Nursing for Wellness in Older Adults 7th edition Miller Test Bank
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness,
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1.
A nurse
... [Show More] is discussing an older adult's
recent diagnosis of rheumatoid arthritis
with a colleague. Which of the nurse's
statements reflects an accurate view of the
relationship between aging and wellness?
A) "It's important that the individual knows
this is an expected part of growing older."
B)
"We need to teach the older adult how he
can keep living a fruitful life in spite of his
diagnosis."
C) "We need to make sure our teaching is not
too detailed for someone of his age."
D) "We need to ensure his expectations of
continuing to live alone are realistic."
Ans:
B
Feedback:
Answer B reflects a desire to foster a
fulfilling and productive life for the older
adult despite his diagnosis, and reflects an
understanding of wellness and aging.
Option A implies that illness is an
inevitability of aging. Option C suggests
that older adults have a limited capacity to
learn by virtue of their age, and option D
implies pessimism about the health and
functioning of the older adult.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness,
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2.
A nurse is teaching an older person about
the concept of successful aging. Which of
the nurse's questions addresses an
important contributor to successful aging?
A) "Are you largely free of acute or chronic
illnesses?"
B) "Do you feel financially secure?"
C) "Do you feel like you actively engage with
life?"
D) "Do you have a reliable support network?"
Ans:
C
Feedback:
Research has indicated that an active
engagement with life is central to
successful and healthy aging. Absence of
illness, financial security, and the nature of
a person's support network are not
identified components of successful aging.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness,
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3.
An older adult has recently begun to
display unprecedented lapses in short-term
memory. The nurse overhears a colleague
reassuring the person by saying, "Try not
to worry; it's just a part of growing older."
The nurse recognizes that this is an
example of what phenomenon?
A) Multiple jeopardy
B) Gerontophobia
C) Age attribution
D) Implicit ageism
Ans:
C
Feedback:
Age attribution is the act of attributing a
problem to age rather than to a pathology,
as in the colleague's statement. Multiple
jeopardy is the compounding of
discrimination based on factors such as
race and gender, while gerontophobia is
the fear or hatred of older people. Implicit
ageism is the unrecognized, negative
perception of older people.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness,
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4.
A nurse hears a colleague make the
statement, "Most older adults have nothing
to worry about financially." Which of the
following responses is most appropriate?
A) "You have to remember that there's a huge
economic disparity among older adults."
B)
"Actually, the number of older people
living below the poverty line has been
increasing, not decreasing."
C)
"This isn't really true now, but it is true
that the gaps that disadvantaged groups
live with are expected to shrink."
D)
"This is true for some groups, but not for
minorities who are less likely to be living
with their relatives."
Ans:
A
Feedback:
An important consideration with regard to
economic conditions of older adults is the
tremendous range in financial status,
which varies significantly according to
race, gender, and living arrangements. The
number of adults living below the poverty
line, however, has decreased in recent
years. The disparities that separate
disadvantaged groups from more
economically secure older adults are
predicted to persist. Minorities are more
likely, not less likely, to be living with
their relatives.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness,
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5. A nurse is conducting a study on the needs
and living situations of older adults in the
community. Which of the following
statements should the nurse take into
account?
A) A majority of older Americans will live in
a nursing home at some point.
B) More older men live alone than older
women.
C) Assisted living arrangements have become
increasingly common.
D) Most older Americans reside in some form
of institutional arrangement.
Ans:
C
Feedback:
Assisted living arrangements have become
an increasingly common alternative to
nursing homes. The number of Americans
living in nursing homes has recently
decreased, not increased, and more older
women live alone than do older men.
Ninety percent of older Americans live in
an apartment or house, rather than in an
institutional arrangement.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness,
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6.
A nurse who provides care to many older
adults recognizes the importance of
implementing a wellness approach to care.
What principle underlies this approach to
the health care of older adults?
A)
Older adults have decreasing expectations
for wellness as they move through the
aging process.
B)
Health problems are a Western cultural
construct that has no objective,
physiologic basis.
C) Older adults must come to accept a decline
in wellness as they age.
D) A holistic approach to caring for older
adults can foster their well-being at every
stage of life.
Ans:
D
Feedback:
An integral part of the wellness approach
to the health care of older adults is a
holistic approach to care that considers
mind, body, and spirit. Health problems
are an inevitable reality but a decrease in
wellness does not necessarily accompany
the aging process.
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hrough the Eyes of Wellness,
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7.
A diabetes nurse is providing care for a
73-year-old client who is a regular client
of the hospital's out-client diabetes clinic.
What assessment question most clearly
addresses this client's potential for optimal
function?
A) "What are some goals that you have for
maximizing your level of wellness?"
