Chaptere01:eIntroductionetoeHealthyeAging
Touhye&eJett:eEbersoleeandeHess’eGerontologicaleNursinge&eHealthyeAging,e5theEdition
MULTIPLEe CHOICE
1. Aemaneiseterminallyeillewitheend-
stageeprostateecancer.eWhicheisetheebestestatementeaboutethiseman’sewellness?
a. Wellnessecaneonlyebeeachievedewitheaggressiveemedical
interventions.
b. Wellnesseisenoteaerealeoptioneforethiseclientebecauseehe
iseterminallyeill.
c. Wellnesseisedefinedeasetheeabsenceeofedisease.
d. Nursingeinterventionsecanehelpeempowereaeclienteto
achieveeaehighereleveleofewellness.
ANS: D
Nursingeinterventionsecanehelpeempowereaeclientetoeachieveeaehighereleveleofewellness;eaenurseecanefosterewellnesseine
hiseorehereclients.eWellnesseisedefinedebyetheeindividualeandeisemultidimensional.eIteisenotejustetheeabsenceeofedisease.
e Aewellnesseperspectiveeisebasedeonetheebeliefethateeveryepersonehaseaneoptimaleleveleofehealtheindependenteofehiseor
e heresituationeorefunctionalelevel.eEveneinetheepresenceeofechroniceillnesseorewhileedying,eaemovementetowardewellne
sse isepossibleeifeemphasiseofecareeiseplacedeonetheepromotioneofewell-beingeineaesupportiveeenvironment.
PTS: 1 DIF: Apply REF: p.e7 TOP:
NursingeProcess:eDiagnosise MSC: HealthePromotioneandeMaintenance
2. Inedifferentiatingebetweenehealtheandewellnesseinehealthecare,ewhicheofetheefollowingestatements
isetrue?
a. Healthe iseaebroadetermeencompassingeattitudeseand
behaviors.
b. Theeconcepteofeillnessepreventione wasenevereconsidered
byepreviousegenerations.
c. Wellnesseandeself-actualizationedevelopethroughelearn-
ingeandegrowth.
d. Wellnesseiseimpossibleewheneone’sehealtheisecompro-
mised.
ANS: A
Healtheiseaebroadetermethateencompasseseattitudeseandebehaviors;eholistically,ehealtheincludesewellness,ewhichein-
evolveseone’sewholeebeing.eTheeconcepteofeillnessepreventionewasenever econsideredebyepreviousegenerations;ethrough
-eoutehistory,ebasiceself-careerequirementsehaveebeenerecognized.eWellnesseandeself-
actualizationedevelopethroughelearningeandegrowth—
asebasiceneedseareemet,ehighereleveleneedsecanebeesatisfiedeineturn,ewitheever-deepeningerich-
enessetoelife.eWellnesseisepossibleewheneone’sehealtheisecompromised—evenewithechroniceillness,ewithemultipleedis-
eabilities,eoreinedying, emovementetowardeaehigher elevel eofewellnesseisepossible.
PTS: 1 DIF: Understand REF: p.e7 TOP:
NursingeProcess:eEvaluatione MSC: HealthePromotioneandeMaintenance
3. WhicheracialeoreethnicegroupehasetheehighestelifeeexpectancyeinetheeUnitedeStates?
a. NativeeAmericans
b. AfricaneAmericans
c. HispaniceAmericans
d. AsianeandePacificeIslandeAmericans
ANS: C
AseshowneineFiguree1.4,eHispanicemeneandewomenehaveetheehighestelifeeexpectancyeofeall.eIne2011,eforethoseeofeHis-
epaniceorigineofeanyerace,etheeoverallelifeeexpectancyeate65eyearseofeageewase20.7emoreeyearseine2011e(19.1eyearsefore
meneande21.8eyearseforewomen).
