, Nursing for Wellness in Older Adults 9th Edition Miller Test Bank Chapte
x% x% x% x% x% x% x% x% x% x% x%
r 1 Seeing Older Adults Through the Eyes of Wellness
x% x% x% x% x% x% x% x% x%
1. In 2010, the revised Standards and Scopeof Gerontological Nursing Practice was published. T
x% x% x% x% x% x% x% x% x% x% vj x% x%
he nurse would use these standards to:
x% x% x% x% x% x%
a. promote the practice of gerontologic nursing within the acute care setting.
x% x% x% x% x% x% x% x% x% x%
b. define the concepts and dimensions of gerontologic nursing practice.
x% x% x% x% x% x% x% x%
c. elevate the practice of gerontologic nursing.
x% x% x% x% x%
d. incorporate suggested interventions from others who practice gerontologic n
x% x% x% x% x% x% x% x%
ursing. x%
ANS: D x%
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 in
x% vj x% x% x% x% x% x% x% x% x% x% x% x%
c orporates the input of gerontologic nurses from across the United States. It was not intended to
x% vj x% x% x% x% x% x% x% x% x% x% x% x% x% vj x%
pro mote gerontologic nursing practice within acute care settings, define concepts or dimension
x% x% x% x% x% x% x% x% x% x% x% x%
s of g erontologic nursing practice, or elevate the practice of gerontologic nursing.
x% x% x% x% x% x% x% x% x% x% x% x%
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1
x% x% x% x% x% x% x%
-
x% 1 TOP: N/A MSC: Safe and Effective Care Environme
x% x% x% x% x% x% x% x%
nt
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a n
vj x% x% x% x% vj x% x% x% x% x% x% vj x% x% x%
u rse needs to first:
x% x% x% x%
a. recognize that nurses must act as advocates for aging patients.
x% x% x% x% x% x% x% x% x%
b. accept that this population represents a substantial portion of those requiring
vj vj x% x% x% x% x% x% x% x% x%
n ursing care. x% x%
c. self-reflect and formulate ones personal view of aging and the older patient.
x% x% x% x% x% x% x% x% vj x% x%
d. recognize ageism as a form of bigotry shared by many Americans.
x% vj x% x% x% x% x% vj x% x%
ANS: C x%
,Ageism is an ever- x% x% x%
increasing prejudicial view of the effects of the aging process and of the older population as a whole
x% x% x% x% x% x% x% x% x% x% vj x% x% x% x% x% x%
. With nurses being members of a society holding such views, it is critical that the individual nurs
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
e self-
x%
reflect on personal feelings and determine whether such feelings will affect the nursing care that h
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
e or she provides to the aging patient. Acting as an advocate is an important nursing role in all s
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% vj x% x% x%
ettin gs. Simply accepting a fact does not help end ageism, nor does recognizing ageism as a form
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x
of big otry.
% x% x%
DIF: Applying (Application) REF: N/A OBJ: 1-9
x% x% x% x% x% x%
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
x% x% x% x% x% x% x%
3. When discussing factors that have helped to increase the number of healthy, independent older
vj vj x% x% x% vj x% x% x% x% x% x% x% x%
A mericans, the nurse includes the importance of:
x% x% x% x% x% x% x%
a. increased availability of in-home care services. x% x% x% x% x%
b. government support of retired citizens. x% x% x% x%
c. effective antibiotic therapies. x% x%
d. the development of life-extending therapies.
x% vj x% x%
ANS: C x%
The health and ultimate autonomy of older Americans has been positively impacted by the devel
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
o pment of antibiotics, better sanitation, and vaccines. These public health measures have been m
x% x% x% x% x% x% x% x% x% x% x% x% x% vj
or e instrumental in increasing the numbers of healthy, independent older Americans than have i
x% x% x% x% x% x% x% x% x% x% x% x% vj x%
n- home care services, government programs, or life-extending therapies.
x% x% x% x% x% x% x% x%
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
x% x% x% x% x% x% x%
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
x% x% x% x% x% x% x% x%
4. Based on current data, when presenting an older adults discharge teaching plan, the nurse in
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
x% cludes the patients: x% x%
a. nonrelated caretaker. vj
b. paid caregiver. x%
, c. family member. x%
d. intuitional representative. x%
ANS: C x%
Less than 4% of older adults live in a formal health care environment. The majority of the geriat
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
ric population lives at home or with family members.
x% x% x% vj x% x% x% x%
DIF: Applying (Application) REF: N/A OBJ: 3-3
x% x% x% x% x% x%
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
x% x% x% x% x% x% x% x% x%
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid a
vj x% x% x% x% x% x% x% x% x% x% vj x% x% vj
r thritis views the priority criterion for continued independence to be the patients:
x% x% x% x% x% x% x% x% x% x% x% x%
a. age.
b. financial status. x%
c. gender.
d. functional status. x%
ANS: D x%
Maintaining the functional status of older adults may avert the onset of physical frailty and co
x% x% x% x% x% x% x% x% vj x% vj x% x% x% x%
g nitive impairment, two conditions that increase the likelihood of institutionalization.
