NR 601 Midterm 2025
Chapter 1: Principles of Primary Care of Older Adults - answer
Which one of the following is most true about the rule of fourths? - 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? - 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? - answer Immobility related to over concern
Which one of the following is most true about psychological aging? - answer Ageism
can lead to isolation and depression.
Of the following conditions, which one is most common and most often preventable? -
answerIatrogenic disease
Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society? - answerMore 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: - answerSlower ability of the pupil to adjust to
changes in lighting
Chapter 3: Geriatric Assessment - 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? - answerHe 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? - answerThe
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? - answerGet a driving evaluation.
The following are true statements about bipolar disorders in older
adults except - answerBipolar disorder is the most commonly diagnosed psychiatric
disorder in older adults.
Chapter 5: Wellness and Prevention - answer
The US Advisory Committee on Immunization Practices and the Centers for Disease
Control currently recommend which one of the following? - answera. 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? - answer150 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? - answerIndividuals 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? - answerThe 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: - answerIdentification 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? - answerAssessing 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: - answerRegardless of your physical health you really should get a yearly
flu shot
Chapter 6: Cultural Competency and Cultural Humility in Caring for Older Adults -
answer
Which of the following is true about cultural humility? - answerIt 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? - answera. 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? - answerThe 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? - answerEnd-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: - answerHispanic
Ethnocentrism is defined as: - answera 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" - answerJapanese
Chapter 7: Appropriate Prescribing - answer
Patient GG is an 82-year-old woman with complaints of dysuria and polyuria. A
urinalysis is positive for a urinary tract infection. She is 55 kg, her serum creatinine is
1.5 mg/dL, and she has no known drug allergies. Which of the following is the most
appropriate antibiotic regimen? - answerSulfamethoxazole/trimethoprim 400/80 mg BID
for 3 days
Chapter 1: Principles of Primary Care of Older Adults - answer
Which one of the following is most true about the rule of fourths? - 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? - 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? - answer Immobility related to over concern
Which one of the following is most true about psychological aging? - answer Ageism
can lead to isolation and depression.
Of the following conditions, which one is most common and most often preventable? -
answerIatrogenic disease
Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society? - answerMore 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: - answerSlower ability of the pupil to adjust to
changes in lighting
Chapter 3: Geriatric Assessment - 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? - answerHe 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? - answerThe
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? - answerGet a driving evaluation.
The following are true statements about bipolar disorders in older
adults except - answerBipolar disorder is the most commonly diagnosed psychiatric
disorder in older adults.
Chapter 5: Wellness and Prevention - answer
The US Advisory Committee on Immunization Practices and the Centers for Disease
Control currently recommend which one of the following? - answera. 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? - answer150 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? - answerIndividuals 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? - answerThe 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: - answerIdentification 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? - answerAssessing 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: - answerRegardless of your physical health you really should get a yearly
flu shot
Chapter 6: Cultural Competency and Cultural Humility in Caring for Older Adults -
answer
Which of the following is true about cultural humility? - answerIt 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? - answera. 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? - answerThe 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? - answerEnd-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: - answerHispanic
Ethnocentrism is defined as: - answera 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" - answerJapanese
Chapter 7: Appropriate Prescribing - answer
Patient GG is an 82-year-old woman with complaints of dysuria and polyuria. A
urinalysis is positive for a urinary tract infection. She is 55 kg, her serum creatinine is
1.5 mg/dL, and she has no known drug allergies. Which of the following is the most
appropriate antibiotic regimen? - answerSulfamethoxazole/trimethoprim 400/80 mg BID
for 3 days
