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,1. A nurse is discussing an older adult's recent diagnosis of Ans: B
rheumatoid arthritis with a colleague. Which of the nurse's
statements reflects an accurate view of the relationship Answer B reflects a desire to foster a fulfilling and productive life for the older
between aging and wellness? 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
A. "It's important that the individual knows this is an older adults have a limited capacity to learn by virtue of their age, and option D
expected part of growing older." implies pessimism about the health and functioning of the older adult.
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."
2. A nurse is teaching an older person about the concept Ans: C
of successful aging. Which of the nurse's questions
addresses an important contributor to successful aging? 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
A) "Are you largely free of acute or chronic illnesses?" person's support network are not identified components of successful aging.
B) "Do you feel financially secure?"
C) "Do you feel like you actively engage with life?"
D) "Do you have a reliable support network?"
,3. An older adult has recently begun to display Ans: C
unprecedented lapses in short-term memory. The nurse
overhears a colleague reassuring the person by saying, Age attribution is the act of attributing a problem to age rather than to a
"Try not to worry; it's just a part of growing older." The pathology, as in the colleague's statement. Multiple jeopardy is the compounding
nurse recognizes that this is an example of what of discrimination based on factors such as race and gender, while gerontophobia
phenomenon? is the fear or hatred of older people. Implicit ageism is the unrecognized, negative
perception of older people.
A) Multiple jeopardy
B) Gerontophobia
C) Age attribution
D) Implicit ageism
4. A nurse hears a colleague make the statement, "Most Ans: A
older adults have nothing to worry about financially."
Which of the following responses is most appropriate? An important consideration with regard to economic conditions of older adults is
the tremendous range in financial status, which varies significantly according to
A) "You have to remember that there's a huge economic race, gender, and living arrangements. The number of adults living below the
disparity among older adults." poverty line, however, has decreased in recent years. The disparities that separate
disadvantaged groups from more economically secure older adults are predicted
B) "Actually, the number of older people living below the to persist. Minorities are more likely, not less likely, to be living with their relatives.
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."
, 5. A nurse is conducting a study on the needs and living Ans: C
situations of older adults in the community. Which of the
following statements should the nurse take into account? Assisted living arrangements have become an increasingly common alternative to
nursing homes. The number of Americans living in nursing homes has recently
A) A majority of older Americans will live in a nursing decreased, not increased, and more older women live alone than do older men.
home at some point. Ninety percent of older Americans live in an apartment or house, rather than in an
institutional arrangement.
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.
6. A nurse who provides care to many older adults Ans: D
recognizes the importance of implementing a wellness
approach to care. What principle underlies this approach An integral part of the wellness approach to the health care of older adults is a
to the health care of older adults? holistic approach to care that considers mind, body, and spirit. Health problems
are an inevitable reality but a decrease in wellness does not necessarily
A) Older adults have decreasing expectations for accompany the aging process.
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.
7. A diabetes nurse is providing care for a 73-year-old Ans: A
client who is a regular client of the hospital's out-client
diabetes clinic. What assessment question most clearly Eliciting an older adult's goals for wellness and high functioning can help promote
addresses this client's potential for optimal function? these outcomes. Questions about a client's living situation, disease management,
and personal responsibility may or may not promote wellness.
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?"