Nursing for Wellness in Older Adults Miller 8th Edition Test Bank
ISBN-10:1496368282
ISBN-13:9781496368287
Table of Contents
Chapter 1: Seeing Older Adults Through the Eyes of Wellness
Chapter 2: Applying a Nursing Model for Promoting Wellness in Older Adults
Chapter 3: Theoretical Perspectives on Aging Well
Chapter 4: Perspectives on Culture and Diversity of Older Adults
Chapter 5: Gerontological Nursing and Health Promotion
Chapter 6: Diverse Health Care Settings for Older Adults
Chapter 7: Assessment of Health and Functioning
Chapter 8: Medications and Other Bioactive Substances
Chapter 9: Legal and Ethical Concerns
Chapter 10: Elder Abuse and Neglect
Chapter 11: Cognitive Function
Chapter 12: Psychosocial Function
Chapter 13: Psychosocial Assessment
Chapter 14: Impaired Cognitive Function: Delirium and Dementia
,Chapter 15: Impaired Affective Function: Depression Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 1
1.A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a
colleague. Which of the nurse's statements reflects an accurate view of the relationship
Chapter 16: Hearing
between aging and wellness?
A) "It's important that the individual knows this is an expected part of growing older."
Chapter 17: Vision B) "We need to teach the older adult how he can keep living a fruitful life in spite of
his diagnosis."
C) "We need to make sure our teaching is not too detailed for someone of his age."
Chapter 18: Digestion and Nutrition D) "We need to ensure his expectations of continuing to live alone are realistic."
Ans: B
Chapter 19: Urinary Function Feedback:
Answer B reflects a desire to foster a fulfilling and productive life for the older adult
despite his diagnosis, and reflects an understanding of wellness and aging. Option A
Chapter 20: Cardiovascular Function implies that illness is an inevitability of aging. Option C suggests that older adults have a
limited capacity to learn by virtue of their age, and option D implies pessimism about the
health and functioning of the older adult.
Chapter 21: Respiratory Function
Chapter 22: Mobility and Safety Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 2
2.A nurse is teaching an older person about the concept of successful aging. Which of the
nurse's questions addresses an important contributor to successful aging?
Chapter 23: Integument A) "Are you largely free of acute or chronic illnesses?"
B) "Do you feel financially secure?"
Chapter 24: Sleep and Rest C) "Do you feel like you actively engage with life?"
D) "Do you have a reliable support network?"
Ans: C
Chapter 25: Thermoregulation Feedback:
Research has indicated that an active engagement with life is central to successful and
Chapter 26: Sexual Function healthy aging. Absence of illness, financial security, and the nature of a person's support
network are not identified components of successful aging.
Chapter 27: Caring for Older Adults During Illness
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 3
3.An older adult has recently begun to display unprecedented lapses in short-term memory.
Chapter 28: Caring for Older Adults Experiencing Pain
The nurse overhears a colleague reassuring the person by saying, "Try not to worry; it's
just a part of growing older." The nurse recognizes that this is an example of what
Chapter 29: Caring for Older Adults at the End of Life phenomenon?
A) Multiple jeopardy
B) Gerontophobia
C) Age attribution
D) Implicit ageism
Ans: C
Feedback:
Age attribution is the act of attributing a problem to age rather than to a pathology, as in
the colleague's statement. Multiple jeopardy is the compounding of discrimination based
on factors such as race and gender, while gerontophobia is the fear or hatred of older
, people. Implicit ageism is the unrecognized, negative perception of older people. C) Older adults must come to accept a decline in wellness as they age.
D) A holistic approach to caring for older adults can foster their well-being at every
stage of life.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 4 Ans: D
4.A nurse hears a colleague make the statement, "Most older adults have nothing to worry Feedback:
about financially." Which of the following responses is most appropriate? An integral part of the wellness approach to the health care of older adults is a holistic
A) "You have to remember that there's a huge economic disparity among older adults." approach to care that considers mind, body, and spirit. Health problems are an inevitable
B) "Actually, the number of older people living below the poverty line has been reality but a decrease in wellness does not necessarily accompany the aging process.
increasing, not decreasing."
