Nurs 209 Midterm Exam Questions And
Answers. Verified and Updated.
What are the trends of the geriatric population - answer✔✔People are living longer and longer
The population of 65+ is getting larger and larger (differentiate between 65+ and 85+)
Women are living longer than men in the geriatric population
The centenarian (100+) group is the fastest growing group
Growing amount of 85+ living in a collective dwelling
What are the trends of elderly people and their personal activites - answer✔✔Lots of people are
actively pursuing exercising, socializing, and technology
Tons of elderly engage in passive leisure activities
What is aging in place - answer✔✔Helping adults live independently in their homes, which
includes home modifications, consultation, energy conservation, home safety and social
interaction
Also includes safe and accessible transportation, and available community support and health
services
What are the social determinants of health - answer✔✔50%: Life/Social
Environment/Upbringing: Lifestyle, food, education, income, race, housing...
25%: Health Care System; wait times, access, resources
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,15%: Genetics and Biology
10%: Physical Environment; Air Quality, Civic Infrastructure
What is the dahlgren rainbow model of aging - answer✔✔How SES, culture, environment
interact with living/working, social, lifestyle, and genetics
(like a brofenbrenner circles)
What is the active aging model - answer✔✔Social determinants of health, behaviours, medical,
environment, lifestyle+culture+gender influence active aging
What are the common issues in gerontology - answer✔✔Aging in place - People need to be able
to age where they want (house modifications)
Support caregivers/aging workforce - Older people are staying in the workforce too long,
overworked or understaffed
Social engagement - less family support
Elder abuse - overworked elders for example
What are the factors that affect socioeconomic status - answer✔✔Education, income, gender,
race/ethnicity, immigration, mortality, health resource utilization
How does education affect socioeconomic status - answer✔✔More educated are able to thrive,
are healthier, and have better function
Could be due to being educated on how to navigate a complex health system and understanding
the available health services
How does income affect socioeconomic status - answer✔✔Higher income = healthier lifestyles
Low income is linked with higher functional disability
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,How does gender affect socioeconomic status - answer✔✔Women live longer than men but are
less healthy
How does race affect socioeconomic status - answer✔✔Indigenous people are disadvantaged
Other socioeconomic factors are affects (available resources, lower income, social isolation)
How does immigration affect socioeconomic status - answer✔✔Health immigrant effect - Health
starts out higher than Canadians but quickly dissolves
Changes in diet, activity, habits, discrimination, lack of navigating the system
How does mortality affect socioeconomic status - answer✔✔More comorbidities
Cancer is the leading cause of death
How does health resource utilization affect socioeconomic status - answer✔✔Geriatric
population represents a large majority of inpatient population and ALC use
ALC = elder using health resources ($$) while still awaiting placement
What are the physiological theories of againg - answer✔✔Genetic mutations - mutations that
cause abnormalities
Cellular waste accumulation - bodies can't clean the toxic stuff up
Wear and tear - bodily processes function poorly as we age
What is the telomere shortening aging theory - answer✔✔During cell replication, telomeres at
the end of chromosomes get shorter and shorter
Eventually there is DNA loss and a weaker repair and regeneration process
What is the antagonistic pleiotropy aging theory - answer✔✔A single gene causes many effects,
both positive and negative
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, Estrogen which helps fertility but can cause risks for chronic diseases
As we age the negative effect dominates
What is the circadian clock aging theory - answer✔✔We have a typical rhythm which represents
out day to day.
A disturbed circadian rhythm causes disruptions in homeostasis which causes the problems
associated with aging
What is the reliability aging theory - answer✔✔"A car just will eventually start breaking down"
Ex: thymus gets smaller and smaller which affects it own hormones and affects all other organs
that interact with it
What is the effect of our genetic makeup on stressors - answer✔✔Genetic makeup can
predispose people to be more resilient to stress
Systems will have to adjust to maintain homeostasis
Stressors will eventually lead to age-related diseases
What is the free-radical formation aging theory - answer✔✔Free radicals which change the
expression of genetic material
What is inflammageing - answer✔✔Aging leads to a chronic inflammatory state
Chronic diseases due to inflammation develop (associated with cytokines and interleukines)
What is endothelial dysfunction and how is it inked to aging - answer✔✔A decreased insulin
response leads to the problems that are associated with aging
Insulin supports growth and regeneration, lack of = problems
What is the Manslow's Hierarchy of Needs aging theory - answer✔✔Progressive human
motivations
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