NURS 601 Midterm Exam Questions with Answers Latest
Update 2024
Chapter 1: Principles of Primary Care of Older Adults - Correct Answer
Which one of the following is most true about the rule of fourths? - Correct Answer
What used to be called normal aging can be largely explained by processes that are
not normal.
Which one of the following is most true about aging changes? - Correct Answer
Stage 3 and 4 sleep decreases.
An old woman who is cared for by attentive, cautious, concerned family is
particularly likely to suffer from which one of the following complications after an
episode of gastroenteritis? - Correct Answer Immobility related to overconcern
Which one of the following is most true about psychological aging? - Correct
Answer Ageism can lead to isolation and depression.
Of the following conditions, which one is most common and most often preventable?
- Correct Answer Iatrogenic disease
Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society? - Correct Answer More
nursing services will be required to serve the needs of the
population 85 years of age and older
An older adult client shares with the nurse that, "I don't know what
it is but it seems that I need more light for reading or even
watching television as I get older." The nurse explains that aging
may cause this change due to the: - Correct Answer Slower ability of the pupil to
adjust to changes in lighting
Chapter 3: Geriatric Assessment - Correct Answer
An 86-year-old male who lives in an assisted living facility is at the clinic. He has a
history of hypertension and manages his own medications. He admits he takes them
sometimes. After speaking to him, you find it unclear if he understands the questions
and discussions. Which of the following evidences that the patient has adequate
health literacy? - Correct Answer He knows the names and doses of his
medications and can explain why he takes them.
,You are performing a geriatric assessment on an 82-year-old female. At the end of
the visit, which of the following would require top priority over the others? - Correct
Answer The death of the patient's caregiver
Ms. M's family has noticed memory loss for the past 6 months. She continues to
drive but recently had a fender bender and was caught speeding on a 35-mph road.
She insists that she is safe and needs to drive to church and for shopping. What is
the best next step? - Correct Answer Get a driving evaluation.
The following are true statements about bipolar disorders in older
adults except - Correct Answer Bipolar disorder is the most commonly diagnosed
psychiatric
disorder in older adults.
Chapter 5: Wellness and Prevention - Correct Answer
The US Advisory Committee on Immunization Practices and the Centers for Disease
Control currently recommend which one of the following? - Correct Answer a. All
older adults be immunized against influenza annually and that they receive at least
one pneumococcal vaccination.
b. All high-risk older adults should receive an additional pneumococcal vaccination 5
years or more after their first immunization.
c. Older adults should receive a one-time revaccination for pneumonia if they were
initially vaccinated more than 5 years previously and were less than 65 years of age
at the time of the initial vaccination.
d. All of these are recommended.
Healthcare providers should recommend that older adults engage in which one of
the following? - Correct Answer 150 minutes of moderate intensity physical activity
weekly
Guidelines for the primary prevention of stroke recommend that aspirin be used in
which one of the following? - Correct Answer Individuals whose risk is high enough
for the benefits to outweigh the risks
Even though older adults are less likely to get counseled for smoking cessation, they
have which one of the following? - Correct Answer The same quit rates as younger
individuals
When educating the older adult population about the risks to
physical health that chronic alcohol abuse presents, the nurse
practitioner is especially careful to include the: - Correct Answer Identification of the
signs and symptoms of gastrointestinal
bleeding
An older adult client has been voluntarily admitted for treatment of
, alcohol dependency. In implementing care, the nurse plans which
intervention based upon knowledge about alcohol and aging? - Correct Answer
Assessing the client for both depression and anxiety
The nurse practitioner shows an understanding of appropriate
influenza vaccination guidelines for a client over the age of 65
when stating: - Correct Answer Regardless of your physical health you really
should get a yearly
flu shot
Chapter 6: Cultural Competency and Cultural Humility in Caring for Older Adults -
Correct Answer
Which of the following is true about cultural humility? - Correct Answer It places
emphasis on power imbalances and promotes interpersonal sensitivity through
partnerships with and learning from patients.
Racial disparities have been a part of US healthcare for many decades. How might
this impact the expectations of older Black Americans? - Correct Answer a.
Reluctance to participate in medical research because of unethical studies in the
past
b. Underrepresentation of Black physicians in the geriatric workforce
c. Cumulative effects of differences in access to healthcare providers
d. All of these
Dementia is a relatively common condition in the geriatric population. It becomes
more common as people age. Which is the most appropriate description of
"personhood" as it relates to people with dementia? - Correct Answer The ability to
relate to others as people, rather than preserving cognitive independence, is an
important aspect of "personhood."
Immigrant families bring cultural traditions into healthcare decisions. With regard to
older adults, which of the following is true? - Correct Answer End-of-life care is
particularly sensitive to cultural beliefs and should be explored carefully with the
patient and family, as appropriate.
It has been projected that the cultural group presenting the
greatest growth rate among the older adult population will be the: - Correct Answer
Hispanic
Ethnocentrism is defined as: - Correct Answer a belief that one's ethnic group is
superior to that of another true
Which of the following culturally diverse male clients will most
benefit from educational material related to "Staying Healthy into
your 80s" - Correct Answer Japanese
Update 2024
Chapter 1: Principles of Primary Care of Older Adults - Correct Answer
Which one of the following is most true about the rule of fourths? - Correct Answer
What used to be called normal aging can be largely explained by processes that are
not normal.
