Ebersole and hess gerontologica nursing and F F F FF F F
healthy aging aging 5 th edition touhy testbank F F F F F F F
A*~man*~is*~terminally*~ill*~with*~end-
stage*~prostate*~cancer.*~Which*~is*~the*~best*~statement*~about*~this*~man's*~wellness?
a. Wellness*~can*~only*~be*~achieved*~with*~aggressive*~medical*~interventions.
b. Wellness*~is*~not*~a*~real*~option*~for*~this*~client*~because*~he*~is*~terminally*~ill.
c. Wellness*~is*~defined*~as*~the*~absence*~of*~disease.
d. Nursing*~interventions*~can*~help*~empower*~a*~client*~to*~achieve*~a*~higher*~level*~of*~wellnes
s
-*~ANS:*~D
Nursing interventions can help empower a client to achieve a higher leve of
FL FL FL FL FL FL FL FL FL FL FL FF L F
wellness; a nurse can foster wellness in his or her clients. Wellness is defined by the
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
individua and is multidimensional. It is not just the absence of disease. A wellness
L FF L FL FL FL FL FL FL FL FL FL FL FL FL F
perspective is based on the belief that every person has an optima leve of health
L FL FL FL FL FL FL FL FL FL FL FL FF L FF L FL F
independent of his or her situation or functiona level. Even in the presence of chronic
L FL FL FL FL FL FL FL FF L FL FL FL FL FL FL F
illness or while dying, a movement toward wellness is possible if emphasis of care is
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
placed on the promotion of well-being in a supportive environment.
L FL FL FL FL FL FL FL FL FL
In differentiating between health and wellness in health care, which of the following
FL FL FL FL FL FL FL FL FL FL FL FL F
Lstatements is true? FL FL
a. Health is a broad term encompassing attitudes and behaviors.
FL FL FL FL FL FL FL FL
b. The concept of illness prevention was never considered by previous generations.
FL FL FL FL FL FL FL FL FL FL
c. Wellness and self-actualization develop through learning and growth.
FL FL FL FL FL FL FL
d. Wellness is impossible when one's health is compromised. - ANS: A
FL FL FL FL FL FL FL FL FL FL
Health is a broad term that encompasses attitudes and behaviors; holistically, health
FL FL FL FL FL FL FL FL FL FL FL F
includes wellness, which involves one's whole being. The concept of illness
L FL FL FL FL FL FL FL FL FL FL F
prevention was never considered by previous generations; throughout history, basic
L FL FL FL FL FL FL FL FL FL F
self-care requirements have been recognized. Wellness and self-actualization
L FL FL FL FL FL FL FL F
develop through learning and growth—as basic needs are met, higher leve needs
L FL FL FL FL FL FL FL FL FL FL FF L F
can be satisfied in turn, with ever-deepening richness to life. Wellness is possible
L FL FL FL FL FL FL FL FL FL FL FL FL F
when one's health is compromised—even with chronic illness, with multiple
L FL FL FL FL FL FL FL FL FL F
disabilities, or in dying, movement toward a higher leve of wellness is possible.
L FL FL FL FL FL FL FL FL FF L FL FL FL
Which racia or ethnic group has the highest life expectancy in the United States?
FL FF L FL FL FL FL FL FL FL FL FL FL FL
a. Native Americans FL
b. African Americans FL
c. Hispanic Americans FL
d. Asian and Pacific Island Americans - ANS: C
FL FL FL FL FL FL FL
As shown in Figure 1.4, Hispanic men and women have the highest life expectancy
FL FL FL FL FL FL FL FL FL FL FL FL FL F
of all. In 2011, for those of Hispanic origin of any race, the overal life expectancy at
L FL FL FL FL FL FL FL FL FL FL FL FL FL FF L FL FL F
65 years of age was 20.7 more years in 2011 (19.1 years for men and 21.8 years
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
for women).
L FL
, Historica influences that have shaped the lives of the majority of the in-between cohort
FF L FL FL FL FL FL FL FL FL FL FL FL FL F
in the United States today include which of the following?
L FL FL FL FL FL FL FL FL FL
a. Influenza epidemic of 1918 FL FL FL
b. World War I FL FL
c. Child rearing in the Depression
FL FL FL FL
d. World War II - ANS: D FL FL FL FL FL
Those who are in the in-between cohort in 2016 were born between 1915 and 1945.
FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
The men were likely to have fought in World War II. The last of the Holocaust
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
survivors are in this group. A person who survived the influenza epidemic would be
L FL FL FL FL FL FL FL FL FL FL FL FL FL F
at least 98 years old in 2016 and therefore would be considered old-old or a
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
centenarian. Most of those who are of the in-between cohort had not reached
L FL FL FL FL FL FL FL FL FL FL FL FL F
childbearing age by the end of the Depression. Individuals in the in-between cohort
L FL FL FL FL FL FL FL FL FL FL FL FL F
would not have been old enough to fight in World War II.
L FL FL FL FL FL FL FL FL FL FL FL
According to researchers, which characteristic do most centenarians share?
FL FL FL FL FL FL FL FL
a. Female
b. Hispanic
c. Living in rura areas FL FL FF L
d. Located in the Midwestern states - ANS: A
FL FL FL FL FL FL FL
Based on the U.S. census report of 2010, centenarians were overwhelmingly white,
FL FL FL FL FL FL FL FL FL FL FL F
female, and living in the urban areas of the Southern states.
L FL FL FL FL FL FL FL FL FL FL
Which nursing intervention is a holistic approach to an older adult?
FL FL FL FL FL FL FL FL FL FL
a. Performs glucose testing during the weekly worship service
FL FL FL FL FL FL FL
b. Wheels ambulatory adults to exercise when running late
FL FL FL FL FL FL FL
c. Assigns female nurses to older women who are Islamic
FL FL FL FL FL FL FL FL
d. Allows older adults in a nursing home to eat meals alone - ANS: C
FL FL FL FL FL FL FL FL FL FL F L FL FL
The nurse uses a holistic approach to the care of an older female adult who is
FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
LIslamic because the woman and her family are more likely to be willing participants
FL FL FL FL FL FL FL FL FL FL FL FL FL F
Lin a therapeutic regimen that respects a tenet of their culture. Interrupting an older
FL FL FL FL FL FL FL FL FL FL FL FL FL F
Ladult's worship with glucose testing can be interpreted as a lack of respect for
FL FL FL FL FL FL FL FL FL FL FL FL FL F
spiritua needs. The nurse can provide for and respect the physica and spiritua
L FF L FL FL FL FL FL FL FL FL FL FF L FL FF
Laspects of the older adult's life by testing for glucose before the service begins. In
FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
Ltransporting ambulatory adults to the exercise program in wheelchairs to save time,
FL FL FL FL FL FL FL FL FL FL FL F
Lthe nurse disregards the need for self-esteem and exercise, both important aspects
FL FL FL FL FL FL FL FL FL FL FL F
Lof physica well-being.
FL FF L
Ambulatory adults can walk with assistance, if needed, to exercise programs and
FL FL FL FL FL FL FL FL FL FL FL F
Lcan benefit from the additiona activity and independence. The nurse can be
FL FL FL FL FF L FL FL FL FL FL FL F
Ltempted to allow an older adult to eat meals alone in his or her room if this wil
FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FF
Lmotivate the person to eat or if the older adult has dysphasia and is embarrassed.
FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
LHowever, although FL
focusing on physica needs, the nurse ignores psychosocia and other aspects of
FL FL FF L FL FL FL FL FF L FL FL FL F
Lhealth and well-being.
FL FL
,An older man who resides in a nursing home has a tota cholestero leve of 245
F L F L F L F L F L F L F L F L F L F L F L FF L FF L FF L F L F
mg/dL. Which nursing intervention is most likely to assist this man in achieving his
L F L F L F L F L F L F L F L F L F L F L F L F L F L F
highest leve of wellness?
L FL FF L FL
a. Instruct him about increasing dietary fiber.
FL FL FL FL FL
b. Ask the health care provider for a low-fat diet.
FL FL FL FL FL FL FL FL
c. Schedule a consultation for him with the dietitian.
FL FL FL FL FL FL FL
d. Review a menu with him to choose suitable foods. - ANS: D
FL FL FL FL FL FL FL FL FL FL FL
The nurse collaborates with the older adult to choose suitable foods, which is likely to
FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
be an effective nursing intervention to help an older adult with hyperlipidemia achieve
L FL FL FL FL FL FL FL FL FL FL FL FL F
optima health and well-being; it gives him some contro over the regimen and thus
L FF L FL FL FL FL FL FL FL FF L FL FL FL FL F
engages him in the process of lowering serum cholesterol. Informing the older man
L FL FL FL FL FL FL FL FL FL FL FL FL F
about dietary fiber offers no contro to him because he is not part of the decision.