PTS: 1 DIF: Understand REF: p.e6
,TOP: Nursinge Process:eAssessment MSC: Safe,eEffectiveeCareeEnvironment
4. Historicaleinfluencesethatehaveeshapedetheeliveseofetheemajorityeofetheein-
betweenecohorteinetheeUnitedeStatesetodayeincludeewhicheofetheefollowing?
a. Influenzaeepidemiceofe1918
b. WorldeWareI
c. ChilderearingeinetheeDepression
d. WorldeWareII
ANS: D
Thoseewhoeareeinetheein-
betweenecohorteine2016ewereebornebetweene1915eande1945.eTheemenewereelikelyetoehaveefoughteineWorldeWareII.eThee
lasteofetheeHolocaustesurvivorseareeinethisegroup.eAepersonewhoesurvivedetheeinfluenzaeepidemicewouldebeeateleaste98ey
earseoldeine2016eandethereforeewouldebeeconsideredeold-oldeoreaecentenarian.eMosteofethosee whoe aree ofe thee in-
betweene cohorte hade note reachede childbearinge agee bye thee ende ofe thee Depression.e Individualseinetheein-
betweenecohortewouldenotehaveebeeneoldeenoughetoefighteineWorldeWareII.
PTS: 1 DIF: Understand REF: p.e5
TOP: Nursinge Process:eAssessment MSC: Safe,eEffectiveeCareeEnvironment
5. Accordingetoeresearchers,ewhichecharacteristicedoe mostecentenarianseshare?
a. Female
b. Hispanic
c. Livingeineruraleareas
d. LocatedeinetheeMidwesternestates
ANS: A
BasedeonetheeU.S.ecensusereporteofe2010,ecentenariansewereeoverwhelminglyewhite,efemale,eandelivingeinetheeurbanear
easeofetheeSouthernestates.
PTS: 1 DIF: Remember REF: p.e5
TOP: Nursinge Process:eAssessment MSC: Safe,eEffectiveeCareeEnvironment
6. Whichenursingeinterventioneiseaeholisticeapproachetoeaneoldereadult?
a. Performseglucoseetestingeduringetheeweeklye worship
service
b. Wheelseambulatoryeadultsetoeexerciseewhenerunning
late
c. AssignsefemaleenursesetoeolderewomenewhoeareeIslamic
d. Allowseoldereadultseineaenursingehomeetoeeatemeals
alone
ANS: C
TheenurseeuseseaeholisticeapproachetoetheecareeofeaneolderefemaleeadultewhoeiseIslamicebecauseetheewomaneandeherefa
milyeareemoreelikelyetoebeewillingeparticipantseineaetherapeuticeregimenethaterespectseaeteneteofetheireculture.eInter-
eruptingeaneoldereadult’seworshipewitheglucoseetestingecanebeeinterpretedeaseaelackeoferespecteforespiritualeneeds.eThee
nurseecaneprovideeforeanderespectetheephysicaleandespiritualeaspectseofetheeoldereadult’selifeebyetestingeforeglucoseebef
oreetheeserviceebegins.eInetransportingeambulatoryeadultsetoetheeexerciseeprogrameinewheelchairsetoesaveetime,etheenur
seedisregardsetheeneedeforeself-esteemeandeexercise,ebotheimportanteaspectseofephysicalewell-
being.eAmbulatoryeadultsecanewalkewitheassistance,eifeneeded,etoeexerciseeprogramseandecanebenefitefrometheeadditio
naleactivityeandeindependence.eTheenurseecanebeetemptedetoealloweaneoldereadultetoeeatemealsealoneeinehiseorehereroom
eifethisewillemotivateetheepersonetoeeateoreifetheeoldereadultehasedysphasiaeandeiseembarrassed.eHowever,ealthoughefocu
singeonephysicaleneeds,etheenurseeignoresepsychosocialeandeothereaspectseofehealtheandewell-being.
PTS: 1 DIF: Understand REF: p.e7 TOP:
NursingeProcess:eEvaluatione MSC: HealthePromotioneandeMaintenance
, 7. Aneolderemanewhoeresideseineaenursingehomeehaseaetotalecholesteroleleveleofe245emg/dL.eWhiche
nursingeinterventioneisemostelikelyetoeassistethisemaneineachievingehisehighesteleveleofewellness?
a. Instructehimeabouteincreasingedietaryefiber.
b. Asketheehealthecareeprovidereforeaelow-fatediet.
c. Scheduleeaeconsultationeforehimewithetheedietitian.
d. Revieweaemenuewithehimetoechooseesuitableefoods.
