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Full Test Bank - Nursing for Wellness in Older Adults, 8th Edition by Miller – All Chapters 1-29 Included (A+ Guide with Rationales)

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Excel in your gerontological nursing course with the Complete Test Bank for Nursing for Wellness in Older Adults, 8th Edition by Miller. This essential study resource provides a comprehensive collection of exam-style questions designed to help you master the Wellness-Oriented Model of Care and prepare for the NCLEX-RN/PN exams. What is Included: • Full Chapter Coverage: Comprehensive question sets for all 29 chapters, covering everything from theoretical perspectives on aging to specialized care for chronic illnesses and end-of-life care. • Diverse Question Formats: Includes Multiple Choice and Multiple Response (Select All That Apply) questions that test various cognitive levels, including Remembering, Applying, and Analyzing. • Detailed Answer Keys & Rationales: Every question is paired with a detailed rationale to explain the clinical reasoning behind the correct answer, helping you understand the "why". • NCLEX-Aligned Metadata: Questions are organized by NCLEX Client Needs Categories, such as Safe and Effective Care Environment, Physiologic Integrity, and Psychosocial Integrity. Key Topics Mastered: • The Geriatric Triad: Targeted practice on identifying and managing the critical trio of Falls, Changes in Cognitive Status, and Incontinence. • Cognitive Wellness: Deep dives into differentiating between Delirium, Dementia, and Depression, including the use of tools like the MMSE-2, SPICES, and the Yesavage Geriatric Depression Scale. • System-Specific Aging: Comprehensive questions on Cardiovascular, Respiratory, Urinary, and Integumentary functions, including age-related changes like postural hypotension and reduced vital capacity. • Legal & Ethical Foundations: Essential knowledge on Advance Directives, HIPAA, the Patient Self-Determination Act, and mandatory Elder Abuse reporting. • Pharmacology in Elders: Mastery of polypharmacy, Beers criteria considerations, and the effects of aging on drug distribution and excretion. This test bank is the ultimate tool for nursing students seeking a Grade A+ and the clinical judgment necessary to promote wellness in the aging population.

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MedV
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,NursingVforVWellnessVinVOlderVAdultsVMillerV8thVEditionVTestVBank
ChapterV1VSeeingVOlderVAdultsVThroughVtheVEyesVofVWellness

1. InV2010,VtheVrevisedVStandardsVandVScopeVofVGerontologicalVNursingVPracticeVwasVpubli
shed.VTheVnurseVwouldVuseVtheseVstandardsVto:

a. promoteVtheVpracticeVofVgerontologicVnursingVwithinVtheVacuteVcareVsetting.
b. defineVtheVconceptsVandVdimensionsVofVgerontologicVnursingVpractice.
c. elevateVtheVpracticeVofVgerontologicVnursing.
d. incorporateVsuggestedVinterventionsVfromVothersVwhoVpracticeVgerontol
ogicVnursing.


ANS:VD

TheVcurrentVpublishingVofVtheVStandardsVandVScopeVofVGerontologicalVNursingVPracticeVinV
2010VincorporatesVtheVinputVofVgerontologicVnursesVfromVacrossVtheVUnitedVStates.VItVwasV
notVintendedVtoVpromoteVgerontologicVnursingVpracticeVwithinVacuteVcareVsettings,VdefineVc
onceptsVorVdimensionsVofVgerontologicVnursingVpractice,VorVelevateVtheVpracticeVofVgeronto
logicVnursing.

DIF:VRememberingV(Knowledge)VREF:VMCS:V2VOBJ:V1-

1VTOP:VN/AVMSC:VSafeVandVEffectiveVCareVEnvironment

2. WhenVattemptingVtoVminimizeVtheVeffectVofVageismVonVtheVpracticeVofVnursingVolderV
adults,VaVnurseVneedsVtoVfirst:

a. recognizeVthatVnursesVmustVactVasVadvocatesVforVagingVpatients.
b. acceptVthatVthisVpopulationVrepresentsVaVsubstantialVportionVofVthoseVreq
uiringVnursingVcare.
c. self-reflectVandVformulateVonesVpersonalVviewVofVagingVandVtheVolderVpatient.
d. recognizeVageismVasVaVformVofVbigotryVsharedVbyVmanyVAmericans.


