Chapterg01:gIntroductiongtogHealthygAging
Touhyg&gJett:gEbersolegandgHess’gGerontologicalgNursingg&gHealthygAging,g5thgEdition
MULTIPLEg CHOICE
1. Agmangisgterminallygillgwithgend-
stagegprostategcancer.gWhichgisgthegbestgstatementgaboutgthisgman’sgwellness?
a. Wellnessgcangonlygbegachievedgwithgaggressivegmedica
l
interventions.
b. Wellnessgisgnotgagrealgoptiongforgthisgclientgbecausegh
e
isg terminallygill.
c. Wellnessgisgdefinedgasgthegabsencegofgdisease.
d. Nursingginterventionsgcanghelpgempowergagclientgto
achievegaghigherglevelgofgwellness.
ANS: D
Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelgofgwellness;gagnursegcangfostergwell
nessginghisgorghergclients.gWellnessgisgdefinedgbygthegindividualgandgisgmultidimensional.gItgisgnotgjustgthegabse
ncegofgdisease.g Agwellnessgperspectivegisgbasedgongthegbeliefgthatgeverygpersonghasgangoptimalglevelgofghealth
gindependentgofghisgorg hergsituationgorgfunctionalglevel.gEvengingthegpresencegofgchronicgillnessgorgwhilegdyin
g,gagmovementgtowardgwellnessg isgpossiblegifgemphasisgofgcaregisgplacedgongthegpromotiongofgwell-
beinggingagsupportivegenvironment.
PTS: 1 DIF: Apply REF: p.g7 TOP:
NursinggProcess:gDiagnosisg MSC: HealthgPromotiongandgMaintenance
2. Ingdifferentiatinggbetweenghealthgandgwellnessginghealthgcare,gwhichgofgthegfollowinggstatements
isgtrue?
a. Healthgisgagbroadgtermgencompassinggattitudesgand
behaviors.
b. Thegconceptgofgillnessgpreventiongwasgnevergconsidere
d
bygpreviousggenerations.
c. Wellnessgandgself-actualizationgdevelopgthroughglearn-
inggandggrowth.
d. Wellnessgisgimpossiblegwhengone’sghealthgisgcompro-
mised.
ANS: A
Healthgisgagbroadgtermgthatgencompassesgattitudesgandgbehaviors;gholistically,ghealthgincludesgwellness,gwhichgi
n-
gvolvesgone’sgwholegbeing.gThegconceptgofgillnessgpreventiongwasgnevergconsideredgbygpreviousggenerations;gth
rough-goutghistory,gbasicgself-caregrequirementsghavegbeengrecognized.gWellnessgandgself-
actualizationgdevelopgthroughglearninggandggrowth—
asgbasicgneedsgaregmet,ghigherglevelgneedsgcangbegsatisfiedgingturn,gwithgever-deepeninggrich-
gnessgtoglife.gWellnessgisgpossiblegwhengone’sghealthgisgcompromised—
evengwithgchronicgillness,gwithgmultiplegdis-
gabilities,gorgingdying,gmovementgtowardgaghigherglevelgofgwellnessgisgpossible.
PTS: 1 DIF: Understand REF: p.g7 TOP:
NursinggProcess:gEvaluationg MSC: HealthgPromotiongandgMaintenance
3. WhichgracialgorgethnicggroupghasgtheghighestglifegexpectancygingthegUnitedgStates?
a. NativegAmericans
b. AfricangAmericans
c. HispanicgAmericans
d. AsiangandgPacificgIslandgAmericans
ANS: C
AsgshowngingFigureg1.4,gHispanicgmengandgwomenghavegtheghighestglifegexpectancygofgall.gIng2011,gforgthoseg
ofgHis-
gpanicgorigingofganygrace,gthegoverallglifegexpectancygatg65gyearsgofgagegwasg20.7gmoregyearsging2011g(19.1gye
arsgforgmengandg21.8gyearsgforgwomen).
PTS: 1 DIF: Understand REF: p.g6
,TOP: Nursingg Process:gAssessment MSC: Safe,gEffectivegCaregEnvironment
4. Historicalginfluencesgthatghavegshapedgtheglivesgofgthegmajoritygofgthegin-
betweengcohortgingthegUnitedgStatesgtodaygincludegwhichgofgthegfollowing?
a. Influenzagepidemicgofg1918
b. WorldgWargI
c. ChildgrearinggingthegDepression
d. WorldgWargII
ANS: D
Thosegwhogaregingthegin-
betweengcohortging2016gweregborngbetweeng1915gandg1945.gThegmengwereglikelygtoghavegfoughtgingWorldgWarg
II.gTheglastgofgthegHolocaustgsurvivorsgaregingthisggroup.gAgpersongwhogsurvivedgtheginfluenzagepidemicgwouldg
begatgleastg98gyearsgoldging2016gandgthereforegwouldgbegconsideredgold-
oldgorgagcentenarian.gMostgofgthoseg whog areg ofg theg in-
betweeng cohortg hadg notg reachedg childbearingg ageg byg theg endg ofg theg Depression.g Individualsgingthegin-
betweengcohortgwouldgnotghavegbeengoldgenoughgtogfightgingWorldgWargII.