L FL FL FL FL FL FF L FL FL FL FL FL FL FL FL FL
Nursing interventions developed with the older adult's collaboration are most likely to
FL FL FL FL FL FL FL FL FL FL FL F
help the older adult achieve health and wellness. Collaborating with the health care
L FL FL FL FL FL FL FL FL FL FL FL FL F
provider for a low-fat diet is a reasonable approach to help this man with
L FL FL FL FL FL FL FL FL FL FL FL FL FL F
hyperlipidemia to achieve health and wellness. However, he is more likely to have
L FL FL FL FL FL FL FL FL FL FL FL FL F
motivation and enthusiasm for a therapeutic regimen over which he has had some
L FL FL FL FL FL FL FL FL FL FL FL FL F
control. Scheduling a consultation with a dietitian is a reasonable approach to an
L FL FL FL FL FL FL FL FL FL FL FL FL F
older adult with hyperlipidemia and is a part of a multifaceted approach to optimizing
L FL FL FL FL FL FL FL FL FL FL FL FL FL F
his health.
L FL
However, the older adult is more likely to engage in a regimen over which he has input.
FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL
Which approach requires the nurse to integrate and balance al aspects of an
FL FL FL FL FL FL FL FL FL FF L FL FL F
individual's life into the plan of care?
L FL FL FL FL FL FL
a. Holistic nursing FL
b. Healthy People 2020 FL FL
c. Maslow's hierarchy of human needs FL FL FL FL
d. Orem's self-care requirements - ANS: A
FL FL FL FL FL
Holistic nursing integrates al aspects of an individual's life into the plan of care by
FL FL FL FF L FL FL FL FL FL FL FL FL FL FL F
balancing an individual's interna and externa environment with psychosocial,
L FL FL FL FF L FL FF L FL FL F
spiritual, cultural, and physica processes. Healthy People 2020, an updated
L FL FL FL FF L FL FL FL FL FL F
document from 2000 that outlines the goals for achieving health in this country, is a
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
mandate for health care professionals to follow with 467 objectives in 28 focus areas.
L FL FL FL FL FL FL FL FL FL FL FL FL FL F
Maslow's hierarchy of human needs provides a basis for understanding individuals in
L FL FL FL FL FL FL FL FL FL FL FL F
context and for ranking nursing assessments, diagnoses, goals, and interventions in
L FL FL FL FL FL FL FL FL FL FL F
order of importance.
L FL FL
Dorothea Orem's self-care requirements lists human needs, including the need for air,
FL FL FL FL FL FL FL FL FL FL FL F
fluids, nutrition, hygiene, elimination, activity, comfort, relief from suffering, and skin
L FL FL FL FL FL FL FL FL FL FL F
integrity. The nurse helps individuals meet these needs to achieve optima health and
L FL FL FL FL FL FL FL FL FL FL FF L FL F
wellness.
L
, The nurse plans activities for older women born between 1920 and 1930 and who
FL FL FL FL FL FL FL FL FL FL FL FL FL F
reside in an assisted-living facility. Which is the best intervention for the nurse to
L FL FL FL FL FL FL FL FL FL FL FL FL FL F
implement?
L
a. Have them bake cookies twice a week.
FL FL FL FL FL FL
b. Conduct interviews for specific interests.
FL FL FL FL
c. Arrange dog and cat visits from volunteers.
FL FL FL FL FL FL
d. Take them to the library for guest speakers. - ANS: B
FL FL FL FL FL FL FL FL FL FL
The nurse conducts individua interviews with the women to determine their interests
FL FL FL FF L FL FL FL FL FL FL FL F
and to avoid generalizing; as people live longer, they become more and more
L FL FL FL FL FL FL FL FL FL FL FL FL F
unique. Because most of these women are in their 80s and 90s were born between
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
1920 and 1930 and have generally spent their lives as homemakers, the nurse
L FL FL FL FL FL FL FL FL FL FL FL FL F
presumes to know what activities they wil enjoy. The nurse avoids arranging group
L FL FL FL FL FL FL FF L FL FL FL FL FL F
activities unti individua interests are determined. In addition, the nurse must assess
L FL FF L FF L FL FL FL FL FL FL FL FL F
for allergies and individua fears of animals before exposing an older adult to a pet
L FL FL FL FF L FL FL FL FL FL FL FL FL FL FL F
visit. Unless it is organized on a voluntary basis, the nurse avoids arranging visits by
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
guest speakers. In addition, the nurse wil assess each older woman before an
L FL FL FL FL FL FL FF L FL FL FL FL FL F
outside visit to avoid embarrassing events, including incontinence and hearing and
L FL FL FL FL FL FL FL FL FL FL F
vision problems.