C) "This isn't really true now, but it is true that the gaps that disadvantaged groups live
with are expected to shrink." Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 7
D) "This is true for some groups, but not for minorities who are less likely to be living 7.A diabetes nurse is providing care for a 73-year-old client who is a regular client of the
with their relatives." hospital's out-client diabetes clinic. What assessment question most clearly addresses this
Ans: A client's potential for optimal function?
Feedback: A) "What are some goals that you have for maximizing your level of wellness?"
An important consideration with regard to economic conditions of older adults is the B) "How can we help you to take ownership of your own health?"
tremendous range in financial status, which varies significantly according to race, gender, C) "Is there anything that you're doing that might be exacerbating your diabetes?"
and living arrangements. The number of adults living below the poverty line, however, D) "How long do you think that you'll be able to live independently?"
has decreased in recent years. The disparities that separate disadvantaged groups from Ans: A
more economically secure older adults are predicted to persist. Minorities are more likely, Feedback:
not less likely, to be living with their relatives. Eliciting an older adult's goals for wellness and high functioning can help promote these
outcomes. Questions about a client's living situation, disease management, and personal
responsibility may or may not promote wellness.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 5
5.A nurse is conducting a study on the needs and living situations of older adults in the
community. Which of the following statements should the nurse take into account? Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 8
A) A majority of older Americans will live in a nursing home at some point. 8.A nurse cares for an 81-year-old client whose current hospital admission has been
B) More older men live alone than older women. prompted by an exacerbation of chronic renal failure. Which of the following actions by
C) Assisted living arrangements have become increasingly common. the nurse will best emphasize the goal of client wellness?
D) Most older Americans reside in some form of institutional arrangement. A) Ask for the client's code status be changed to "do not resuscitate."
Ans: C B) Explore the client's abilities and strengths.
Feedback: C) Show the client others who are more ill.
Assisted living arrangements have become an increasingly common alternative to nursing D) Teach the client that health problems do not have to affect daily routines.
homes. The number of Americans living in nursing homes has recently decreased, not Ans: B
increased, and more older women live alone than do older men. Ninety percent of older Feedback:
Americans live in an apartment or house, rather than in an institutional arrangement. A focus on existing strengths and abilities can foster wellness in older adults, even when
they are experiencing health challenges. It is inappropriate to actively compare clients
with each other, and changing Mr. Say's code status is unlikely to promote wellness, even
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 6 if this is necessary. It is inaccurate to claim that health problems do not affect daily
6.A nurse who provides care to many older adults recognizes the importance of routines.
implementing a wellness approach to care. What principle underlies this approach to the
health care of older adults?
A) Older adults have decreasing expectations for wellness as they move through the Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 9
aging process. 9.A nurse administrator is involved in strategic planning for a large long-term care facility
B) Health problems are a Western cultural construct that has no objective, physiologic that has locations in numerous regions of the country. What trend should the nurse
basis. administrator anticipate?
, A) A decrease in the proportion of older adults who are members of minority groups B) Functional aging
B) A gradual decline in overall life expectancy C) Perceived aging
C) Average longevity of men exceeding that of women D) Subjective aging
D) Increased use of assisted living facilities by older adults Ans: D
Ans: D Feedback:
Feedback: Subjective age describes a person's perception of his or her age. While perceived age is
Assisted living facilities have become a more common option for older adults; this trend other people's estimation of someone's age. Chronologic age is the length of time that has
is expected to continue. Life expectancy is continuing to increase, with women usually passed since birth, and functional age is associated with whether individuals can
outliving men. An increasing proportion of the older adult population will be members of contribute to society and experience personal quality of life.
minority groups.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 13
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 10 13. An 85-year-old client takes meals on wheels around the community. The client states,
10.A nurse identifies those who are at risk for familial stress. Which of the following persons "All those old people really need me, you know how older people are. They can't get out,
exemplifies the sandwich generation? and are a burden to their family, and I just want to help." Most of the people on the
A) A 50-year-old who balances the care of an 82-year-old parent and a 20-year-old client's delivery route are in their 60s. Which of the following characterizes this scenario?
child A) Ageism
B) A 58-year-old whose elderly parents have been forced to live in separate care B) Aging anxiety
facilities C) Aging attribution
C) A 72-year-old who deals with own health problems with the care of a grandchild D) Antiaging
D) An 83-year-old who is the sole caregiver for the 79-year-old spouse Ans: A
Ans: A Feedback:
Feedback: Ageism is a way of pigeonholing people and not allowing them to be individuals with
The increasing numbers of middle-aged adults who simultaneously juggle the demands of unique ways of living their lives. Older adults between the ages 81 and 98 held more
caring for older and younger generations are referred to as the sandwich generation. ageist stereotypes and reported more avoidance of older adults than younger older adults.
