Question 1

Changing demographics in America are leading to which of the following shifts in health care?&#10;A) More than one-third of hospitalized patients are aged 65 and older.&#10;B) The number of children seen in hospitals is on the rise.&#10;C) The proportion of older adults reached its peak in 2010.&#10;D) With advances in health care, most people will live into their ninth decade.

Accepted Answer

In 2006, 38% of hospitalized inpatients were aged 65 and older with nearly a quarter of all inpatients aged 75 and older.

Question 2

Young-old refers to which of the following age groups?&#10;A) 56 to 64&#10;B) 65 to 75&#10;C) 85 to 99&#10;D) 100 and older

Accepted Answer

Very young old (ages 56 to 64); young-old (ages 65 to 75); middle-old (ages 85 to 99); elite-old (100 and older).

Question 3

Which of the following factors are associated with longevity?&#10;A) social support system&#10;B) consuming locally-grown produce&#10;C) weight within normal limits&#10;D) all of the above

Accepted Answer

Significant environmental factors associated with exceptional longevity include the importance of family and other social support networks, the consumption of large quantities of fresh, locally-grown produce, and the absence of obesity and cigarette smoking (Buettner, 2005).

Question 4

Your 74-year-old patient is capable of caring for himself but feels very isolated in his home since his wife died 2 years ago. He has good financial resources and asks you what senior housing options would be best suited to his needs. Given his ability for self-care, you suggest which of the following options:

A) assisted-living community
B) age-restricted living community
C) long-term care facility
D) home care services

Accepted Answer

Age-restricted living communities allow older adults to live in houses or apartments based on age restrictions. A person typically needs to be aged 55 and older to qualify for residence. These facilities typically offer a range of services catering to retired adults. They often advertise clubhouses and opportunities for community and social gatherings. They cater to individuals in good physical and mental health who do not need assistance with their activities of daily living.

Question 5

Which of the following is true about skilled nursing facilities or nursing homes?&#10;A) Most nursing homes will not accept Medicare.&#10;B) The number of older adults living in nursing homes is increasing.&#10;C) Short-term rehabilitation following hospitalization is often provided in a nursing home.&#10;D) The majority of nursing home residents are Caucasian males.

Accepted Answer

Nursing homes are increasingly the sites of post-hospital short-term rehabilitation.

Question 6

Rural elders are more likely to live in nursing homes than older adults in more populated regions because rural elders:&#10;A) have more limited health options.&#10;B) are more likely to be in poor health.&#10;C) may be socially isolated.&#10;D) all of the above

Accepted Answer

Rural elders are more likely to be less educated and in poor health. Barriers to obtaining quality health care include: transportation difficulties, limited health care supply, lack of quality health care, social isolation, and financial constraints (Goins, Williams, Carter, Spencer, & Solovieva, 2005).

Question 7

Mrs. Yoo is 85 years old and is admitted for coronary artery bypass surgery. She has been living independently in her own home until this admission. What are some considerations you would have as the admitting nurse?

A) Because she has been healthy until this admission, Mrs. Yoo should be able to care for herself at home following discharge.
B) Given the major surgery Mrs. Yoo will have, arrangements should be made with family members to sell her home and to move her to a skilled care facility after discharge.
C) Mrs. Woo is likely to need some assistance when she goes home, so arrangements with home care nursing services should be arranged.
D) She most likely has relatives who can help her, so it is not a concern.

Accepted Answer

Older adults following major surgery often require rehabilitation or other support services after hospital discharge. Arrangements to meet these needs should be anticipated prior to discharge.

Question 8

As people age, obesity significantly impacts their lives. Which of the following factors are affected by being overweight?&#10;A) life expectancy&#10;B) age of retirement&#10;C) degree of disability&#10;D) all of the above

Accepted Answer

Obesity is a major contributing factor to mortality from heart disease, cancer, and diabetes. High rates of obesity have a significant impact on society, the health care system, and nursing care. People who are obese are more likely to seek early retirement and are more likely to require disability payments.

Question 9

Which of the following is true about older adults in the workforce?&#10;A) Most working older adults prefer not to work.&#10;B) The number of adults aged 65 and older who work is declining.&#10;C) Working adults tend to be more physically active in their leisure time.&#10;D) Finances are the most common reason older adults give as why they work.

Accepted Answer

Retired individuals spend an increasing amount of time socializing and reading for personal interest compared to those still in the labor force.

Question 10

Trend(s) in the older adult veteran population include:&#10;A) increasing numbers overall.&#10;B) increasing numbers of women.&#10;C) a majority who seek health care outside of the VA system.&#10;D) all of the above

Accepted Answer

The historical impact of both World War II and the Korean War has created a significant rise in the proportion of older men and women who are veterans. The overwhelming majority of veterans receive their care outside of the VA in community hospitals, clinics, and health centers.

Deck 3: Understanding Older Adults: US and Global Perspectives