, Nursing0for0Wellness0in0Older0Adults09th0Edition0Miller0Test0Bank0Chapte
r010Seeing0Older0Adults0Through0the0Eyes0of0Wellness
1. In02010,0the0revised0Standards0and0Scope0of0Gerontological0Nursing0Practice0was0published.
0The0nurse0would0use0these0standards0to:
a. promote0the0practice0of0gerontologic0nursing0within0the0acute0care0setting.
b. define0the0concepts0and0dimensions0of0gerontologic0nursing0practice.
c. elevate0the0practice0of0gerontologic0nursing.
d. incorporate0suggested0interventions0from0others0who0practice0gerontologic
0nursing.
ANS:0D
The0current0publishing0of0the0Standards0and0Scope0of0Gerontological0Nursing0Practice0in020100i
ncorporates0the0input0of0gerontologic0nurses0from0across0the0United0States.0It0was0not0intended0t
o0promote0gerontologic0nursing0practice0within0acute0care0settings,0define0concepts0or0dimensio
ns0of0gerontologic0nursing0practice,0or0elevate0the0practice0of0gerontologic0nursing.
DIF:0Remembering0(Knowledge)0REF:0MCS:020OBJ:01-
10TOP:0N/A0MSC:0Safe0and0Effective0Care0Environment
2. When0attempting0to0minimize0the0effect0of0ageism0on0the0practice0of0nursing0older0adults,0a
0nurse0needs0to0first:
a. recognize0that0nurses0must0act0as0advocates0for0aging0patients.
b. accept0that0this0population0represents0a0substantial0portion0of0those0requiring
0nursing0care.
c. self-reflect0and0formulate0ones0personal0view0of0aging0and0the0older0patient.
d. recognize0ageism0as0a0form0of0bigotry0shared0by0many0Americans.
ANS:0C
,Ageism0is0an0ever-
increasing0prejudicial0view0of0the0effects0of0the0aging0process0and0of0the0older0population0as0a0wh
ole.0With0nurses0being0members0of0a0society0holding0such0views,0it0is0critical0that0the0individual0
nurse0self-
reflect0on0personal0feelings0and0determine0whether0such0feelings0will0affect0the0nursing0care0that0
he0or0she0provides0to0the0aging0patient.0Acting0as0an0advocate0is0an0important0nursing0role0in0all0s
ettings.0Simply0accepting0a0fact0does0not0help0end0ageism,0nor0does0recognizing0ageism0as0a0for
m0of0bigotry.
DIF:0Applying0(Application)0REF:0N/A0OBJ:01-9
TOP:0Teaching-Learning0MSC:0Safe0and0Effective0Care0Environment
3. When0discussing0factors0that0have0helped0to0increase0the0number0of0healthy,0independent0older
0Americans,0the0nurse0includes0the0importance0of:
a. increased0availability0of0in-home0care0services.
b. government0support0of0retired0citizens.
c. effective0antibiotic0therapies.
d. the0development0of0life-extending0therapies.
ANS:0C
The0health0and0ultimate0autonomy0of0older0Americans0has0been0positively0impacted0by0the0deve
lopment0of0antibiotics,0better0sanitation,0and0vaccines.0These0public0health0measures0have0been0
more0instrumental0in0increasing0the0numbers0of0healthy,0independent0older0Americans0than0have0
in-home0care0services,0government0programs,0or0life-extending0therapies.
DIF:0Remembering0(Knowledge)0REF:0MCS:020OBJ:03-3
TOP:0Nursing0Process:0Implementation0MSC:0Health0Promotion0and0Maintenance
4. Based0on0current0data,0when0presenting0an0older0adults0discharge0teaching0plan,0the0nurse
0includes0the0patients:
a. nonrelated0caretaker.
b. paid0caregiver.
, c. family0member.
d. intuitional0representative.
ANS:0C
Less0than04%0of0older0adults0live0in0a0formal0health0care0environment.0The0majority0of0the0ge
riatric0population0lives0at0home0or0with0family0members.
DIF:0Applying0(Application)0REF:0N/A0OBJ:03-3
TOP:0Nursing0Process:0Planning0MSC:0Safe0and0Effective0Care0Environment
5. The0nurse0planning0care0for0an0older0adult0who0has0recently0been0diagnosed0with0rheumatoid
0arthritis0views0the0priority0criterion0for0continued0independence0to0be0the0patients:
a. age.
b. financial0status.
c. gender.
d. functional0status.
ANS:0D
Maintaining0the0functional0status0of0older0adults0may0avert0the0onset0of0physical0frailty0and0c
ognitive0impairment,0two0conditions0that0increase0the0likelihood0of0institutionalization.