L FL
Which of the following issues in the care of older adults are identified in Healthy
FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
People 2020?
L FL
a. Delineating nursing staffing levels in long term care FL FL FL FL FL FL FL
b. Eradicating pressure ulcers in al care settings FL FL FL FL FF L FL
c. Identifying minimum levels of training for people who care for older adults
FL FL FL FL FL FL FL FL FL FL FL
d. Instituting mandatory training in identification of elder abuse for al caregivers of
FL FL FL FL FL FL FL FL FL FF L FL F
older adults - ANS: C
L FL FL FL FL
Identifying minimum training levels for people who care for older adults is one of
FL F L FL F L FL F L F L F L FL F L F L F L F L F
Lthe issues identified in Healthy People 2020. The rest of the issues are not
F L F L F L F L F L F L F L F L F L F L F L F L F L F
discussed in Healthy People 2020.
L FL FL FL FL
An older man asks a nurse: "How do you define aging? Do I meet the criteria of a
FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
senior citizen?" The nurse understands that one can define aging in many different
L FL FL FL FL FL FL FL FL FL FL FL FL F
manners. If the nurse chooses to define aging as "socia aging," the nurse would
L FL FL FL FL FL FL FL FL FL FF L FL FL FL F
consider which of the following aspects?
L FL FL FL FL FL
a. The man FL FL retired from his job as a police officer.
FL FL FL FL FL FL FL
b. The man FL FL takes six different medications multiple times over the course of the day.
FL FL FL FL FL FL FL FL FL FL FL
c. The man FL FL walks with a rolling walker. FL FL FL FL
d. The man FL FL celebrated his 65th birthday. - ANS: A FL FL FL FL FL FL
Socia aging is determined by changes in roles. Taking multiple medications multiple
FF L FL FL FL FL FL FL FL FL FL FL F
times over the course of the day and walking with a rolling walker are functiona
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL FF
determinants of aging. Age refers to chronologica aging.
L FL FL FL FL FL FL FF L
healthy aging aging 5 th edition touhy testbank F F F F F F F
A*~man*~is*~terminally*~ill*~with*~end-
stage*~prostate*~cancer.*~Which*~is*~the*~best*~statement*~about*~this*~man's*~wellness?
a. Wellness*~can*~only*~be*~achieved*~with*~aggressive*~medical*~interventions.
b. Wellness*~is*~not*~a*~real*~option*~for*~this*~client*~because*~he*~is*~terminally*~ill.
c. Wellness*~is*~defined*~as*~the*~absence*~of*~disease.
d. Nursing*~interventions*~can*~help*~empower*~a*~client*~to*~achieve*~a*~higher*~level*~of*~wellnes
s
-*~ANS:*~D
Nursing interventions can help empower a client to achieve a higher leve of
FL FL FL FL FL FL FL FL FL FL FL FF L F
wellness; a nurse can foster wellness in his or her clients. Wellness is defined by the
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
individua and is multidimensional. It is not just the absence of disease. A wellness
L FF L FL FL FL FL FL FL FL FL FL FL FL FL F
perspective is based on the belief that every person has an optima leve of health
L FL FL FL FL FL FL FL FL FL FL FL FF L FF L FL F
independent of his or her situation or functiona level. Even in the presence of chronic
L FL FL FL FL FL FL FL FF L FL FL FL FL FL FL F
illness or while dying, a movement toward wellness is possible if emphasis of care is
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
placed on the promotion of well-being in a supportive environment.
L FL FL FL FL FL FL FL FL FL
In differentiating between health and wellness in health care, which of the following
FL FL FL FL FL FL FL FL FL FL FL FL F
Lstatements is true? FL FL
a. Health is a broad term encompassing attitudes and behaviors.
