NUR 3311 Final Exam questions and answers
2025/2026 latest update 100% |verified
1.A nurse who works on a subacute medical unit of a hospital has noticed that the population of older
adults being admitted to the unit has been increasing over the past few years. The nurse engages a
colleague in a discussion about this finding. Which statement by the colleague would be most reflective
of current thinking about older adults? A)"Fortunately, Social Security ensures a sufficient level of
income for people over 65." B)"It helps that older people don't have to incur any costs for their medical
care." C)"Most of the older clients on the unit will have come to us from nursing homes." D)"It's
reassuring older adults are receiving more concern than in decades past." - Answer D)"It's reassuring
older adults are receiving more concern than in decades past."
2.A public health nurse who directs a homecare program that serves an area with a large population of
older adults is conducting a long-term strategic plan. Which phenomenon would be most important for
the nurse to integrate when planning for the future? A)While life expectancy will continue to rise, the
percentage of older adults in the United States relative to the overall population will decrease. B)By
2030, it is expected that the number of adults over age 85 will triple. C)Both life expectancy and the
percentage of people over 65 in the population will increase in coming decades. D)Chronic conditions
are expected to gradually cause a decrease in the number of older adults in 10 years. - Answer C)Both
life expectancy and the percentage of people over 65 in the population will increase in coming decades.
3.A nurse who practices in a long-term care facility is providing care for a 101-year-old black female. The
nurse's coworker states, "It's gratifying that black people in this country are finally reaching the same
levels of health that white people are enjoying." Which response would be most appropriate?
A)"Actually, the difference in life expectancy between blacks and whites is growing, not shrinking."
B)"We've not yet arrived at a place where the life expectancies are equal between black and white
people, but the gap is decreasing gradually." C)"Black women do tend to live longer than white women,
but the overall life expectancies when men are included are not yet equal." D)"Since the 1980s, the life
expectancies of black and white Americans have remained nearly the same." - Answer A)"Actually, the
difference in life expectancy between blacks and whites is growing, not shrinking."
4.A nurse is providing care to a group of older adults who attend activities at the local senior center.
When interacting with the group, the nurse notes that more of the women than men live alone. Which
phenomena would the nurse most likely attribute to this situation? A)Women tend to live longer than
men and marry men older than themselves. B)Men tend to have greater access to care facilities due to
higher incomes and savings. C)Men are more likely to live with younger family members following the
death of a spouse. D)Social pressures tend to stigmatize older men who live alone. - Answer A)Women
tend to live longer than men and marry men older than themselves.
,5.A nurse is conducting a class for a group of nurses who are employed at the local community health
center that serves a large older adult population. As part of the class, the nurse discusses the impact of
the older adult's financial status on their life. The nurse determines that the teaching was successful
based on which statement by the group? A)"The percentage of older people living below the poverty
level has been increasing." B)"The financial needs of most older adults are well met by Social Security
income alone." C)"The recent decline in housing prices has made many older adults 'asset rich and cash
poor.'" D)"Women 65 years of age and older are the fastest growing group of employment." - Answer
C)"The recent decline in housing prices has made many older adults 'asset rich and cash poor.'"
6.A nursing care aide employed on a medical unit of a hospital expresses frustration that "old people get
sick so much more often than young people." Which response by the nurse would be most appropriate?
A)"Truthfully, the prevalence of obesity and accompanying chronic illnesses mean that young people
actually have more chronic conditions than older adults." B)"It's actually a myth that older adults require
more hospitalization than young people." C)"Actually, older adults experience fewer acute illnesses than
younger people; it's just that they tend to take longer to recover from them." D)"With the increase in
life expectancies in recent years, most older people actually live free of chronic diseases until very late in
life." - Answer C)"Actually, older adults experience fewer acute illnesses than younger people; it's just
that they tend to take longer to recover from them."
7.) A nurse is conducting a presentation for a group of older adults at the local community center about
chronic illnesses. When describing the effect of chronic illness on this population, which concept would
be most important for the nurse to integrate into the discussion? A)Chronic illnesses constitute the
leading cause of death for older adults. B)More older adults die from acute illnesses than from chronic
diseases. C)While chronic diseases used to be the leading cause of death, this trend is no longer true.
D)While cancer rates have fallen, other chronic diseases remain a common cause of death. - Answer
A)Chronic illnesses constitute the leading cause of death for older adults
8.The board of a large chain of hospitals has commissioned a strategic plan to meet the care needs of
baby boomers in coming years. When developing a plan for the future, which characteristic would be
most important to incorporate into the plan? Select all that apply. A)Baby boomers typically have fewer
children to help with care later than those of earlier generations. B)Adjusting for inflation, baby boomers
have lower incomes than their parents had. C)Due to technology, baby boomers have more leisure time
than other adults. D)Baby boomers perform physical exercise more frequently than other adults. E)The
educational level of baby boomers is usually lower than preceding generations. - Answer A)Baby
boomers typically have fewer children to help with care later than those of earlier generations
D)Baby boomers perform physical exercise more frequently than other adults.
