NUR 257 Exam 1: (Latest 2026/2027 Update) Gerontology, Chronic Illness, Cultural
Competence, End-of-Life Care | Q&A | Grade A | 100% Correct (Verified Answers)
Nursing Care of Older Adults | Gerontological Nursing Review
SUBJECT COURSE FORMAT
Gerontological Nursing / Chronic Illness / NUR 257 Exam 1 Q&A with Rationales
End-of-Life Care
Q1
What is xerostomia?
CORRECT ANSWER
Dryness of the mouth caused by reduction of saliva
R AT I O N A L E
• Common in older adults due to medications, dehydration, or Sjögren's syndrome.
• Increases risk for dental caries, dysphagia, and oral infections.
Q2
What age range is chronological late life recognized?
CORRECT ANSWER
Between 50 and 65 years
R AT I O N A L E
• Young-old: 65-74; Middle-old: 75-84; Old-old: 85+.
• Chronological age does not always correlate with functional age.
Q3
What are key points to promote wellness in older adults?
CORRECT ANSWER
Influenza, pneumococcal, shingles, streptococcal vaccinations and HIV screenings
R AT I O N A L E
• Immunizations are critical for preventing morbidity and mortality in older adults.
• USPSTF recommends HIV screening for all adults up to age 65.
, Q4
What is cultural destructiveness?
CORRECT ANSWER
Systemic elimination of the culture of another (e.g., genocide)
R AT I O N A L E
• The most extreme level of cultural incompetence.
• Nurses must actively work to preserve and respect cultural diversity.
Q5
What is culture blindness?
CORRECT ANSWER
The belief that everyone is the same, ignores differences; applying negative stereotypes
R AT I O N A L E
• Color-blindness approach ignores unique cultural needs and can lead to health disparities.
Q6
What does the LEARN model stand for in cultural competence?
CORRECT ANSWER
L: Listen, E: Explain, A: Acknowledge, R: Recommend, N: Negotiate
R AT I O N A L E
• Framework for cross-cultural communication in healthcare.
Q7
What does FICA stand for in spiritual assessment?
CORRECT ANSWER
F - Faith, I - Importance, C - Community, A - Address
R AT I O N A L E
• Spiritual assessment tool to identify spiritual distress and resources.
Q8
What are signs and symptoms of spiritual distress?
CORRECT ANSWER
Evidence of depression, cognitive impairment, verbalized questioning or loss of faith, loss of interpersonal support
R AT I O N A L E
• Spiritual distress can impact physical and mental health outcomes.
Competence, End-of-Life Care | Q&A | Grade A | 100% Correct (Verified Answers)
Nursing Care of Older Adults | Gerontological Nursing Review
SUBJECT COURSE FORMAT
Gerontological Nursing / Chronic Illness / NUR 257 Exam 1 Q&A with Rationales
End-of-Life Care
Q1
What is xerostomia?
CORRECT ANSWER
Dryness of the mouth caused by reduction of saliva
R AT I O N A L E
• Common in older adults due to medications, dehydration, or Sjögren's syndrome.
• Increases risk for dental caries, dysphagia, and oral infections.
Q2
What age range is chronological late life recognized?
CORRECT ANSWER
Between 50 and 65 years
R AT I O N A L E
• Young-old: 65-74; Middle-old: 75-84; Old-old: 85+.
• Chronological age does not always correlate with functional age.
Q3
What are key points to promote wellness in older adults?
CORRECT ANSWER
Influenza, pneumococcal, shingles, streptococcal vaccinations and HIV screenings
R AT I O N A L E
• Immunizations are critical for preventing morbidity and mortality in older adults.
• USPSTF recommends HIV screening for all adults up to age 65.
, Q4
What is cultural destructiveness?
CORRECT ANSWER
Systemic elimination of the culture of another (e.g., genocide)
R AT I O N A L E
• The most extreme level of cultural incompetence.
• Nurses must actively work to preserve and respect cultural diversity.
Q5
What is culture blindness?
CORRECT ANSWER
The belief that everyone is the same, ignores differences; applying negative stereotypes
R AT I O N A L E
• Color-blindness approach ignores unique cultural needs and can lead to health disparities.
Q6
What does the LEARN model stand for in cultural competence?
CORRECT ANSWER
L: Listen, E: Explain, A: Acknowledge, R: Recommend, N: Negotiate
R AT I O N A L E
• Framework for cross-cultural communication in healthcare.
Q7
What does FICA stand for in spiritual assessment?
CORRECT ANSWER
F - Faith, I - Importance, C - Community, A - Address
R AT I O N A L E
• Spiritual assessment tool to identify spiritual distress and resources.
Q8
What are signs and symptoms of spiritual distress?
CORRECT ANSWER
Evidence of depression, cognitive impairment, verbalized questioning or loss of faith, loss of interpersonal support
R AT I O N A L E
• Spiritual distress can impact physical and mental health outcomes.
