Test Bank
|
,Nursing for Wellness in Older Adults Miller 8th Edition Test Bank
| | | | | | | | | |
Chapter |1 |Seeing |Older |Adults |Through |the |Eyes |of |Wellness
1. In |2010, |the |revised |Standards |and |Scope |of |Gerontological |Nursing |Practice |was |published.
The |nurse |would |use |these |standards |to:
|
a. promote |the |practice |of |gerontologic |nursing |within |the |acute |care |setting.
b. define |the |concepts |and |dimensions |of |gerontologic |nursing |practice.
c. elevate |the |practice |of |gerontologic |nursing.
d. incorporate |suggested |interventions |from |others |who |practice |gerontologic
|nursing.
ANS: |D
The |current |publishing |of |the |Standards |and |Scope |of |Gerontological |Nursing |Practice |in |2010
incorporates |the |input |of |gerontologic |nurses |from |across |the |United |States. |It |was |not |intended |to
|
promote |gerontologic |nursing |practice |within |acute |care |settings, |define |concepts |or |dimensions
|
of |gerontologic |nursing |practice, |or |elevate |the |practice |of |gerontologic |nursing.
|
DIF: |Remembering |(Knowledge) |REF: |MCS: |2 |OBJ: |1-1 |TOP:
N/A |MSC: |Safe |and |Effective |Care |Environment
|
2. When |attempting |to |minimize |the |effect |of |ageism |on |the |practice |of |nursing |older |adults, |a
nurse |needs |to |first:
|
a. recognize |that |nurses |must |act |as |advocates |for |aging |patients.
b. accept |that |this |population |represents |a |substantial |portion |of |those |requiring
|nursing |care.
c. self-reflect |and |formulate |ones |personal |view |of |aging |and |the |older |patient.
d. recognize |ageism |as |a |form |of |bigotry |shared |by |many |Americans.
ANS: |C
,Ageism |is |an |ever-increasing |prejudicial |view |of |the |effects |of |the |aging |process |and |of |the |older
population |as |a |whole. |With |nurses |being |members |of |a |society |holding |such |views, |it |is |critical
|
that |the |individual |nurse |self-reflect |on |personal |feelings |and |determine |whether |such |feelings |will
|
affect |the |nursing |care |that |he |or |she |provides |to |the |aging |patient. |Acting |as |an |advocate |is |an
|
important |nursing |role |in |all |settings. |Simply |accepting |a |fact |does |not |help |end |ageism, |nor |does
|
recognizing |ageism |as |a |form |of |bigotry.
|
DIF: |Applying |(Application) |REF: |N/A |OBJ: |1-9
TOP: |Teaching-Learning |MSC: |Safe |and |Effective |Care |Environment
3. When |discussing |factors |that |have |helped |to |increase |the |number |of |healthy, |independent |older
Americans, |the |nurse |includes |the |importance |of:
|
a. increased |availability |of |in-home |care |services.
b. government |support |of |retired |citizens.
c. effective |antibiotic |therapies.
d. the |development |of |life-extending |therapies.
ANS: |C
The |health |and |ultimate |autonomy |of |older |Americans |has |been |positively |impacted |by |the
development |of |antibiotics, |better |sanitation, |and |vaccines. |These |public |health |measures |have
|
been |more |instrumental |in |increasing |the |numbers |of |healthy, |independent |older |Americans |than
|
have |in-home |care |services, |government |programs, |or |life-extending |therapies.
|
DIF: |Remembering |(Knowledge) |REF: |MCS: |2 |OBJ: |3-3
TOP: |Nursing |Process: |Implementation |MSC: |Health |Promotion |and |Maintenance
4. Based |on |current |data, |when |presenting |an |older |adults |discharge |teaching |plan, |the |nurse
a. nonrelated |caretaker.
b. paid |caregiver.
, c. family |member.
d. intuitional |representative.
ANS: |C
Less |than |4% |of |older |adults |live |in |a |formal |health |care |environment. |The |majority |of |the |geriatric
population |lives |at |home |or |with |family |members.
|
DIF: |Applying |(Application) |REF: |N/A |OBJ: |3-3
TOP: |Nursing |Process: |Planning |MSC: |Safe |and |Effective |Care |Environment
5. The |nurse |planning |care |for |an |older |adult |who |has |recently |been |diagnosed |with |rheumatoid
arthritis |views |the |priority |criterion |for |continued |independence |to |be |the |patients:
|
a. age.
b. financial |status.
c. gender.
d. functional |status.
