Page 1 of 411
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Nursing hfor hWellness hin hOlder hAdults hMiller h8th hEdition hTest
hBank
Chapter h1 hSeeing hOlder hAdults hThrough hthe hEyes hof hWellness
1. In h2010, hthe hrevised hStandards hand hScope hof hGerontological hNursing hPractice hwas
hpublished.hThe hnurse hwould huse hthese hstandards hto:
a. promote hthe hpractice hof hgerontologic hnursing hwithin hthe hacute hcare hsetting.
b. define hthe hconcepts hand hdimensions hof hgerontologic hnursing hpractice.
c. elevate hthe hpractice hof hgerontologic hnursing.
d. incorporate hsuggested hinterventions hfrom hothers hwho hpractice
hgerontologichnursing.
ANS: hD
The hcurrent hpublishing hof hthe hStandards hand hScope hof hGerontological hNursing hPractice
hin h2010hincorporates hthe hinput hof hgerontologic hnurses hfrom hacross hthe hUnited hStates. hIt
hwas hnot hintendedhto hpromote hgerontologic hnursing hpractice hwithin hacute hcare hsettings,
hdefine hconcepts hor hdimensions hof hgerontologic hnursing hpractice, hor helevate hthe hpractice
hof hgerontologic hnursing.
DIF: hRemembering h(Knowledge) hREF: hMCS: h2 hOBJ:
h1-1hTOP: hN/A hMSC: hSafe hand hEffective hCare
hEnvironment
2. When hattempting hto hminimize hthe heffect hof hageism hon hthe hpractice hof hnursing holder
hadults, hahnurse hneeds hto hfirst:
a. recognize hthat hnurses hmust hact has hadvocates hfor haging hpatients.
b. accept hthat hthis hpopulation hrepresents ha hsubstantial hportion hof hthose
hrequiringhnursing hcare.
c. self-reflect hand hformulate hones hpersonal hview hof haging hand hthe holder hpatient.
d. recognize hageism has ha hform hof hbigotry hshared hby hmany hAmericans.
ANS: hC
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Ageism his han hever-increasing hprejudicial hview hof hthe heffects hof hthe haging hprocess hand hof
hthe holderhpopulation has ha hwhole. hWith hnurses hbeing hmembers hof ha hsociety hholding hsuch
hviews, hit his hcritical hthat hthe hindividual hnurse hself-reflect hon hpersonal hfeelings hand
hdetermine hwhether hsuch hfeelings hwill haffect hthe hnursing hcare hthat hhe hor hshe hprovides hto
hthe haging hpatient. hActing has han hadvocate his han himportant hnursing hrole hin hall hsettings.
hSimply haccepting ha hfact hdoes hnot hhelp hend hageism, hnor hdoes hrecognizing hageism has ha
hform hof hbigotry.
DIF: hApplying h(Application) hREF: hN/A hOBJ: h1-9
TOP: hTeaching-Learning hMSC: hSafe hand hEffective hCare hEnvironment
3. When hdiscussing hfactors hthat hhave hhelped hto hincrease hthe hnumber hof hhealthy,
hindependent holderhAmericans, hthe hnurse hincludes hthe himportance hof:
a. increased havailability hof hin-home hcare hservices.
b. government hsupport hof hretired hcitizens.
c. effective hantibiotic htherapies.
d. the hdevelopment hof hlife-extending htherapies.
ANS: hC
The hhealth hand hultimate hautonomy hof holder hAmericans hhas hbeen hpositively himpacted hby
hthe hdevelopment hof hantibiotics, hbetter hsanitation, hand hvaccines. hThese hpublic hhealth
hmeasures hhave hbeen hmore hinstrumental hin hincreasing hthe hnumbers hof hhealthy,
hindependent holder hAmericans hthanhhave hin-home hcare hservices, hgovernment hprograms, hor
hlife-extending htherapies.
DIF: hRemembering h(Knowledge) hREF: hMCS: h2 hOBJ: h3-3
TOP: hNursing hProcess: hImplementation hMSC: hHealth hPromotion hand hMaintenance
4. Based hon hcurrent hdata, hwhen hpresenting han holder hadults hdischarge hteaching hplan,
hthe hnursehincludes hthe hpatients:
a. nonrelated hcaretaker.
b. paid hcaregiver.
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c. family hmember.
d. intuitional hrepresentative.
ANS: hC
Less hthan h4% hof holder hadults hlive hin ha hformal hhealth hcare henvironment. hThe
hmajority hof hthehgeriatric hpopulation hlives hat hhome hor hwith hfamily hmembers.
DIF: hApplying h(Application) hREF: hN/A hOBJ: h3-3
TOP: hNursing hProcess: hPlanning hMSC: hSafe hand hEffective hCare hEnvironment
5. The hnurse hplanning hcare hfor han holder hadult hwho hhas hrecently hbeen hdiagnosed hwith
hrheumatoidharthritis hviews hthe hpriority hcriterion hfor hcontinued hindependence hto hbe hthe
hpatients:
a. age.
b. financial hstatus.
c. gender.
d. functional hstatus.
ANS: hD
Maintaining hthe hfunctional hstatus hof holder hadults hmay havert hthe honset hof hphysical
hfrailty handhcognitive himpairment, htwo hconditions hthat hincrease hthe hlikelihood hof
hinstitutionalization.
DIF: hRemembering h(Knowledge) hREF: hMCS: h8 hOBJ: h1-6
hTOP: hNursing hProcess: hPlanning hMSC: hPhysiologic
hIntegrity
6. A hnurse hworking hwith hthe holder hadult hpopulation his hmost hlikely hto hassess ha hneed hfor
ha hfinancialhsocial hservices hreferral hfor ha(n):
a. white hmale.
b. black hfemale.
