Nursing for Wellness in Older Adults
Carol A Miller
9th Edition
, Nursing for Wellness in Older Adults 9th Edition Miller TEST BANK
Table of Contents
Chapter 1 Seeing Older Adults Through the Eyes of Wellness
Chapter 2 Addressing Diversity of Older Adults
Chapter 3 Applying a Nursing Model for Promoting Wellness in Older Adults
Chapter 4 Theoretical Perspectives on Aging Well
Chapter 5 Gerontological Nursing and Health Promotion
Chapter 6 Health Care for Older Adults in Various Settings
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 Wellness
Chapter 12 Psychosocial Wellness
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 Safe Mobility
Chapter 23 Integumentary Function
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
,Test Bank - Nursing for Wellness in Older Adults 9th Edition (Miller, 2023) Chapter 1-29
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
,Test Bank - Nursing for Wellness in Older Adults 9th Edition (Miller, 2023) Chapter 1-29
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.
,Test Bank - Nursing for Wellness in Older Adults 9th Edition (Miller, 2023) Chapter 1-29
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.
,Test Bank - Nursing for Wellness in Older Adults 9th Edition (Miller, 2023) Chapter 1-29
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.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
7. Which of the following statements made by a nurse preparing to complete a health assessment
and history on an older patient reflects an understanding of the general health status of this
population?
a. Ill need to document well regarding the medications the patient is currently
prescribed.
b. I would like to understand how supportive the patients family members are.
c. Most older patients are being treated for a variety of chronic health care issues.
d. It will be interesting to see whether this patient sees herself as being healthy.
ANS: D
It is a misconception that old age is synonymous with disease and illness. The nurse should
always determine the patients sense of wellness and independence when conducting a health and
history assessment. An assessment of medication use and family support is important for any
patient. Many older adults do have chronic health conditions, but their perception is more
important than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
treatment of a fractured femur. The family expresses concern about the patients pending transfer
to a subacute care facility. What response by the nurse is best?
,Test Bank - Nursing for Wellness in Older Adults 9th Edition (Miller, 2023) Chapter 1-29
a. Acute care facilities lack the long-term physical therapy support your dad
requires.
b. Your dad will be much happier in a more serene, private environment.
c. The subacute facility will focus on helping your dad maintain his independence.
d. Insurance, including Medicare, will cover only a limited amount of time here.
ANS: C
The transfer of the patient to a subacute facility is based on the need to maintain the patients
level of function and independence, a task the acute care facility is not prepared to address once
the patient is physiologically stable. The patient may or may not be happier in the new setting;
the nurse should not make this judgment. It is true that insurance only pays for a limited amount
of time in an acute care facility, but this is not the best reason for the patient to transfer.
DIF: Applying (Application) REF: N/A OBJ: 1-6
TOP: Communication and Documentation
MSC: Health Promotion and Maintenance
9. To best assure both the quality of care and the safety of the older adult patient who requires in-
home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
a. evaluates the competency of the UAP staff.
b. assumes the roles of case manager and patient advocate.
c. arranges for the needed UAP provided services.
d. assesses the patient for functional limitations.
ANS: A
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse
must assume more responsibility for educating, training, and evaluating the competency of UAP
staff to provide safe, effective care for the older adult patient.
DIF: Applying (Application) REF: N/A OBJ: 1-2
,Test Bank - Nursing for Wellness in Older Adults 9th Edition (Miller, 2023) Chapter 1-29
TOP: vCommunication vand vDocumentation
vMSC: vSafe vand vEffective vCare
vEnvironment
10. The vnurse vworking vwith volder vadults vunderstands vwhat vinformation vabout
vcertification vin vgerontologic vnursing?
a. It vis vmandatory vfor vthose vin vlong-term vcare vsettings.
b. It vis vvoluntary vand vshows vclinical vexpertise vin van varea.
c. It vallows vnurses vto vbe vpaid vby vthird-party vpayers.
d. It vallows vnurses vto vadvance vtheir vcareers vin va vjob.
ANS: vB
Certification vis vvoluntary vand vshows vthat va vnurse vhas vadditional vknowledge vand vexpertise
vin va vcertain varea vof vpractice. vIt vis vnot vmandatory vin vspecific vcare vsettings. vIt vdoes vnot
vallow vfor vthird- vparty vreimbursement. vIt vmay vbe vpart vof va vcareer vladder vprogram, vbut
vthat vis vnot vtrue vof vall vwork vsettings.
