,1. A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a c
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
olleague. Which of the nurse's statements reflects an accurate view of the relationship
+j +j +j +j +j +j +j +j +j +j +j +j +j
between aging and wellness? +j +j +j
A) “It's important that the individual knows this is an expected part of growing older.”
+j +j +j +j +j +j +j +j +j +j +j +j +j
B) “We need to teach the older adult how he can keep living a fruitful life in spit
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
e of his diagnosis.”
+j +j +j
C) “We need to make sure our teaching is not too detailed for someone of his age.”
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
D) “We need to ensure his expectations of continuing to live alone are realistic.”
+j +j +j +j +j +j +j +j +j +j +j +j
2. A nurse is teaching an older person about the concept of successful aging. Which of th
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
e nurse's questions addresses an important contributor to successful aging?
+j +j +j +j +j +j +j +j +j
A) “Are you largely free of acute or chronic illnesses?”
+j +j +j +j +j +j +j +j
B) “Do you feel financially secure?”
+j +j +j +j
C) “Do you feel like you actively engage with life?”
+j +j +j +j +j +j +j +j
D) “Do you have a reliable support network?”
+j +j +j +j +j +j
3. An older adult has recently begun to display unprecedented lapses in short-
+j +j +j +j +j +j +j +j +j +j +j
term memory. The nurse overhears a colleague reassuring the person by saying, “Try
+j +j +j +j +j +j +j +j +j +j +j +j +j
not to worry; it's just a part of growing older.” The nurse recognizes that this is an exa
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
mple of what phenomenon?
+j +j +j
A) Multiple jeopardy +j
B) Gerontophobia
C) Age attribution +j
D) Implicit ageism +j
4. A nurse hears a colleague make the statement, “Most older adults have nothing to worr
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
y about financially.” Which response is most appropriate?
+j +j +j +j +j +j +j
A) “You have to remember that there's a huge economic disparity among olde
+j +j +j +j +j +j +j +j +j +j +j
r adults.” +j
B) “Actually, the number of older people living below the poverty line has been
+j +j +j +j +j +j +j +j +j +j +j +j
increasing, not decreasing.”
+j +j +j
C) “This isn't really true now, but it is true that the gaps that disadvantaged groups liv
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
e with are expected to shrink.”
+j +j +j +j +j
D) “This is true for some groups, but not for minorities who are less likely to be livin
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
g with their relatives.”
+j +j +j
Page 1 +j
,5. A nurse is conducting a study on the needs and living situations of older adults in th
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
e community. Which statement should the nurse take into account?
+j +j +j +j +j +j +j +j +j
A) A majority of older adults will live in a nursing home at some point.
+j +j +j +j +j +j +j +j +j +j +j +j +j
B) More older men live alone than do older women.
+j +j +j +j +j +j +j +j
C) Assisted living arrangements have become increasingly common. +j +j +j +j +j +j
D) Most older adults reside in some form of institutional arrangement.
+j +j +j +j +j +j +j +j +j
6. A nurse who provides care to many older adults recognizes the importance of impleme
+j +j +j +j +j +j +j +j +j +j +j +j +j
nting a wellness approach to care. What principle underlies this approach to the health c
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
are of older adults?
+j +j +j
A) Older adults have decreasing expectations for wellness as they move through th
+j +j +j +j +j +j +j +j +j +j +j
e aging process. +j +j
B) Health problems are a Western cultural construct that has no objective, physiologic
+j +j +j +j +j +j +j +j +j +j +j
basis. +j
C) Older adults must come to accept a decline in wellness as they age.
+j +j +j +j +j +j +j +j +j +j +j +j
D) A holistic approach to caring for older adults can foster their well-
+j +j +j +j +j +j +j +j +j +j +j
being at every stage of life. +j +j +j +j +j
7. A diabetes nurse is providing care for a 73-year-
+j +j +j +j +j +j +j +j
old client who is a regular client of the hospital's out-
+j +j +j +j +j +j +j +j +j +j
patient diabetes clinic. What assessment question most clearly addresses this client's p
+j +j +j +j +j +j +j +j +j +j +j
otential for optimal function? +j +j +j
A) “What are some goals that you have for maximizing your level of wellness?”