ANS: D
Theenurseecollaboratesewithetheeoldereadultetoechooseesuitableefoods,ewhicheiselikelyetoebeeaneeffectiveenursingeinter-
eventionetoehelpeaneoldereadultewithehyperlipidemiaeachieveeoptimalehealtheandewell-
being;eitegivesehimesomeecontroleoveretheeregimeneandethuseengagesehimeinetheeprocesseofeloweringeserumecholesterol
.eInformingetheeolderemaneaboutedietaryefibereoffersenoecontroletoehimebecauseeheeisenoteparteofetheedecision.eNursinge
interventionsedevelopedewithetheeoldereadult’secollaborationeareemostelikelyetoehelpetheeoldereadulteachieveehealtheand
ewellness.eCollaboratingewithetheehealthe caree providere fore ae low-
fate diete ise ae reasonablee approache toe helpe thise mane withe hyperlipidemiae toe achieveehealtheandewellness.eHowever,eh
eeisemoreelikelyetoehaveemotivationeandeenthusiasmeforeaetherapeuticeregimeneoverewhicheheehasehadesomeecontrol.eS
chedulingeaeconsultationewitheaedietitianeiseaereasonableeapproachetoeaneoldereadultewithehyperlipidemiaeandeiseaeparte
ofeaemultifacetedeapproachetoeoptimizingehisehealth.eHowever,etheeoldereadulteise moreelikelyetoeengageeineaeregimene
overewhicheheehaseinput.
PTS: 1 DIF: Analyze REF: p.e7 TOP:
NursingeProcess:ePlanninge MSC: HealthePromotioneandeMaintenance
8. Whicheapproacherequiresetheenurseetoeintegrateeandebalanceealleaspectseofeaneindividual’selifeeintoe
theeplaneofecare?
a. Holisticenursing
b. Healthye Peoplee 2020
c. Maslow’sehierarchyeofehumaneneeds
d. Orem’seself-careerequirements
ANS: A
Holisticenursingeintegratesealleaspectseofeaneindividual’selifeeintoetheeplaneofecareebyebalancingeaneindividual’seinter-
enaleandeexternaleenvironmentewithepsychosocial,espiritual,ecultural,eandephysicaleprocesses.eHealthyePeoplee2020,ean
eupdatededocumentefrome2000ethateoutlinesetheegoalseforeachievingehealtheinethisecountry,eiseaemandateefor ehealthecar
eeprofessionalsetoefollowewithe467eobjectiveseine28efocuseareas.eMaslow’sehierarchyeofehumaneneedseprovideseaebasis
e foreunderstandingeindividualseinecontext eandeforerankingenursingeassessments,ediagnoses,egoals,eandeinterventions ein
eordereofeimportance.eDorotheaeOrem’seself-
careerequirementselistsehumaneneeds,eincludingetheeneedeforeair,efluids,enutrition,ehygiene,eelimination,eactivity,ecomf
ort,ereliefefromesuffering,eandeskineintegrity.eTheenurseehelpseindividu-
ealsemeetetheseeneedsetoeachieveeoptimalehealtheandewellness.
PTS: 1 DIF: Remember REF: p.e7
TOP: Nursinge Process:eAssessment MSC: Safe,eEffectiveeCareeEnvironment
9. Theenurseeplanseactivitieseforeolderewomenebornebetweene1920eande1930eandewhoeresideeineane
assisted-livingefacility.eWhicheisetheebesteinterventioneforetheenurseetoeimplement?
a. Haveethemebakeecookiesetwiceeaeweek.
b. Conducteinterviewseforespecificeinterests.
c. Arrangeedogeandecatevisitsefromevolunteers.
d. Takeethemetoetheelibraryeforeguestespeakers.
