Test Bank for Nursing for Wellness in Older Adults, 8th Edition | Carol A. Miller | Verified Chapters 1–29 | Updated 2025 Version

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1. A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a
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colleague. Which ofthe nurse's statements reflects an accurate view ofthe relationship
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between aging and wellness?
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A) “It's important that the individual knows this is an expected part of growingolder.”
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B) “We need to teach the older adult how hecan keep living a fruitful lifein spite of
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his diagnosis.”
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C) “We need to make sure our teachingis not too detailed for someone of his age.”
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D) “We need toensure his expectations of continuing to live alone are realistic.”
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2. A nurse is teachingan older person about the concept ofsuccessful aging. Which ofthe
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nurse's questions addresses an important contributor to successful aging?
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A) “Are you largely free of acute or chronic illnesses?”
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B) “Do you feel financially secure?” ss ss ss ss



C) “Do you feel like you actively engage with life?”
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D) “Do you have a reliable support network?”
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3. An older adult has recently begun to display unprecedented lapses in short-term
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memory. The nurse overhears a colleague reassuringthe person by saying, “Try not
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to worry; it's just a part of growing older.” The nurse recognizes that this is an
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example of what phenomenon?
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A) Multiple jeopardy ss



B) Gerontophobia
C) Age attribution ss



D) Implicit ageism ss




4. A nurse hears a colleague make the statement,“Most older adults have nothingto worry
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about financially.” Which response is most appropriate?
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A) “You haveto remember that there'sa hugeeconomic disparity among older
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adults.” ss



B) “Actually, the numberof olderpeople livingbelow the poverty line has been ss ss ss s ss ss ss ss ss ss



increasing, not decreasing.”
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C) “This isn't really true now, but it is true thatthe gaps that disadvantaged groups live
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with are expected to shrink.”
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D) “This is true forsome groups, but not for minorities who are less likely to be living
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with their relatives.”
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5. A nurse is conductinga study on the needsand livingsituations of older adults in the
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community. Which statement should the nurse take into account?
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A) A majority of older adults will live in a nursing home at some point.
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B) More older men live alone than do older women. ss ss ss ss ss ss ss ss



C) Assisted living arrangements have become increasingly common. ss ss s s ss ss ss



D) Most older adults reside in some form of institutional arrangement.
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6. A nurse who provides care to many older adults recognizes the importance of
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implementing a wellness approach tocare. What principle underlies this approachto
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the health care of older adults?
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A) Older adults have decreasingexpectations forwellness as they move through the
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aging process. ss ss



B) Health problems area Western cultural construct thathas no objective, physiologic
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basis. ss



C) Older adults must come to accept a decline in wellness as they age.
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D) A holistic approach tocaring for older adults can foster their well-being at
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every stage of life.ss ss ss ss




7. A diabetes nurse is providing care for a 73-year-old client who is a regular
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client of the hospital's out-patient diabetes clinic. What assessment question most
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clearly addresses this client's potential for optimal function?
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A) “What are some goals that you have for maximizing your level ofwellness?”
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B) “How can we help you to take ownership of your own health?” ss ss ss ss ss ss ss ss ss ss ss



C) “Isthere anything that you're doing that might be exacerbating your diabetes?”
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D) “How longdo you think that you'll be able to live independently?”
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8. A nurse cares for an 81-year-old client whose current hospital admission has been
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prompted by an exacerbation ofchronic renal failure. Which action bythe nurse
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will best emphasize the goal of client wellness?
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A) Ask for the client's code status be changed to “do not resuscitate.”
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B) Explore the client's abilities and strengths. s s ss ss ss ss



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



D) Teach the client that health problems do not have toaffect daily routines.
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9. Anurse administrator is involved in strategic planning for a large long-termcare facility
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that has locations in numerous regions of the country. What trend should the nurse
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administrator anticipate?
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A) A decrease in the proportion of older adults who are members of minority groups
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B) A gradual decline in overall life expectancy
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C) Average longevity of men exceeding that of women ss ss ss ss xc s s ss



D) Increased use ofassisted living facilities by older adults ss ss s ss s s ss ss ss




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10. A nurse identifies those who areat risk for familialstress. Who exemplifies the
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sandwich generation?
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A) 50-year-old who balances the care ofan 82-year-old parent and a 20-year-old ss ss ss ss ss s ss ss ss ss ss



child ss



B) 58-year-old whose elderly parents havebeenforcedto live in separate care ss s ss ss s s s ss ss ss ss



facilities ss



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



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




11. A nurse interviews a centenarian, gathering data for a large study. In the interview, the
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centenarian defines aging as not growing older, but growing wiser. Which represents
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the nurse's best response to this definition?
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A) “Aging might make you wiser, but it does lead to eventual death.”
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B) “Healthy maturity is characterized by wisdom.” ss ss ss ss ss



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



D) “I will never make it to be 100 like you.”
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12. A nurse interviews a centenarian, gathering data for a large study. In the interview, the
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centenarian says, “You're only as old as you feel, some days I feel like 'I'm 50.'” To
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which definition of aging does this response correspond?
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A) Chronologic aging ss



B) Functional aging ss



C) Perceived aging ss



D) Subjective aging ss




13. An 85-year-old client takes meals on wheels around the community. The client states,
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“All those old people really need me, you know how older people are. They can't get
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out, and are a burdento their family, and Ijust want to help.” Most of the people on
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the client's delivery route are in their 60s. Which characterizes this scenario?
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A) Ageism
B) Aginganxiety s



C) Aging attribution s



D) Antiaging




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