Chapterv01:vIntroductionvtovHealthyvAging
Touhyv&vJett:vEbersolevandvHess’vGerontologicalvNursing v&vHealthyvAging,v5thvEdition
MULTIPLEvCHOICE
1. Avmanvisvterminallyvillvwithvend-
stagevprostatevcancer.vWhichvisvthevbestvstatementvaboutvthisvman’svwellness?
a. Wellnessvcanvonlyvbevachievedvwithvaggressivevmedical
interventions.
b. Wellnessvisvnotvavrealvoptionvforvthisvclientvbecausevhe
isvterminallyvill.
c. Wellnessvisvdefinedvasvthevabsencevofvdisease.
d. Nursingvinterventionsvcanvhelpvempowervavclientvto
achievevavhighervlevelvofvwellness.
ANS: D
Nursingvinterventionsvcanvhelpvempowervavclientvtovachievevavhighervlevelvofvwellness;vavnursevcanvfostervwellnessvi
nvhisvorvhervclients.vWellnessvisvdefinedvbyvthevindividualvandvisvmultidimensional.vItvisvnotvjustvthevabsencevofvdise
ase.v Avwellnessvperspectivevisvbasedvonvthevbeliefvthatveveryvpersonvhasvanvoptimalvlevelvofvhealthvindependentvofv
hisvorv hervsituationvorvfunctionalvlevel.vEvenvinvthevpresencevofvchronicvillnessvorvwhilevdying,vavmovementvtoward
vwellnessv isvpossiblevifvemphasisvofvcarevisvplacedvonvthevpromotionvofvwell-beingvinvavsupportivevenvironment.
PTS: 1 DIF: Apply REF: p.v7 TOP:
NursingvProcess:vDiagnosisv MSC: HealthvPromotionvandvMaintenance
2. Invdifferentiatingvbetweenvhealthvandvwellnessvinvhealthvcare,vwhichvofvthevfollowingvstatements
isvtrue?
a. Healthv isvavbroadvtermvencompassingvattitudesvand
behaviors.
b. Thevconceptvofvillnessvpreventionvwasvnevervconsidered
byvpreviousvgenerations.
c. Wellnessvandvself-actualizationvdevelopvthroughvlearn-
ingvandvgrowth.
d. Wellnessvisvimpossiblevwhenvone’svhealthvisvcompro-
mised.
ANS: A
Healthvisvavbroadvtermvthatvencompassesvattitudesvandvbehaviors;vholistically,vhealthvincludesvwellness,vwhichvin-
vvolves vone’svwholevbeing. vThevconceptvofvillnessvpreventionvwasvnevervconsideredvbyvpreviousvgenerations;vthroug
h-voutvhistory,vbasicvself-carevrequirementsvhavevbeenvrecognized.vWellnessvandvself-
actualizationvdevelopvthroughvlearningvandvgrowth—
asvbasicvneedsvarevmet,vhighervlevelvneedsvcanvbevsatisfiedvinvturn,vwithvever-deepeningvrich-
vnessvtovlife.vWellnessvisvpossiblevwhenvone’svhealthvis vcompromised—evenvwithvchronicvillness,vwithvmultiplevdis-
vabilities,vorvinvdying,vmovementvtowardvavhigher vlevelvof vwellnessvisvpossible.
PTS: 1 DIF: Understand REF: p.v7 TOP:
NursingvProcess:vEvaluationv MSC: HealthvPromotionvandvMaintenance
3. WhichvracialvorvethnicvgroupvhasvthevhighestvlifevexpectancyvinvthevUnitedvStates?
a. NativevAmericans
b. AfricanvAmericans
c. HispanicvAmericans
d. AsianvandvPacificvIslandvAmericans
ANS: C
AsvshownvinvFigurev1.4,vHispanicvmenvandvwomenvhavevthevhighestvlifevexpectancyvofvall.vInv2011,vforvthosevofvHis
-
vpanicvoriginvofvanyvrace,vthevoverallvlifevexpectancyvatv65vyearsvof vagevwasv20.7vmorevyearsvinv2011v(19.1vyearsvfor
vmenvandv21.8vyearsvforvwomen).
