ADULTS 9TH EDITION MILLER’S TEST
BANK
,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 professional 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 CHOICE:- D
Feedback :->>>The current publishing of the Standards and Scope of Gerontological Nursing
Practice in 2010 incorporates the input of gerontologic professional 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
professional nurse needs to first:
a. recognize that professional nurses must act as advocates for aging clients.
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 client.
d. recognize ageism as a form of bigotry shared by many Americans.
CORRECT CHOICE:- C
,Feedback :->>>Ageism is an ever-increasing prejudicial view of the effects of the aging process
and of the olderpopulation as a whole. With professional nurses being members of a society
holding such views, it is critical that the individual professional nurse self-reflect on personal
feelings and determine whether such feelings will affect the nursing care that he or she provides
to the aging client. 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 professional nurse includes the importance of:
a. increased availability of in-home care services
b. government support of retired citizens.
c. effective antibiotic therapies.
d. the development of life-extending therapies.
CORRECT CHOICE:- C
Feedback :->>>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 thanhave 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
professional nurse includes the clients:
a. nonrelated caretaker.
b. paid caregiver.
, c. family member.
d. intuitional representative.
CORRECT CHOICE:- C
Feedback :->>>Less than 4% of older adults live in a formal primary care environment.
The majority of thegeriatric 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 professional nurse planning care for an older adult who has recently been diagnosed
with rheumatoidarthritis views the priority criterion for continued independence to be the
clients:
a. age.
b. financial status.
c. gender.
d. functional status.
CORRECT CHOICE:- 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.
DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-6
TOP: Nursing Process: Planning MSC: Physiologic Integrity
6. A professional nurse working with the older adult population is most likely to assess a need
for a financialsocial services referral for a(n):
a. white male.
b. black female.
c. Hispanic male.