Test Bank
MULTIPLE CHOICE
1. Which option refers to the highest level of human functioning according to Maslow?
a. Biological and physical integrity
b. Safety and security
c. Self-esteem
d. Self-actualization
ANS: D
According to Maslow, persons whose basic physical needs are met, who feel safe and secure, and who
efficacy can achieve self-actualization, reaching out beyond themselves to make their lives meaningful
Biological and physical integrity is the lowest level in Maslow’s hierarchy, below safety and security. S
second-lowest level, below self-esteem. Self-esteem is the second-highest level, below self-actualizatio
PTS: 1 DIF: Remember REF: 5-6
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
2. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this man’s welln
a. Wellness is possible in the management of his medical care.
b. Wellness is unfortunately not a real option for this client.
c. Wellness is the same thing as faith healing, and if the client would be more receptive, then he could
weeks.
d. Nursing interventions can help empower a client to achieve a higher level of wellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can foste
needs hierarchy.
Wellness is possible even if the client assists in the management of his medical care; an individual mus
wellness, similar to a job. Wellness is unfortunately not a real option for this client; however, all person
health situations, can be helped to achieve a higher level of wellness. Wellness is the same thing as fait
would be more receptive, then he could be back at work in a few weeks; biomedical approaches and ot
techniques are used to achieve realistic improvements in wellness.
PTS: 1 DIF: Apply REF: 4-5 TOP: Nursing Process: Diagnosis
MSC: Health Promotion and Maintenance
3. In differentiating between health and wellness in health care, which of the following statements is true?
a. Health is a broad term encompassing attitudes and behaviors.
b. The concept of illness prevention was never considered by previous generations.
c. Wellness and self-actualization develop through learning and growth.
d. Wellness is impossible when one’s health is compromised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes wellness,
being.
The concept of illness prevention was never considered by previous generations; throughout history, ba
have been recognized. Wellness and self-actualization develop through learning and growth—as basic
needs can be satisfied in turn, with ever-deepening richness to life. Wellness is impossible when one’s
even with chronic illness, with multiple disabilities, or in dying, movement toward a higher level of we
PTS: 1 DIF: Understand REF: 4 TOP: Nursing Process: Evaluation
, 5. Historical influences that have shaped the lives of the majority of the middle-old population in the United
of the following?
a. Influenza epidemic of 1918
b. Immigration from communist Europe
c. Child rearing in the Depression
d. World War II
ANS: D
Those who are middle-old in 2005 were in their teens and 20s during World War II; in particular, the m
fought in it.
A person who survived the influenza epidemic would be at least 87 years old in 2005 and therefore wo
a centenarian. Those who are middle-old in 2005 were born between 1920 and 1930, before communis
those who are middle-old in 2005 had not reached childbearing age by the end of the Depression.
PTS: 1 DIF: Understand REF: 2-3
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
6. The nurse prepares for the arrival of older adults evacuated from a hurricane to a shelter for short-term car
the priority nursing intervention?
a. Demonstrate that the staff is prepared to meet their needs.
b. Use individual medical records to develop a medication plan.
c. Help older adults display family photographs and memorabilia.
d. Help older adults teach one another a new skill in the shelter.
ANS: B
The nurse prepares for short-term care by prioritizing the needs of the older adults, and this interventio
therapeutic plan, thereby addressing the need for physiological integrity. Furthermore, the nurse mainta
preparing a medication schedule to prevent missed doses of medication. Providing safety and security f
second most basic need.
In emergency conditions, the nurse provides basic care relating to safety, security, and physical well-be
belonging is important but not in emergency conditions. A state of emergency is not the time to develo
safety, security, and physical needs are more important.
PTS: 1 DIF: Analyze REF: 5-6
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
7. According to researchers, which characteristic will most centenarians share in the future? a. Female
b. Demented
c. Malnourished
d. Wheelchair bound
ANS: A
Researchers expect women to make up the majority of centenarians in the future.
Gerontologists expect dementia to be common among older adults, but they are not predicting most cen
dementia. Malnutrition is common among older adults, but researchers have not predicted that most ce
malnourished. Decreased mobility is common among older adults, but researchers have not predicted t
confined to a wheelchair.
PTS: 1 DIF: Remember REF: 2
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
8. Which statement describes aging in developing countries?
a. Aged dependence is likely to improve from 1:4 to 1:2.
b. The biggest problem for older adults will be the lack of food.
c. Most older adults are likely to reside in these countries.