,1. A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with
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@a colleague. Which of the nurse's statements reflects an accurate view of the relati
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onship between aging and wellness?
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A) “It's important that the individual knows this is an expected part of growing olde
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r.”
B) “We need to teach the older adult how he can keep living a fruitful life in
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spite of his diagnosis.”
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C) “We need to make sure our teaching is not too detailed for someone of his age.
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”
D) “We need to ensure his expectations of continuing to live alone are realistic.”
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2. A nurse is teaching an older person about the concept of successful aging. Which o
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f the nurse's questions addresses an important contributor to successful aging?
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A) “Are you largely free of acute or chronic illnesses?”
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B) “Do you feel financially secure?”j@ j@ j@ j@
C) “Do you feel like you actively engage with life?”
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D) “Do you have a reliable support network?”
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3. An older adult has recently begun to display unprecedented lapses in short-
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term memory. The nurse overhears a colleague reassuring the person by saying, “
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Try not to worry; it's just a part of growing older.” The nurse recognizes that this i
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s an example of what phenomenon?
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A) Multiple jeopardy j@
B) Gerontophobia
C) Age attribution j@
D) Implicit ageism j@
4. A nurse hears a colleague make the statement, “Most older adults have nothing to
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worry about financially.” Which response is most appropriate?
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A) “You have to remember that there's a huge economic disparity among o
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lder adults.” j@
B) “Actually, the number of older people living below the poverty line has
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been increasing, not decreasing.”j@ j@ j@
C) “This isn't really true now, but it is true that the gaps that disadvantaged group
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s live with are expected to shrink.”
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D) “This is true for some groups, but not for minorities who are less likely to be l
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iving with their relatives.” j@ j@ j@
Page 1 j@
,5. A nurse is conducting a study on the needs and living situations of older adults i
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n the community. Which statement should the nurse take into account?
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A) A majority of older adults will live in a nursing home at some point.
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B) More older men live alone than do older women.
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C) Assisted living arrangements have become increasingly common.
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D) Most older adults reside in some form of institutional arrangement.
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6. A nurse who provides care to many older adults recognizes the importance of impl
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ementing a wellness approach to care. What principle underlies this approach to the
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health care of older adults?
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A) Older adults have decreasing expectations for wellness as they move through
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the aging process.
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B) Health problems are a Western cultural construct that has no objective, physiol
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ogic basis. j@
C) Older adults must come to accept a decline in wellness as they age.
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D) A holistic approach to caring for older adults can foster their well-
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being at every stage of life. j@ j@ j@ j@ j@
7. A diabetes nurse is providing care for a 73-year-
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old client who is a regular client of the hospital's out-
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patient diabetes clinic. What assessment question most clearly addresses this client'
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s potential for optimal function?
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A) “What are some goals that you have for maximizing your level of wellness?
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”
B) “How can we help you to take ownership of your own health?”
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
C) “Is there anything that you're doing that might be exacerbating your diabetes?”
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D) “How long do you think that you'll be able to live independently?”
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
8. A nurse cares for an 81-year-
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old client whose current hospital admission has been prompted by an exacerbati
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
on of chronic renal failure. Which action by the nurse will best emphasize the g
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oal of client wellness?
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A) Ask for the client's code status be changed to “do not resuscitate.”
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B) Explore the client's abilities and strengths.j@ j@ j@ j@ j@
C) Show the client others who are more ill.
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D) Teach the client that health problems do not have to affect daily routines.
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9. A nurse administrator is involved in strategic planning for a large long-
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term care facility that has locations in numerous regions of the country. What trend
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@should the nurse administrator anticipate?
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A) A decrease in the proportion of older adults who are members of minority group
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s
B) A gradual decline in overall life expectancy
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C) Average longevity of men exceeding that of women
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Page 2 j@
, D) Increased use of assisted living facilities by older adults
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Page 3 j@
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j
@a colleague. Which of the nurse's statements reflects an accurate view of the relati
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
onship between aging and wellness?
j@ j@ j@ j@
A) “It's important that the individual knows this is an expected part of growing olde
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
r.”
B) “We need to teach the older adult how he can keep living a fruitful life in
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j
spite of his diagnosis.”
