TEST BANK
Nursing for Wellness in Older Adults
CAROL A. MILLER
10th North American Edition
Chapters 1-29 (Questions with Rationalized Answers)
,Table of Contents
PART 1: Older Adults and Wellness
1. Seeing Older Adults Through the Eyes of Wellness
2. Addressing Diversity of Older Adults
3. Applying a Nursing Model for Promoting Wellness in Older Adults
4. Theoretical Perspectives on Aging Well
PART 2: Nursing Considerations for Older Adults
5. Gerontological Nursing and Health Promotion
6. Health Care for Older Adults in Various Settings
7. Assessment of Health and Functioning
8. Medications and Other Bioactive Substances
9. Legal and Ethical Concerns
10. Elder Abuse and Neglect
PART 3: Promoting Wellness in Psychosocial Function
11. Cognitive Wellness
12. Psychosocial Wellness
13. Psychosocial Assessment
14. Impaired Cognitive Function: Delirium and Dementia
15. Impaired Affective Function: Depression
PART 4: Promoting Wellness in Physical Function
16. Hearing
17. Vision
18. Digestion and Nutrition
19. Urinary Function
20. Cardiovascular Function
21. Respiratory Function
22. Safe Mobility
23. Integumentary Function
24. Sleep and Rest
25. Thermoregulation
26. Sexual Function
PART 5: Promoting Wellness During Illness and Transitions in Care
27. Caring for Older Adults During Illness
28. Caring for Older Adults Experiencing Pain
29. Caring for Older Adults at the End of Life
,Chapter 1: Seeing Older Adults Through the Eyes of Wellness
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The nurse would use these standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic
nursing.
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
incorporates the input of gerontologic nurses from across the United States. It was not intended
to promote gerontologic nursing practice within acute care settings, define concepts or
dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-1
TOP: N/A MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first:
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring
nursing care.
c. self-reflect and formulate one’s personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
population as a whole. With nurses being members of a society holding such views, it is critical
that the individual nurse self-reflect on personal feelings and determine whether such feelings
will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is
an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
does recognizing ageism as a form of bigotry.
DIF: Applying (Application) REF: N/A OBJ: 1-9
, TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent older
Americans, the nurse includes the importance of:
a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
d. the development of life-extending therapies.
ANS: C
The health and ultimate autonomy of older Americans has been positively impacted by the
development of antibiotics, better sanitation, and vaccines. These public health measures have
been more instrumental in increasing the numbers of healthy, independent older Americans than
have in-home care services, government programs, or life-extending therapies.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
includes the patients:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
ANS: C
Less than 4% of older adults live in a formal health care environment. The majority of the
geriatric population lives at home or with family members.
\DIF: Applying (Application) REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
Nursing for Wellness in Older Adults
CAROL A. MILLER
10th North American Edition
Chapters 1-29 (Questions with Rationalized Answers)
,Table of Contents
PART 1: Older Adults and Wellness
1. Seeing Older Adults Through the Eyes of Wellness
2. Addressing Diversity of Older Adults
3. Applying a Nursing Model for Promoting Wellness in Older Adults
4. Theoretical Perspectives on Aging Well
PART 2: Nursing Considerations for Older Adults
5. Gerontological Nursing and Health Promotion
6. Health Care for Older Adults in Various Settings
7. Assessment of Health and Functioning
8. Medications and Other Bioactive Substances
9. Legal and Ethical Concerns
10. Elder Abuse and Neglect
PART 3: Promoting Wellness in Psychosocial Function
11. Cognitive Wellness
12. Psychosocial Wellness
13. Psychosocial Assessment
14. Impaired Cognitive Function: Delirium and Dementia
15. Impaired Affective Function: Depression
PART 4: Promoting Wellness in Physical Function
16. Hearing
17. Vision
18. Digestion and Nutrition
19. Urinary Function
20. Cardiovascular Function
21. Respiratory Function
22. Safe Mobility
23. Integumentary Function
24. Sleep and Rest
25. Thermoregulation
26. Sexual Function
PART 5: Promoting Wellness During Illness and Transitions in Care
27. Caring for Older Adults During Illness
28. Caring for Older Adults Experiencing Pain
29. Caring for Older Adults at the End of Life
,Chapter 1: Seeing Older Adults Through the Eyes of Wellness
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The nurse would use these standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic
nursing.
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
incorporates the input of gerontologic nurses from across the United States. It was not intended
to promote gerontologic nursing practice within acute care settings, define concepts or
dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-1
TOP: N/A MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first:
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring
nursing care.
c. self-reflect and formulate one’s personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
population as a whole. With nurses being members of a society holding such views, it is critical
that the individual nurse self-reflect on personal feelings and determine whether such feelings
will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is
an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
does recognizing ageism as a form of bigotry.
DIF: Applying (Application) REF: N/A OBJ: 1-9
, TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent older
Americans, the nurse includes the importance of:
a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
d. the development of life-extending therapies.
ANS: C
The health and ultimate autonomy of older Americans has been positively impacted by the
development of antibiotics, better sanitation, and vaccines. These public health measures have
been more instrumental in increasing the numbers of healthy, independent older Americans than
have in-home care services, government programs, or life-extending therapies.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
includes the patients:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
ANS: C
Less than 4% of older adults live in a formal health care environment. The majority of the
geriatric population lives at home or with family members.
\DIF: Applying (Application) REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