+j +j +j +j +j +j +j +j +j +j +j +j
B) “How can we help you to take ownership of your own health?”
+j +j +j +j +j +j +j +j +j +j +j
C) “Is there anything that you're doing that might be exacerbating your diabetes?”
+j +j +j +j +j +j +j +j +j +j +j
D) “How long do you think that you'll be able to live independently?”
+j +j +j +j +j +j +j +j +j +j +j
8. A nurse cares for an 81-year-
+j +j +j +j +j
old client whose current hospital admission has been prompted by an exacerbation
+j +j +j +j +j +j +j +j +j +j +j +j
of chronic renal failure. Which action by the nurse will best emphasize the goal of c
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
lient wellness? +j
A) Ask for the client's code status be changed to “do not resuscitate.”
+j +j +j +j +j +j +j +j +j +j +j
B) Explore the client's abilities and strengths. +j +j +j +j +j
C) Show the client others who are more ill. +j +j +j +j +j +j +j
D) Teach the client that health problems do not have to affect daily routines.
+j +j +j +j +j +j +j +j +j +j +j +j
9. A nurse administrator is involved in strategic planning for a large long-
+j +j +j +j +j +j +j +j +j +j +j
term care facility that has locations in numerous regions of the country. What trend sho
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
uld the nurse administrator anticipate?
+j +j +j +j
A) A decrease in the proportion of older adults who are members of minority groups
+j +j +j +j +j +j +j +j +j +j +j +j +j
B) A gradual decline in overall life expectancy
+j +j +j +j +j +j
C) Average longevity of men exceeding that of women +j +j +j +j +j +j +j
D) Increased use of assisted living facilities by older adults +j +j +j +j +j +j +j +j
Page 2 +j
, 10. A nurse identifies those who are at risk for familial stress. Who exemplifies the
+j +j +j +j +j +j +j +j +j +j +j +j +j
sandwich generation?
+j +j
A) 50-year-old who balances the care of an 82-year-old parent and a 20-year-
+j +j +j +j +j +j +j +j +j +j +j
old child +j
B) 58-year-
old whose elderly parents have been forced to live in separate care facilitie
+j +j +j +j +j +j +j +j +j +j +j +j
s
C) 72-year-old who deals with own health problems with the care of a grandchild
+j +j +j +j +j +j +j +j +j +j +j +j
D) 83-year-old who is the sole caregiver for the 79-year-old spouse +j +j +j +j +j +j +j +j +j
11. A nurse interviews a centenarian, gathering data for a large study. In the interview, the
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
centenarian defines aging as not growing older, but growing wiser. Which represents the
+j +j +j +j +j +j +j +j +j +j +j +j
nurse's best response to this definition?
+j +j +j +j +j +j
A) “Aging might make you wiser, but it does lead to eventual death.”
+j +j +j +j +j +j +j +j +j +j +j
B) “Healthy maturity is characterized by wisdom.” +j +j +j +j +j
C) “How did you get to live to this old?” +j +j +j +j +j +j +j +j
D) “I will never make it to be 100 like you.”
+j +j +j +j +j +j +j +j +j
12. A nurse interviews a centenarian, gathering data for a large study. In the interview, th
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
e centenarian says, “You're only as old as you feel, some days I feel like 'I'm 50.'” T
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
o which definition of aging does this response correspond?
+j +j +j +j +j +j +j +j
A) Chronologic aging +j
B) Functional aging +j
C) Perceived aging +j
D) Subjective aging +j
13. An 85-year- +j
old client takes meals on wheels around the community. The client states, “All those o
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
ld people really need me, you know how older people are. They can't get out, and are
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
a burden to their family, and I just want to help.” Most of the people on the client's del
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
ivery route are in their 60s. Which characterizes this scenario?