9.An 85-year-old man has been admitted to the hospital with exacerbation of his chronic obstructive
pulmonary disease (COPD). His family has expressed concern about their ability to pay for his present
, and future care. The nurse offers support and guidance to the family, offering suggestions based on
which aspect associated with the payment for care services by older adults? A)The financial burden of
care for most older adults is minimal due to ownership of high-value assets. B)Private insurers most
often cover the payment for long-term care of older adults. C)Most older adults have their basic care
needs provided in a long-term facility. D)Federal money pays for more care than do older adults or
private insurers. - Answer D)Federal money pays for more care than do older adults or private insurers.
10.resident's daughter makes a statement about older adults. Which statement, if made by the
resident's daughter, would require the nurse to respond? A)"It seems like more and more people are
living well into their 80s like my mom." B)"My mom has a house worth loads of money but little cash
flow, like many older adults." C)"It seems like heart disease is getting more common even though people
live longer than they used to." D)"There are more women living to my mother's age than there are
men." - Answer C)"It seems like heart disease is getting more common even though people live longer
than they used to."
A gerontological nurse is preparing a plan of care for an older adult applying the error theory of aging as
the foundation of the plan. Which concept would the nurse most likely integrate into the plan?
A)Perpetuation of DNA mutations results in organ and system malfunction. B)Age-related dysfunction of
organs and body systems results in DNA mutation. C)The number of cell divisions is genetically
predetermined. D)Errors in organ function contribute to changes in the cells' genetic code - Answer
A)Perpetuation of DNA mutations results in organ and system malfunction
A gerontological nurse is conducting an in-service presentation to a group of nurses working at a long-
term care facility about the various theories of aging. When describing the error theory of aging, the
nurse explains the steps involved. Which step would the nurse describe first? A)Organ, tissue, and
system malfunction B)Perpetuation of mutation during cell divisions C)DNA mutation D)Overall decline
in body functions E)Decline in body function - Answer C)DNA mutation
A nurse is explaining to an older adult client that many of the changes in his body that are currently
causing him frustration may have their origins in genetic changes that may have in fact benefited him
during his younger years. Which theory of aging underlies the nurse's explanation? A)Disposable soma
theory B)Free radical theory C)Mutation accumulation theory D)Antagonistic pleiotropy theory - Answer
D)Antagonistic pleiotropy theory
An 80-year-old female client who enjoys good health explains to the nurse that she attributes her health
status to her regular intake of berries, fruit juices, and green tea, which she states "help cleanse the
damaging molecules out of my body." The nurse interprets this statement as reflecting which theory of
aging? A)Free radical theory B)Biogerontology C)Disposable soma theory D)Cross-linking theory - Answer
A)Free radical theory
2025/2026 latest update 100% |verified
1.A nurse who works on a subacute medical unit of a hospital has noticed that the population of older
adults being admitted to the unit has been increasing over the past few years. The nurse engages a
colleague in a discussion about this finding. Which statement by the colleague would be most reflective
of current thinking about older adults? A)"Fortunately, Social Security ensures a sufficient level of
income for people over 65." B)"It helps that older people don't have to incur any costs for their medical
care." C)"Most of the older clients on the unit will have come to us from nursing homes." D)"It's
reassuring older adults are receiving more concern than in decades past." - Answer D)"It's reassuring
older adults are receiving more concern than in decades past."
2.A public health nurse who directs a homecare program that serves an area with a large population of
older adults is conducting a long-term strategic plan. Which phenomenon would be most important for
the nurse to integrate when planning for the future? A)While life expectancy will continue to rise, the
percentage of older adults in the United States relative to the overall population will decrease. B)By
2030, it is expected that the number of adults over age 85 will triple. C)Both life expectancy and the
percentage of people over 65 in the population will increase in coming decades. D)Chronic conditions
are expected to gradually cause a decrease in the number of older adults in 10 years. - Answer C)Both
life expectancy and the percentage of people over 65 in the population will increase in coming decades.
3.A nurse who practices in a long-term care facility is providing care for a 101-year-old black female. The
nurse's coworker states, "It's gratifying that black people in this country are finally reaching the same
levels of health that white people are enjoying." Which response would be most appropriate?
A)"Actually, the difference in life expectancy between blacks and whites is growing, not shrinking."
B)"We've not yet arrived at a place where the life expectancies are equal between black and white
people, but the gap is decreasing gradually." C)"Black women do tend to live longer than white women,
but the overall life expectancies when men are included are not yet equal." D)"Since the 1980s, the life
expectancies of black and white Americans have remained nearly the same." - Answer A)"Actually, the
difference in life expectancy between blacks and whites is growing, not shrinking."
4.A nurse is providing care to a group of older adults who attend activities at the local senior center.
When interacting with the group, the nurse notes that more of the women than men live alone. Which
phenomena would the nurse most likely attribute to this situation? A)Women tend to live longer than
men and marry men older than themselves. B)Men tend to have greater access to care facilities due to
higher incomes and savings. C)Men are more likely to live with younger family members following the
death of a spouse. D)Social pressures tend to stigmatize older men who live alone. - Answer A)Women
tend to live longer than men and marry men older than themselves.