The antiaging movement views aging as a process that can be stopped and the life span as
something that can be extended for up to 200 years. Aging anxiety is fears about
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 11 detrimental effects associated with older adulthood. Age attribution is the tendency to
11.A nurse interviews a centenarian gathering data for a large study. In the interview, the attribute problems to the aging process rather than to pathologic and potentially treatable
centenarian defines aging as not growing older, but growing wiser. Which of the conditions.
following is the best response to this definition by the nurse?
A) "Aging might make you wiser, but it does lead to eventual death."
B) "Healthy maturity is characterized by wisdom." Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 14
C) "How did you get to live to this old?" 14. Which of the following statements, made by a new nurse, are myths and need correcting?
D) "I will never make it to be 100 like you." (Select all that apply.)
Ans: B A) "Ageism is highly influenced by stereotypes and cultural values."
Feedback: B) "Ageism is more common in industrialized societies."
Healthy maturity is characterized not only by physical decline but also by wisdom. The C) "In the United States, 20% of the older adults who need care are in a nursing
other responses are not therapeutic. home."
D) "People consider themselves old when they are old enough to apply for Medicare."
E) "With increased age, people become more diverse and people become less like their
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 12 age peers."
12.A nurse interviews a centenarian gathering data for a large study. In the interview, the Ans: C, D
centenarian says, "You're only as old as you feel, some days I feel like 'I'm 50.'" To which Feedback:
definition of aging does this response correspond? The realities are that between 4% and 5% of older adults live in a nursing home at any
A) Chronologic aging time. Most older adults live independently, have high levels of self-reported health, and
ISBN-10:1496368282
ISBN-13:9781496368287
Table of Contents
Chapter 1: Seeing Older Adults Through the Eyes of Wellness
Chapter 2: Applying a Nursing Model for Promoting Wellness in Older Adults
Chapter 3: Theoretical Perspectives on Aging Well
Chapter 4: Perspectives on Culture and Diversity of Older Adults
Chapter 5: Gerontological Nursing and Health Promotion
Chapter 6: Diverse Health Care Settings for Older Adults
Chapter 7: Assessment of Health and Functioning
Chapter 8: Medications and Other Bioactive Substances
Chapter 9: Legal and Ethical Concerns
Chapter 10: Elder Abuse and Neglect
Chapter 11: Cognitive Function
Chapter 12: Psychosocial Function
Chapter 13: Psychosocial Assessment
Chapter 14: Impaired Cognitive Function: Delirium and Dementia
,Chapter 15: Impaired Affective Function: Depression Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 1
1.A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a
colleague. Which of the nurse's statements reflects an accurate view of the relationship
Chapter 16: Hearing
between aging and wellness?
A) "It's important that the individual knows this is an expected part of growing older."
Chapter 17: Vision B) "We need to teach the older adult how he can keep living a fruitful life in spite of
his diagnosis."
C) "We need to make sure our teaching is not too detailed for someone of his age."
Chapter 18: Digestion and Nutrition D) "We need to ensure his expectations of continuing to live alone are realistic."
Ans: B
Chapter 19: Urinary Function Feedback:
Answer B reflects a desire to foster a fulfilling and productive life for the older adult
despite his diagnosis, and reflects an understanding of wellness and aging. Option A
Chapter 20: Cardiovascular Function implies that illness is an inevitability of aging. Option C suggests that older adults have a
limited capacity to learn by virtue of their age, and option D implies pessimism about the
health and functioning of the older adult.
Chapter 21: Respiratory Function
Chapter 22: Mobility and Safety Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 2
2.A nurse is teaching an older person about the concept of successful aging. Which of the
nurse's questions addresses an important contributor to successful aging?
