NUR 257 Exam 1 Basic Recall: (Latest 2026/2027 Update) Gerontology, Health
Promotion, LEARN Model, Medicare, Widowhood, End-of-Life | Q&A | Grade A |
100% Correct (Verified Answers)
Nursing Care of Older Adults | Gerontological Nursing Basic Recall
SUBJECT COURSE FORMAT
Gerontological Nursing / Health NUR 257 Exam 1 Q&A with Rationales
Promotion
Q1
Which two factors most significantly influence older adults' health decisions?
CORRECT ANSWER
Culture and spiritual beliefs
R AT I O N A L E
• Understanding patient's cultural and spiritual background is essential for person-centered care.
Q2
What is the purpose of preventive services like flu and pneumococcal vaccines?
CORRECT ANSWER
Promote wellness and prevent disease
R AT I O N A L E
• Vaccinations are primary prevention strategies that reduce morbidity and mortality in older adults.
Q3
How often should colorectal cancer screening be performed?
CORRECT ANSWER
Every 10 years or as directed
R AT I O N A L E
• Colonoscopy every 10 years; fecal occult blood test annually.
Q4
At what age is the Shingrix vaccine recommended?
CORRECT ANSWER
Age 60 (2 doses)
R AT I O N A L E
• Shingrix is recommended for adults 50+ (CDC recommends 50+).
, Q5
How often should the flu vaccine be given?
CORRECT ANSWER
Yearly
R AT I O N A L E
• Influenza strains change annually; immunity wanes.
Q6
How often should breast cancer screening be performed?
CORRECT ANSWER
Yearly (mammogram for women 40-75)
R AT I O N A L E
• USPSTF recommends biennial screening for ages 50-74; ACOG recommends annual for 40+.
Q7
Until when should vaginal and cervical cancer screening be performed?
CORRECT ANSWER
65 years (or after 3 consecutive normal Pap tests)
R AT I O N A L E
• USPSTF: discontinue at 65 if adequate prior screening and no high-risk history.
Q8
What does the "L" in the LEARN model stand for?
CORRECT ANSWER
Listen = Hear the person's story and cues
R AT I O N A L E
• Active listening is foundational to culturally competent care.
Q9
What does the "E" in the LEARN model stand for?
CORRECT ANSWER
Explain = Share your hypotheses and priorities
R AT I O N A L E
• Explain the provider's perspective using plain language.
Q10
What does the "A" in the LEARN model stand for?
CORRECT ANSWER
Acknowledge = Discuss similarities and differences between both perspectives
R AT I O N A L E
• Validates the patient's beliefs and builds trust.
Promotion, LEARN Model, Medicare, Widowhood, End-of-Life | Q&A | Grade A |
100% Correct (Verified Answers)
Nursing Care of Older Adults | Gerontological Nursing Basic Recall
SUBJECT COURSE FORMAT
Gerontological Nursing / Health NUR 257 Exam 1 Q&A with Rationales
Promotion
Q1
Which two factors most significantly influence older adults' health decisions?
CORRECT ANSWER
Culture and spiritual beliefs
R AT I O N A L E
• Understanding patient's cultural and spiritual background is essential for person-centered care.
Q2
What is the purpose of preventive services like flu and pneumococcal vaccines?
CORRECT ANSWER
Promote wellness and prevent disease
R AT I O N A L E
• Vaccinations are primary prevention strategies that reduce morbidity and mortality in older adults.
Q3
How often should colorectal cancer screening be performed?
CORRECT ANSWER
Every 10 years or as directed
R AT I O N A L E
• Colonoscopy every 10 years; fecal occult blood test annually.
Q4
At what age is the Shingrix vaccine recommended?
CORRECT ANSWER
Age 60 (2 doses)
R AT I O N A L E
• Shingrix is recommended for adults 50+ (CDC recommends 50+).
, Q5
How often should the flu vaccine be given?
CORRECT ANSWER
Yearly
R AT I O N A L E
• Influenza strains change annually; immunity wanes.
Q6
How often should breast cancer screening be performed?
CORRECT ANSWER
Yearly (mammogram for women 40-75)
R AT I O N A L E
• USPSTF recommends biennial screening for ages 50-74; ACOG recommends annual for 40+.
Q7
Until when should vaginal and cervical cancer screening be performed?
CORRECT ANSWER
65 years (or after 3 consecutive normal Pap tests)
R AT I O N A L E
• USPSTF: discontinue at 65 if adequate prior screening and no high-risk history.
Q8
What does the "L" in the LEARN model stand for?
CORRECT ANSWER
Listen = Hear the person's story and cues
R AT I O N A L E
• Active listening is foundational to culturally competent care.
Q9
What does the "E" in the LEARN model stand for?
CORRECT ANSWER
Explain = Share your hypotheses and priorities
R AT I O N A L E
• Explain the provider's perspective using plain language.
Q10
What does the "A" in the LEARN model stand for?
CORRECT ANSWER
Acknowledge = Discuss similarities and differences between both perspectives
R AT I O N A L E
• Validates the patient's beliefs and builds trust.