ANS:VC




MedV
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,AgeismVisVanVever-
increasingVprejudicialVviewVofVtheVeffectsVofVtheVagingVprocessVandVofVtheVolderVpopulation
VasVaVwhole.VWithVnursesVbeingVmembersVofVaVsocietyVholdingVsuchVviews,VitVisVcriticalVt

hatVtheVindividualVnurseVself-
reflectVonVpersonalVfeelingsVandVdetermineVwhetherVsuchVfeelingsVwillVaffectVtheVnursingVc
areVthatVheVorVsheVprovidesVtoVtheVagingVpatient.VActingVasVanVadvocateVisVanVimportantVn
ursingVroleVinVallVsettings.VSimplyVacceptingVaVfactVdoesVnotVhelpVendVageism,VnorVdoesVre
cognizingVageismVasVaVformVofVbigotry.

DIF:VApplyingV(Application)VREF:VN/AVOBJ:V1-9

TOP:VTeaching-LearningVMSC:VSafeVandVEffectiveVCareVEnvironment

3. WhenVdiscussingVfactorsVthatVhaveVhelpedVtoVincreaseVtheVnumberVofVhealthy,Vindependen
tVolderVAmericans,VtheVnurseVincludesVtheVimportanceVof:

a. increasedVavailabilityVofVin-homeVcareVservices.
b. governmentVsupportVofVretiredVcitizens.
c. effectiveVantibioticVtherapies.
d. theVdevelopmentVofVlife-extendingVtherapies.


ANS:VC

TheVhealthVandVultimateVautonomyVofVolderVAmericansVhasVbeenVpositivelyVimpactedVbyVt
heVdevelopmentVofVantibiotics,VbetterVsanitation,VandVvaccines.VTheseVpublicVhealthVmeasur
esVhaveVbeenVmoreVinstrumentalVinVincreasingVtheVnumbersVofVhealthy,VindependentVolderV
AmericansVthanVhaveVin-homeVcareVservices,VgovernmentVprograms,VorVlife-
extendingVtherapies.

DIF:VRememberingV(Knowledge)VREF:VMCS:V2VOBJ:V3-3

TOP:VNursingVProcess:VImplementationVMSC:VHealthVPromotionVandVMaintenance

4. BasedVonVcurrentVdata,VwhenVpresentingVanVolderVadultsVdischargeVteachingVplan,VtheVnurse



a. nonrelatedVcaretaker.
b. paidVcaregiver.



MedV
C

, c. familyVmember.
d. intuitionalVrepresentative.


ANS:VC

LessVthanV4%VofVolderVadultsVliveVinVaVformalVhealthVcareVenvironment.VTheVmajorityVofVt
heVgeriatricVpopulationVlivesVatVhomeVorVwithVfamilyVmembers.

DIF:VApplyingV(Application)VREF:VN/AVOBJ:V3-3

TOP:VNursingVProcess:VPlanningVMSC:VSafeVandVEffectiveVCareVEnvironment

5. TheVnurseVplanningVcareVforVanVolderVadultVwhoVhasVrecentlyVbeenVdiagnosedVwithVrhe
umatoidVarthritisVviewsVtheVpriorityVcriterionVforVcontinuedVindependenceVtoVbeVtheVpatien
ts:

a. age.
b. financialVstatus.
c. gender.
d. functionalVstatus.


ANS:VD

MaintainingVtheVfunctionalVstatusVofVolderVadultsVmayVavertVtheVonsetVofVphysicalVfrailtyVa
ndVcognitiveVimpairment,VtwoVconditionsVthatVincreaseVtheVlikelihoodVofVinstitutionalization
.

DIF:VRememberingV(Knowledge)VREF:VMCS:V8VOBJ:V1-

6VTOP:VNursingVProcess:VPlanningVMSC:VPhysiologicVInte

grity

6. AVnurseVworkingVwithVtheVolderVadultVpopulationVisVmostVlikelyVtoVassessVaVneedVforVa
VfinancialVsocialVservicesVreferralVforVa(n):


a. whiteVmale.
b. blackVfemale.
c. HispanicVmale.


MedV
C
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