarding life expectancies among minorities compared to non-Hispanic
whites?
a) Life expectancies among minorities are decreasing while whites are increasing
b) Both groups are increasing at the same rate
c) Life expectancies among minorities are expected to increase while those among non-Hispanic
whites are expected to decrease ✅
d) Life expectancies are stable for both groups
Rationale: Minority populations are projected to gain in longevity, while non-Hispanic whites
may experience smaller or declining changes.
2.
What supports the need for education regarding cultural competency in healthcare?
a) The growing use of technology in care
b) The increasing proportion of minority health care consumers ✅
c) The decreasing number of older adults
d) The decline of cultural differences in urban areas
Rationale: The expanding minority population requires culturally competent healthcare
providers.
3.
What is a common misconception about ageism?
a) That it only affects older adults
b) That it is influenced by stereotypes and cultural values
c) That it is not influenced by stereotypes and cultural values ✅
d) That it is only found in Western cultures
Rationale: Ageism is shaped by cultural beliefs and stereotypes, not purely biological aging.
,4.
What is the reality about older adults living independently?
a) Most require daily institutional care
b) Most live with family caregivers
c) Most live independently and report good health ✅
d) Most depend on professional home care
Rationale: A majority of older adults live on their own and self-report high levels of health and
function.
5.
What is the significance of educational level in relation to health outcomes?
a) Education has little impact on health
b) Lower educational levels are associated with better outcomes
c) Higher educational levels are associated with better health outcomes ✅
d) Educational level only affects economic outcomes
Rationale: Education is directly tied to improved health knowledge, behaviors, and access to
resources.
6.
What is the fastest growing segment of the older adult population?
a) 65–74 years
b) 75–84 years
c) 85 years and older ✅
d) 55–64 years
Rationale: The “oldest-old” (85+) group is increasing the fastest, driving demand for healthcare
services.
7.
What percentage of deaths in the United States are attributed to chronic diseases?
a) 25%
,b) 50%
c) 70% ✅
d) 90%
Rationale: Chronic conditions such as heart disease, cancer, and diabetes cause ~70% of U.S.
deaths.
8.
What is the most frequently occurring condition in older adults?
a) Alzheimer’s disease
b) Hypertension ✅
c) Osteoarthritis
d) Diabetes
Rationale: Hypertension is the most common chronic condition among those 65+.
9.
What is the leading cause of death among older adults in the United States?
a) Stroke
b) Alzheimer’s disease
c) Cancer
d) Heart disease ✅
Rationale: Cardiovascular disease is the primary cause of death in this population.
10.
What is the projected ratio of workers to retirees by the year 2030?
a) 5:1
b) 3:1 ✅
c) 7:1
d) 10:1
Rationale: By 2030, fewer workers will be available to support each retiree, straining healthcare
and social systems.
, 11.
What is a critical barrier to healthcare for older adults?
a) Lack of interest in health
b) Lack of healthcare professionals
c) Financial limitations ✅
d) Geographic mobility
Rationale: Many older adults live on fixed incomes, making healthcare costs a major barrier.
12.
What is the most common cause of disability among older adults?
a) Stroke
b) Arthritis ✅
c) Vision loss
d) Osteoporosis
Rationale: Arthritis is the leading cause of functional limitation in older adults.
13.
Which group of older adults has the highest poverty rates?
a) White men
b) White women
c) African American women ✅
d) Hispanic men
Rationale: Minority women, especially African American and Hispanic women, experience
higher poverty levels.
14.
What is the fastest growing minority group among older adults?
a) African Americans
b) Asian Americans
c) Hispanic Americans ✅
d) Native Americans