PTS: 1 DIF: Understand REF: p.v6
,TOP: NursingvProcess:vAssessment MSC: Safe,vEffectivevCarevEnvironment
4. Historicalvinfluencesvthatvhavevshapedvthevlivesvofvthevmajorityvofvthevin-
betweenvcohortvinvthevUnitedvStatesvtodayvincludevwhichvofvthevfollowing?
a. Influenzavepidemicvofv1918
b. WorldvWarvI
c. ChildvrearingvinvthevDepression
d. WorldvWarvII
ANS: D
Thosevwhovarevinvthevin-
betweenvcohortvinv2016vwerevbornvbetweenv1915vandv1945.vThevmenvwerevlikelyvtovhavevfoughtvinvWorldvWarvII.vTh
evlastvofvthevHolocaustvsurvivorsvarevinvthisvgroup.vAvpersonvwhovsurvivedvthevinfluenzavepidemicvwouldvbevatvleastv9
8vyearsvoldvinv2016vandvthereforevwouldvbevconsideredvold-oldvorvavcentenarian.vMostvofvthosev whov arev ofv thev in-
betweenv cohortv hadv notv reachedv childbearingv agev byv thev endv ofv thev Depression.v Individualsvinvthevin-
betweenvcohortvwouldvnotvhavevbeenvoldvenoughvtovfightvinvWorldvWarvII.
PTS: 1 DIF: Understand REF: p.v5
TOP: NursingvProcess:vAssessment MSC: Safe,vEffectivevCarevEnvironment
5. Accordingvtovresearchers,vwhichvcharacteristicvdovmostvcentenariansvshare?
a. Female
b. Hispanic
c. Livingvinvruralvareas
d. LocatedvinvthevMidwesternvstates
ANS: A
BasedvonvthevU.S.vcensusvreportvofv2010,vcentenariansvwerevoverwhelminglyvwhite,vfemale,vandvlivingvinvthevurbanv
areasvofvthevSouthernvstates.
PTS: 1 DIF: Remember REF: p.v5
TOP: NursingvProcess:vAssessment MSC: Safe,vEffectivevCarevEnvironment
6. Whichvnursingvinterventionvisvavholisticvapproachvtovanvoldervadult?
a. Performsvglucosevtestingvduringvthevweeklyvworship
service
b. Wheelsvambulatoryvadultsvtovexercisevwhenvrunning
late
c. AssignsvfemalevnursesvtovoldervwomenvwhovarevIslamic
d. Allowsvoldervadultsvinvavnursingvhomevtoveatvmeals
alone
ANS: C
ThevnursevusesvavholisticvapproachvtovthevcarevofvanvoldervfemalevadultvwhovisvIslamicvbecausevthevwomanvandvhervf
amilyvarevmorevlikelyvtovbevwillingvparticipantsvinvavtherapeuticvregimenvthatvrespectsvavtenetvofvtheirvculture.vInter-
vruptingvanvoldervadult’svworshipvwithvglucosevtestingvcanvbevinterpretedvasvavlackvofvrespectvforvspiritualvneeds.vThe
vnursevcanvprovidevfor vandvrespectvthevphysicalvandvspiritualvaspectsvofvthevolder vadult’svlifevbyvtestingvforvglucosevb
eforevthevservicevbegins.vInvtransportingvambulatoryvadultsvtovthevexercisevprogramvinvwheelchairsvtovsavevtime,vthev
nursevdisregardsvthevneedvforvself-esteemvandvexercise,vbothvimportantvaspectsvofvphysicalvwell-
being.vAmbulatoryvadultsvcanvwalkvwithvassistance,vifvneeded,vtovexercisevprogramsvandvcanvbenefitvfromvthevadditi
onalvactivityvandvindependence.vThevnursevcanvbevtemptedvtovallowvanvoldervadultvtoveatvmealsvalonevinvhisvorvhervro
omvifvthisvwillvmotivatevthevpersonvtoveatvorvifvthevoldervadultvhasvdysphasiavandvisvembarrassed.vHowever,valthough
vfocusingvonvphysicalvneeds,vthevnursevignores vpsychosocialvandvothervaspectsvofvhealthvandvwell-being.
PTS: 1 DIF: Understand REF: p.v7 TOP:
NursingvProcess:vEvaluationv MSC: HealthvPromotionvandvMaintenance
, 7. Anvoldervmanvwhovresidesvinvavnursingvhomevhasvavtotalvcholesterolvlevelvofv245vmg/dL.vWhic
hvnursingvinterventionvisvmostvlikelyvtovassistvthisvmanvinvachievingvhisvhighestvlevelvofvwellness?
a. Instructvhimvaboutvincreasingvdietaryvfiber.
b. Askvthevhealthvcarevprovidervforvavlow-fatvdiet.
c. Schedulevavconsultationvforvhimvwithvthev dietitian.
d. Reviewvavmenuvwithvhimvtovchoosevsuitablevfoods.
