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Test Bank for nursing for wellness in older adults miller 9th edition 2025

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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. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the priority criterion for continued independence to be the patients: a. age. b. financial status. c. gender. d. functional status. ANS: D Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two conditions that increase the likelihood of institutionalization. DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-6 TOP: Nursing Process: Planning MSC: Physiologic Integrity 3. 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 ones 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 4. 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 5. 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 6. A nurse working with the older adult population is most likely to assess a need for a financial social services referral for a(n): a. white male. b. black female. c. Hispanic male. d. Asian American female. ANS: B The poverty rate among older black women is substantially higher than that seen among males or females of other ethnic groups. White males had the least poverty.

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Nursing For Wellness In Older Adults Miller 9th Ed
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Nursing For Wellness In Older Adults Miller 9th Ed
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Nursing For Wellness In Older Adults Miller 9th Ed

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Test Bank for Nursing for Wellness in Older Adults
9th Edition by Carol A. Miller
Chapters 1 - 29

,Nursing for Wellness in Older Adults Miller 9th Edition Test Bank




Table of Contents




Chapter 1: Seeing Older Adults Through the Eyes of Wellness



Chapter 2: Applying a Nursing Model for Promoting Wellness in Older Adults
Chapter 3: Theoretical Perspectives on Aging Well
Chapter 4: Perspectives on Culture and Diversity of Older Adults
Chapter 5: Gerontological Nursing and Health Promotion
Chapter 6: Diverse Health Care Settings for Older Adults
Chapter 7: Assessment of Health and Functioning
Chapter 8: Medications and Other Bioactive Substances
Chapter 9: Legal and Ethical Concerns
Chapter 10: Elder Abuse and Neglect
Chapter 11: Cognitive Function
Chapter 12: Psychosocial Function
Chapter 13: Psychosocial Assessment
Chapter 14: Impaired Cognitive Function: Delirium and Dementia

,Chapter 15: Impaired Affective Function: Depression
Chapter 16: Hearing
Chapter 17: Vision



Chapter 18: Digestion and Nutrition
Chapter 19: Urinary Function
Chapter 20: Cardiovascular Function
Chapter 21: Respiratory Function
Chapter 22: Mobility and Safety
Chapter 23: Integument
Chapter 24: Sleep and Rest
Chapter 25: Thermoregulation
Chapter 26: Sexual Function
Chapter 27: Caring for Older Adults During Illness
Chapter 28: Caring for Older Adults Experiencing Pain
Chapter 29: Caring for Older Adults at the End of Life

, Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 1




1.A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a
colleague. Which of the nurse's statements reflects an accurate view of the relationship
between aging and wellness?
A) "It's important that the individual knows this is an expected part of growing older."
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."
ANSWER: B
Feedback:
Answer B reflects a desire to foster a fulfilling and productive life for the older 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 older adults have a
limited capacity to learn by virtue of their age, and option D implies pessimism about the
health and functioning of the older adult.




Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 2
2.A nurse is teaching an older person about the concept of successful aging. Which of the
nurse's questions addresses an important contributor to successful aging?
A) "Are you largely free of acute or chronic illnesses?"
B) "Do you feel financially secure?"
C) "Do you feel like you actively engage with life?"
D) "Do you have a reliable support network?"
ANSWER: C
Feedback:
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 person's support
network are not identified components of successful aging.

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