CNUR 402 Midterm Exam Questions And
Answers Already Passed.
Which of the following argued that health is not achievable through health care service alone, but also
from the interaction of health services with biology, lifestyle, and environment? (a) Lalonde report (b)
Declaration of Alma-Ata (c) Public health approach (d) Ottawa Charter - Answer (a) Lalonde report
The Declaration of Alma-Ata did which of the following (select all that apply) (a) heralded a change in the
definition of health from having a focus on the absence of disease to emphasizing wellbeing in a larger
context (b) brought forward action on the Lalonde way of thinking (c) focused on social justice, equity,
public participation, appropriate technology, and intersectoral collaboration (d) moved traditional health
thinking to a health promotion framework that called for health providers to work with people to assist
them with their health and health decisions. - Answer (b) (c) (d).
(a) is what the Lalonde report did
Social stability, recognition of diversity, safety, good relationships, and cohesive communities falls under
which social determinant of health? (a) support support networks (b) social environment (c) physical
environment (d) personal health practices and coping skills - Answer (b) social environment. The values
and norms of a society affect the health and well-being of individuals and populations. Social stability,
recognition of diversity, safety, good relationships, and cohesive communities provide a supportive
society
The stock that a community or institution has to address change is considered which of the "Three C's"?
(a) social capacity (b) capacity (c) cohesion (d) sense of community - Answer (a) social capacity
Cohesion should be assessed when dealing with rural changes and conditions. As part of the "Three C's"
it can be seen as (a) the stock that a community or institution has to address change (b) the ability of a
community or institution to access and utilize capital (c) how well community members and institutions
work together to utilize capital (d) people's knowledge behaviours, and coping skills for dealing with life
in healthy ways are key influences on health (e) support from families, friends, and communities is
associated with better health - Answer (c) how well community members and institutions work
together to utilize capital
,A rural community gets instructions to boil their water due to possible water contamination. Which
social determinant of health is being effected? (a) employment and working conditions (b) social
environment (c) physical environment (d) health services - Answer (c) physical environment
An integrated method of functioning that is oriented toward maximizing an elderly person's potential,
while maintaining a continuum of balance and purposeful direction within the person's environment is
an example of: (a) addressing the body-mind-spirit inter-relatedness (b) performing cultural competent
care (c) teaching about self-care behaviours (d) high-level wellness - Answer (d) high-level wellness.
Defined by Halbert L. Dunn
A nurses takes a glance at her new patient and guesses that her patient is approximately 93 years old.
The nurse's guess is an example of : (a) subjective age (b) perceived age (c) chronological age (d)
functional age - Answer (b) perceived age. How old other people estimate someone is
The most important type of aging when working with the elderly population for a health care provider is:
(a) subjective age (b) perceived age (c) chronological age (d) functional age - Answer (d) functional age.
Which is physiologic health, psychological well-being, socioeconomic factors and the ability to function
and participate in desirable activities
If an individual is experiencing aging anxiety a nurses knows (a) cultural competence is needed when
dealing with this individual (b) assessment of functional age is needed (c) all ages can experience this
when thinking about aging (d) it only occurs in elderly individuals over the age of 65 - Answer (c) all
ages can experience this when thinking about aging. Aging anxiety (the fears that people of all ages
experience when thinking about aging) is another outcome of ageism.
An elderly patients states "I love going to coffee with my friends every morning and talking about our
grandchildren". The patient is demonstrating which characteristic of aging? (a) health aging (b) active
aging (c) productive aging (d) successful aging - Answer (c) productive aging. It is the social
participation and engagement of aging. The others may apply but it is unknown if this patient has
healthy aging (she is in the hospital) and unknown if active aging is demonstrated.
One sociocultural theory of aging is the age stratification theory. Which definition best describes this
theory? (a) considers the interrelationships between personal competence and the environment (b)
elderly people, as a group, have their own norms, expectations, beliefs, and habits (c) older people
remain socially and psychologically fit if they remain actively engaged in life (d) society and older people
engage in a mutually beneficial process of reciprocal withdrawal to maintain social equilibrium (e)
addresses the interdependencies between age as an element of the social structure and the aging of
, people and cohorts as a social process - Answer (e) addresses the interdependencies between age as
an element of the social structure and the aging of people and cohorts as a social process
Which sociocultural theory has a characteristic of "older people are less well integrated into the larger
society and interact more among themselves, compared with people from other age groups" (a)
disengagement theory (b) subculture theory (c) person-environment fit theory (d) human needs theory -
Answer (b) subculture theory. Elderly people, as a group, have their own norms, expectations, beliefs,
and habits; therefore, they have their own subculture.
Billie, age 87, remembers how outgoing and social he was when he was younger. He is realizing he is not
like that anymore and keeps to himself and hardly ever interacts with anyone. Billie is demonstrating
aspects of which psychological theory? (a) human needs theory (b) life-course and personality
development theory (c) selection, optimization, and compensation theory (d) socioeconomic selectivity
theory - Answer (b) life-course and personality development theory. People are more generally
extroverted at a young age and develop into introversion as they age. Describes the task of old age as
balancing the search for integrity and wholeness with a sense of despair.
Anne who is 84 and a grandmother of 6 realizes her goals in life have shifted from knowledge seeking
goals to emotional goals. The psychological theory she is demonstrating is: (a) human needs theory (b)
selection, optimization, and compensation (c) socioeconomic selectivity (d) gerotranscendence - Answer
(c) socioeconomic selectivity. In contract to younger adults, who view time as unconstrained, older
adults recognize that their time is limited, so they focus on emotional goals rather than on knowledge-
seeking goals.
A nurse in a long-term care facility notices a resident who has made some changes and has verbalized "I
used to fear death but I don't anymore" and "I can't believe I used to think the world revolved around
me, I was so self-centered" . The resident is demonstrating aspect from which psychological theory? (a)
human needs (b) gerotranscendence (c) selection, optimization, and compensation (d) person-
environment - Answer (b) gerotranscendence. Human aging is a process of shifting from a rational and
materialistic metaperspective to a more cosmic and transcendent vision. It includes: decreased self-
centredness; less concern with body and material things; decreased fear of death; discovery of hidden
aspects of self; increased altruism; increased time spent in solitude; urge to abandon roles; and
decreased interest in superfluous social interaction.
Age-related changes occur in older adults that effect nutrition. Which of the following are said to be
true? (select all that apply) (a) chewing is less efficient (b) minimum intake of protein should be 0.2-1 of
body weight (c) saliva decreases (d) should not consume no more than 25-35% of daily caloric intake in
fat (e) diminished sense of smell and taste - Answer correct: (a), (c), (e).