Which one of the following is most true about aging changes? - Correct Answer
Stage 3 and 4 sleep decreases.
An old woman who is cared for by attentive, cautious, concerned family is
particularly likely to suffer from which one of the following complications after an
episode of gastroenteritis? - Correct Answer Immobility related to overconcern
Which one of the following is most true about psychological aging? - Correct
Answer Ageism can lead to isolation and depression.
Of the following conditions, which one is most common and most often preventable?
- Correct Answer Iatrogenic disease
Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society? - Correct Answer More
nursing services will be required to serve the needs of the
population 85 years of age and older
An older adult client shares with the nurse that, "I don't know what
it is but it seems that I need more light for reading or even
watching television as I get older." The nurse explains that aging
may cause this change due to the: - Correct Answer Slower ability of the pupil to
adjust to changes in lighting
Chapter 3: Geriatric Assessment - Correct Answer
An 86-year-old male who lives in an assisted living facility is at the clinic. He has a
history of hypertension and manages his own medications. He admits he takes them
sometimes. After speaking to him, you find it unclear if he understands the questions
and discussions. Which of the following evidences that the patient has adequate
health literacy? - Correct Answer He knows the names and doses of his
medications and can explain why he takes them.
,You are performing a geriatric assessment on an 82-year-old female. At the end of
the visit, which of the following would require top priority over the others? - Correct
Answer The death of the patient's caregiver
Ms. M's family has noticed memory loss for the past 6 months. She continues to
drive but recently had a fender bender and was caught speeding on a 35-mph road.
She insists that she is safe and needs to drive to church and for shopping. What is
the best next step? - Correct Answer Get a driving evaluation.
The following are true statements about bipolar disorders in older
adults except - Correct Answer Bipolar disorder is the most commonly diagnosed
psychiatric
disorder in older adults.
Chapter 5: Wellness and Prevention - Correct Answer
The US Advisory Committee on Immunization Practices and the Centers for Disease
Control currently recommend which one of the following? - Correct Answer a. All
older adults be immunized against influenza annually and that they receive at least
one pneumococcal vaccination.
b. All high-risk older adults should receive an additional pneumococcal vaccination 5
years or more after their first immunization.
c. Older adults should receive a one-time revaccination for pneumonia if they were
initially vaccinated more than 5 years previously and were less than 65 years of age
at the time of the initial vaccination.
d. All of these are recommended.
Healthcare providers should recommend that older adults engage in which one of
the following? - Correct Answer 150 minutes of moderate intensity physical activity
weekly
Guidelines for the primary prevention of stroke recommend that aspirin be used in
which one of the following? - Correct Answer Individuals whose risk is high enough
for the benefits to outweigh the risks
Even though older adults are less likely to get counseled for smoking cessation, they
have which one of the following? - Correct Answer The same quit rates as younger
individuals
When educating the older adult population about the risks to
physical health that chronic alcohol abuse presents, the nurse
practitioner is especially careful to include the: - Correct Answer Identification of the
signs and symptoms of gastrointestinal
bleeding
An older adult client has been voluntarily admitted for treatment of
, alcohol dependency. In implementing care, the nurse plans which
intervention based upon knowledge about alcohol and aging? - Correct Answer
Assessing the client for both depression and anxiety
The nurse practitioner shows an understanding of appropriate
influenza vaccination guidelines for a client over the age of 65
when stating: - Correct Answer Regardless of your physical health you really
should get a yearly
flu shot
Chapter 6: Cultural Competency and Cultural Humility in Caring for Older Adults -
Correct Answer
Which of the following is true about cultural humility? - Correct Answer It places
emphasis on power imbalances and promotes interpersonal sensitivity through
partnerships with and learning from patients.
Racial disparities have been a part of US healthcare for many decades. How might
this impact the expectations of older Black Americans? - Correct Answer a.
Reluctance to participate in medical research because of unethical studies in the
past
b. Underrepresentation of Black physicians in the geriatric workforce
c. Cumulative effects of differences in access to healthcare providers
d. All of these
Dementia is a relatively common condition in the geriatric population. It becomes
more common as people age. Which is the most appropriate description of
"personhood" as it relates to people with dementia? - Correct Answer The ability to
relate to others as people, rather than preserving cognitive independence, is an
important aspect of "personhood."
Immigrant families bring cultural traditions into healthcare decisions. With regard to
older adults, which of the following is true? - Correct Answer End-of-life care is
particularly sensitive to cultural beliefs and should be explored carefully with the
patient and family, as appropriate.
It has been projected that the cultural group presenting the
greatest growth rate among the older adult population will be the: - Correct Answer
Hispanic
Ethnocentrism is defined as: - Correct Answer a belief that one's ethnic group is
superior to that of another true
Which of the following culturally diverse male clients will most
benefit from educational material related to "Staying Healthy into
your 80s" - Correct Answer Japanese