ANS: B
Theenurseeconductseindividualeinterviewsewithetheewomenetoedetermineetheireinterestseandetoeavoidegeneralizing;easep
eopleeliveelonger,etheyebecomeemoreeandemoreeunique.eBecauseemosteofetheseewomeneareeinetheire80seande90sewereeb
ornebetweene1920eande1930eandehaveegenerallyespentetheireliveseasehomemakers,etheenurseepresumesetoeknowewhat
, activitiesetheyewilleenjoy.eTheenurseeavoidsearrangingegroupeactivitieseuntileindividualeinterestseareedetermined.eInead
dition,etheenurseemusteassesseforeallergieseandeindividualefearseofeanimalsebeforeeexposingeaneoldereadultetoeaepetevisit
.eUnlesseiteiseorganizedeoneaevoluntaryebasis,etheenurseeavoidsearrangingevisitsebyeguestespeakers.eIneaddition,etheenurs
eewilleassesseeacheolderewomanebeforeeaneoutsideevisitetoeavoideembarrassingeevents,eincludingeincontinenceeandehear
ingeandevisioneproblems.
PTS: 1 DIF: Analyze REF: p.e5
TOP: NursingeProcess:eImplementation MSC: Safe,eEffectiveeCareeEnvironment
10. WhicheofetheefollowingeissueseinetheecareeofeoldereadultseareeidentifiedeineHealthyePeoplee2020?
a. Delineatingenursingestaffingelevelseinelongetermecare
b. Eradicatingepressureeulcerseineallecareesettings
c. Identifyinge minimumelevelseofetrainingeforepeopleewho
careeforeoldereadults
d. Institutinge mandatoryetrainingeineidentificationeofeelder
abuseeforeallecaregiverseofeoldereadults
ANS: C
IdentifyingeminimumetrainingelevelseforepeopleewhoecareeforeoldereadultseiseoneeofetheeissueseidentifiedeineHealthyePe
oplee2020.eTheeresteofetheeissueseareenotediscussedeineHealthyePeoplee2020.
PTS: 1 DIF: Remember REF: p.e8 TOP:
TeachingeandeLearninge MSC: HealthePromotioneandeMaintenance
11. Aneolderemaneaskseaenurse:e“Howedoeyouedefineeaging?eDoeIemeetetheecriteriaeofeaeseniore citizen
?”eTheenurseeunderstandsethateoneecanedefineeagingeinemanyedifferentemanners.eIfetheenurseechoosesetoedefineeagingea
se“socialeaging,”etheenurseewouldeconsiderewhicheofetheefollowingeaspects?
a. Theemaneretiredefromehisejobeaseaepoliceeofficer.
b. Theemanetakesesixedifferentemedicationsemultipleetimes
overetheecourseeofetheeday.
c. Theemanewalksewitheaerollingewalker.
d. Theemanecelebratedehise65thebirthday.
ANS: A
Socialeagingeisedeterminedebyechangeseineroles.eTakingemultipleemedicationsemultipleetimeseoveretheecourseeofethee
dayeandewalkingewitheaerollingewalkereareefunctionaledeterminantseofeaging.eAgeerefersetoechronologicaleaging.
PTS: 1 DIF: Understand REF: p.e7
TOP: Nursinge Process:eAssessment MSC: HealthePromotioneandeMaintenance
12. Theeholisticehealthemovementehaseimpactedehealthecareeinewhicheofetheefollowinge ways?
a. Itehasefocusedehealthecareeonediseaseeprevention.
b. Itehasereshapedehowehealtheandehealthecareeareeper-
ceived.
c. Itehaseimprovedeaccessetoehealthecare.
d. Itehaseintroducedenumerousealternativee modalitieseinto
healthecare.
ANS: B
Theeholisticeparadigmehasereshapedehowehealtheandehealthecareeareeperceived.eWellnesseiseseeneaseaestateeofebeingewh
ichecanebeedefinedeanywhereealongetheecontinuumeofehealth.
