Test Bank For Miller's Nursing for Wellness in Older Adults, Canadian Edition Sandra P. Hirst ||Complete A+ Guide 2024

,1. A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a
r r r r r r r r r r r r r


colleague. Which of the nurse's statements reflects an accurate view of the relationship
r r r r r r r r r r r r r


between aging and wellness?
r r r r


A) “It's important that the individual knows this is an expected part of growing older.”
r r r r r r r r r r r r r


B) “We need to teach the older adult how he can keep living a fruitful life in spite
r r r r r r r r r r r r r r r r


of his diagnosis.”
r r r


C) “We need to make sure our teaching is not too detailed for someone of his age.”
r r r r r r r r r r r r r r r


D) “We need to ensure his expectations of continuing to live alone are realistic.”
r r r r r r r r r r r r




2. A nurse is teaching an older person about the concept of successful aging. Which of the
r r r r r r r r r r r r r r r


nurse's questions addresses an important contributor to successful aging?
r r r r r r r r r


A) “Are you largely free of acute or chronic illnesses?”
r r r r r r r r


B) “Do you feel financially secure?”r r r r


C) “Do you feel like you actively engage with life?”
r r r r r r r r


D) “Do you have a reliable support network?”
r r r r r r




3. An older adult has recently begun to display unprecedented lapses in short-term
r r r r r r r r r r r


memory. The nurse overhears a colleague reassuring the person by saying, “Try not to
r r r r r r r r r r r r r r


worry; it's just a part of growing older.” The nurse recognizes that this is an example of
r r r r r r r r r r r r r r r r r


what phenomenon?
r r


A) Multiple jeopardy r


B) Gerontophobia
C) Age attribution r


D) Implicit ageism r




4. A nurse hears a colleague make the statement, “Most older adults have nothing to worry
r r r r r r r r r r r r r r


about financially.” Which response is most appropriate?
r r r r r r r


A) “You have to remember that there's a huge economic disparity among older
r r r r r r r r r r r


adults.”
r


B) “Actually, the number of older people living below the poverty line has been r r r r r r r r r r r r


increasing, not decreasing.”
r r r


C) “This isn't really true now, but it is true that the gaps that disadvantaged groups live
r r r r r r r r r r r r r r r


with are expected to shrink.”
r r r r r


D) “This is true for some groups, but not for minorities who are less likely to be living
r r r r r r r r r r r r r r r r


with their relatives.”
r r r




Page 1 r

,5. A nurse is conducting a study on the needs and living situations of older adults in the
r r r r r r r r r r r r r r r r


community. Which statement should the nurse take into account?
r r r r r r r r r


A) A majority of older adults will live in a nursing home at some point.
r r r r r r r r r r r r r


B) More older men live alone than do older women.
r r r r r r r r


C) Assisted living arrangements have become increasingly common. r r r r r r


D) Most older adults reside in some form of institutional arrangement.
r r r r r r r r r




6. A nurse who provides care to many older adults recognizes the importance of
r r r r r r r r r r r r


implementing a wellness approach to care. What principle underlies this approach to the
r r r r r r r r r r r r r


health care of older adults?
r r r r r


A) Older adults have decreasing expectations for wellness as they move through the
r r r r r r r r r r r


aging process.
r r


B) Health problems are a Western cultural construct that has no objective, physiologic
r r r r r r r r r r r


basis. r


C) Older adults must come to accept a decline in wellness as they age.
r r r r r r r r r r r r


D) A holistic approach to caring for older adults can foster their well-being at
r r r r r r r r r r r r


every stage of life.
r r r r




7. A diabetes nurse is providing care for a 73-year-old client who is a regular client of the
r r r r r r r r r r r r r r r r


hospital's out-patient diabetes clinic. What assessment question most clearly addresses
r r r r r r r r r r


this client's potential for optimal function?
r r r r r r


A) “What are some goals that you have for maximizing your level of wellness?”
r r r r r r r r r r r r


B) “How can we help you to take ownership of your own health?”
r r r r r r r r r r r


C) “Is there anything that you're doing that might be exacerbating your diabetes?”
r r r r r r r r r r r


D) “How long do you think that you'll be able to live independently?”
r r r r r r r r r r r




8. A nurse cares for an 81-year-old client whose current hospital admission has been
r r r r r r r r r r r r


prompted by an exacerbation of chronic renal failure. Which action by the nurse will
r r r r r r r r r r r r r r


best emphasize the goal of client wellness?
r r r r r r r


A) Ask for the client's code status be changed to “do not resuscitate.”
r r r r r r r r r r r


B) Explore the client's abilities and strengths. r r r r r


C) Show the client others who are more ill. r r r r r r r


D) Teach the client that health problems do not have to affect daily routines.
r r r r r r r r r r r r




9. A nurse administrator is involved in strategic planning for a large long-term care facility
r r r r r r r r r r r r r


that has locations in numerous regions of the country. What trend should the nurse
r r r r r r r r r r r r r r


administrator anticipate?
r r


A) A decrease in the proportion of older adults who are members of minority groups
r r r r r r r r r r r r r


B) A gradual decline in overall life expectancy
r r r r r r


C) Average longevity of men exceeding that of women r r r r r r r


D) Increased use of assisted living facilities by older adults r r r r r r r r




Page 2 r

, 10. A nurse identifies those who are at risk for familial stress. Who exemplifies the
r r r r r r r r r r r r r


sandwich generation?
r r


A) 50-year-old who balances the care of an 82-year-old parent and a 20-year-old r r r r r r r r r r r


child r


B) 58-year-old whose elderly parents have been forced to live in separate care r r r r r r r r r r r


facilities r


C) 72-year-old who deals with own health problems with the care of a grandchild r r r r r r r r r r r r


D) 83-year-old who is the sole caregiver for the 79-year-old spouse r r r r r r r r r




11. A nurse interviews a centenarian, gathering data for a large study. In the interview, the
r r r r r r r r r r r r r r


centenarian defines aging as not growing older, but growing wiser. Which represents the
r r r r r r r r r r r r r


nurse's best response to this definition?
r r r r r r


A) “Aging might make you wiser, but it does lead to eventual death.”
r r r r r r r r r r r


B) “Healthy maturity is characterized by wisdom.” r r r r r


C) “How did you get to live to this old?” r r r r r r r r


D) “I will never make it to be 100 like you.”
r r r r r r r r r




12. A nurse interviews a centenarian, gathering data for a large study. In the interview, the
r r r r r r r r r r r r r r


centenarian says, “You're only as old as you feel, some days I feel like 'I'm 50.'” To
r r r r r r r r r r r r r r r r r


which definition of aging does this response correspond?
r r r r r r r r


A) Chronologic aging r


B) Functional aging r


C) Perceived aging r


D) Subjective aging r




13. An 85-year-old client takes meals on wheels around the community. The client states,
r r r r r r r r r r r r


“All those old people really need me, you know how older people are. They can't get out,
r r r r r r r r r r r r r r r r r


and are a burden to their family, and I just want to help.” Most of the people on the client's
r r r r r r r r r r r r r r r r r r r r


delivery route are in their 60s. Which characterizes this scenario?
r r r r r r r r r r


A) Ageism
B) Aging anxiety r


C) Aging attribution r


D) Antiaging




Page 3 r