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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."
Ans: B
RATIONALE: 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.
2. 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?
A) A majority of older Americans will live in a nursing home at some point.
B) More older men live alone than older women.
C) Assisted living arrangements have become increasingly common.
D) Most older Americans reside in some form of institutional arrangement.
Ans: C
RATIONALE: Assisted living arrangements have become an increasingly
common alternative to nursing homes. The number of Americans living in
nursing homes has recently decreased, not increased, and more older women
live alone than do older men. Ninety percent of older Americans live in an
apartment or house, rather than in an institutional arrangement.
3. 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?"
Ans: C
RATIONALE: 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.
4. 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
Ans: C
RATIONALE: 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.
5. 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."
Ans: A
RATIONALE: 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.
6. A nurse who provides care to many older adults recognizes the importance of
implementing a wellness approach to care. What principle underlies this
approach to the health care of older adults?
A) Older adults have decreasing expectations for wellness as they move through
the aging process.
B) Health problems are a Western cultural construct that has no objective,
physiologic basis.
C) Older adults must come to accept a decline in wellness as they age.
D) A holistic approach to caring for older adults can foster their well-being at
every stage of life.
Ans: D
RATIONALE: An integral part of the wellness approach to the health care of
older adults is a holistic approach to care that considers mind, body, and spirit.
Health problems are an inevitable reality but a decrease in wellness does not
necessarily accompany the aging process.
7. A diabetes nurse is providing care for a 73-year-old client who is a regular
client of the hospital's out-client diabetes clinic. What assessment question most
clearly addresses this client's potential for optimal function?
A) "What are some goals that you have for maximizing your level of wellness?"
B) "How can we help you to take ownership of your own health?"
C) "Is there anything that you're doing that might be exacerbating your
diabetes?"
D) "How long do you think that you'll be able to live independently?"
Ans: A
RATIONALE: Eliciting an older adult's goals for wellness and high functioning
can help promote these outcomes. Questions about a client's living situation,