PTS: 1 DIF: Understand REF: p.e7 TOP:
TeachingeandeLearninge MSC: HealthePromotioneandeMaintenance
MULTIPLEe RESPONSE
Touhye&eJett:eEbersoleeandeHess’eGerontologicaleNursinge&eHealthyeAging,e5theEdition
MULTIPLEe CHOICE
1. Aemaneiseterminallyeillewitheend-
stageeprostateecancer.eWhicheisetheebestestatementeaboutethiseman’sewellness?
a. Wellnessecaneonlyebeeachievedewitheaggressiveemedical
interventions.
b. Wellnesseisenoteaerealeoptioneforethiseclientebecauseehe
iseterminallyeill.
c. Wellnesseisedefinedeasetheeabsenceeofedisease.
d. Nursingeinterventionsecanehelpeempowereaeclienteto
achieveeaehighereleveleofewellness.
ANS: D
Nursingeinterventionsecanehelpeempowereaeclientetoeachieveeaehighereleveleofewellness;eaenurseecanefosterewellnesseine
hiseorehereclients.eWellnesseisedefinedebyetheeindividualeandeisemultidimensional.eIteisenotejustetheeabsenceeofedisease.
e Aewellnesseperspectiveeisebasedeonetheebeliefethateeveryepersonehaseaneoptimaleleveleofehealtheindependenteofehiseor
e heresituationeorefunctionalelevel.eEveneinetheepresenceeofechroniceillnesseorewhileedying,eaemovementetowardewellne
sse isepossibleeifeemphasiseofecareeiseplacedeonetheepromotioneofewell-beingeineaesupportiveeenvironment.
PTS: 1 DIF: Apply REF: p.e7 TOP:
NursingeProcess:eDiagnosise MSC: HealthePromotioneandeMaintenance
2. Inedifferentiatingebetweenehealtheandewellnesseinehealthecare,ewhicheofetheefollowingestatements
isetrue?
a. Healthe iseaebroadetermeencompassingeattitudeseand
behaviors.
b. Theeconcepteofeillnessepreventione wasenevereconsidered
byepreviousegenerations.
c. Wellnesseandeself-actualizationedevelopethroughelearn-
ingeandegrowth.
d. Wellnesseiseimpossibleewheneone’sehealtheisecompro-
mised.
ANS: A
Healtheiseaebroadetermethateencompasseseattitudeseandebehaviors;eholistically,ehealtheincludesewellness,ewhichein-
evolveseone’sewholeebeing.eTheeconcepteofeillnessepreventionewasenever econsideredebyepreviousegenerations;ethrough
-eoutehistory,ebasiceself-careerequirementsehaveebeenerecognized.eWellnesseandeself-
actualizationedevelopethroughelearningeandegrowth—
asebasiceneedseareemet,ehighereleveleneedsecanebeesatisfiedeineturn,ewitheever-deepeningerich-
enessetoelife.eWellnesseisepossibleewheneone’sehealtheisecompromised—evenewithechroniceillness,ewithemultipleedis-
eabilities,eoreinedying, emovementetowardeaehigher elevel eofewellnesseisepossible.
PTS: 1 DIF: Understand REF: p.e7 TOP:
NursingeProcess:eEvaluatione MSC: HealthePromotioneandeMaintenance
3. WhicheracialeoreethnicegroupehasetheehighestelifeeexpectancyeinetheeUnitedeStates?
a. NativeeAmericans
b. AfricaneAmericans
c. HispaniceAmericans
d. AsianeandePacificeIslandeAmericans
ANS: C
AseshowneineFiguree1.4,eHispanicemeneandewomenehaveetheehighestelifeeexpectancyeofeall.eIne2011,eforethoseeofeHis-
epaniceorigineofeanyerace,etheeoverallelifeeexpectancyeate65eyearseofeageewase20.7emoreeyearseine2011e(19.1eyearsefore
meneande21.8eyearseforewomen).