+j +j +j +j +j +j +j +j +j
A) Ageism
B) Aging anxiety +j
C) Aging attribution +j
D) Antiaging
Page 3 +j
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
olleague. Which of the nurse's statements reflects an accurate view of the relationship
+j +j +j +j +j +j +j +j +j +j +j +j +j
between aging and wellness? +j +j +j
A) “It's important that the individual knows this is an expected part of growing older.”
+j +j +j +j +j +j +j +j +j +j +j +j +j
B) “We need to teach the older adult how he can keep living a fruitful life in spit
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
e of his diagnosis.”
+j +j +j
C) “We need to make sure our teaching is not too detailed for someone of his age.”
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
D) “We need to ensure his expectations of continuing to live alone are realistic.”
+j +j +j +j +j +j +j +j +j +j +j +j
2. A nurse is teaching an older person about the concept of successful aging. Which of th
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
e nurse's questions addresses an important contributor to successful aging?
+j +j +j +j +j +j +j +j +j
A) “Are you largely free of acute or chronic illnesses?”
+j +j +j +j +j +j +j +j
B) “Do you feel financially secure?”
+j +j +j +j
C) “Do you feel like you actively engage with life?”
+j +j +j +j +j +j +j +j
D) “Do you have a reliable support network?”
+j +j +j +j +j +j
3. An older adult has recently begun to display unprecedented lapses in short-
+j +j +j +j +j +j +j +j +j +j +j
term memory. The nurse overhears a colleague reassuring the person by saying, “Try
+j +j +j +j +j +j +j +j +j +j +j +j +j
not to worry; it's just a part of growing older.” The nurse recognizes that this is an exa
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
mple of what phenomenon?
+j +j +j
A) Multiple jeopardy +j
B) Gerontophobia
C) Age attribution +j
D) Implicit ageism +j
4. A nurse hears a colleague make the statement, “Most older adults have nothing to worr
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
y about financially.” Which response is most appropriate?
+j +j +j +j +j +j +j
A) “You have to remember that there's a huge economic disparity among olde
+j +j +j +j +j +j +j +j +j +j +j
r adults.” +j
B) “Actually, the number of older people living below the poverty line has been
+j +j +j +j +j +j +j +j +j +j +j +j
increasing, not decreasing.”
+j +j +j
C) “This isn't really true now, but it is true that the gaps that disadvantaged groups liv
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
e with are expected to shrink.”
+j +j +j +j +j
D) “This is true for some groups, but not for minorities who are less likely to be livin
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
g with their relatives.”
+j +j +j
Page 1 +j
,5. A nurse is conducting a study on the needs and living situations of older adults in th
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
e community. Which statement should the nurse take into account?
+j +j +j +j +j +j +j +j +j
A) A majority of older adults will live in a nursing home at some point.
+j +j +j +j +j +j +j +j +j +j +j +j +j
B) More older men live alone than do older women.
+j +j +j +j +j +j +j +j
C) Assisted living arrangements have become increasingly common. +j +j +j +j +j +j
D) Most older adults reside in some form of institutional arrangement.
+j +j +j +j +j +j +j +j +j
6. A nurse who provides care to many older adults recognizes the importance of impleme
+j +j +j +j +j +j +j +j +j +j +j +j +j
nting a wellness approach to care. What principle underlies this approach to the health c
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
are of older adults?
+j +j +j
A) Older adults have decreasing expectations for wellness as they move through th
+j +j +j +j +j +j +j +j +j +j +j
e aging process. +j +j
B) Health problems are a Western cultural construct that has no objective, physiologic
+j +j +j +j +j +j +j +j +j +j +j
basis. +j
C) Older adults must come to accept a decline in wellness as they age.
+j +j +j +j +j +j +j +j +j +j +j +j
D) A holistic approach to caring for older adults can foster their well-
+j +j +j +j +j +j +j +j +j +j +j
being at every stage of life. +j +j +j +j +j
7. A diabetes nurse is providing care for a 73-year-
+j +j +j +j +j +j +j +j
old client who is a regular client of the hospital's out-
+j +j +j +j +j +j +j +j +j +j
patient diabetes clinic. What assessment question most clearly addresses this client's p
+j +j +j +j +j +j +j +j +j +j +j
otential for optimal function? +j +j +j
A) “What are some goals that you have for maximizing your level of wellness?”
