A nurse has observed an increasing number of older Asian Americans in the hospital. Which of the following statements regarding Asian cultures will best assist the nurse to plan nursing care?
A) Asian Americans as a group have lower mortality rates.
B) Health is often viewed as a state of physical and spiritual harmony.
C) Older Asian Americans are more likely than other Americans to live alone.
D) Care of elders is commonly provided in institutional environments such as nursing homes.
Question 2A nurse's colleague states, Older people who live in the country are a lot healthier than city folk. Which statement by the nurse is most appropriate?
A) The differences aren't large, but rural adults do have better health outcomes than do city dwellers.
B) But chronic conditions are more common among rural adults.
C) Overall, yes. Higher levels of family support translate into longer average life spans for rural adults.
D) Unfortunately, no. And this is mostly attributable to the problem of homelessness.
Question 3A nurse is beginning a new job in an area with a large African American population. Which of the following statements will assist the nurse to understand this ethnic/race culture to better plan nursing care? (Select all that apply.)
A) African Americans as a group have a wide range of socioeconomic conditions.
B) Female-headed households are common among African Americans.
C) Lifestyle and risk factors account for the health disparities with older African Americans.
D) Older African Americans are more likely than other older Americans to live alone.
E) Older African Americans are more likely to be caring for their grandchildren.
Question 4A nurse manager justifies the budget for education regarding cultural competency for the staff. Which of the following justifications will best support the need for this education?
A) Life expectancies among minorities are expected to increase while those among non-Hispanic whites are expected to decrease.
B) Government and health care organizations support the need for culturally competent care.
C) The proportion of health care consumers who are minorities continues to increase.
D) Nurses have a moral obligation to achieve cultural competency with all cultural groups.
Question 5A nurse assesses the risk of the members of the community. Which of the following are most likely to be living at or below the poverty line?
A) An 83-year-old single woman
B) A couple who are both 72 years old
C) A white 73-year-old man
D) A Hispanic couple in their 60s
Question 6Which of the following statements, made by a new nurse, are myths and need correcting? (Select all that apply.)
A) Ageism is highly influenced by stereotypes and cultural values.
B) Ageism is more common in industrialized societies.
C) In the United States, 20 of the older adults who need care are in a nursing home.
D) People consider themselves old when they are old enough to apply for Medicare.
E) With increased age, people become more diverse and people become less like their age peers.
Question 7A nurse assesses a community of older adults. Which of the following persons is at highest risk for a shortened life expectancy?
A) A college professor born in 1956
B) A homemaker born in 1957
C) A nuclear engineer born in 1958
D) A nurse born in 1959
Question 8A nurse interviews a centenarian gathering data for a large study. In the interview, the centenarian says, You're only as old as you feel, some days I feel like 'I'm 50.' To which definition of aging does this response correspond?
A) Chronologic aging
B) Functional aging
C) Perceived aging
D) Subjective aging
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