ANS: D
Thevnursevcollaboratesvwithvthevoldervadultvtovchoosevsuitablevfoods,vwhichvisvlikelyvtovbevanveffectivevnursingvinter-
vventionvtovhelpvanvoldervadultvwithvhyperlipidemiavachievevoptimalvhealthvandvwell-
being;vitvgivesvhimvsomevcontrolvovervthevregimenvandvthusvengagesvhimvinvthevprocessvofvloweringvserumvcholester
ol.vInformingvthevoldervmanvaboutvdietaryvfibervoffersvnovcontrolvtovhimvbecausevhevisvnotvpartvofvthevdecision.vNurs
ingvinterventionsvdevelopedvwithvthevoldervadult’svcollaborationvarevmostvlikelyvtovhelpvthevoldervadultvachievevhealt
hvandvwellness.vCollaboratingvwithvthevhealthv carev providerv forv av low-
fatv dietv isv av reasonablev approachv tov helpv thisv manv withv hyperlipidemiav tov achievevhealthvandvwellness.vHowever,v
hevisvmorevlikelyvtovhavevmotivationvandventhusiasmvforvavtherapeuticvregimenvovervwhichvhevhasvhadvsomevcontrol.
vSchedulingva vconsultationvwithvavdietitianvisvavreasonablevapproachvtovanvoldervadult vwithvhyperlipidemiavandvisvavp
artvofvavmultifacetedvapproachvtovoptimizingvhisvhealth.vHowever,vthevoldervadultvisv morevlikelyvtovengagevinvavregi
menvovervwhichvhevhasvinput.
PTS: 1 DIF: Analyze REF: p.v7 TOP:
NursingvProcess:vPlanningv MSC: HealthvPromotionvandvMaintenance
8. Whichvapproachvrequiresvthevnursevtovintegratevandvbalancevallvaspectsvofvanvindividual’svlifevint
ovthevplanvofvcare?
a. Holisticvnursing
b. Healthyv Peoplev 2020
c. Maslow’svhierarchyvofvhumanvneeds
d. Orem’svself-carevrequirements
ANS: A
Holisticvnursingvintegratesvallvaspectsvofvanvindividual’svlifevintovthevplanvofvcarevbyvbalancingvanvindividual’svinter-
vnalvandvexternalvenvironmentvwithvpsychosocial,vspiritual,vcultural,vandvphysicalvprocesses.vHealthyvPeoplev2020,va
nvupdatedvdocumentvfromv2000vthatvoutlinesvthevgoalsvforvachievingvhealthvinvthisvcountry,visvavmandatevforvhealthvc
arevprofessionalsvtovfollowvwithv467vobjectivesvinv28vfocusvareas.vMaslow’svhierarchyvofvhumanvneedsvprovidesvavb
asisv forvunderstandingvindividualsvinvcontextvandvforvrankingvnursingvassessments,vdiagnoses,vgoals,vandvinterventio
nsvinvordervofvimportance.vDorotheavOrem’svself-
carevrequirementsvlistsvhumanvneeds,vincludingvthevneedvforvair,vfluids,vnutrition,vhygiene,velimination,vactivity,vcom
fort,vreliefvfromvsuffering,vandvskinvintegrity.vThevnursevhelpsvindividu-
valsvmeetvthesevneedsvtovachievevoptimalvhealthvandvwellness.
PTS: 1 DIF: Remember REF: p.v7
TOP: NursingvProcess:vAssessment MSC: Safe,vEffectivevCarevEnvironment
9. Thevnursevplansvactivitiesvforvoldervwomenvbornvbetweenv1920vandv1930vandvwhovresidevinva
nvassisted-livingvfacility.vWhichvisvthevbestvinterventionvforvthevnursevtovimplement?
a. Havevthemvbakevcookiesvtwicevavweek.
b. Conductvinterviewsvforvspecificvinterests.
c. Arrangevdogvandvcatvvisitsvfromvvolunteers.
d. Takevthemvtovthevlibraryvforvguestvspeakers.
