A retirement community is divided into different communities with different activities available for the residents. There is one community for individuals ages 65 to 74 years, one for individuals ages 75 to 85 years, and one for individuals older than age 85 years. This is consistent with which theory of aging?

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basic geriatric nursing 8th edition test bank Questions

Question 1 of 9

A retirement community is divided into different communities with different activities available for the residents. There is one community for individuals ages 65 to 74 years, one for individuals ages 75 to 85 years, and one for individuals older than age 85 years. This is consistent with which theory of aging?

Correct Answer: C

Rationale: The correct answer is C: Age-stratification theory. This theory suggests that age is a powerful determinant of social organization. In the given scenario, the retirement community is structured based on age groups, indicating stratification by age. This separation aligns with the concept of age-based social hierarchies and differing opportunities and resources based on age. Choice A (Role theory) focuses on how individuals adapt to social roles as they age, which is not directly reflected in the scenario. Choice B (Disengagement theory) posits that aging individuals withdraw from societal roles, which is not evident in the active engagement of residents in different age-specific communities. Choice D (Social exchange theory) emphasizes the relationships individuals form based on rewards and costs, which is not the primary focus in the scenario compared to the age-based stratification.

Question 2 of 9

Which physiological change in the brain is the reason the nurse allows more time for answering questions with older adults?

Correct Answer: D

Rationale: The correct answer is D: Atrophy of dendrites in the cerebral cortex. With aging, there is a natural decline in brain volume and synaptic connections, leading to reduced dendritic branching and synaptic density in the cerebral cortex. This affects processing speed and cognitive functions, requiring more time for older adults to respond to questions. Rationale: A: Increased secretion of cholinesterase is not a physiological change associated with aging that would require more time for answering questions. B: Decreased secretion of neurotransmitters may occur with aging but is not the primary reason for slower processing speed in older adults. C: Loss of spinal cord and brainstem neurons is not the main factor influencing older adults' response time to questions compared to atrophy of dendrites in the cerebral cortex.

Question 3 of 9

In the document “Recommended Baccalaureate Competencies and Curricular Guidelines for the Nursing Care of Older Adults” developed by the American Association of Colleges of Nursing and the Hartford Institute for Geriatric Nursing, recommendations include which of the following?

Correct Answer: B

Rationale: The correct answer is B: Integration of gerontological content throughout the curriculum. This is because integrating gerontological content throughout the curriculum ensures that nursing students are exposed to and learn about caring for older adults in various courses, rather than just in a standalone course. This approach better prepares students to provide holistic care to older adults in different clinical settings. A: Provision of a free-standing course in gerontology within the curriculum may limit exposure to gerontological content and may not provide a comprehensive understanding of caring for older adults. C: Requiring gerontological certification for all students before completion of a BSN program is not mentioned in the document and may not be feasible or necessary for all nursing students. D: While structured clinical experiences with older adults across the continuum of care are essential, this alone may not ensure that students receive a comprehensive education in gerontological care if the content is not integrated throughout the curriculum.

Question 4 of 9

The holistic health movement has impacted health care in which of the following ways?

Correct Answer: B

Rationale: The correct answer is B because the holistic health movement emphasizes treating the whole person - mind, body, and spirit. This shifts the focus from merely treating symptoms to considering individual well-being and lifestyle factors. Choice A is not the best answer because while disease prevention is part of holistic health, it is not the primary impact on health care. Choice C is incorrect as the movement does not directly improve access to health care. Choice D is also incorrect as while alternative modalities are part of holistic health, they are not the main impact on health care.

Question 5 of 9

The nurse is providing a patient education session about gerontologic specialty certification. Which statement is accurate?

Correct Answer: A

Rationale: Step 1: Gerontological nursing certification focuses on advanced knowledge and skills for caring for older adults. Step 2: This certification is not a requirement for all nurses in long-term care or limited to rehabilitation centers. Step 3: Nurses with various levels of education, not just a master's degree, can obtain gerontological certification. Therefore, option A is correct as it accurately states that gerontological nursing certification signifies advanced knowledge and skills specific to older adult care. Options B, C, and D are incorrect as they provide inaccurate information about the certification requirements and scope.

Question 6 of 9

Mr. J has been admitted to the hospital from her own home. The admitting nurse notes that the patient has severe edema in the lower extremities, no hair on the legs, and ulcerations on her feet. These signs and symptoms are most likely indications of:

Correct Answer: D

Rationale: The correct answer is D: Circulatory problems related to age and a chronic illness. Severe edema, hair loss on the legs, and foot ulcerations are indicative of poor circulation, often seen in conditions like peripheral artery disease. Age and chronic illnesses can contribute to circulatory issues. A diet low in protein (choice A) would not directly cause these symptoms. Exposure to cold (choice B) would not explain the specific symptoms mentioned. Frequent falls (choice C) do not align with the symptoms provided.

Question 7 of 9

A nurse in a long-term care facility is using the TimeSlips program with a group of cognitively impaired older adults. The nurse is using which of the following techniques?

Correct Answer: A

Rationale: The correct answer is A because the TimeSlips program involves providing a picture as a creative prompt for group members to collaboratively create a story. This technique stimulates imagination and communication in cognitively impaired individuals. Choice B is incorrect as recording responses is not specific to the TimeSlips method. Choice C is incorrect as complimenting contributions is not a core component of the TimeSlips program. Choice D is incorrect as reading back the story during the session does not align with the collaborative, creative process of TimeSlips.

Question 8 of 9

Which of the following issues in the care of older adults are identified in Healthy People 2020?

Correct Answer: C

Rationale: Step 1: Healthy People 2020 focuses on improving the health and well-being of all individuals, including older adults. Step 2: Identifying minimum levels of training for people who care for older adults is crucial to ensure quality care. Step 3: This issue aligns with the goal of promoting quality of care and safety for older adults. Step 4: Other choices are not directly addressed in Healthy People 2020 goals. Summary: Choice C is correct as it directly relates to improving the care of older adults, while the other choices focus on specific issues not highlighted in Healthy People 2020.

Question 9 of 9

The nurse designs a group exercise program at a senior center. Which room should the nurse choose?

Correct Answer: C

Rationale: The correct answer is C because a room with hardwood floor and large windows overlooking a garden area offers a safe, non-slip surface for exercise and natural light for a pleasant environment. Hardwood floors are ideal for exercise to prevent slipping, and the large windows provide a view of the garden area, which can enhance motivation and mood. The other choices are incorrect because A has throw rugs, which can cause tripping hazards, B lacks natural light and ventilation, and D has a linoleum floor which may not be as safe for exercise compared to hardwood.

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