Chapter 23: Integument A) "Are you largely free of acute or chronic illnesses?"
B) "Do you feel financially secure?"
Chapter 24: Sleep and Rest C) "Do you feel like you actively engage with life?"
D) "Do you have a reliable support network?"
Ans: C
Chapter 25: Thermoregulation Feedback:
Research has indicated that an active engagement with life is central to successful and
Chapter 26: Sexual Function healthy aging. Absence of illness, financial security, and the nature of a person's support
network are not identified components of successful aging.
Chapter 27: Caring for Older Adults During Illness
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 3
3.An older adult has recently begun to display unprecedented lapses in short-term memory.
Chapter 28: Caring for Older Adults Experiencing Pain
The nurse overhears a colleague reassuring the person by saying, "Try not to worry; it's
just a part of growing older." The nurse recognizes that this is an example of what
Chapter 29: Caring for Older Adults at the End of Life phenomenon?
A) Multiple jeopardy
B) Gerontophobia
C) Age attribution
D) Implicit ageism
Ans: C
Feedback:
Age attribution is the act of attributing a problem to age rather than to a pathology, as in
the colleague's statement. Multiple jeopardy is the compounding of discrimination based
on factors such as race and gender, while gerontophobia is the fear or hatred of older
, people. Implicit ageism is the unrecognized, negative perception of older people. C) Older adults must come to accept a decline in wellness as they age.
D) A holistic approach to caring for older adults can foster their well-being at every
stage of life.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 4 Ans: D
4.A nurse hears a colleague make the statement, "Most older adults have nothing to worry Feedback:
about financially." Which of the following responses is most appropriate? An integral part of the wellness approach to the health care of older adults is a holistic
A) "You have to remember that there's a huge economic disparity among older adults." approach to care that considers mind, body, and spirit. Health problems are an inevitable
B) "Actually, the number of older people living below the poverty line has been reality but a decrease in wellness does not necessarily accompany the aging process.
increasing, not decreasing."
C) "This isn't really true now, but it is true that the gaps that disadvantaged groups live
with are expected to shrink." Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 7
D) "This is true for some groups, but not for minorities who are less likely to be living 7.A diabetes nurse is providing care for a 73-year-old client who is a regular client of the
with their relatives." hospital's out-client diabetes clinic. What assessment question most clearly addresses this
Ans: A client's potential for optimal function?
Feedback: A) "What are some goals that you have for maximizing your level of wellness?"
An important consideration with regard to economic conditions of older adults is the B) "How can we help you to take ownership of your own health?"
tremendous range in financial status, which varies significantly according to race, gender, C) "Is there anything that you're doing that might be exacerbating your diabetes?"
and living arrangements. The number of adults living below the poverty line, however, D) "How long do you think that you'll be able to live independently?"
has decreased in recent years. The disparities that separate disadvantaged groups from Ans: A
more economically secure older adults are predicted to persist. Minorities are more likely, Feedback:
not less likely, to be living with their relatives. Eliciting an older adult's goals for wellness and high functioning can help promote these
outcomes. Questions about a client's living situation, disease management, and personal
responsibility may or may not promote wellness.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 5
5.A nurse is conducting a study on the needs and living situations of older adults in the
community. Which of the following statements should the nurse take into account? Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 8
A) A majority of older Americans will live in a nursing home at some point. 8.A nurse cares for an 81-year-old client whose current hospital admission has been
B) More older men live alone than older women. prompted by an exacerbation of chronic renal failure. Which of the following actions by
C) Assisted living arrangements have become increasingly common. the nurse will best emphasize the goal of client wellness?
D) Most older Americans reside in some form of institutional arrangement. A) Ask for the client's code status be changed to "do not resuscitate."
Ans: C B) Explore the client's abilities and strengths.
Feedback: C) Show the client others who are more ill.