ANS: B
Thevnursevconductsvindividualvinterviewsvwithvthevwomenvtovdeterminevtheirvinterestsvandvtovavoidvgeneralizing;vasv
peoplevlivevlonger,vtheyvbecomevmorevandvmorevunique.vBecausevmostvofvthesevwomenvarevinvtheirv80svandv90svwer
evbornvbetweenv1920vandv1930vandvhavevgenerallyvspentvtheirvlivesvasvhomemakers,vthevnursevpresumesvtovknowvw
hat
, activitiesvtheyvwillvenjoy.vThevnursevavoidsvarrangingvgroupvactivitiesvuntilvindividualvinterestsvarevdetermined.vInva
ddition,vthevnursevmustvassessvforvallergiesvandvindividualvfearsvofvanimalsvbeforevexposingvanvoldervadultvtovavpetvv
isit.vUnlessvitvisvorganizedvonvavvoluntaryvbasis,vthevnursevavoidsvarrangingvvisitsvbyvguestvspeakers.vInvaddition,vthe
vnursevwillvassessveachvoldervwomanvbeforevanvoutsidevvisitvtovavoidvembarrassingvevents,vincludingvincontinenceva
ndvhearingvandvvisionvproblems.
PTS: 1 DIF: Analyze REF: p.v5
TOP: NursingvProcess:vImplementation MSC: Safe,vEffectivevCarevEnvironment
10. WhichvofvthevfollowingvissuesvinvthevcarevofvoldervadultsvarevidentifiedvinvHealthyvPeoplev2020?
a. Delineatingvnursingvstaffingvlevelsvinvlongvtermvcare
b. Eradicatingvpressurevulcersvinvallvcarevsettings
c. Identifyingvminimumvlevelsvofvtrainingvforvpeoplevwho
carevforvoldervadults
d. Institutingvmandatoryvtrainingvinvidentificationvofvelder
abusevforvallvcaregiversvofvoldervadults
ANS: C
IdentifyingvminimumvtrainingvlevelsvforvpeoplevwhovcarevforvoldervadultsvisvonevofvthevissuesvidentifiedvinvHealthyv
Peoplev2020.vThevrestvofvthevissuesvarevnotvdiscussedvinvHealthyvPeoplev2020.
PTS: 1 DIF: Remember REF: p.v8 TOP:
TeachingvandvLearningv MSC: HealthvPromotionvandvMaintenance
11. Anvoldervmanvasksvavnurse:v“Howvdovyouvdefinevaging?vDovIvmeetvthevcriteriavofvavseniorv citize
n?”vThevnursevunderstandsvthatvonevcanvdefinevagingvinvmanyvdifferentvmanners.vIfvthevnursevchoosesvtovdefinevagin
gvasv“socialvaging,”vthevnursevwouldvconsidervwhichvofvthevfollowingvaspects?
a. Thevmanvretiredvfromvhisvjobvasvavpolicevofficer.
b. Thevmanvtakesvsixvdifferentvmedicationsvmultiplevtimes
overvthevcoursevofvthevday.
c. Thevmanvwalksvwithvavrollingvwalker.
d. Thevmanvcelebratedvhisv65thvbirthday.
ANS: A
Socialvagingvisvdeterminedvbyvchangesvinvroles.vTakingvmultiplevmedicationsvmultiplevtimesvovervthevcoursevofvth
evdayvandvwalkingvwithvavrollingvwalkervarevfunctionalvdeterminantsvofvaging.vAgevrefersvtovchronologicalvaging.
PTS: 1 DIF: Understand REF: p.v7
TOP: NursingvProcess:vAssessment MSC: HealthvPromotionvandvMaintenance
12. Thevholisticvhealthvmovementvhasvimpactedvhealthvcarevinvwhichvofvthevfollowingvways?
a. Itvhasvfocusedvhealthvcarevonvdiseasevprevention.
b. Itvhasvreshapedvhowvhealthvandvhealthvcarevarevper-
ceived.
c. Itvhasvimprovedvaccessvtovhealthvcare.
d. Itvhasvintroducedvnumerousvalternativevmodalitiesvinto
healthvcare.
ANS: B
Thevholisticvparadigmvhasvreshapedvhowvhealthvandvhealthvcarevarevperceived.vWellnessvisvseenvasvavstatevofvbeingv
whichvcanvbevdefinedvanywherevalongvthevcontinuumvofvhealth.