,5.A nurse is conducting a class for a group of nurses who are employed at the local community health
center that serves a large older adult population. As part of the class, the nurse discusses the impact of
the older adult's financial status on their life. The nurse determines that the teaching was successful
based on which statement by the group? A)"The percentage of older people living below the poverty
level has been increasing." B)"The financial needs of most older adults are well met by Social Security
income alone." C)"The recent decline in housing prices has made many older adults 'asset rich and cash
poor.'" D)"Women 65 years of age and older are the fastest growing group of employment." - Answer
C)"The recent decline in housing prices has made many older adults 'asset rich and cash poor.'"
6.A nursing care aide employed on a medical unit of a hospital expresses frustration that "old people get
sick so much more often than young people." Which response by the nurse would be most appropriate?
A)"Truthfully, the prevalence of obesity and accompanying chronic illnesses mean that young people
actually have more chronic conditions than older adults." B)"It's actually a myth that older adults require
more hospitalization than young people." C)"Actually, older adults experience fewer acute illnesses than
younger people; it's just that they tend to take longer to recover from them." D)"With the increase in
life expectancies in recent years, most older people actually live free of chronic diseases until very late in
life." - Answer C)"Actually, older adults experience fewer acute illnesses than younger people; it's just
that they tend to take longer to recover from them."
7.) A nurse is conducting a presentation for a group of older adults at the local community center about
chronic illnesses. When describing the effect of chronic illness on this population, which concept would
be most important for the nurse to integrate into the discussion? A)Chronic illnesses constitute the
leading cause of death for older adults. B)More older adults die from acute illnesses than from chronic
diseases. C)While chronic diseases used to be the leading cause of death, this trend is no longer true.
D)While cancer rates have fallen, other chronic diseases remain a common cause of death. - Answer
A)Chronic illnesses constitute the leading cause of death for older adults
8.The board of a large chain of hospitals has commissioned a strategic plan to meet the care needs of
baby boomers in coming years. When developing a plan for the future, which characteristic would be
most important to incorporate into the plan? Select all that apply. A)Baby boomers typically have fewer
children to help with care later than those of earlier generations. B)Adjusting for inflation, baby boomers
have lower incomes than their parents had. C)Due to technology, baby boomers have more leisure time
than other adults. D)Baby boomers perform physical exercise more frequently than other adults. E)The
educational level of baby boomers is usually lower than preceding generations. - Answer A)Baby
boomers typically have fewer children to help with care later than those of earlier generations
D)Baby boomers perform physical exercise more frequently than other adults.
9.An 85-year-old man has been admitted to the hospital with exacerbation of his chronic obstructive
pulmonary disease (COPD). His family has expressed concern about their ability to pay for his present
, and future care. The nurse offers support and guidance to the family, offering suggestions based on
which aspect associated with the payment for care services by older adults? A)The financial burden of
care for most older adults is minimal due to ownership of high-value assets. B)Private insurers most
often cover the payment for long-term care of older adults. C)Most older adults have their basic care
needs provided in a long-term facility. D)Federal money pays for more care than do older adults or
private insurers. - Answer D)Federal money pays for more care than do older adults or private insurers.
10.resident's daughter makes a statement about older adults. Which statement, if made by the
resident's daughter, would require the nurse to respond? A)"It seems like more and more people are
living well into their 80s like my mom." B)"My mom has a house worth loads of money but little cash
flow, like many older adults." C)"It seems like heart disease is getting more common even though people
live longer than they used to." D)"There are more women living to my mother's age than there are
men." - Answer C)"It seems like heart disease is getting more common even though people live longer
than they used to."
A gerontological nurse is preparing a plan of care for an older adult applying the error theory of aging as
the foundation of the plan. Which concept would the nurse most likely integrate into the plan?
A)Perpetuation of DNA mutations results in organ and system malfunction. B)Age-related dysfunction of
organs and body systems results in DNA mutation. C)The number of cell divisions is genetically
predetermined. D)Errors in organ function contribute to changes in the cells' genetic code - Answer
A)Perpetuation of DNA mutations results in organ and system malfunction
A gerontological nurse is conducting an in-service presentation to a group of nurses working at a long-
term care facility about the various theories of aging. When describing the error theory of aging, the
nurse explains the steps involved. Which step would the nurse describe first? A)Organ, tissue, and
system malfunction B)Perpetuation of mutation during cell divisions C)DNA mutation D)Overall decline
in body functions E)Decline in body function - Answer C)DNA mutation
A nurse is explaining to an older adult client that many of the changes in his body that are currently
causing him frustration may have their origins in genetic changes that may have in fact benefited him
during his younger years. Which theory of aging underlies the nurse's explanation? A)Disposable soma
theory B)Free radical theory C)Mutation accumulation theory D)Antagonistic pleiotropy theory - Answer
D)Antagonistic pleiotropy theory
An 80-year-old female client who enjoys good health explains to the nurse that she attributes her health
status to her regular intake of berries, fruit juices, and green tea, which she states "help cleanse the
damaging molecules out of my body." The nurse interprets this statement as reflecting which theory of
aging? A)Free radical theory B)Biogerontology C)Disposable soma theory D)Cross-linking theory - Answer
A)Free radical theory