PTS: 1 DIF: Understand REF: p.e6
,TOP: Nursinge Process:eAssessment MSC: Safe,eEffectiveeCareeEnvironment
4. Historicaleinfluencesethatehaveeshapedetheeliveseofetheemajorityeofetheein-
betweenecohorteinetheeUnitedeStatesetodayeincludeewhicheofetheefollowing?
a. Influenzaeepidemiceofe1918
b. WorldeWareI
c. ChilderearingeinetheeDepression
d. WorldeWareII
ANS: D
Thoseewhoeareeinetheein-
betweenecohorteine2016ewereebornebetweene1915eande1945.eTheemenewereelikelyetoehaveefoughteineWorldeWareII.eThee
lasteofetheeHolocaustesurvivorseareeinethisegroup.eAepersonewhoesurvivedetheeinfluenzaeepidemicewouldebeeateleaste98ey
earseoldeine2016eandethereforeewouldebeeconsideredeold-oldeoreaecentenarian.eMosteofethosee whoe aree ofe thee in-
betweene cohorte hade note reachede childbearinge agee bye thee ende ofe thee Depression.e Individualseinetheein-
betweenecohortewouldenotehaveebeeneoldeenoughetoefighteineWorldeWareII.
PTS: 1 DIF: Understand REF: p.e5
TOP: Nursinge Process:eAssessment MSC: Safe,eEffectiveeCareeEnvironment
5. Accordingetoeresearchers,ewhichecharacteristicedoe mostecentenarianseshare?
a. Female
b. Hispanic
c. Livingeineruraleareas
d. LocatedeinetheeMidwesternestates
ANS: A
BasedeonetheeU.S.ecensusereporteofe2010,ecentenariansewereeoverwhelminglyewhite,efemale,eandelivingeinetheeurbanear
easeofetheeSouthernestates.
PTS: 1 DIF: Remember REF: p.e5
TOP: Nursinge Process:eAssessment MSC: Safe,eEffectiveeCareeEnvironment
6. Whichenursingeinterventioneiseaeholisticeapproachetoeaneoldereadult?
a. Performseglucoseetestingeduringetheeweeklye worship
service
b. Wheelseambulatoryeadultsetoeexerciseewhenerunning
late
c. AssignsefemaleenursesetoeolderewomenewhoeareeIslamic
d. Allowseoldereadultseineaenursingehomeetoeeatemeals
alone
ANS: C
TheenurseeuseseaeholisticeapproachetoetheecareeofeaneolderefemaleeadultewhoeiseIslamicebecauseetheewomaneandeherefa
milyeareemoreelikelyetoebeewillingeparticipantseineaetherapeuticeregimenethaterespectseaeteneteofetheireculture.eInter-
eruptingeaneoldereadult’seworshipewitheglucoseetestingecanebeeinterpretedeaseaelackeoferespecteforespiritualeneeds.eThee
nurseecaneprovideeforeanderespectetheephysicaleandespiritualeaspectseofetheeoldereadult’selifeebyetestingeforeglucoseebef
oreetheeserviceebegins.eInetransportingeambulatoryeadultsetoetheeexerciseeprogrameinewheelchairsetoesaveetime,etheenur
seedisregardsetheeneedeforeself-esteemeandeexercise,ebotheimportanteaspectseofephysicalewell-
being.eAmbulatoryeadultsecanewalkewitheassistance,eifeneeded,etoeexerciseeprogramseandecanebenefitefrometheeadditio
naleactivityeandeindependence.eTheenurseecanebeetemptedetoealloweaneoldereadultetoeeatemealsealoneeinehiseorehereroom
eifethisewillemotivateetheepersonetoeeateoreifetheeoldereadultehasedysphasiaeandeiseembarrassed.eHowever,ealthoughefocu
singeonephysicaleneeds,etheenurseeignoresepsychosocialeandeothereaspectseofehealtheandewell-being.
PTS: 1 DIF: Understand REF: p.e7 TOP:
NursingeProcess:eEvaluatione MSC: HealthePromotioneandeMaintenance
, 7. Aneolderemanewhoeresideseineaenursingehomeehaseaetotalecholesteroleleveleofe245emg/dL.eWhiche
nursingeinterventioneisemostelikelyetoeassistethisemaneineachievingehisehighesteleveleofewellness?
a. Instructehimeabouteincreasingedietaryefiber.
b. Asketheehealthecareeprovidereforeaelow-fatediet.
c. Scheduleeaeconsultationeforehimewithetheedietitian.
d. Revieweaemenuewithehimetoechooseesuitableefoods.
