TEST BANK - Nursing for Wellness in
Older Adults, 9th Edition by Carol A
Miller
ALL CHAPTERS 1-29| VERIFIED
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES
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pg. 1
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, Chapter 1: Seeing Older Adults Through the Eyes of Wellness
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse
would use these standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic nursing.
CORRECT ANSWER: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the
input of gerontologic nurses from across the United States. It was not intended to promote gerontologic
nursing practice within acute care settings, define concepts or dimensions of gerontologic nursing practice, or
elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-1 TOP: N/A MSC: Safe and Effective Care
Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to
first:
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring nursing care.
c. self-reflect and formulate ones personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
CORRECT ANSWER: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older population as
a whole. With nurses being members of a society holding such views, it is critical that the individual nurse
self-reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she
provides to the aging patient. Acting as an advocate is an important nursing role in all settings. Simply
accepting a fact does not help end ageism, nor does recognizing ageism as a form of bigotry.
DIF: Applying (Application) REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent older Americans,
the nurse includes the importance of:
a. increased availability of in-home care services.
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b. government support of retired citizens.
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pg. 2
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c
, c. effective antibiotic therapies.
d. the development of life-extending therapies.
CORRECT ANSWER: C
The health and ultimate autonomy of older Americans has been positively impacted by the development of
antibiotics, better sanitation, and vaccines. These public health measures have been more instrumental in
increasing the numbers of healthy, independent older Americans than have in-home care services, government
programs, or life-extending therapies.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adults discharge teaching plan, the nurse includes the
patients:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
CORRECT ANSWER: C
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population
lives at home or with family members.
DIF: Applying (Application) REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views
the priority criterion for continued independence to be the patients:
a. age.
b. financial status.
c. gender.
d. functional status.
CORRECT ANSWER: D
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
impairment, two conditions that increase the likelihood of institutionalization.
Ac
DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-6 TOP: Nursing Process: Planning MSC: Physiologic
Integrity
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pg. 3
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c
, 6. A nurse working with the older adult population is most likely to assess a need for a financial social services
referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American female.
CORRECT ANSWER: B
The poverty rate among older black women is substantially higher than that seen among males or females of
other ethnic groups. White males had the least poverty.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
7. Which of the following statements made by a nurse preparing to complete a health assessment and history
on an older patient reflects an understanding of the general health status of this population?
a. Ill need to document well regarding the medications the patient is currently prescribed.
b. I would like to understand how supportive the patients family members are.
c. Most older patients are being treated for a variety of chronic health care issues.
d. It will be interesting to see whether this patient sees herself as being healthy.
CORRECT ANSWER: D
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine
the patients sense of wellness and independence when conducting a health and history assessment. An
assessment of medication use and family support is important for any patient. Many older adults do have
chronic health conditions, but their perception is more important than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a
fractured femur. The family expresses concern about the patients pending transfer to a subacute care facility.
What response by the nurse is best? a. Acute care facilities lack the long-term physical therapy support your
dad requires.
b. Your dad will be much happier in a more serene, private environment.
c. The subacute facility will focus on helping your dad maintain his independence.
Ac
d. Insurance, including Medicare, will cover only a limited amount of time here.
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pg. 4
Do
c
Older Adults, 9th Edition by Carol A
Miller
ALL CHAPTERS 1-29| VERIFIED
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES
Ac
h
pg. 1
Do
c
, Chapter 1: Seeing Older Adults Through the Eyes of Wellness
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse
would use these standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic nursing.
CORRECT ANSWER: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the
input of gerontologic nurses from across the United States. It was not intended to promote gerontologic
nursing practice within acute care settings, define concepts or dimensions of gerontologic nursing practice, or
elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-1 TOP: N/A MSC: Safe and Effective Care
Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to
first:
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring nursing care.
c. self-reflect and formulate ones personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
CORRECT ANSWER: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older population as
a whole. With nurses being members of a society holding such views, it is critical that the individual nurse
self-reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she
provides to the aging patient. Acting as an advocate is an important nursing role in all settings. Simply
accepting a fact does not help end ageism, nor does recognizing ageism as a form of bigotry.
DIF: Applying (Application) REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent older Americans,
the nurse includes the importance of:
a. increased availability of in-home care services.
Ac
b. government support of retired citizens.
h
pg. 2
Do
c
, c. effective antibiotic therapies.
d. the development of life-extending therapies.
CORRECT ANSWER: C
The health and ultimate autonomy of older Americans has been positively impacted by the development of
antibiotics, better sanitation, and vaccines. These public health measures have been more instrumental in
increasing the numbers of healthy, independent older Americans than have in-home care services, government
programs, or life-extending therapies.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adults discharge teaching plan, the nurse includes the
patients:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
CORRECT ANSWER: C
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population
lives at home or with family members.
DIF: Applying (Application) REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views
the priority criterion for continued independence to be the patients:
a. age.
b. financial status.
c. gender.
d. functional status.
CORRECT ANSWER: D
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
impairment, two conditions that increase the likelihood of institutionalization.
Ac
DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-6 TOP: Nursing Process: Planning MSC: Physiologic
Integrity
h
pg. 3
Do
c
, 6. A nurse working with the older adult population is most likely to assess a need for a financial social services
referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American female.
CORRECT ANSWER: B
The poverty rate among older black women is substantially higher than that seen among males or females of
other ethnic groups. White males had the least poverty.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
7. Which of the following statements made by a nurse preparing to complete a health assessment and history
on an older patient reflects an understanding of the general health status of this population?
a. Ill need to document well regarding the medications the patient is currently prescribed.
b. I would like to understand how supportive the patients family members are.
c. Most older patients are being treated for a variety of chronic health care issues.
d. It will be interesting to see whether this patient sees herself as being healthy.
CORRECT ANSWER: D
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine
the patients sense of wellness and independence when conducting a health and history assessment. An
assessment of medication use and family support is important for any patient. Many older adults do have
chronic health conditions, but their perception is more important than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a
fractured femur. The family expresses concern about the patients pending transfer to a subacute care facility.
What response by the nurse is best? a. Acute care facilities lack the long-term physical therapy support your
dad requires.
b. Your dad will be much happier in a more serene, private environment.
c. The subacute facility will focus on helping your dad maintain his independence.
Ac
d. Insurance, including Medicare, will cover only a limited amount of time here.
h
pg. 4
Do
c
