1. The nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a
T T T T T T T T T T T T T
colleague. Which of the nurse's statements reflects an accurate view of the relationship
T T T T T T T T T T T T T
between aging and wellness?
T T T
A) It's important that the individual knows this is an expected part of growing older.
T T T T T T T T T T T T T T TT
B) \ We need to teach the older adult how he can keep living a fruitful life in spite of
his diagnosis.î
C) We need to make sure our teaching is not too detailed for someone of his age.
T T T T T T T T T T T T T T T T T
D) We need to ensure his expectations of continuing to live alone are realistic.
T T T T T T T T T T T T T T
2. The nurse is teaching an older person about the concept of successful aging. Which of
T T T T T T T T T T T T T T T
the nurse's questions addresses an important contributor to successful aging?
T T T T T T T T T
A) Are you largely free of acute or chronic illnesses?
T T T T T T T T T T
B) Do you feel financially secure?
T T T T T TT
C) \ Do you feel like you actively engage with life?î
D) Do you have a reliable support network?
T T T T T T T T
3. An older adult has recently begun to display unprecedented lapses in short-term
T T T T T T T T T T T T
memory. The nurse overhears a colleague reassuring the person by saying, Try not to
T T T T T T T T T T TT T T T
worry; it's just a part of growing older. The nurse recognizes that this is an example of
T T T T T T T TT T T T T T T T T T
what phenomenon?
T
A) Multiple jeopardy T
B) Gerontophobia T
C) Age attribution
D) Implicit ageism T
4. The nurse hears a colleague make the statement, Most older adults have nothing to
T T T T T T T TT T T T T T T
worry about financially. Which of the following statements reflects an accurate
T T TT T T T T T T T T
response to this? T T
A) \ You have to remember that there's a huge economic disparity among older adults.î
B) Actually, the number of older people living below the poverty line has been
T T T T T T T T T T T T T T
increasing, not decreasing. T T T
C) This isn't really true now, but it is true that the gaps that disadvantaged groups live
T T T T T T T T T T T T T T T T T
with are expected to shrink.
T T T T T
D) This is true for some groups, but not for minorities who are less likely to be living
T T T T T T T T T T T T T T T T T T
with their relatives. T T T
Page 1
,NURSING FOR WELLNESS IN OLDER ADULTS 8 TH EDITION
5. The nurse is conducting a study on the needs and living situations of older adults in the
T T T T T T T T T T T T T T T T T
community. Which of the following statements should the nurse take into account?
T T T T T T T T T T T
A) A majority of older Americans will live in a nursing home at some point.
T T T T T T T T T T T T T
B) More older men live alone than older women.T T T T T T T T
C) Assisted-living arrangements have become increasingly common.
D) Most older Americans reside in some form of institutional arrangement.
T T T T T T T T T
6. A nurse who provides care to many older adults recognizes the importance of
T T T T T T T T T T T T T
implementing a wellness approach to care. What principle underlies this approach to the
T T T T T T T T T T T T T
health care of older adults?
T T T T
A) Older adults have decreasing expectations for wellness as they move through the
T T T T T T T T T T T T
aging process. T
B) Health problems are a Western cultural construct that has no objective,
T T T T T T T T T T T
physiological basis. T
C) Older adults must come to accept a decline in wellness as they age.
T T T T T T T T T T T T T
D) A holistic approach to caring for older adults can foster their well-being at every
stage of life.
7. A diabetes nurse is providing care for a 73-year-old man who is a regular client of the
T T T T T T T T T T T T T T T T T
hospital's outpatient diabetes clinic. What assessment question most clearly addresses
T T T T T T T T T T
this client's potential for optimal function?
T T T T T
A) \ What are some goals that you have for maximizing your level of wellness?î
B) How can we help you to take ownership of your own health?
T T T T T T T T T T T T T
C) Is there anything that you're doing that might be exacerbating your diabetes?
T T T T T T T T T T T T T
D) How long do you think that you'll be able to live independently?
T T T T T T T T T T T T T
8. Mr. Say is an 81-year-old man whose current hospital admission has been prompted by
T T T T T T T T T T T T T T
an exacerbation of his chronic renal failure. The nurse who is caring for Mr. Say is
T T T T T T T T T T T T T T T T
aware of the importance of fostering his wellness, a goal that can be achieved by
T T T T T T T T T T T T T T T
emphasizing which of the following? T T T T
A) Comparing Mr. Say's health to other patients who are more ill T T T T T T T T T T T
B) Exploring Mr. Say's abilities and strengths
C) Advocating that Mr. Say's code status be changed to do not resuscitate T T T T T T T T TT T T T
D) Teaching Mr. Say that his health problems do not have to affect his daily routines
T T T T T T T T T T T T T T
Page 2
,NURSING FOR WELLNESS IN OLDER ADULTS 8 TH EDITION
9. A nurse administrator is involved in strategic planning for a large long-term care facility
T T T T T T T T T T T T T T
that has locations in numerous regions of the country. The nurse should anticipate what
T T T T T T T T T T T T T T
trend when planning for the future care of older adults?
T T T T T T T T T
A) A gradual decline in overall life expectancy
T T T T T T
B) A decrease in the proportion of older adults who are members of minority groups
T T T T T T T T T T T T T
C) Average longevity of males exceeding that of females
T T T T T T T T
D) Increased use of assisted living facilities by older adults
10. A notable demographic trend that is expected to become more pronounced involves the
T T T T T T T T T T T T T
sandwich generation. Which of the following individuals exemplifies the demands and
T T T T T T T T T T T
challenges experienced by the sandwich generation?
T T T T T
A) A 50-year-old woman who balances the care of her 82-year-old father and her
20-year-old son
B) A 58-year-old man whose elderly parents have been forced to live in separate care
T T T T T T T T T T T T T T
facilities
C) An 83-year-old man who is the sole caregiver for his 79-year-old wife.
T T T T T T T T T T T
D) A 70-year-old woman who must accommodate her own health problems with the
T T T T T T T T T T T T
care of her grandson T T T
Page 3
, NURSING FOR WELLNESS IN OLDER ADULTS 8 TH EDITION
Answer Key
T
1. B
2. C
3. C
4. A
5. C
6. D
7. A
8. B
9. D
10. A
Page 4