PTS: 1 DIF: Understand REF: p.v7 TOP:
TeachingvandvLearningv MSC: HealthvPromotionvandvMaintenance
MULTIPLEvRESPONSE
Touhyv&vJett:vEbersolevandvHess’vGerontologicalvNursing v&vHealthyvAging,v5thvEdition
MULTIPLEvCHOICE
1. Avmanvisvterminallyvillvwithvend-
stagevprostatevcancer.vWhichvisvthevbestvstatementvaboutvthisvman’svwellness?
a. Wellnessvcanvonlyvbevachievedvwithvaggressivevmedical
interventions.
b. Wellnessvisvnotvavrealvoptionvforvthisvclientvbecausevhe
isvterminallyvill.
c. Wellnessvisvdefinedvasvthevabsencevofvdisease.
d. Nursingvinterventionsvcanvhelpvempowervavclientvto
achievevavhighervlevelvofvwellness.
ANS: D
Nursingvinterventionsvcanvhelpvempowervavclientvtovachievevavhighervlevelvofvwellness;vavnursevcanvfostervwellnessvi
nvhisvorvhervclients.vWellnessvisvdefinedvbyvthevindividualvandvisvmultidimensional.vItvisvnotvjustvthevabsencevofvdise
ase.v Avwellnessvperspectivevisvbasedvonvthevbeliefvthatveveryvpersonvhasvanvoptimalvlevelvofvhealthvindependentvofv
hisvorv hervsituationvorvfunctionalvlevel.vEvenvinvthevpresencevofvchronicvillnessvorvwhilevdying,vavmovementvtoward
vwellnessv isvpossiblevifvemphasisvofvcarevisvplacedvonvthevpromotionvofvwell-beingvinvavsupportivevenvironment.
PTS: 1 DIF: Apply REF: p.v7 TOP:
NursingvProcess:vDiagnosisv MSC: HealthvPromotionvandvMaintenance
2. Invdifferentiatingvbetweenvhealthvandvwellnessvinvhealthvcare,vwhichvofvthevfollowingvstatements
isvtrue?
a. Healthv isvavbroadvtermvencompassingvattitudesvand
behaviors.
b. Thevconceptvofvillnessvpreventionvwasvnevervconsidered
byvpreviousvgenerations.
c. Wellnessvandvself-actualizationvdevelopvthroughvlearn-
ingvandvgrowth.
d. Wellnessvisvimpossiblevwhenvone’svhealthvisvcompro-
mised.
ANS: A
Healthvisvavbroadvtermvthatvencompassesvattitudesvandvbehaviors;vholistically,vhealthvincludesvwellness,vwhichvin-
vvolves vone’svwholevbeing. vThevconceptvofvillnessvpreventionvwasvnevervconsideredvbyvpreviousvgenerations;vthroug
h-voutvhistory,vbasicvself-carevrequirementsvhavevbeenvrecognized.vWellnessvandvself-
actualizationvdevelopvthroughvlearningvandvgrowth—
asvbasicvneedsvarevmet,vhighervlevelvneedsvcanvbevsatisfiedvinvturn,vwithvever-deepeningvrich-
vnessvtovlife.vWellnessvisvpossiblevwhenvone’svhealthvis vcompromised—evenvwithvchronicvillness,vwithvmultiplevdis-
vabilities,vorvinvdying,vmovementvtowardvavhigher vlevelvof vwellnessvisvpossible.
PTS: 1 DIF: Understand REF: p.v7 TOP:
NursingvProcess:vEvaluationv MSC: HealthvPromotionvandvMaintenance
3. WhichvracialvorvethnicvgroupvhasvthevhighestvlifevexpectancyvinvthevUnitedvStates?
a. NativevAmericans
b. AfricanvAmericans
c. HispanicvAmericans
d. AsianvandvPacificvIslandvAmericans
ANS: C
AsvshownvinvFigurev1.4,vHispanicvmenvandvwomenvhavevthevhighestvlifevexpectancyvofvall.vInv2011,vforvthosevofvHis
-
vpanicvoriginvofvanyvrace,vthevoverallvlifevexpectancyvatv65vyearsvof vagevwasv20.7vmorevyearsvinv2011v(19.1vyearsvfor
vmenvandv21.8vyearsvforvwomen).