ANS: D
Theenurseecollaboratesewithetheeoldereadultetoechooseesuitableefoods,ewhicheiselikelyetoebeeaneeffectiveenursingeinter-
eventionetoehelpeaneoldereadultewithehyperlipidemiaeachieveeoptimalehealtheandewell-
being;eitegivesehimesomeecontroleoveretheeregimeneandethuseengagesehimeinetheeprocesseofeloweringeserumecholesterol
.eInformingetheeolderemaneaboutedietaryefibereoffersenoecontroletoehimebecauseeheeisenoteparteofetheedecision.eNursinge
interventionsedevelopedewithetheeoldereadult’secollaborationeareemostelikelyetoehelpetheeoldereadulteachieveehealtheand
ewellness.eCollaboratingewithetheehealthe caree providere fore ae low-
fate diete ise ae reasonablee approache toe helpe thise mane withe hyperlipidemiae toe achieveehealtheandewellness.eHowever,eh
eeisemoreelikelyetoehaveemotivationeandeenthusiasmeforeaetherapeuticeregimeneoverewhicheheehasehadesomeecontrol.eS
chedulingeaeconsultationewitheaedietitianeiseaereasonableeapproachetoeaneoldereadultewithehyperlipidemiaeandeiseaeparte
ofeaemultifacetedeapproachetoeoptimizingehisehealth.eHowever,etheeoldereadulteise moreelikelyetoeengageeineaeregimene
overewhicheheehaseinput.
PTS: 1 DIF: Analyze REF: p.e7 TOP:
NursingeProcess:ePlanninge MSC: HealthePromotioneandeMaintenance
8. Whicheapproacherequiresetheenurseetoeintegrateeandebalanceealleaspectseofeaneindividual’selifeeintoe
theeplaneofecare?
a. Holisticenursing
b. Healthye Peoplee 2020
c. Maslow’sehierarchyeofehumaneneeds
d. Orem’seself-careerequirements
ANS: A
Holisticenursingeintegratesealleaspectseofeaneindividual’selifeeintoetheeplaneofecareebyebalancingeaneindividual’seinter-
enaleandeexternaleenvironmentewithepsychosocial,espiritual,ecultural,eandephysicaleprocesses.eHealthyePeoplee2020,ean
eupdatededocumentefrome2000ethateoutlinesetheegoalseforeachievingehealtheinethisecountry,eiseaemandateefor ehealthecar
eeprofessionalsetoefollowewithe467eobjectiveseine28efocuseareas.eMaslow’sehierarchyeofehumaneneedseprovideseaebasis
e foreunderstandingeindividualseinecontext eandeforerankingenursingeassessments,ediagnoses,egoals,eandeinterventions ein
eordereofeimportance.eDorotheaeOrem’seself-
careerequirementselistsehumaneneeds,eincludingetheeneedeforeair,efluids,enutrition,ehygiene,eelimination,eactivity,ecomf
ort,ereliefefromesuffering,eandeskineintegrity.eTheenurseehelpseindividu-
ealsemeetetheseeneedsetoeachieveeoptimalehealtheandewellness.
PTS: 1 DIF: Remember REF: p.e7
TOP: Nursinge Process:eAssessment MSC: Safe,eEffectiveeCareeEnvironment
9. Theenurseeplanseactivitieseforeolderewomenebornebetweene1920eande1930eandewhoeresideeineane
assisted-livingefacility.eWhicheisetheebesteinterventioneforetheenurseetoeimplement?
a. Haveethemebakeecookiesetwiceeaeweek.
b. Conducteinterviewseforespecificeinterests.
c. Arrangeedogeandecatevisitsefromevolunteers.
d. Takeethemetoetheelibraryeforeguestespeakers.
