TEST BANK FOR Miller's Nursing for Wellness in Older Adults First Edition by Sandra Hirst ISBN:978-1451193916 COMPLETE GUIDE WITH RATIONALES 100% VERIFIED A+ GRADE ASSURED!!!!!!NEW LATEST UPDATE!!!!!

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1. A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with
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a colleague. Which of the nurse's statements reflects an accurate view of the relat
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ionship between aging and wellness?
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A) “It's important that the individual knows this is an expected part of growing old
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er.”
B) “We need to teach the older adult how he can keep living a fruitful life in
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spite of his diagnosis.”
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C) “We need to make sure our teaching is not too detailed for someone of his age.
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”
D) “We need to ensure his expectations of continuing to live alone are realistic.”
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2. A nurse is teaching an older person about the concept of successful aging. Which
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of the nurse's questions addresses an important contributor to successful aging?
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A) “Are you largely free of acute or chronic illnesses?”
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B) “Do you feel financially secure?”
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C) “Do you feel like you actively engage with life?”
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D) “Do you have a reliable support network?”
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3. An older adult has recently begun to display unprecedented lapses in short-
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term memory. The nurse overhears a colleague reassuring the person by saying, “
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Try not to worry; it's just a part of growing older.” The nurse recognizes that this
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is an example of what phenomenon?
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A) Multiple jeopardy BP


B) Gerontophobia
C) Age attribution BP


D) Implicit ageism BP




4. A nurse hears a colleague make the statement, “Most older adults have nothing to
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worry about financially.” Which response is most appropriate?
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A) “You have to remember that there's a huge economic disparity among o
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lder adults.” BP


B) “Actually, the number of older people living below the poverty line has
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been increasing, not decreasing.”
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C) “This isn't really true now, but it is true that the gaps that disadvantaged group
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s live with are expected to shrink.”
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D) “This is true for some groups, but not for minorities who are less likely to be
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living with their relatives.” BP BP BP




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5. A nurse is conducting a study on the needs and living situations of older adults i
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n the community. Which statement should the nurse take into account?
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A) A majority of older adults will live in a nursing home at some point.
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B) More older men live alone than do older women.
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C) Assisted living arrangements have become increasingly common.
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D) Most older adults reside in some form of institutional arrangement.
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6. A nurse who provides care to many older adults recognizes the importance of impl
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ementing a wellness approach to care. What principle underlies this approach to the
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health care of older adults?
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A) Older adults have decreasing expectations for wellness as they move through
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the aging process.
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B) Health problems are a Western cultural construct that has no objective, physiol
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ogic basis. BP


C) Older adults must come to accept a decline in wellness as they age.
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D) A holistic approach to caring for older adults can foster their well-
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being at every stage of life. BP BP BP BP BP




7. A diabetes nurse is providing care for a 73-year-
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old client who is a regular client of the hospital's out-
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patient diabetes clinic. What assessment question most clearly addresses this client
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's potential for optimal function?
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A) “What are some goals that you have for maximizing your level of wellness?
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”
B) “How can we help you to take ownership of your own health?”
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C) “Is there anything that you're doing that might be exacerbating your diabetes?”
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D) “How long do you think that you'll be able to live independently?”
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8. A nurse cares for an 81-year-
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old client whose current hospital admission has been prompted by an exacerbati
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on of chronic renal failure. Which action by the nurse will best emphasize the g
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oal of client wellness?
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A) Ask for the client's code status be changed to “do not resuscitate.”
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B) Explore the client's abilities and strengths. BP BP BP BP BP


C) Show the client others who are more ill.
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D) Teach the client that health problems do not have to affect daily routines.
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9. A nurse administrator is involved in strategic planning for a large long-
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term care facility that has locations in numerous regions of the country. What trend
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should the nurse administrator anticipate?
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A) A decrease in the proportion of older adults who are members of minority grou
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ps
B) A gradual decline in overall life expectancy
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C) Average longevity of men exceeding that of women BP BP BP BP BP BP BP




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D) Increased use of assisted living facilities by older adults
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