Test Bank
Nursing for Wellness in Older Adults, 9th Edition.
By Carol A. Miller – Gerontological Nursing Exam Preparation Resource
,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
,Chapter 1- Seeing Older Adults Through the Eyes of Wellness
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.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 3
3.An older adult has recently begun to display unprecedented lapses in short-term memory. The nurse overhears
a colleague reassuring the person by saying, "Try not to worry; it's just a part of growing older." The nurse
recognizes that this is an example of what phenomenon?
, A) Multiple jeopardy
B) Gerontophobia
C) Age attribution
D) Implicit ageism
Answer: C
Feedback:
Age attribution is the act of attributing a problem to age rather than to a pathology, as in the colleague's
statement. Multiple jeopardy is the compounding of discrimination based on factors such as race and gender,
while gerontophobia is the fear or hatred of older
people. Implicit ageism is the unrecognized, negative perception of older people.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 4
4.A nurse hears a colleague make the statement, "Most older adults have nothing to worry about financially."
Which of the following responses is most appropriate?
A) "You have to remember that there's a huge economic disparity among older adults."
B) "Actually, the number of older people living below the poverty line has been increasing, not decreasing."
C) "This isn't really true now, but it is true that the gaps that disadvantaged groups live with are expected to
shrink."
D) "This is true for some groups, but not for minorities who are less likely to be living with their relatives."
Answer: A
Feedback:
An important consideration with regard to economic conditions of older adults is the tremendous range in
financial status, which varies significantly according to race, gender, and living arrangements. The number of
adults living below the poverty line, however, has decreased in recent years. The disparities that separate
disadvantaged groups from more economically secure older adults are predicted to persist. Minorities are more
likely, not less likely, to be living with their relatives.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 5
5.A nurse is conducting a study on the needs and living situations of older adults in the community. Which of
the following statements should the nurse take into account?
Nursing for Wellness in Older Adults, 9th Edition.
By Carol A. Miller – Gerontological Nursing Exam Preparation Resource
,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
,Chapter 1- Seeing Older Adults Through the Eyes of Wellness
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.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 3
3.An older adult has recently begun to display unprecedented lapses in short-term memory. The nurse overhears
a colleague reassuring the person by saying, "Try not to worry; it's just a part of growing older." The nurse
recognizes that this is an example of what phenomenon?
, A) Multiple jeopardy
B) Gerontophobia
C) Age attribution
D) Implicit ageism
Answer: C
Feedback:
Age attribution is the act of attributing a problem to age rather than to a pathology, as in the colleague's
statement. Multiple jeopardy is the compounding of discrimination based on factors such as race and gender,
while gerontophobia is the fear or hatred of older
people. Implicit ageism is the unrecognized, negative perception of older people.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 4
4.A nurse hears a colleague make the statement, "Most older adults have nothing to worry about financially."
Which of the following responses is most appropriate?
A) "You have to remember that there's a huge economic disparity among older adults."
B) "Actually, the number of older people living below the poverty line has been increasing, not decreasing."
C) "This isn't really true now, but it is true that the gaps that disadvantaged groups live with are expected to
shrink."
D) "This is true for some groups, but not for minorities who are less likely to be living with their relatives."
Answer: A
Feedback:
An important consideration with regard to economic conditions of older adults is the tremendous range in
financial status, which varies significantly according to race, gender, and living arrangements. The number of
adults living below the poverty line, however, has decreased in recent years. The disparities that separate
disadvantaged groups from more economically secure older adults are predicted to persist. Minorities are more
likely, not less likely, to be living with their relatives.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 5
5.A nurse is conducting a study on the needs and living situations of older adults in the community. Which of
the following statements should the nurse take into account?