FL FL FL FL FL FL FL FL
b. The concept of illness prevention was never considered by previous generations.
FL FL FL FL FL FL FL FL FL FL
c. Wellness and self-actualization develop through learning and growth.
FL FL FL FL FL FL FL
d. Wellness is impossible when one's health is compromised. - ANS: A
FL FL FL FL FL FL FL FL FL FL
Health is a broad term that encompasses attitudes and behaviors; holistically, health
FL FL FL FL FL FL FL FL FL FL FL F
includes wellness, which involves one's whole being. The concept of illness
L FL FL FL FL FL FL FL FL FL FL F
prevention was never considered by previous generations; throughout history, basic
L FL FL FL FL FL FL FL FL FL F
self-care requirements have been recognized. Wellness and self-actualization
L FL FL FL FL FL FL FL F
develop through learning and growth—as basic needs are met, higher leve needs
L FL FL FL FL FL FL FL FL FL FL FF L F
can be satisfied in turn, with ever-deepening richness to life. Wellness is possible
L FL FL FL FL FL FL FL FL FL FL FL FL F
when one's health is compromised—even with chronic illness, with multiple
L FL FL FL FL FL FL FL FL FL F
disabilities, or in dying, movement toward a higher leve of wellness is possible.
L FL FL FL FL FL FL FL FL FF L FL FL FL
Which racia or ethnic group has the highest life expectancy in the United States?
FL FF L FL FL FL FL FL FL FL FL FL FL FL
a. Native Americans FL
b. African Americans FL
c. Hispanic Americans FL
d. Asian and Pacific Island Americans - ANS: C
FL FL FL FL FL FL FL
As shown in Figure 1.4, Hispanic men and women have the highest life expectancy
FL FL FL FL FL FL FL FL FL FL FL FL FL F
of all. In 2011, for those of Hispanic origin of any race, the overal life expectancy at
L FL FL FL FL FL FL FL FL FL FL FL FL FL FF L FL FL F
65 years of age was 20.7 more years in 2011 (19.1 years for men and 21.8 years
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
for women).
L FL
, Historica influences that have shaped the lives of the majority of the in-between cohort
FF L FL FL FL FL FL FL FL FL FL FL FL FL F
in the United States today include which of the following?
L FL FL FL FL FL FL FL FL FL
a. Influenza epidemic of 1918 FL FL FL
b. World War I FL FL
c. Child rearing in the Depression
FL FL FL FL
d. World War II - ANS: D FL FL FL FL FL
Those who are in the in-between cohort in 2016 were born between 1915 and 1945.
FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
The men were likely to have fought in World War II. The last of the Holocaust
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
survivors are in this group. A person who survived the influenza epidemic would be
L FL FL FL FL FL FL FL FL FL FL FL FL FL F
at least 98 years old in 2016 and therefore would be considered old-old or a
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
centenarian. Most of those who are of the in-between cohort had not reached
L FL FL FL FL FL FL FL FL FL FL FL FL F
childbearing age by the end of the Depression. Individuals in the in-between cohort
L FL FL FL FL FL FL FL FL FL FL FL FL F
would not have been old enough to fight in World War II.
L FL FL FL FL FL FL FL FL FL FL FL
According to researchers, which characteristic do most centenarians share?
FL FL FL FL FL FL FL FL
a. Female
b. Hispanic
c. Living in rura areas FL FL FF L
d. Located in the Midwestern states - ANS: A
FL FL FL FL FL FL FL
Based on the U.S. census report of 2010, centenarians were overwhelmingly white,
FL FL FL FL FL FL FL FL FL FL FL F
female, and living in the urban areas of the Southern states.
L FL FL FL FL FL FL FL FL FL FL
Which nursing intervention is a holistic approach to an older adult?