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C) “We need to make sure our teaching is not too detailed for someone of his age.
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”
D) “We need to ensure his expectations of continuing to live alone are realistic.”
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
2. A nurse is teaching an older person about the concept of successful aging. Which o
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
f the nurse's questions addresses an important contributor to successful aging?
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
A) “Are you largely free of acute or chronic illnesses?”
j@ j@ j@ j@ j@ j@ j@ j@
B) “Do you feel financially secure?”j@ j@ j@ j@
C) “Do you feel like you actively engage with life?”
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D) “Do you have a reliable support network?”
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3. An older adult has recently begun to display unprecedented lapses in short-
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
term memory. The nurse overhears a colleague reassuring the person by saying, “
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
Try not to worry; it's just a part of growing older.” The nurse recognizes that this i
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
s an example of what phenomenon?
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A) Multiple jeopardy j@
B) Gerontophobia
C) Age attribution j@
D) Implicit ageism j@
4. A nurse hears a colleague make the statement, “Most older adults have nothing to
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
worry about financially.” Which response is most appropriate?
j@ j@ j@ j@ j@ j@ j@
A) “You have to remember that there's a huge economic disparity among o
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
lder adults.” j@
B) “Actually, the number of older people living below the poverty line has
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
been increasing, not decreasing.”j@ j@ j@
C) “This isn't really true now, but it is true that the gaps that disadvantaged group
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
s live with are expected to shrink.”
j@ j@ j@ j@ j@ j@
D) “This is true for some groups, but not for minorities who are less likely to be l
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
iving with their relatives.” j@ j@ j@
Page 1 j@
,5. A nurse is conducting a study on the needs and living situations of older adults i
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
n the community. Which statement should the nurse take into account?
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
A) A majority of older adults will live in a nursing home at some point.
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
B) More older men live alone than do older women.
j@ j@ j@ j@ j@ j@ j@ j@
C) Assisted living arrangements have become increasingly common.
j@ j@ j@ j@ j@ j@
D) Most older adults reside in some form of institutional arrangement.
j@ j@ j@ j@ j@ j@ j@ j@ j@
6. A nurse who provides care to many older adults recognizes the importance of impl
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
ementing a wellness approach to care. What principle underlies this approach to the
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
health care of older adults?
j@ j@ j@ j@
A) Older adults have decreasing expectations for wellness as they move through
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j
the aging process.
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B) Health problems are a Western cultural construct that has no objective, physiol
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
ogic basis. j@
C) Older adults must come to accept a decline in wellness as they age.
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
D) A holistic approach to caring for older adults can foster their well-
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
being at every stage of life. j@ j@ j@ j@ j@
7. A diabetes nurse is providing care for a 73-year-
j@ j@ j@ j@ j@ j@ j@ j@
old client who is a regular client of the hospital's out-
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
patient diabetes clinic. What assessment question most clearly addresses this client'
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
s potential for optimal function?
j@ j@ j@ j@
A) “What are some goals that you have for maximizing your level of wellness?
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”
B) “How can we help you to take ownership of your own health?”
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
C) “Is there anything that you're doing that might be exacerbating your diabetes?”
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
D) “How long do you think that you'll be able to live independently?”
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
8. A nurse cares for an 81-year-
j@ j@ j@ j@ j@
old client whose current hospital admission has been prompted by an exacerbati
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
on of chronic renal failure. Which action by the nurse will best emphasize the g
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
oal of client wellness?
j@ j@ j@
A) Ask for the client's code status be changed to “do not resuscitate.”
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B) Explore the client's abilities and strengths.j@ j@ j@ j@ j@
C) Show the client others who are more ill.
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D) Teach the client that health problems do not have to affect daily routines.
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
9. A nurse administrator is involved in strategic planning for a large long-
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@
term care facility that has locations in numerous regions of the country. What trend
j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j@ j
@should the nurse administrator anticipate?
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A) A decrease in the proportion of older adults who are members of minority group
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s
B) A gradual decline in overall life expectancy
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C) Average longevity of men exceeding that of women
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Page 2 j@
, D) Increased use of assisted living facilities by older adults
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Page 3 j@