PTS: 1 DIF: Understand REF: p.v6
,TOP: NursingvProcess:vAssessment MSC: Safe,vEffectivevCarevEnvironment
4. Historicalvinfluencesvthatvhavevshapedvthevlivesvofvthevmajorityvofvthevin-
betweenvcohortvinvthevUnitedvStatesvtodayvincludevwhichvofvthevfollowing?
a. Influenzavepidemicvofv1918
b. WorldvWarvI
c. ChildvrearingvinvthevDepression
d. WorldvWarvII
ANS: D
Thosevwhovarevinvthevin-
betweenvcohortvinv2016vwerevbornvbetweenv1915vandv1945.vThevmenvwerevlikelyvtovhavevfoughtvinvWorldvWarvII.vTh
evlastvofvthevHolocaustvsurvivorsvarevinvthisvgroup.vAvpersonvwhovsurvivedvthevinfluenzavepidemicvwouldvbevatvleastv9
8vyearsvoldvinv2016vandvthereforevwouldvbevconsideredvold-oldvorvavcentenarian.vMostvofvthosev whov arev ofv thev in-
betweenv cohortv hadv notv reachedv childbearingv agev byv thev endv ofv thev Depression.v Individualsvinvthevin-
betweenvcohortvwouldvnotvhavevbeenvoldvenoughvtovfightvinvWorldvWarvII.
PTS: 1 DIF: Understand REF: p.v5
TOP: NursingvProcess:vAssessment MSC: Safe,vEffectivevCarevEnvironment
5. Accordingvtovresearchers,vwhichvcharacteristicvdovmostvcentenariansvshare?
a. Female
b. Hispanic
c. Livingvinvruralvareas
d. LocatedvinvthevMidwesternvstates
ANS: A
BasedvonvthevU.S.vcensusvreportvofv2010,vcentenariansvwerevoverwhelminglyvwhite,vfemale,vandvlivingvinvthevurbanv
areasvofvthevSouthernvstates.
PTS: 1 DIF: Remember REF: p.v5
TOP: NursingvProcess:vAssessment MSC: Safe,vEffectivevCarevEnvironment
6. Whichvnursingvinterventionvisvavholisticvapproachvtovanvoldervadult?
a. Performsvglucosevtestingvduringvthevweeklyvworship
service
b. Wheelsvambulatoryvadultsvtovexercisevwhenvrunning
late
c. AssignsvfemalevnursesvtovoldervwomenvwhovarevIslamic
d. Allowsvoldervadultsvinvavnursingvhomevtoveatvmeals
alone
ANS: C
ThevnursevusesvavholisticvapproachvtovthevcarevofvanvoldervfemalevadultvwhovisvIslamicvbecausevthevwomanvandvhervf
amilyvarevmorevlikelyvtovbevwillingvparticipantsvinvavtherapeuticvregimenvthatvrespectsvavtenetvofvtheirvculture.vInter-
vruptingvanvoldervadult’svworshipvwithvglucosevtestingvcanvbevinterpretedvasvavlackvofvrespectvforvspiritualvneeds.vThe
vnursevcanvprovidevfor vandvrespectvthevphysicalvandvspiritualvaspectsvofvthevolder vadult’svlifevbyvtestingvforvglucosevb
eforevthevservicevbegins.vInvtransportingvambulatoryvadultsvtovthevexercisevprogramvinvwheelchairsvtovsavevtime,vthev
nursevdisregardsvthevneedvforvself-esteemvandvexercise,vbothvimportantvaspectsvofvphysicalvwell-
being.vAmbulatoryvadultsvcanvwalkvwithvassistance,vifvneeded,vtovexercisevprogramsvandvcanvbenefitvfromvthevadditi
onalvactivityvandvindependence.vThevnursevcanvbevtemptedvtovallowvanvoldervadultvtoveatvmealsvalonevinvhisvorvhervro
omvifvthisvwillvmotivatevthevpersonvtoveatvorvifvthevoldervadultvhasvdysphasiavandvisvembarrassed.vHowever,valthough
vfocusingvonvphysicalvneeds,vthevnursevignores vpsychosocialvandvothervaspectsvofvhealthvandvwell-being.
PTS: 1 DIF: Understand REF: p.v7 TOP:
NursingvProcess:vEvaluationv MSC: HealthvPromotionvandvMaintenance
, 7. Anvoldervmanvwhovresidesvinvavnursingvhomevhasvavtotalvcholesterolvlevelvofv245vmg/dL.vWhic
hvnursingvinterventionvisvmostvlikelyvtovassistvthisvmanvinvachievingvhisvhighestvlevelvofvwellness?
a. Instructvhimvaboutvincreasingvdietaryvfiber.
b. Askvthevhealthvcarevprovidervforvavlow-fatvdiet.
c. Schedulevavconsultationvforvhimvwithvthev dietitian.
d. Reviewvavmenuvwithvhimvtovchoosevsuitablevfoods.