B) "How can we help you to take ownership
of your own health?"
C) "Is there anything that you're doing that
might be exacerbating your diabetes?"
D) "How long do you think that you'll be able
to live independently?"
Ans:
A
Feedback:
Eliciting an older adult's goals for wellness
and high functioning can help promote
these outcomes. Questions about a client's
living situation, disease management, and
personal responsibility may or may not
promote wellness.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness,
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8.
A nurse cares for an 81-year-old client
whose current hospital admission has been
prompted by an exacerbation of chronic
renal failure. Which of the following
actions by the nurse will best emphasize
the goal of client wellness?
A) Ask for the client's code status be changed
to "do not resuscitate."
B) Explore the client's abilities and strengths.
C) Show the client others who are more ill.
D) Teach the client that health problems do
not have to affect daily routines.
Ans:
B
Feedback:
A focus on existing strengths and abilities
can foster wellness in older adults, even
when they are experiencing health
challenges. It is inappropriate to actively
compare clients with each other, and
changing Mr. Say's code status is unlikely
to promote wellness, even if this is
necessary. It is inaccurate to claim that
health problems do not affect daily
routines.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness,
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9.
A nurse administrator is involved in
strategic planning for a large long-term
care facility that has locations in numerous
regions of the country. What trend should
the nurse administrator anticipate?
A)
A decrease in the proportion of older
adults who are members of minority
groups
B) A gradual decline in overall life
expectancy
C) Average longevity of men exceeding that
of women
D) Increased use of assisted living facilities
by older adults
Ans:
D
Feedback:
Assisted living facilities have become a
more common option for older adults; this
trend is expected to continue. Life
expectancy is continuing to increase, with
women usually outliving men. An
increasing proportion of the older adult
population will be members of minority
groups.
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hrough the Eyes of Wellness, 10
10.
A nurse identifies those who are at risk for
familial stress. Which of the following
persons exemplifies the sandwich
generation?
A) A 50-year-old who balances the care of an
82-year-old parent and a 20-year-old child
B)
A 58-year-old whose elderly parents have
been forced to live in separate care
facilities
C) A 72-year-old who deals with own health
problems with the care of a grandchild
D) An 83-year-old who is the sole caregiver
for the 79-year-old spouse
Ans:
A
Feedback:
The increasing numbers of middle-aged
adults who simultaneously juggle the
demands of caring for older and younger
generations are referred to as the sandwich
generation.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness, 11
11.
A nurse interviews a centenarian gathering
data for a large study. In the interview, the
centenarian defines aging as not growing
older, but growing wiser. Which of the
following is the best response to this
definition by the nurse?
A) "Aging might make you wiser, but it does
lead to eventual death."
B) "Healthy maturity is characterized by
wisdom."
C) "How did you get to live to this old?"
D) "I will never make it to be 100 like you."
Ans:
B
Feedback:
Healthy maturity is characterized not only
by physical decline but also by wisdom.
The other responses are not therapeutic.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness, 12
12.
A 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
Ans:
D
Feedback:
Subjective age describes a person's
perception of his or her age. While
perceived age is other people's estimation
of someone's age. Chronologic age is the
length of time that has passed since birth,
and functional age is associated with
whether individuals can contribute to
society and experience personal quality of
life.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness, 13
13.
An 85-year-old client takes meals on
wheels around the community. The client
states, "All those old people really need
me, you know how older people are. They
can't get out, and are a burden to their
family, and I just want to help." Most of
the people on the client's delivery route are
in their 60s. Which of the following
characterizes this scenario?
A) Ageism
B) Aging anxiety
C) Aging attribution
D) Antiaging
Ans:
A
Feedback:
Ageism is a way of pigeonholing people
and not allowing them to be individuals
with unique ways of living their lives.
Older adults between the ages 81 and 98
held more ageist stereotypes and reported
more avoidance of older adults than
younger older adults. The antiaging
movement views aging as a process that
can be stopped and the life span as
something that can be extended for up to
200 years. Aging anxiety is fears about
detrimental effects associated with older
adulthood. Age attribution is the tendency
to attribute problems to the aging process
rather than to pathologic and potentially
treatable conditions.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness, 14
14.
Which 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."
Ans: C, D
Feedback:
The realities are that between 4% and 5%
of older adults live in a nursing home at
any time. Most older adults live
independently, have high levels of selfreported health, and are aging
successfully. People usually feel old based
on their health and function, rather than on
their chronologic age. They are diverse,
even though ageism is rampant in the
United States and is influenced by cultural
values.
Origin: Chapter 1- Seeing Older Adults
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hrough the Eyes of Wellness, 15
15.
A 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 [Show Less]