FOR WELLNESS IN
OLDER ADULTS
MILLER 8TH EDITION
Chapter 1 Seeing Older Adults Through the Eyes of Wellness
• In 2010, the revised Standards and Scope of Gerontological Nursing
Practice was published. The nurse would use these standards to:
• promote the practice of gerontologic nursing within the acute care setting.
• define the concepts and dimensions of gerontologic nursing practice.
• elevate the practice of gerontologic nursing.
• 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
• When attempting to minimize the effect of ageism on the practice
of nursing older adults, a nurse needs to first:
• recognize that nurses must act as advocates for aging clients.
• accept that this population represents a substantial
portion of those requiring nursing care.
• self-reflect and formulate ones personal view of aging and the older client.
• 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
client. 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
• When discussing factors that have helped to increase the number of
healthy, independent older Americans, the nurse includes the
importance of:
, • increased availability of in-home care services.
• government support of retired citizens.
• effective antibiotic therapies.
• 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
• Based on current data, when presenting an older adults discharge teaching plan,
the nurse
• nonrelated caretaker.
• paid caregiver.
:
• family member.
• intuitional representative.
ANS: C