FL FL FL FL FL FL FL FL FL FL
a. Performs glucose testing during the weekly worship service
FL FL FL FL FL FL FL
b. Wheels ambulatory adults to exercise when running late
FL FL FL FL FL FL FL
c. Assigns female nurses to older women who are Islamic
FL FL FL FL FL FL FL FL
d. Allows older adults in a nursing home to eat meals alone - ANS: C
FL FL FL FL FL FL FL FL FL FL F L FL FL
The nurse uses a holistic approach to the care of an older female adult who is
FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
LIslamic because the woman and her family are more likely to be willing participants
FL FL FL FL FL FL FL FL FL FL FL FL FL F
Lin a therapeutic regimen that respects a tenet of their culture. Interrupting an older
FL FL FL FL FL FL FL FL FL FL FL FL FL F
Ladult's worship with glucose testing can be interpreted as a lack of respect for
FL FL FL FL FL FL FL FL FL FL FL FL FL F
spiritua needs. The nurse can provide for and respect the physica and spiritua
L FF L FL FL FL FL FL FL FL FL FL FF L FL FF
Laspects of the older adult's life by testing for glucose before the service begins. In
FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
Ltransporting ambulatory adults to the exercise program in wheelchairs to save time,
FL FL FL FL FL FL FL FL FL FL FL F
Lthe nurse disregards the need for self-esteem and exercise, both important aspects
FL FL FL FL FL FL FL FL FL FL FL F
Lof physica well-being.
FL FF L
Ambulatory adults can walk with assistance, if needed, to exercise programs and
FL FL FL FL FL FL FL FL FL FL FL F
Lcan benefit from the additiona activity and independence. The nurse can be
FL FL FL FL FF L FL FL FL FL FL FL F
Ltempted to allow an older adult to eat meals alone in his or her room if this wil
FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FF
Lmotivate the person to eat or if the older adult has dysphasia and is embarrassed.
FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
LHowever, although FL
focusing on physica needs, the nurse ignores psychosocia and other aspects of
FL FL FF L FL FL FL FL FF L FL FL FL F
Lhealth and well-being.
FL FL
,An older man who resides in a nursing home has a tota cholestero leve of 245
F L F L F L F L F L F L F L F L F L F L F L FF L FF L FF L F L F
mg/dL. Which nursing intervention is most likely to assist this man in achieving his
L F L F L F L F L F L F L F L F L F L F L F L F L F L F
highest leve of wellness?
L FL FF L FL
a. Instruct him about increasing dietary fiber.
FL FL FL FL FL
b. Ask the health care provider for a low-fat diet.
FL FL FL FL FL FL FL FL
c. Schedule a consultation for him with the dietitian.
FL FL FL FL FL FL FL
d. Review a menu with him to choose suitable foods. - ANS: D
FL FL FL FL FL FL FL FL FL FL FL
The nurse collaborates with the older adult to choose suitable foods, which is likely to
FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
be an effective nursing intervention to help an older adult with hyperlipidemia achieve
L FL FL FL FL FL FL FL FL FL FL FL FL F
optima health and well-being; it gives him some contro over the regimen and thus
L FF L FL FL FL FL FL FL FL FF L FL FL FL FL F
engages him in the process of lowering serum cholesterol. Informing the older man
L FL FL FL FL FL FL FL FL FL FL FL FL F
about dietary fiber offers no contro to him because he is not part of the decision.
L FL FL FL FL FL FF L FL FL FL FL FL FL FL FL FL
Nursing interventions developed with the older adult's collaboration are most likely to
FL FL FL FL FL FL FL FL FL FL FL F
help the older adult achieve health and wellness. Collaborating with the health care
L FL FL FL FL FL FL FL FL FL FL FL FL F
provider for a low-fat diet is a reasonable approach to help this man with
L FL FL FL FL FL FL FL FL FL FL FL FL FL F
hyperlipidemia to achieve health and wellness. However, he is more likely to have
L FL FL FL FL FL FL FL FL FL FL FL FL F
motivation and enthusiasm for a therapeutic regimen over which he has had some
L FL FL FL FL FL FL FL FL FL FL FL FL F
control. Scheduling a consultation with a dietitian is a reasonable approach to an
L FL FL FL FL FL FL FL FL FL FL FL FL F
older adult with hyperlipidemia and is a part of a multifaceted approach to optimizing
L FL FL FL FL FL FL FL FL FL FL FL FL FL F
his health.
L FL
However, the older adult is more likely to engage in a regimen over which he has input.
FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL
Which approach requires the nurse to integrate and balance al aspects of an
FL FL FL FL FL FL FL FL FL FF L FL FL F
individual's life into the plan of care?