ANS: D
Thevnursevcollaboratesvwithvthevoldervadultvtovchoosevsuitablevfoods,vwhichvisvlikelyvtovbevanveffectivevnursingvinter-
vventionvtovhelpvanvoldervadultvwithvhyperlipidemiavachievevoptimalvhealthvandvwell-
being;vitvgivesvhimvsomevcontrolvovervthevregimenvandvthusvengagesvhimvinvthevprocessvofvloweringvserumvcholester
ol.vInformingvthevoldervmanvaboutvdietaryvfibervoffersvnovcontrolvtovhimvbecausevhevisvnotvpartvofvthevdecision.vNurs
ingvinterventionsvdevelopedvwithvthevoldervadult’svcollaborationvarevmostvlikelyvtovhelpvthevoldervadultvachievevhealt
hvandvwellness.vCollaboratingvwithvthevhealthv carev providerv forv av low-
fatv dietv isv av reasonablev approachv tov helpv thisv manv withv hyperlipidemiav tov achievevhealthvandvwellness.vHowever,v
hevisvmorevlikelyvtovhavevmotivationvandventhusiasmvforvavtherapeuticvregimenvovervwhichvhevhasvhadvsomevcontrol.
vSchedulingva vconsultationvwithvavdietitianvisvavreasonablevapproachvtovanvoldervadult vwithvhyperlipidemiavandvisvavp
artvofvavmultifacetedvapproachvtovoptimizingvhisvhealth.vHowever,vthevoldervadultvisv morevlikelyvtovengagevinvavregi
menvovervwhichvhevhasvinput.
PTS: 1 DIF: Analyze REF: p.v7 TOP:
NursingvProcess:vPlanningv MSC: HealthvPromotionvandvMaintenance
8. Whichvapproachvrequiresvthevnursevtovintegratevandvbalancevallvaspectsvofvanvindividual’svlifevint
ovthevplanvofvcare?
a. Holisticvnursing
b. Healthyv Peoplev 2020
c. Maslow’svhierarchyvofvhumanvneeds
d. Orem’svself-carevrequirements
ANS: A
Holisticvnursingvintegratesvallvaspectsvofvanvindividual’svlifevintovthevplanvofvcarevbyvbalancingvanvindividual’svinter-
vnalvandvexternalvenvironmentvwithvpsychosocial,vspiritual,vcultural,vandvphysicalvprocesses.vHealthyvPeoplev2020,va
nvupdatedvdocumentvfromv2000vthatvoutlinesvthevgoalsvforvachievingvhealthvinvthisvcountry,visvavmandatevforvhealthvc
arevprofessionalsvtovfollowvwithv467vobjectivesvinv28vfocusvareas.vMaslow’svhierarchyvofvhumanvneedsvprovidesvavb
asisv forvunderstandingvindividualsvinvcontextvandvforvrankingvnursingvassessments,vdiagnoses,vgoals,vandvinterventio
nsvinvordervofvimportance.vDorotheavOrem’svself-
carevrequirementsvlistsvhumanvneeds,vincludingvthevneedvforvair,vfluids,vnutrition,vhygiene,velimination,vactivity,vcom
fort,vreliefvfromvsuffering,vandvskinvintegrity.vThevnursevhelpsvindividu-
valsvmeetvthesevneedsvtovachievevoptimalvhealthvandvwellness.
PTS: 1 DIF: Remember REF: p.v7
TOP: NursingvProcess:vAssessment MSC: Safe,vEffectivevCarevEnvironment
9. Thevnursevplansvactivitiesvforvoldervwomenvbornvbetweenv1920vandv1930vandvwhovresidevinva
nvassisted-livingvfacility.vWhichvisvthevbestvinterventionvforvthevnursevtovimplement?
a. Havevthemvbakevcookiesvtwicevavweek.
b. Conductvinterviewsvforvspecificvinterests.
c. Arrangevdogvandvcatvvisitsvfromvvolunteers.
d. Takevthemvtovthevlibraryvforvguestvspeakers.