ANS: B
Theenurseeconductseindividualeinterviewsewithetheewomenetoedetermineetheireinterestseandetoeavoidegeneralizing;easep
eopleeliveelonger,etheyebecomeemoreeandemoreeunique.eBecauseemosteofetheseewomeneareeinetheire80seande90sewereeb
ornebetweene1920eande1930eandehaveegenerallyespentetheireliveseasehomemakers,etheenurseepresumesetoeknowewhat
, activitiesetheyewilleenjoy.eTheenurseeavoidsearrangingegroupeactivitieseuntileindividualeinterestseareedetermined.eInead
dition,etheenurseemusteassesseforeallergieseandeindividualefearseofeanimalsebeforeeexposingeaneoldereadultetoeaepetevisit
.eUnlesseiteiseorganizedeoneaevoluntaryebasis,etheenurseeavoidsearrangingevisitsebyeguestespeakers.eIneaddition,etheenurs
eewilleassesseeacheolderewomanebeforeeaneoutsideevisitetoeavoideembarrassingeevents,eincludingeincontinenceeandehear
ingeandevisioneproblems.
PTS: 1 DIF: Analyze REF: p.e5
TOP: NursingeProcess:eImplementation MSC: Safe,eEffectiveeCareeEnvironment
10. WhicheofetheefollowingeissueseinetheecareeofeoldereadultseareeidentifiedeineHealthyePeoplee2020?
a. Delineatingenursingestaffingelevelseinelongetermecare
b. Eradicatingepressureeulcerseineallecareesettings
c. Identifyinge minimumelevelseofetrainingeforepeopleewho
careeforeoldereadults
d. Institutinge mandatoryetrainingeineidentificationeofeelder
abuseeforeallecaregiverseofeoldereadults
ANS: C
IdentifyingeminimumetrainingelevelseforepeopleewhoecareeforeoldereadultseiseoneeofetheeissueseidentifiedeineHealthyePe
oplee2020.eTheeresteofetheeissueseareenotediscussedeineHealthyePeoplee2020.
PTS: 1 DIF: Remember REF: p.e8 TOP:
TeachingeandeLearninge MSC: HealthePromotioneandeMaintenance
11. Aneolderemaneaskseaenurse:e“Howedoeyouedefineeaging?eDoeIemeetetheecriteriaeofeaeseniore citizen
?”eTheenurseeunderstandsethateoneecanedefineeagingeinemanyedifferentemanners.eIfetheenurseechoosesetoedefineeagingea
se“socialeaging,”etheenurseewouldeconsiderewhicheofetheefollowingeaspects?
a. Theemaneretiredefromehisejobeaseaepoliceeofficer.
b. Theemanetakesesixedifferentemedicationsemultipleetimes
overetheecourseeofetheeday.
c. Theemanewalksewitheaerollingewalker.
d. Theemanecelebratedehise65thebirthday.
ANS: A
Socialeagingeisedeterminedebyechangeseineroles.eTakingemultipleemedicationsemultipleetimeseoveretheecourseeofethee
dayeandewalkingewitheaerollingewalkereareefunctionaledeterminantseofeaging.eAgeerefersetoechronologicaleaging.
PTS: 1 DIF: Understand REF: p.e7
TOP: Nursinge Process:eAssessment MSC: HealthePromotioneandeMaintenance
12. Theeholisticehealthemovementehaseimpactedehealthecareeinewhicheofetheefollowinge ways?
a. Itehasefocusedehealthecareeonediseaseeprevention.
b. Itehasereshapedehowehealtheandehealthecareeareeper-
ceived.
c. Itehaseimprovedeaccessetoehealthecare.
d. Itehaseintroducedenumerousealternativee modalitieseinto
healthecare.
ANS: B
Theeholisticeparadigmehasereshapedehowehealtheandehealthecareeareeperceived.eWellnesseiseseeneaseaestateeofebeingewh
ichecanebeedefinedeanywhereealongetheecontinuumeofehealth.
PTS: 1 DIF: Understand REF: p.e7 TOP:
TeachingeandeLearninge MSC: HealthePromotioneandeMaintenance
MULTIPLEe RESPONSE
