Nursing for Wellness in Older Adults Miller 9th Edition Test Bank

TESTBANK
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,Chapter 1 Seeing Older Adults Through the Eyes of Wellness
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1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The
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j nurse would use these standards to:
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a. promotethe practice of gerontologic nursing within the acute care setting.
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b. definethe concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. j j j j j




d. incorporatesuggested interventionsfromothers whopractice gerontologic j j j j j j j




nursing.
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ANS: D j




The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
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j incorporates theinput of gerontologic nurses from across theUnited States. It was not intended to
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j promote gerontologic nursing practice within acute care settings, define concepts or dimensions of
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j gerontologic nursing practice, or elevate the practice of gerontologic nursing.
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DIF:Remembering(Knowledge)REF:MCS:2OBJ:1-1 TOP:
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j N/A MSC: Safe and Effective Care Environment
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2. Thenurseplanningcare for anolder adult who has recentlybeen diagnosed with rheumatoid
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j arthritis views the priority criterion for continued independence to be the patients:
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a. age.
b. financial status. j




c. gender.
d. functional status. j




ANS: D j




Maintainingthe functional status ofolder adults may avert the onset ofphysical frailty and cognitive
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j impairment, two conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-6
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,TOP:NursingProcess: PlanningMSC:Physiologic Integrity
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3. When attemptingtominimizetheeffect of ageism on thepractice of nursing older adults, a nurse
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j needs to first: j j




a. recognizethat nurses must act as advocates for aging patients. j j j j j j j j j




b. accept that thispopulation represents a substantial portion ofthoserequiring j j j j j j j j j j




nursing care.
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c. self-reflect and formulate ones personal view of aging and the older patient. j j j j j j j j j j j




d. recognize ageism as a form ofbigotry shared bymany Americans. j j j j j j j j j j




ANS: C j




Ageism is an ever-increasing prejudicial viewofthe effects ofthe agingprocess and of theolder
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j population as a whole. With nurses being members of a society holding such views, it is critical that the
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j individual nurse self-reflect on personal feelings and determine whether such feelings will affect the
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j nursing care that he or she provides to the aging patient. Acting as an advocate is an important nursing
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j role in all settings. Simply accepting a fact does not help end ageism, nor does recognizing ageism as a
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j form of bigotry. j j




DIF: Applying (Application) REF: N/A OBJ: 1-9
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TOP:Teaching-Learning MSC:Safe and Effective Care Environment
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4. When discussingfactors thathave helpedto increase thenumberof healthy, independent older
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j Americans, the nurse includes the importance of: j j j j j j




a. increased availabilityof in-home care services. j j j j j




b. government support of retired citizens. j j j j




c. effectiveantibiotictherapies. j j




d. the development of life-extending therapies. j j j j




ANS: C j




The health and ultimate autonomy of older Americans has been positively impacted by the
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j development of antibiotics, better sanitation, and vaccines. These public health measures have been
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moreinstrumental inincreasing thenumbers of healthy, independent older Americans than have in-
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home care services, government programs, or life-extending therapies.
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, DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
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TOP:NursingProcess: Implementation MSC: Health Promotion and Maintenance
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5. Based on current data,when presenting an older adults discharge teaching plan, the nurse
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j includes the patients: j j




a. nonrelated caretaker. j




b. paid caregiver. j




c. familymember. j




d. intuitional representative. j




ANS: C j




Less than 4%of older adults liveinaformal health care environment. The majorityof the geriatric
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j population lives at home or with family members. j j j j j j j




DIF: Applying (Application) REF: N/A OBJ: 3-3
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TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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6. Anurse working with the older adult population is most likelyto assess aneed for a financial social
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j services referral for a(n):
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a. white male. j




b. blackfemale. j




c. Hispanic male. j