Nursing for Wellness in Older Adults 8th Edition by Carol A. Miller 9781496368287-Test Bank

, Nursing for Wellness in Older Adults 9th Edition Miller Test Bank a a a a a a a a a a




a Chapter 1 Seeing Older Adults Through the Eyes of Wellness
a a a a a a a a a




1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice
a a a a a a a a a a




a was published. The nurse would use these standards to:
a a a a a a a a




a. promote the practice of gerontologic nursing within the acute care setting.a a a a a a a a a a




b. define the concepts and dimensions of gerontologic nursing practice.
a a a a a a a a




c. elevate the practice of gerontologic nursing. a a a a a




d. incorporatesuggested interventions fromothers who practice a a a a




gerontologic nursing.
a a




ANS: D a




The current publishing of the Standards and Scope of Gerontological Nursing
a a a a a a a a a a




a Practice in 2010 incorporates the input of gerontologic nurses from across the
a a a a a a a a a a a




a United States. It was not intended to promote gerontologic nursing practice within
a a a a a a a a a a a




a acute care settings, define concepts or dimensions of gerontologic nursing practice, or
a a a a a a a a a a a




a elevate the practice of gerontologic nursing.
a a a a a




DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-1 TOP:
a a a a a a a a




a N/A MSC: Safe and Effective Care Environment
a a a a a a




2. When attempting to minimize the effect of ageism on the practice of nursing
a a a a a a a a a a a a




a older adults, a nurse needs to first:
a a a a a a




a. recognize that nurses must act as advocates for aging patients. a a a a a a a a a




b. accept that this population represents a substantial portion of those
a a a a a a a a a




requiring nursing care.
a a a




c. self-reflect and formulate ones personal view of aging and the older patient. a a a a a a a a a a a




d. recognize ageism as a form of bigotry shared by many Americans. a a a a a a a a a a




ANS: C a

,Ageism is an ever-increasing prejudicial view of the effects of the aging
a a a a a a a a a a a




a process and of the older population as a whole. With nurses being members
a a a a a a a a a a a a




a of a society holding such views, it is critical that the individual nurse self-
a a a a a a a a a a a a a




reflect on personal feelings and determine whether such feelings will affect the
a a a a a a a a a a a




a nursing care that he or she provides to the aging patient. Acting as an
a a a a a a a a a a a a a




a advocate is an important nursing role in all settings. Simply accepting a fact
a a a a a a a a a a a a




a does not help end ageism, nor does recognizing ageism as a form of bigotry.
a a a a a a a a a a a a a




DIF: Applying (Application) REF: N/A OBJ: 1-9
a a a a a a




TOP: Teaching-Learning MSC: Safe and Effective Care Environment
a a a a a a a




3. When discussing factors that have helped to increase the number of
a a a a a a a a a a




a healthy, independent older Americans, the nurse includes the importance of:
a a a a a a a a a




a. increased availability of in-home care services. a a a a a




b. government support of retired citizens. a a a a




c. effective antibiotic therapies. a a




d. the development of life-extending therapies.
a a a a




ANS: C a




The health and ultimate autonomy of older Americans has been positively
a a a a a a a a a a




a impacted by the development of antibiotics, better sanitation, and vaccines.
a a a a a a a a a




a These public health measures have been more instrumental in increasing the
a a a a a a a a a a




a numbers of healthy, independent older Americans than have in-home care services,
a a a a a a a a a a




a government programs, or life-extending therapies. a a a a




DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
a a a a a a a




TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
a a a a a a a a




4. Based on current data, when presenting an older adults discharge teaching plan,
a a a a a a a a a a a




a the nurse includes the patients:
a a a a




a. nonrelated caretaker. a




b. paid caregiver. a

, c. family member. a




d. intuitional representative. a




ANS: C a




Less than 4% of older adults live in a formal health care environment. The
a a a a a a a a a a a a a




a majority of the geriatric population lives at home or with family members.
a a a a a a a a a a a




DIF: Applying (Application) REF: N/A OBJ: 3-3
a a a a a a




TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
a a a a a a a a a




5. The nurse planning care for an older adult who has recently been diagnosed with
a a a a a a a a a a a a a




a rheumatoid arthritis views the priority criterion for continued independence to be
a a a a a a a a a a




a the patients: a




a. age.
b. financial status. a




c. gender.
d. functional status. a




ANS: D a




Maintaining the functional status of older adults may avert the onset of physical frailty
a a a a a a a a a a a a a




a and cognitive impairment, two conditions that increase the likelihood of
a a a a a a a a a




a institutionalization.

DIF: Remembering (Knowledge) REF: MCS: 8 OBJ:
a a a a a a




a 1-6 TOP: Nursing Process: Planning MSC:
a a a a a




Physiologic Integrity a




6. A nurse working with the older adult population is most likely to assess a need
a a a a a a a a a a a a a a




a for a financial social services referral for a(n):
a a a a a a a




a. white male. a




b. black female. a




c. Hispanic male. a