ANS: |D
Maintaining |the |functional |status |of |older |adults |may |avert |the |onset |of |physical |frailty |and
cognitive |impairment, |two |conditions |that |increase |the |likelihood |of |institutionalization.
|
DIF: |Remembering |(Knowledge) |REF: |MCS: |8 |OBJ: |1-6
TOP: |Nursing |Process: |Planning |MSC: |Physiologic |Integrity
|
6. A |nurse |working |with |the |older |adult |population |is |most |likely |to |assess |a |need |for |a |financial
social |services |referral |for |a(n):
|
a. white |male.
b. black |female.
c. Hispanic |male.
|
,Nursing for Wellness in Older Adults Miller 8th Edition Test Bank
| | | | | | | | | |
Chapter |1 |Seeing |Older |Adults |Through |the |Eyes |of |Wellness
1. In |2010, |the |revised |Standards |and |Scope |of |Gerontological |Nursing |Practice |was |published.
The |nurse |would |use |these |standards |to:
|
a. promote |the |practice |of |gerontologic |nursing |within |the |acute |care |setting.
b. define |the |concepts |and |dimensions |of |gerontologic |nursing |practice.
c. elevate |the |practice |of |gerontologic |nursing.
d. incorporate |suggested |interventions |from |others |who |practice |gerontologic
|nursing.
ANS: |D
The |current |publishing |of |the |Standards |and |Scope |of |Gerontological |Nursing |Practice |in |2010
incorporates |the |input |of |gerontologic |nurses |from |across |the |United |States. |It |was |not |intended |to
|
promote |gerontologic |nursing |practice |within |acute |care |settings, |define |concepts |or |dimensions
|
of |gerontologic |nursing |practice, |or |elevate |the |practice |of |gerontologic |nursing.
|
DIF: |Remembering |(Knowledge) |REF: |MCS: |2 |OBJ: |1-1 |TOP:
N/A |MSC: |Safe |and |Effective |Care |Environment
|
2. When |attempting |to |minimize |the |effect |of |ageism |on |the |practice |of |nursing |older |adults, |a
nurse |needs |to |first:
|
a. recognize |that |nurses |must |act |as |advocates |for |aging |patients.
b. accept |that |this |population |represents |a |substantial |portion |of |those |requiring
|nursing |care.
c. self-reflect |and |formulate |ones |personal |view |of |aging |and |the |older |patient.
d. recognize |ageism |as |a |form |of |bigotry |shared |by |many |Americans.
ANS: |C
,Ageism |is |an |ever-increasing |prejudicial |view |of |the |effects |of |the |aging |process |and |of |the |older
population |as |a |whole. |With |nurses |being |members |of |a |society |holding |such |views, |it |is |critical
|
that |the |individual |nurse |self-reflect |on |personal |feelings |and |determine |whether |such |feelings |will
|
affect |the |nursing |care |that |he |or |she |provides |to |the |aging |patient. |Acting |as |an |advocate |is |an
|
important |nursing |role |in |all |settings. |Simply |accepting |a |fact |does |not |help |end |ageism, |nor |does
|
recognizing |ageism |as |a |form |of |bigotry.
|
DIF: |Applying |(Application) |REF: |N/A |OBJ: |1-9
TOP: |Teaching-Learning |MSC: |Safe |and |Effective |Care |Environment
3. When |discussing |factors |that |have |helped |to |increase |the |number |of |healthy, |independent |older
Americans, |the |nurse |includes |the |importance |of:
|
a. increased |availability |of |in-home |care |services.
b. government |support |of |retired |citizens.
c. effective |antibiotic |therapies.
d. the |development |of |life-extending |therapies.
ANS: |C
The |health |and |ultimate |autonomy |of |older |Americans |has |been |positively |impacted |by |the
development |of |antibiotics, |better |sanitation, |and |vaccines. |These |public |health |measures |have
|
been |more |instrumental |in |increasing |the |numbers |of |healthy, |independent |older |Americans |than
|
have |in-home |care |services, |government |programs, |or |life-extending |therapies.
|
DIF: |Remembering |(Knowledge) |REF: |MCS: |2 |OBJ: |3-3
TOP: |Nursing |Process: |Implementation |MSC: |Health |Promotion |and |Maintenance
4. Based |on |current |data, |when |presenting |an |older |adults |discharge |teaching |plan, |the |nurse
a. nonrelated |caretaker.
b. paid |caregiver.
, c. family |member.
d. intuitional |representative.
ANS: |C
Less |than |4% |of |older |adults |live |in |a |formal |health |care |environment. |The |majority |of |the |geriatric
population |lives |at |home |or |with |family |members.
|
DIF: |Applying |(Application) |REF: |N/A |OBJ: |3-3
TOP: |Nursing |Process: |Planning |MSC: |Safe |and |Effective |Care |Environment
5. The |nurse |planning |care |for |an |older |adult |who |has |recently |been |diagnosed |with |rheumatoid
arthritis |views |the |priority |criterion |for |continued |independence |to |be |the |patients:
|
a. age.
b. financial |status.
c. gender.
d. functional |status.
ANS: |D
Maintaining |the |functional |status |of |older |adults |may |avert |the |onset |of |physical |frailty |and
cognitive |impairment, |two |conditions |that |increase |the |likelihood |of |institutionalization.
|
DIF: |Remembering |(Knowledge) |REF: |MCS: |8 |OBJ: |1-6
TOP: |Nursing |Process: |Planning |MSC: |Physiologic |Integrity
|
6. A |nurse |working |with |the |older |adult |population |is |most |likely |to |assess |a |need |for |a |financial
social |services |referral |for |a(n):
|
a. white |male.
b. black |female.
c. Hispanic |male.
