Nursing for Wellness in Older Adults 8th Edition by Carol A Miller Test Bank PDF printed

TestBank
b

,Nursing for Wellness in Older Adults Miller 8thEdition TestBank
b b b b b b b b b b




Chapter 1 Seeing Older Adults Through the Eyes of Wellness
b b b b b b b b b




1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The
b b b b b b b b b b b b b




b nurse would use these standards to:
b b b b b




a. promote the practice of gerontologic nursing within the acute care setting.
b b b b b b b b b b




b. define the concepts and dimensions of gerontologic nursing practice.
b b b b b b b b




c. elevate the practice of gerontologic nursing.
b b b b b




d. incorporate suggested interventions from others who practice gerontologic b b b b b b b




nursing.
b




ANS: D b




The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
b b b b b b b b b b b b b




b incorporates the input of gerontologic nurses from across the United States. It was not intended to
b b b b b b b b b b b b b b b




b promote gerontologic nursing practice within acute care settings, define concepts or dimensions of
b b b b b b b b b b b b




b gerontologic nursing practice, or elevate the practice of gerontologic nursing.
b b b b b b b b b




DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-1 TOP:
b b b b b b b b




b N/A MSC: Safe and Effective Care Environment
b b b b b b




2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
b b b b b b b b b b b b b b b




b nurse needs to first:
b b b




a. recognize that nurses must act as advocates for aging patients.
b b b b b b b b b




b. accept that this population represents a substantial portion of those requiring
b b b b b b b b b b




nursing care.
b b




c. self-reflect and formulate ones personal view of aging and the older patient.
b b b b b b b b b b b




d. recognize ageism as a form of bigotry shared by many Americans.
b b b b b b b b b b




ANS: C b

,Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
b b b b b b b b b b b b b b b b




b population as a whole. With nurses being members of a society holding such views, it is critical that
b b b b b b b b b b b b b b b b b




b the individual nurse self-reflect on personal feelings and determine whether such feelings will affect
b b b b b b b b b b b b b




b the nursing care that he or she provides to the aging patient. Acting as an advocate is an important
b b b b b b b b b b b b b b b b b b




b nursing role in all settings. Simply accepting a fact does not help end ageism, nor does recognizing
b b b b b b b b b b b b b b b b




b ageism as a form of bigotry.
b b b b b




DIF: Applying (Application) REF: N/A OBJ: 1-9
b b b b b b




TOP: Teaching-Learning MSC: Safe and Effective Care Environment
b b b b b b b




3. When discussing factors that have helped to increase the number of healthy, independent older
b b b b b b b b b b b b b




b Americans, the nurse includes the importance of: b b b b b b




a. increased availability of in-home care services. b b b b b




b. government support of retired citizens. b b b b




c. effective antibiotic therapies. b b




d. the development of life-extending therapies.
b b b b




ANS: C b




The health and ultimate autonomy of older Americans has been positively impacted by the
b b b b b b b b b b b b b




b development of antibiotics, better sanitation, and vaccines. These public health measures have been
b b b b b b b b b b b b




more instrumental in increasing the numbers of healthy, independent older Americans than have in-
b b b b b b b b b b b b b b




home care services, government programs, or life-extending therapies.
b b b b b b b




DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
b b b b b b b




TOP: NursingProcess: Implementation MSC: Health Promotion and Maintenance
b b b b b b b b




4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
b b b b b b b b b b b b b




a. nonrelated caretaker. b




b. paid caregiver. b

, c. family member. b




d. intuitional representative. b




ANS: C b




Less than 4% of older adults live in a formal health care environment. The majority of the geriatric
b b b b b b b b b b b b b b b b b




b population lives at home or with family members.
b b b b b b b




DIF: Applying (Application) REF: N/A OBJ: 3-3
b b b b b b




TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
b b b b b b b b b




5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
b b b b b b b b b b b b b b




b arthritis views the priority criterion for continued independence to be the patients:
b b b b b b b b b b b




a. age.
b. financialstatus. b




c. gender.
d. functional status. b




ANS: D b




Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
b b b b b b b b b b b b b b b




b impairment, two conditions that increase the likelihood of institutionalization.
b b b b b b b b




DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-6 TOP:
b b b b b b b b




NursingProcess: PlanningMSC: Physiologic Integrity
b b b b b b




6. A nurse working with the older adult population is most likely to assess a need for a financial
b b b b b b b b b b b b b b b b b




b social services referral for a(n):
b b b b




a. white male. b




b. black female. b




c. Hispanic male. b