Assisted living arrangements have become an increasingly common alternative to nursing D) Teach the client that health problems do not have to affect daily routines.
homes. The number of Americans living in nursing homes has recently decreased, not Ans: B
increased, and more older women live alone than do older men. Ninety percent of older Feedback:
Americans live in an apartment or house, rather than in an institutional arrangement. A focus on existing strengths and abilities can foster wellness in older adults, even when
they are experiencing health challenges. It is inappropriate to actively compare clients
with each other, and changing Mr. Say's code status is unlikely to promote wellness, even
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 6 if this is necessary. It is inaccurate to claim that health problems do not affect daily
6.A nurse who provides care to many older adults recognizes the importance of routines.
implementing a wellness approach to care. What principle underlies this approach to the
health care of older adults?
A) Older adults have decreasing expectations for wellness as they move through the Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 9
aging process. 9.A nurse administrator is involved in strategic planning for a large long-term care facility
B) Health problems are a Western cultural construct that has no objective, physiologic that has locations in numerous regions of the country. What trend should the nurse
basis. administrator anticipate?
, A) A decrease in the proportion of older adults who are members of minority groups B) Functional aging
B) A gradual decline in overall life expectancy C) Perceived aging
C) Average longevity of men exceeding that of women D) Subjective aging
D) Increased use of assisted living facilities by older adults Ans: D
Ans: D Feedback:
Feedback: Subjective age describes a person's perception of his or her age. While perceived age is
Assisted living facilities have become a more common option for older adults; this trend other people's estimation of someone's age. Chronologic age is the length of time that has
is expected to continue. Life expectancy is continuing to increase, with women usually passed since birth, and functional age is associated with whether individuals can
outliving men. An increasing proportion of the older adult population will be members of contribute to society and experience personal quality of life.
minority groups.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 13
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 10 13. An 85-year-old client takes meals on wheels around the community. The client states,
10.A nurse identifies those who are at risk for familial stress. Which of the following persons "All those old people really need me, you know how older people are. They can't get out,
exemplifies the sandwich generation? and are a burden to their family, and I just want to help." Most of the people on the
A) A 50-year-old who balances the care of an 82-year-old parent and a 20-year-old client's delivery route are in their 60s. Which of the following characterizes this scenario?
child A) Ageism
B) A 58-year-old whose elderly parents have been forced to live in separate care B) Aging anxiety
facilities C) Aging attribution
C) A 72-year-old who deals with own health problems with the care of a grandchild D) Antiaging
D) An 83-year-old who is the sole caregiver for the 79-year-old spouse Ans: A
Ans: A Feedback:
Feedback: Ageism is a way of pigeonholing people and not allowing them to be individuals with
The increasing numbers of middle-aged adults who simultaneously juggle the demands of unique ways of living their lives. Older adults between the ages 81 and 98 held more
caring for older and younger generations are referred to as the sandwich generation. ageist stereotypes and reported more avoidance of older adults than younger older adults.
The antiaging movement views aging as a process that can be stopped and the life span as
something that can be extended for up to 200 years. Aging anxiety is fears about
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 11 detrimental effects associated with older adulthood. Age attribution is the tendency to
11.A nurse interviews a centenarian gathering data for a large study. In the interview, the attribute problems to the aging process rather than to pathologic and potentially treatable
centenarian defines aging as not growing older, but growing wiser. Which of the conditions.
following is the best response to this definition by the nurse?
A) "Aging might make you wiser, but it does lead to eventual death."
B) "Healthy maturity is characterized by wisdom." Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 14
C) "How did you get to live to this old?" 14. Which of the following statements, made by a new nurse, are myths and need correcting?
D) "I will never make it to be 100 like you." (Select all that apply.)
Ans: B A) "Ageism is highly influenced by stereotypes and cultural values."
Feedback: B) "Ageism is more common in industrialized societies."
Healthy maturity is characterized not only by physical decline but also by wisdom. The C) "In the United States, 20% of the older adults who need care are in a nursing
other responses are not therapeutic. home."
D) "People consider themselves old when they are old enough to apply for Medicare."
E) "With increased age, people become more diverse and people become less like their
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 12 age peers."
12.A nurse interviews a centenarian gathering data for a large study. In the interview, the Ans: C, D
centenarian says, "You're only as old as you feel, some days I feel like 'I'm 50.'" To which Feedback:
definition of aging does this response correspond? The realities are that between 4% and 5% of older adults live in a nursing home at any
A) Chronologic aging time. Most older adults live independently, have high levels of self-reported health, and