ANS: B
Thevnursevconductsvindividualvinterviewsvwithvthevwomenvtovdeterminevtheirvinterestsvandvtovavoidvgeneralizing;vasv
peoplevlivevlonger,vtheyvbecomevmorevandvmorevunique.vBecausevmostvofvthesevwomenvarevinvtheirv80svandv90svwer
evbornvbetweenv1920vandv1930vandvhavevgenerallyvspentvtheirvlivesvasvhomemakers,vthevnursevpresumesvtovknowvw
hat
, activitiesvtheyvwillvenjoy.vThevnursevavoidsvarrangingvgroupvactivitiesvuntilvindividualvinterestsvarevdetermined.vInva
ddition,vthevnursevmustvassessvforvallergiesvandvindividualvfearsvofvanimalsvbeforevexposingvanvoldervadultvtovavpetvv
isit.vUnlessvitvisvorganizedvonvavvoluntaryvbasis,vthevnursevavoidsvarrangingvvisitsvbyvguestvspeakers.vInvaddition,vthe
vnursevwillvassessveachvoldervwomanvbeforevanvoutsidevvisitvtovavoidvembarrassingvevents,vincludingvincontinenceva
ndvhearingvandvvisionvproblems.
PTS: 1 DIF: Analyze REF: p.v5
TOP: NursingvProcess:vImplementation MSC: Safe,vEffectivevCarevEnvironment
10. WhichvofvthevfollowingvissuesvinvthevcarevofvoldervadultsvarevidentifiedvinvHealthyvPeoplev2020?
a. Delineatingvnursingvstaffingvlevelsvinvlongvtermvcare
b. Eradicatingvpressurevulcersvinvallvcarevsettings
c. Identifyingvminimumvlevelsvofvtrainingvforvpeoplevwho
carevforvoldervadults
d. Institutingvmandatoryvtrainingvinvidentificationvofvelder
abusevforvallvcaregiversvofvoldervadults
ANS: C
IdentifyingvminimumvtrainingvlevelsvforvpeoplevwhovcarevforvoldervadultsvisvonevofvthevissuesvidentifiedvinvHealthyv
Peoplev2020.vThevrestvofvthevissuesvarevnotvdiscussedvinvHealthyvPeoplev2020.
PTS: 1 DIF: Remember REF: p.v8 TOP:
TeachingvandvLearningv MSC: HealthvPromotionvandvMaintenance
11. Anvoldervmanvasksvavnurse:v“Howvdovyouvdefinevaging?vDovIvmeetvthevcriteriavofvavseniorv citize
n?”vThevnursevunderstandsvthatvonevcanvdefinevagingvinvmanyvdifferentvmanners.vIfvthevnursevchoosesvtovdefinevagin
gvasv“socialvaging,”vthevnursevwouldvconsidervwhichvofvthevfollowingvaspects?
a. Thevmanvretiredvfromvhisvjobvasvavpolicevofficer.
b. Thevmanvtakesvsixvdifferentvmedicationsvmultiplevtimes
overvthevcoursevofvthevday.
c. Thevmanvwalksvwithvavrollingvwalker.
d. Thevmanvcelebratedvhisv65thvbirthday.
ANS: A
Socialvagingvisvdeterminedvbyvchangesvinvroles.vTakingvmultiplevmedicationsvmultiplevtimesvovervthevcoursevofvth
evdayvandvwalkingvwithvavrollingvwalkervarevfunctionalvdeterminantsvofvaging.vAgevrefersvtovchronologicalvaging.
PTS: 1 DIF: Understand REF: p.v7
TOP: NursingvProcess:vAssessment MSC: HealthvPromotionvandvMaintenance
12. Thevholisticvhealthvmovementvhasvimpactedvhealthvcarevinvwhichvofvthevfollowingvways?
a. Itvhasvfocusedvhealthvcarevonvdiseasevprevention.
b. Itvhasvreshapedvhowvhealthvandvhealthvcarevarevper-
ceived.
c. Itvhasvimprovedvaccessvtovhealthvcare.
d. Itvhasvintroducedvnumerousvalternativevmodalitiesvinto
healthvcare.
ANS: B
Thevholisticvparadigmvhasvreshapedvhowvhealthvandvhealthvcarevarevperceived.vWellnessvisvseenvasvavstatevofvbeingv
whichvcanvbevdefinedvanywherevalongvthevcontinuumvofvhealth.
PTS: 1 DIF: Understand REF: p.v7 TOP:
TeachingvandvLearningv MSC: HealthvPromotionvandvMaintenance
MULTIPLEvRESPONSE
