9th Edition by Carol A. Miller Chapters 1 - 2
, 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
relationshipbetween aging and wellness?
A) "It's important that the individual knows this is an expected part of growing older."
B) "We need to teach the older adult how he can keep living a fruitful life in spite
ofhis diagnosis."
C) "We need to make sure our teaching is not too detailed for someone of his age."
D) "We need to ensure his expectations of continuing to live alone are
realistic."ANSWER: B
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
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
thehealth and functioning of the older adult.
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
thenurse's questions addresses an important contributor to successful aging?
A) "Are you largely free of acute or chronic illnesses?"
B) "Do you feel financially secure?"
C) "Do you feel like you actively engage with life?"
D) "Do you have a reliable support
network?"ANSWER: C
Feedback:
Research has indicated that an active engagement with life is central to successful and
, healthy aging. Absence of illness, financial security, and the nature of a person's
supportnetwork are not identified components of successful aging.
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.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 phenomenon?
A) Multiple jeopardy
B) Gerontophobia
C) Age attribution
D) Implicit ageism
ANSWER: 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.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 4
4.A nurse hears a colleague make the statement, "Most older adults have nothing to
worryabout financially." Which of the following responses is most appropriate?
A) "You have to remember that there's a huge economic disparity among older
adults."
B) "Actually, the number of older people living below the poverty line has
beenincreasing, not decreasing."
C) "This isn't really true now, but it is true that the gaps that disadvantaged groups
livewith are expected to shrink."
D) "This is true for some groups, but not for minorities who are less likely to be living
with their relatives."
ANSWER: A
Feedback:
An important consideration with regard to economic conditions of older adults is the
tremendous range in financial status, which varies significantly according to race,
gender,and living arrangements. The number of adults living below the poverty line,
however, has decreased in recent years. The disparities that separate disadvantaged
groups from more economically secure older adults are predicted to persist. Minorities
are more likely,not less likely, to be living with their relatives.
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
thecommunity. Which of the following statements should the nurse take into
account?
A) A majority of older Americans will live in a nursing home at some point.
B) More older men live alone than older women.
C) Assisted living arrangements have become increasingly common.
D) Most older Americans reside in some form of institutional