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, Page 2 of 411
Nursing hfor hWellness hin hOlder hAdults hMiller h8th hEdition hTest
hBank
Chapter h1 hSeeing hOlder hAdults hThrough hthe hEyes hof hWellness
1. In h2010, hthe hrevised hStandards hand hScope hof hGerontological hNursing hPractice hwas
hpublished.hThe hnurse hwould huse hthese hstandards hto:
a. promote hthe hpractice hof hgerontologic hnursing hwithin hthe hacute hcare hsetting.
b. define hthe hconcepts hand hdimensions hof hgerontologic hnursing hpractice.
c. elevate hthe hpractice hof hgerontologic hnursing.
d. incorporate hsuggested hinterventions hfrom hothers hwho hpractice
hgerontologichnursing.
ANS: hD
The hcurrent hpublishing hof hthe hStandards hand hScope hof hGerontological hNursing hPractice
hin h2010hincorporates hthe hinput hof hgerontologic hnurses hfrom hacross hthe hUnited hStates. hIt
hwas hnot hintendedhto hpromote hgerontologic hnursing hpractice hwithin hacute hcare hsettings,
hdefine hconcepts hor hdimensions hof hgerontologic hnursing hpractice, hor helevate hthe hpractice
hof hgerontologic hnursing.
DIF: hRemembering h(Knowledge) hREF: hMCS: h2 hOBJ:
h1-1hTOP: hN/A hMSC: hSafe hand hEffective hCare
hEnvironment
2. When hattempting hto hminimize hthe heffect hof hageism hon hthe hpractice hof hnursing holder
hadults, hahnurse hneeds hto hfirst:
a. recognize hthat hnurses hmust hact has hadvocates hfor haging hpatients.
b. accept hthat hthis hpopulation hrepresents ha hsubstantial hportion hof hthose
hrequiringhnursing hcare.
c. self-reflect hand hformulate hones hpersonal hview hof haging hand hthe holder hpatient.
d. recognize hageism has ha hform hof hbigotry hshared hby hmany hAmericans.
ANS: hC
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, Page 3 of 411
Ageism his han hever-increasing hprejudicial hview hof hthe heffects hof hthe haging hprocess hand hof
hthe holderhpopulation has ha hwhole. hWith hnurses hbeing hmembers hof ha hsociety hholding hsuch
hviews, hit his hcritical hthat hthe hindividual hnurse hself-reflect hon hpersonal hfeelings hand
hdetermine hwhether hsuch hfeelings hwill haffect hthe hnursing hcare hthat hhe hor hshe hprovides hto
hthe haging hpatient. hActing has han hadvocate his han himportant hnursing hrole hin hall hsettings.
hSimply haccepting ha hfact hdoes hnot hhelp hend hageism, hnor hdoes hrecognizing hageism has ha
hform hof hbigotry.
DIF: hApplying h(Application) hREF: hN/A hOBJ: h1-9
TOP: hTeaching-Learning hMSC: hSafe hand hEffective hCare hEnvironment
3. When hdiscussing hfactors hthat hhave hhelped hto hincrease hthe hnumber hof hhealthy,
hindependent holderhAmericans, hthe hnurse hincludes hthe himportance hof:
a. increased havailability hof hin-home hcare hservices.
b. government hsupport hof hretired hcitizens.
c. effective hantibiotic htherapies.
d. the hdevelopment hof hlife-extending htherapies.
ANS: hC
The hhealth hand hultimate hautonomy hof holder hAmericans hhas hbeen hpositively himpacted hby
hthe hdevelopment hof hantibiotics, hbetter hsanitation, hand hvaccines. hThese hpublic hhealth
hmeasures hhave hbeen hmore hinstrumental hin hincreasing hthe hnumbers hof hhealthy,
hindependent holder hAmericans hthanhhave hin-home hcare hservices, hgovernment hprograms, hor
hlife-extending htherapies.
DIF: hRemembering h(Knowledge) hREF: hMCS: h2 hOBJ: h3-3
TOP: hNursing hProcess: hImplementation hMSC: hHealth hPromotion hand hMaintenance
4. Based hon hcurrent hdata, hwhen hpresenting han holder hadults hdischarge hteaching hplan,
hthe hnursehincludes hthe hpatients:
a. nonrelated hcaretaker.
b. paid hcaregiver.
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c. family hmember.
d. intuitional hrepresentative.
ANS: hC
Less hthan h4% hof holder hadults hlive hin ha hformal hhealth hcare henvironment. hThe
hmajority hof hthehgeriatric hpopulation hlives hat hhome hor hwith hfamily hmembers.
DIF: hApplying h(Application) hREF: hN/A hOBJ: h3-3
TOP: hNursing hProcess: hPlanning hMSC: hSafe hand hEffective hCare hEnvironment
5. The hnurse hplanning hcare hfor han holder hadult hwho hhas hrecently hbeen hdiagnosed hwith
hrheumatoidharthritis hviews hthe hpriority hcriterion hfor hcontinued hindependence hto hbe hthe
hpatients:
a. age.
b. financial hstatus.
c. gender.
d. functional hstatus.
ANS: hD
Maintaining hthe hfunctional hstatus hof holder hadults hmay havert hthe honset hof hphysical
hfrailty handhcognitive himpairment, htwo hconditions hthat hincrease hthe hlikelihood hof
hinstitutionalization.
DIF: hRemembering h(Knowledge) hREF: hMCS: h8 hOBJ: h1-6
hTOP: hNursing hProcess: hPlanning hMSC: hPhysiologic
hIntegrity
6. A hnurse hworking hwith hthe holder hadult hpopulation his hmost hlikely hto hassess ha hneed hfor
ha hfinancialhsocial hservices hreferral hfor ha(n):
a. white hmale.
b. black hfemale.
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