GERONTOLOGICAL NURSING & HEALTHY AGING 5TH EDITION TOUHY

Which option refers to the highest level of human functioning according to Maslow? a.Biological and physical integrity b.Safety and security c.Self-esteem d.Self-actualization ANS: D RATIONALE According to Maslow, persons whose basic physical needs are met, who feel safe and secure, and who possess self-esteem and self-efficacy can achieve self-actualization, reaching out beyond themselves to make their lives meaningful. Biological and physical integrity is the lowest level in Maslows hierarchy, below safety and security. Safety and security are the second-lowest level, below self-esteem. Self-esteem is the second-highest level, below self-actualization. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this mans wellness? a.Wellness is possible in the management of his medical care. b.Wellness is unfortunately not a real option for this client. c.Wellness is the same thing as faith healing, and if the client would be more receptive, then he could be back at work in a few weeks. d.Nursing interventions can help empower a client to achieve a higher level of wellness. ANS: D RATIONALE Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can foster wellness at all levels of the needs hierarchy. Wellness is possible even if the client assists in the management of his medical care; an individual must work hard to achieve wellness, similar to a job. Wellness is unfortunately not a real option for this client; however, all persons, regardless of age or life-health situations, can be helped to achieve a higher level of wellness. Wellness is the same thing as faith healing, and if the client would be more receptive, then he could be back at work in a few weeks; biomedical approaches and other treatments and techniques are used to achieve realistic improvements in wellness. Skip Ad In differentiating between health and wellness in health care, which of the following statements is true? a.Health is a broad term encompassing attitudes and behaviors. b.The concept of illness prevention was never considered by previous generations. c.Wellness and self-actualization develop through learning and growth. d.Wellness is impossible when ones health is compromised. ANS: A RATIONALE Health is a broad term that encompasses attitudes and behaviors; holistically, health includes wellness, which involves ones whole being. The concept of illness prevention was never considered by previous generations; throughout history, basic self-care requirements have been recognized. Wellness and self-actualization develop through learning and growthas basic needs are met, higher-level needs can be satisfied in turn, with ever-deepening richness to life. Wellness is impossible when ones health is compromised even with chronic illness, with multiple disabilities, or in dying, movement toward a higher level of wellness is possible. Which cultural group is predicted to have the fastest growing older adult population in the United States between the years 2010 and 2050? a.Native Americans b.African Americans c.Hispanic Americans d.Asian/Pacific Island Americans ANS: C RATIONALE As shown in Figure 1-1, the Hispanic older adult population is projected to be the most rapidly increasing population segment between 2010 and 2050. The older adult populations of all other races, combined, do not rise as rapidly as the Hispanic older adult population between the years 2010 and 2050. The African-American older adult population is expected to have the second-fastest rise between 2010 and 2050. The non-Hispanic white older adult population is projected to decrease between 2010 and 2050. Historical influences that have shaped the lives of the majority of the middle-old population in the United States today include which of the following? a.Influenza epidemic of 1918 b.Immigration from communist Europe c.Child rearing in the Depression d.World War II ANS: D RATIONALE Those who are middle-old in 2005 were in their teens and 20s during World War II; in particular, the men were likely to have fought in it. A person who survived the influenza epidemic would be at least 87 years old in 2005 and therefore would be considered old-old or a centenarian. Those who are middle-old in 2005 were born between 1920 and 1930, before communism swept Europe. Most of those who are middle-old in 2005 had not reached childbearing age by the end of the Depression. The nurse prepares for the arrival of older adults evacuated from a hurricane to a shelter for short-term care. Which of the following is the priority nursing intervention? a.Demonstrate that the staff is prepared to meet their needs. b.Use individual medical records to develop a medication plan. c.Help older adults display family photographs and memorabilia. d.Help older adults teach one another a new skill in the shelter. ANS: B RATIONALE The nurse prepares for short-term care by prioritizing the needs of the older adults, and this intervention helps maintain the therapeutic plan, thereby addressing the need for physiological integrity. Furthermore, the nurse maintains continuity of care by preparing a medication schedule to prevent missed doses of medication. Providing safety and security from the storm is Maslows second most basic need. In emergency conditions, the nurse provides basic care relating to safety, security, and physical well-being. Maintaining a sense of belonging is important but not in emergency conditions. A state of emergency is not the time to develop self-esteem; meeting safety, security, and physical needs are more important.