DIF: vRemembering v(Knowledge) vREF: vMCS: v2 vOBJ: v1-2
TOP: vTeaching-Learning vMSC: vSafe vEffective vCare vEnvironment
11. A vnurse vworks vin va vgerontologic vclinic. vWhat vaction vby vthe vnurse vtakes vhighest vpriority?
a. Serving vas va vpatient vadvocate
b. Educating vpatients vabout vdiseases
c. Helping vpatients vremain vindependent
d. Referring vpatients vto vhome vhealth vcare
ANS: vC
One vof vthe vchallenges vand vpriorities vof vthe vgerontologic vnurse vis vhelping vpatients vmaintain
vtheir vindependence.
,Test Bank - Nursing for Wellness in Older Adults 9th Edition (Miller, 2023) Chapter 1-29
DIF: vRemembering v (Knowledge) vREF: v MCS: v10 vOBJ: v1-2 vTOP:
Nursing vProcess: vImplementation vMSC: vHealth vPromotion
12. A vnurse vis vcaring vfor van volder vpatient vin vthe vemergency vdepartment. vWhat
vinformation vabout vthe vpatient vwill vbe vmost vhelpful vin vcreating va vplan vof vcare?
a. Baseline vphysical vand vcognitive vfunctioning
b. Living vconditions vand vfamily vsupport
c. Medications vand vcurrent vmedical vproblems
d. Results vof vthe vMini vMental vState vexamination
ANS: vA
The vnurse vis vencouraged vto vview volder vpatients vas vindividuals vand vconsider vtheir vbaseline
vphysical vand vcognitive vfunctional vstatus vas va vstandard vby vwhich vto vcompare vthe vpatients
vcurrent vstatus. vThe vother vinformation vis valso vimportant, vbut vthe vbasis vof vindividualized
vcare vbegins vwith vthe vpatients vstrengths vand vweaknesses.
DIF: vApplying v(Application) vREF: vN/A vOBJ: v1-6
TOP: vNursing vProcess: vAssessment vMSC: vHealth vPromotion
13. The vfaculty vmember vexplains vto vstudents vthat vmany volder vAmericans vcontinue vto
vwork vpast vthe vretirement vage. vWhat vbest vexplains vthis vtrend?
a. Feeling vhealthier vlonger
b. Changing vfinancial voutlook
c. Becoming vbored vin vretirement
d. A vdesire vto vgive
vback vANS: vB
, Test Bank - Nursing for Wellness in Older Adults 9th Edition (Miller, 2023) Chapter 1-29
As vfinancial vsituations vmay vhave vdeclined vas va vresult vof vmany veconomic vfactors, vmore
volder vadults vwork vpast vtheir vretirement vage. vThe vother voptions vmay vbe vreasons vfor vsome
vto vcontinue vworking, vbut vfinancial vnecessity vis vthe vreason vthe vmajority vcontinue vto vdo
vso.
DIF: vRemembering v(Knowledge) vREF: vMCS: v7 vOBJ: v1-3
vTOP: vTeaching-Learning vMSC: vHealth vPromotion
14. What vinformation vdoes vthe vfaculty vmember vteach vstudents vabout vMedicare?
a. Covers vanyone vwith vend vstage vrenal vdisease
b. Part vA vcovers vsome vprescription vcosts
c. Part vB vcovers vinpatient vhospital vcosts
d. Part vD veliminates vthe vdrug vdonut vhole
ANS: vA
Although vMedicare vis vprimarily vfor vthose vover vthe vage vof v65, vit vdoes vcover vpeople vof vany
vage vwith vend-stage vkidney vdisease. vPart vA vcovers vhospital vcosts. vPart vB vis vmedical
vinsurance. vThe vdonut vhole vwas vfixed vby vthe vAffordable vCare vAct.
DIF: vUnderstanding v(Comprehension) vREF: vMCS: v9 vOBJ: v1-3
vTOP: vTeaching-Learning vMSC: vHealth vPromotion
15. A vnursing vmanager vnotes vthat vmany volder vpatients vare vadmitted vto vthe vnursing vunit
vfor vacute vproblems. vWhat vaction vcan vthe vmanager vtake vto vmost vbenefit vthis
vpopulation?
a. Provide vmandatory veducation von vthe vneeds vof vthe volder vpatient.
b. Provide vrestorative vtherapy vprograms vdesigned vfor vthis vgroup.
c. Ensure vstaffing vnumbers vare vadequate vfor vdependent vpatients.
d. Encourage vall vnurses vto vobtain vgerontologic vcertification.
ANS: vB