x% x% x% x% x% x% x% x% x% x%
DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-
x% x% x% x% x% x% x%
6 TOP: Nursing Process: Planning MSC: Physiologic Integrity
x% x% vj x% x% x% x%
6. A nurse working with the older adult population is most likely to assess a need for a financial s
x% x% x% x% x% x% x% vj x% vj x% x% vj vj x% x% x% x%
o cial services referral for a(n):
x% x% x% x% x%
a. white male. x%
b. black female. x%
c. Hispanic male. vj
x% x% x% x% x% x% x% x% x% x% x%
r 1 Seeing Older Adults Through the Eyes of Wellness
x% x% x% x% x% x% x% x% x%
1. In 2010, the revised Standards and Scopeof Gerontological Nursing Practice was published. T
x% x% x% x% x% x% x% x% x% x% vj x% x%
he nurse would use these standards to:
x% x% x% x% x% x%
a. promote the practice of gerontologic nursing within the acute care setting.
x% x% x% x% x% x% x% x% x% x%
b. define the concepts and dimensions of gerontologic nursing practice.
x% x% x% x% x% x% x% x%
c. elevate the practice of gerontologic nursing.
x% x% x% x% x%
d. incorporate suggested interventions from others who practice gerontologic n
x% x% x% x% x% x% x% x%
ursing. x%
ANS: D x%
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 in
x% vj x% x% x% x% x% x% x% x% x% x% x% x%
c orporates the input of gerontologic nurses from across the United States. It was not intended to
x% vj x% x% x% x% x% x% x% x% x% x% x% x% x% vj x%
pro mote gerontologic nursing practice within acute care settings, define concepts or dimension
x% x% x% x% x% x% x% x% x% x% x% x%
s of g erontologic nursing practice, or elevate the practice of gerontologic nursing.
x% x% x% x% x% x% x% x% x% x% x% x%
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1
x% x% x% x% x% x% x%
-
x% 1 TOP: N/A MSC: Safe and Effective Care Environme
x% x% x% x% x% x% x% x%
nt
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a n
vj x% x% x% x% vj x% x% x% x% x% x% vj x% x% x%
u rse needs to first:
x% x% x% x%
a. recognize that nurses must act as advocates for aging patients.
x% x% x% x% x% x% x% x% x%
b. accept that this population represents a substantial portion of those requiring
vj vj x% x% x% x% x% x% x% x% x%
n ursing care. x% x%
c. self-reflect and formulate ones personal view of aging and the older patient.
x% x% x% x% x% x% x% x% vj x% x%
d. recognize ageism as a form of bigotry shared by many Americans.
x% vj x% x% x% x% x% vj x% x%
ANS: C x%
,Ageism is an ever- x% x% x%
increasing prejudicial view of the effects of the aging process and of the older population as a whole
x% x% x% x% x% x% x% x% x% x% vj x% x% x% x% x% x%
. With nurses being members of a society holding such views, it is critical that the individual nurs
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
e self-
x%
reflect on personal feelings and determine whether such feelings will affect the nursing care that h
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
e or she provides to the aging patient. Acting as an advocate is an important nursing role in all s
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% vj x% x% x%
ettin gs. Simply accepting a fact does not help end ageism, nor does recognizing ageism as a form
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x
of big otry.
% x% x%
DIF: Applying (Application) REF: N/A OBJ: 1-9
x% x% x% x% x% x%
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
x% x% x% x% x% x% x%
3. When discussing factors that have helped to increase the number of healthy, independent older
vj vj x% x% x% vj x% x% x% x% x% x% x% x%
A mericans, the nurse includes the importance of:
x% x% x% x% x% x% x%
a. increased availability of in-home care services. x% x% x% x% x%
b. government support of retired citizens. x% x% x% x%
c. effective antibiotic therapies. x% x%
d. the development of life-extending therapies.
x% vj x% x%
ANS: C x%
The health and ultimate autonomy of older Americans has been positively impacted by the devel
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
o pment of antibiotics, better sanitation, and vaccines. These public health measures have been m
x% x% x% x% x% x% x% x% x% x% x% x% x% vj
or e instrumental in increasing the numbers of healthy, independent older Americans than have i
x% x% x% x% x% x% x% x% x% x% x% x% vj x%
n- home care services, government programs, or life-extending therapies.
x% x% x% x% x% x% x% x%
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
x% x% x% x% x% x% x%
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
x% x% x% x% x% x% x% x%
4. Based on current data, when presenting an older adults discharge teaching plan, the nurse in
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
x% cludes the patients: x% x%
a. nonrelated caretaker. vj
b. paid caregiver. x%
, c. family member. x%
d. intuitional representative. x%
ANS: C x%
Less than 4% of older adults live in a formal health care environment. The majority of the geriat
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
ric population lives at home or with family members.
x% x% x% vj x% x% x% x%
DIF: Applying (Application) REF: N/A OBJ: 3-3
x% x% x% x% x% x%
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
x% x% x% x% x% x% x% x% x%
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid a
vj x% x% x% x% x% x% x% x% x% x% vj x% x% vj
r thritis views the priority criterion for continued independence to be the patients:
x% x% x% x% x% x% x% x% x% x% x% x%
a. age.
b. financial status. x%
c. gender.
d. functional status. x%
ANS: D x%
Maintaining the functional status of older adults may avert the onset of physical frailty and co
x% x% x% x% x% x% x% x% vj x% vj x% x% x% x%
g nitive impairment, two conditions that increase the likelihood of institutionalization.
x% x% x% x% x% x% x% x% x% x%
DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-
x% x% x% x% x% x% x%
6 TOP: Nursing Process: Planning MSC: Physiologic Integrity
x% x% vj x% x% x% x%
6. A nurse working with the older adult population is most likely to assess a need for a financial s
x% x% x% x% x% x% x% vj x% vj x% x% vj vj x% x% x% x%
o cial services referral for a(n):
x% x% x% x% x%
a. white male. x%
b. black female. x%
c. Hispanic male. vj