+j +j +j +j +j +j +j +j +j +j +j +j
B) “How can we help you to take ownership of your own health?”
+j +j +j +j +j +j +j +j +j +j +j
C) “Is there anything that you're doing that might be exacerbating your diabetes?”
+j +j +j +j +j +j +j +j +j +j +j
D) “How long do you think that you'll be able to live independently?”
+j +j +j +j +j +j +j +j +j +j +j
8. A nurse cares for an 81-year-
+j +j +j +j +j
old client whose current hospital admission has been prompted by an exacerbation
+j +j +j +j +j +j +j +j +j +j +j +j
of chronic renal failure. Which action by the nurse will best emphasize the goal of c
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
lient wellness? +j
A) Ask for the client's code status be changed to “do not resuscitate.”
+j +j +j +j +j +j +j +j +j +j +j
B) Explore the client's abilities and strengths. +j +j +j +j +j
C) Show the client others who are more ill. +j +j +j +j +j +j +j
D) Teach the client that health problems do not have to affect daily routines.
+j +j +j +j +j +j +j +j +j +j +j +j
9. A nurse administrator is involved in strategic planning for a large long-
+j +j +j +j +j +j +j +j +j +j +j
term care facility that has locations in numerous regions of the country. What trend sho
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
uld the nurse administrator anticipate?
+j +j +j +j
A) A decrease in the proportion of older adults who are members of minority groups
+j +j +j +j +j +j +j +j +j +j +j +j +j
B) A gradual decline in overall life expectancy
+j +j +j +j +j +j
C) Average longevity of men exceeding that of women +j +j +j +j +j +j +j
D) Increased use of assisted living facilities by older adults +j +j +j +j +j +j +j +j
Page 2 +j
, 10. A nurse identifies those who are at risk for familial stress. Who exemplifies the
+j +j +j +j +j +j +j +j +j +j +j +j +j
sandwich generation?
+j +j
A) 50-year-old who balances the care of an 82-year-old parent and a 20-year-
+j +j +j +j +j +j +j +j +j +j +j
old child +j
B) 58-year-
old whose elderly parents have been forced to live in separate care facilitie
+j +j +j +j +j +j +j +j +j +j +j +j
s
C) 72-year-old who deals with own health problems with the care of a grandchild
+j +j +j +j +j +j +j +j +j +j +j +j
D) 83-year-old who is the sole caregiver for the 79-year-old spouse +j +j +j +j +j +j +j +j +j
11. A nurse interviews a centenarian, gathering data for a large study. In the interview, the
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
centenarian defines aging as not growing older, but growing wiser. Which represents the
+j +j +j +j +j +j +j +j +j +j +j +j
nurse's best response to this definition?
+j +j +j +j +j +j
A) “Aging might make you wiser, but it does lead to eventual death.”
+j +j +j +j +j +j +j +j +j +j +j
B) “Healthy maturity is characterized by wisdom.” +j +j +j +j +j
C) “How did you get to live to this old?” +j +j +j +j +j +j +j +j
D) “I will never make it to be 100 like you.”
+j +j +j +j +j +j +j +j +j
12. A nurse interviews a centenarian, gathering data for a large study. In the interview, th
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
e centenarian says, “You're only as old as you feel, some days I feel like 'I'm 50.'” T
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
o which definition of aging does this response correspond?
+j +j +j +j +j +j +j +j
A) Chronologic aging +j
B) Functional aging +j
C) Perceived aging +j
D) Subjective aging +j
13. An 85-year- +j
old client takes meals on wheels around the community. The client states, “All those o
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
ld people really need me, you know how older people are. They can't get out, and are
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
a burden to their family, and I just want to help.” Most of the people on the client's del
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
ivery route are in their 60s. Which characterizes this scenario?
+j +j +j +j +j +j +j +j +j
A) Ageism
B) Aging anxiety +j
C) Aging attribution +j
D) Antiaging
Page 3 +j
