PNR 108/PNR108 Exam 1 V1 |
Gerontological Nursing Q&A with
Rationale | Fortis College
1. Which term describes a systematic prejudice or discrimination against individuals based on
their advanced age?
A. Gerontology
B. Ethnocentrism
C. Paternalism
D. Ageism
Correct Answer: D
Expert Explanation: Ageism involves negative stereotyping and discrimination against
older adults, which can impact the quality of care they receive. Nurses must be aware of
their own biases to ensure they provide equitable healthcare to the elderly population. This
concept is a fundamental aspect of the PNR 108 curriculum regarding attitudes toward
aging.
2. According to Erikson’s stages of psychosocial development, what is the primary
developmental task for the older adult?
A. Generativity vs. Stagnation
B. Ego Integrity vs. Despair
,C. Identity vs. Role Confusion
D. Trust vs. Mistrust
Correct Answer: B
Expert Explanation: In this stage, older adults reflect on their lives and feel either a sense
of satisfaction or failure. Achieving ego integrity allows the individual to accept their life as
meaningful and approach death with less fear. Failure to achieve this stage leads to despair
and regret over missed opportunities.
3. Which biological theory of aging suggests that aging is the result of repeated use and injury
to the body over time?
A. Free Radical Theory
B. Programmed Aging Theory
C. Wear and Tear Theory
D. Autoimmune Theory
Correct Answer: C
Expert Explanation: The Wear and Tear theory posits that the body is like a machine that
eventually functions less efficiently due to use. It emphasizes that accumulated stress and
physical exhaustion lead to cellular and systemic decline. This is one of the classic
stochastic theories discussed in gerontological nursing foundations.
, 4. What is the most common cause of accidental death in individuals over the age of 65?
A. Motor vehicle accidents
B. Falls
C. Choking
D. Poisoning
Correct Answer: B
Expert Explanation: Falls are the leading cause of both fatal and non-fatal injuries among
older adults. Environmental hazards, combined with physiological changes like impaired
balance, increase this risk significantly. Assessing for fall risk is a critical nursing priority in
the geriatric setting to ensure patient safety.
5. A nurse is assessing an older adult and notes a loss of high-frequency hearing. This
condition is known as:
A. Otosclerosis
B. Presbycusis
C. Tinnitus
D. Aphasia
Correct Answer: B
Expert Explanation: Presbycusis is the age-related sensorineural hearing loss that
typically affects the ability to hear high-pitched sounds. It occurs gradually due to changes
Gerontological Nursing Q&A with
Rationale | Fortis College
1. Which term describes a systematic prejudice or discrimination against individuals based on
their advanced age?
A. Gerontology
B. Ethnocentrism
C. Paternalism
D. Ageism
Correct Answer: D
Expert Explanation: Ageism involves negative stereotyping and discrimination against
older adults, which can impact the quality of care they receive. Nurses must be aware of
their own biases to ensure they provide equitable healthcare to the elderly population. This
concept is a fundamental aspect of the PNR 108 curriculum regarding attitudes toward
aging.
2. According to Erikson’s stages of psychosocial development, what is the primary
developmental task for the older adult?
A. Generativity vs. Stagnation
B. Ego Integrity vs. Despair
,C. Identity vs. Role Confusion
D. Trust vs. Mistrust
Correct Answer: B
Expert Explanation: In this stage, older adults reflect on their lives and feel either a sense
of satisfaction or failure. Achieving ego integrity allows the individual to accept their life as
meaningful and approach death with less fear. Failure to achieve this stage leads to despair
and regret over missed opportunities.
3. Which biological theory of aging suggests that aging is the result of repeated use and injury
to the body over time?
A. Free Radical Theory
B. Programmed Aging Theory
C. Wear and Tear Theory
D. Autoimmune Theory
Correct Answer: C
Expert Explanation: The Wear and Tear theory posits that the body is like a machine that
eventually functions less efficiently due to use. It emphasizes that accumulated stress and
physical exhaustion lead to cellular and systemic decline. This is one of the classic
stochastic theories discussed in gerontological nursing foundations.
, 4. What is the most common cause of accidental death in individuals over the age of 65?
A. Motor vehicle accidents
B. Falls
C. Choking
D. Poisoning
Correct Answer: B
Expert Explanation: Falls are the leading cause of both fatal and non-fatal injuries among
older adults. Environmental hazards, combined with physiological changes like impaired
balance, increase this risk significantly. Assessing for fall risk is a critical nursing priority in
the geriatric setting to ensure patient safety.
5. A nurse is assessing an older adult and notes a loss of high-frequency hearing. This
condition is known as:
A. Otosclerosis
B. Presbycusis
C. Tinnitus
D. Aphasia
Correct Answer: B
Expert Explanation: Presbycusis is the age-related sensorineural hearing loss that
typically affects the ability to hear high-pitched sounds. It occurs gradually due to changes