DIF:0Remembering0(Knowledge)0REF:0MCS:080OBJ:01-
60TOP:0Nursing0Process:0Planning0MSC:0Physiologic0Integrit
y
6. A0nurse0working0with0the0older0adult0population0is0most0likely0to0assess0a0need0for0a0financial
0social0services0referral0for0a(n):
a. white0male.
b. black0female.
c. Hispanic0male.
r010Seeing0Older0Adults0Through0the0Eyes0of0Wellness
1. In02010,0the0revised0Standards0and0Scope0of0Gerontological0Nursing0Practice0was0published.
0The0nurse0would0use0these0standards0to:
a. promote0the0practice0of0gerontologic0nursing0within0the0acute0care0setting.
b. define0the0concepts0and0dimensions0of0gerontologic0nursing0practice.
c. elevate0the0practice0of0gerontologic0nursing.
d. incorporate0suggested0interventions0from0others0who0practice0gerontologic
0nursing.
ANS:0D
The0current0publishing0of0the0Standards0and0Scope0of0Gerontological0Nursing0Practice0in020100i
ncorporates0the0input0of0gerontologic0nurses0from0across0the0United0States.0It0was0not0intended0t
o0promote0gerontologic0nursing0practice0within0acute0care0settings,0define0concepts0or0dimensio
ns0of0gerontologic0nursing0practice,0or0elevate0the0practice0of0gerontologic0nursing.
DIF:0Remembering0(Knowledge)0REF:0MCS:020OBJ:01-
10TOP:0N/A0MSC:0Safe0and0Effective0Care0Environment
2. When0attempting0to0minimize0the0effect0of0ageism0on0the0practice0of0nursing0older0adults,0a
0nurse0needs0to0first:
a. recognize0that0nurses0must0act0as0advocates0for0aging0patients.
b. accept0that0this0population0represents0a0substantial0portion0of0those0requiring
0nursing0care.
c. self-reflect0and0formulate0ones0personal0view0of0aging0and0the0older0patient.
d. recognize0ageism0as0a0form0of0bigotry0shared0by0many0Americans.
ANS:0C
,Ageism0is0an0ever-
increasing0prejudicial0view0of0the0effects0of0the0aging0process0and0of0the0older0population0as0a0wh
ole.0With0nurses0being0members0of0a0society0holding0such0views,0it0is0critical0that0the0individual0
nurse0self-
reflect0on0personal0feelings0and0determine0whether0such0feelings0will0affect0the0nursing0care0that0
he0or0she0provides0to0the0aging0patient.0Acting0as0an0advocate0is0an0important0nursing0role0in0all0s
ettings.0Simply0accepting0a0fact0does0not0help0end0ageism,0nor0does0recognizing0ageism0as0a0for
m0of0bigotry.
DIF:0Applying0(Application)0REF:0N/A0OBJ:01-9
TOP:0Teaching-Learning0MSC:0Safe0and0Effective0Care0Environment
3. When0discussing0factors0that0have0helped0to0increase0the0number0of0healthy,0independent0older
0Americans,0the0nurse0includes0the0importance0of:
a. increased0availability0of0in-home0care0services.
b. government0support0of0retired0citizens.
c. effective0antibiotic0therapies.
d. the0development0of0life-extending0therapies.
ANS:0C
The0health0and0ultimate0autonomy0of0older0Americans0has0been0positively0impacted0by0the0deve
lopment0of0antibiotics,0better0sanitation,0and0vaccines.0These0public0health0measures0have0been0
more0instrumental0in0increasing0the0numbers0of0healthy,0independent0older0Americans0than0have0
in-home0care0services,0government0programs,0or0life-extending0therapies.
DIF:0Remembering0(Knowledge)0REF:0MCS:020OBJ:03-3
TOP:0Nursing0Process:0Implementation0MSC:0Health0Promotion0and0Maintenance
4. Based0on0current0data,0when0presenting0an0older0adults0discharge0teaching0plan,0the0nurse
0includes0the0patients:
a. nonrelated0caretaker.
b. paid0caregiver.
, c. family0member.
d. intuitional0representative.
ANS:0C
Less0than04%0of0older0adults0live0in0a0formal0health0care0environment.0The0majority0of0the0ge
riatric0population0lives0at0home0or0with0family0members.
DIF:0Applying0(Application)0REF:0N/A0OBJ:03-3
TOP:0Nursing0Process:0Planning0MSC:0Safe0and0Effective0Care0Environment
5. The0nurse0planning0care0for0an0older0adult0who0has0recently0been0diagnosed0with0rheumatoid
0arthritis0views0the0priority0criterion0for0continued0independence0to0be0the0patients:
a. age.
b. financial0status.
c. gender.
d. functional0status.
ANS:0D
Maintaining0the0functional0status0of0older0adults0may0avert0the0onset0of0physical0frailty0and0c
ognitive0impairment,0two0conditions0that0increase0the0likelihood0of0institutionalization.
DIF:0Remembering0(Knowledge)0REF:0MCS:080OBJ:01-
60TOP:0Nursing0Process:0Planning0MSC:0Physiologic0Integrit
y
6. A0nurse0working0with0the0older0adult0population0is0most0likely0to0assess0a0need0for0a0financial
0social0services0referral0for0a(n):
a. white0male.
b. black0female.
c. Hispanic0male.