L FL FL FL FL FL FL
a. Holistic nursing FL
b. Healthy People 2020 FL FL
c. Maslow's hierarchy of human needs FL FL FL FL
d. Orem's self-care requirements - ANS: A
FL FL FL FL FL
Holistic nursing integrates al aspects of an individual's life into the plan of care by
FL FL FL FF L FL FL FL FL FL FL FL FL FL FL F
balancing an individual's interna and externa environment with psychosocial,
L FL FL FL FF L FL FF L FL FL F
spiritual, cultural, and physica processes. Healthy People 2020, an updated
L FL FL FL FF L FL FL FL FL FL F
document from 2000 that outlines the goals for achieving health in this country, is a
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
mandate for health care professionals to follow with 467 objectives in 28 focus areas.
L FL FL FL FL FL FL FL FL FL FL FL FL FL F
Maslow's hierarchy of human needs provides a basis for understanding individuals in
L FL FL FL FL FL FL FL FL FL FL FL F
context and for ranking nursing assessments, diagnoses, goals, and interventions in
L FL FL FL FL FL FL FL FL FL FL F
order of importance.
L FL FL
Dorothea Orem's self-care requirements lists human needs, including the need for air,
FL FL FL FL FL FL FL FL FL FL FL F
fluids, nutrition, hygiene, elimination, activity, comfort, relief from suffering, and skin
L FL FL FL FL FL FL FL FL FL FL F
integrity. The nurse helps individuals meet these needs to achieve optima health and
L FL FL FL FL FL FL FL FL FL FL FF L FL F
wellness.
L
, The nurse plans activities for older women born between 1920 and 1930 and who
FL FL FL FL FL FL FL FL FL FL FL FL FL F
reside in an assisted-living facility. Which is the best intervention for the nurse to
L FL FL FL FL FL FL FL FL FL FL FL FL FL F
implement?
L
a. Have them bake cookies twice a week.
FL FL FL FL FL FL
b. Conduct interviews for specific interests.
FL FL FL FL
c. Arrange dog and cat visits from volunteers.
FL FL FL FL FL FL
d. Take them to the library for guest speakers. - ANS: B
FL FL FL FL FL FL FL FL FL FL
The nurse conducts individua interviews with the women to determine their interests
FL FL FL FF L FL FL FL FL FL FL FL F
and to avoid generalizing; as people live longer, they become more and more
L FL FL FL FL FL FL FL FL FL FL FL FL F
unique. Because most of these women are in their 80s and 90s were born between
L FL FL FL FL FL FL FL FL FL FL FL FL FL FL F
1920 and 1930 and have generally spent their lives as homemakers, the nurse
L FL FL FL FL FL FL FL FL FL FL FL FL F
presumes to know what activities they wil enjoy. The nurse avoids arranging group
L FL FL FL FL FL FL FF L FL FL FL FL FL F
activities unti individua interests are determined. In addition, the nurse must assess
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for allergies and individua fears of animals before exposing an older adult to a pet
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visit. Unless it is organized on a voluntary basis, the nurse avoids arranging visits by
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guest speakers. In addition, the nurse wil assess each older woman before an
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outside visit to avoid embarrassing events, including incontinence and hearing and
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vision problems.
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Which of the following issues in the care of older adults are identified in Healthy
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People 2020?
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a. Delineating nursing staffing levels in long term care FL FL FL FL FL FL FL
b. Eradicating pressure ulcers in al care settings FL FL FL FL FF L FL
c. Identifying minimum levels of training for people who care for older adults
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d. Instituting mandatory training in identification of elder abuse for al caregivers of
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older adults - ANS: C
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Identifying minimum training levels for people who care for older adults is one of
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Lthe issues identified in Healthy People 2020. The rest of the issues are not
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discussed in Healthy People 2020.
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An older man asks a nurse: "How do you define aging? Do I meet the criteria of a
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senior citizen?" The nurse understands that one can define aging in many different
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manners. If the nurse chooses to define aging as "socia aging," the nurse would
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consider which of the following aspects?
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a. The man FL FL retired from his job as a police officer.
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b. The man FL FL takes six different medications multiple times over the course of the day.
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c. The man FL FL walks with a rolling walker. FL FL FL FL
d. The man FL FL celebrated his 65th birthday. - ANS: A FL FL FL FL FL FL
Socia aging is determined by changes in roles. Taking multiple medications multiple
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times over the course of the day and walking with a rolling walker are functiona
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determinants of aging. Age refers to chronologica aging.
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