Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

In geriatric practice, which factor is considered least important in determining the function of older adults?

1. Intelligence

2. Overall physical health

3. The environment

4. Patient's motivation

The correct answer is: Intelligence

In geriatric practice, the consideration of factors influencing the function of older adults often centers around their overall physical health, the environment in which they live, and their motivation. While intelligence may contribute to cognitive functioning, it is generally considered less critical when assessing daily functioning and quality of life in older adults. Overall physical health encompasses a range of determinants including mobility, chronic illnesses, and physical limitations, all of which profoundly impact an individual's ability to carry out daily activities and maintain independence. The environment, including social support, accessibility to resources, and living conditions, plays an equally significant role in enabling older adults to function effectively in their daily lives. Lastly, a patient’s motivation can significantly influence adherence to treatment regimens, engagement in physical activity, and overall mental wellbeing. Thus, while intelligence is an important trait, it often does not weigh as heavily in the context of practical functioning compared to the physical, environmental, and motivational factors that directly influence an older adult’s day-to-day life.