PTS: 1 DIF: Understand REF: p.g5
TOP: Nursingg Process:gAssessment MSC: Safe,gEffectivegCaregEnvironment
5. Accordinggtogresearchers,gwhichgcharacteristicgdogmostgcentenariansgshare?
a. Female
b. Hispanic
c. Livinggingruralgareas
d. LocatedgingthegMidwesterngstates
ANS: A
BasedgongthegU.S.gcensusgreportgofg2010,gcentenariansgweregoverwhelminglygwhite,gfemale,gandglivinggingthegu
rbangareasgofgthegSoutherngstates.
PTS: 1 DIF: Remember REF: p.g5
TOP: Nursingg Process:gAssessment MSC: Safe,gEffectivegCaregEnvironment
6. Whichgnursingginterventiongisgagholisticgapproachgtogangoldergadult?
a. Performsgglucosegtestinggduringgthegweeklygworship
service
b. Wheelsgambulatorygadultsgtogexercisegwhengrunning
late
c. AssignsgfemalegnursesgtogoldergwomengwhogaregIslami
c
d. Allowsgoldergadultsgingagnursingghomegtogeatgmeals
alone
ANS: C
ThegnursegusesgagholisticgapproachgtogthegcaregofgangoldergfemalegadultgwhogisgIslamicgbecausegthegwomangand
ghergfamilygaregmoreglikelygtogbegwillinggparticipantsgingagtherapeuticgregimengthatgrespectsgagtenetgofgtheirgcul
ture.gInter-
gruptinggangoldergadult’sgworshipgwithgglucosegtestinggcangbeginterpretedgasgaglackgofgrespectgforgspiritualgneed
s.gThegnursegcangprovidegforgandgrespectgthegphysicalgandgspiritualgaspectsgofgthegoldergadult’sglifegbygtestinggf
orgglucosegbeforegthegservicegbegins.gIngtransportinggambulatorygadultsgtogthegexercisegprogramgingwheelchairsgt
ogsavegtime,gthegnursegdisregardsgthegneedgforgself-
esteemgandgexercise,gbothgimportantgaspectsgofgphysicalgwell-
being.gAmbulatorygadultsgcangwalkgwithgassistance,gifgneeded,gtogexercisegprogramsgandgcangbenefitgfromgthega
dditionalgactivitygandgindependence.gThegnursegcangbegtemptedgtogallowgangoldergadultgtogeatgmealsgaloneginghi
sgorghergroomgifgthisgwillgmotivategthegpersongtogeatgorgifgthegoldergadultghasgdysphasiagandgisgembarrassed.gH
owever,galthoughgfocusinggongphysicalgneeds,gthegnursegignoresgpsychosocialgandgothergaspectsgofghealthgandgw
ell-being.
PTS: 1 DIF: Understand REF: p.g7 TOP:
NursinggProcess:gEvaluationg MSC: HealthgPromotiongandgMaintenance
, 7. Angoldergmangwhogresidesgingagnursingghomeghasgagtotalgcholesterolglevelgofg245gmg/dL.g
Whichgnursingginterventiongisgmostglikelygtogassistgthisgmangingachievingghisghighestglevelgofgwellness?
a. Instructghimgaboutgincreasinggdietarygfiber.
b. Askgtheghealthgcaregprovidergforgaglow-fatgdiet.
c. Schedulegagconsultationgforghimgwithgthegdietitian.
d. Reviewgagmenugwithghimgtogchoosegsuitablegfoods.
ANS: D
Thegnursegcollaboratesgwithgthegoldergadultgtogchoosegsuitablegfoods,gwhichgisglikelygtogbegangeffectivegnursing
ginter-gventiongtoghelpgangoldergadultgwithghyperlipidemiagachievegoptimalghealthgandgwell-
being;gitggivesghimgsomegcontrolgovergthegregimengandgthusgengagesghimgingthegprocessgofgloweringgserumgcho
lesterol.gInforminggthegoldergmangaboutgdietarygfibergoffersgnogcontrolgtoghimgbecauseghegisgnotgpartgofgthegdec
ision.gNursingginterventionsgdevelopedgwithgthegoldergadult’sgcollaborationgaregmostglikelygtoghelpgthegoldergadu
ltgachieveghealthgandgwellness.gCollaboratinggwithgtheghealthg careg providerg forg ag low-
fatg dietg isg ag reasonableg approachg tog helpg thisg mang withg hyperlipidemiag tog achieveghealthgandgwellness.gHowe
ver,ghegisgmoreglikelygtoghavegmotivationgandgenthusiasmgforgagtherapeuticgregimengovergwhichgheghasghadgso
megcontrol.gSchedulinggagconsultationgwithgagdietitiangisgagreasonablegapproachgtogangoldergadultgwithghyperlipi
demiagandgisgagpartgofgagmultifacetedgapproachgtogoptimizingghisghealth.gHowever,gthegoldergadultgisg moreglike
lygtogengagegingagregimengovergwhichgheghasginput.
PTS: 1 DIF: Analyze REF: p.g7 TOP:
NursinggProcess:gPlanningg MSC: HealthgPromotiongandgMaintenance
8. Whichgapproachgrequiresgthegnursegtogintegrategandgbalancegallgaspectsgofgangindividual’sglife
gintogthegplangofgcare?
a. Holisticgnursing
b. HealthygPeopleg2020
c. Maslow’sghierarchygofghumangneeds
d. Orem’sgself-caregrequirements
ANS: A
Holisticgnursinggintegratesgallgaspectsgofgangindividual’sglifegintogthegplangofgcaregbygbalancinggangindividual’sg
inter-
gnalgandgexternalgenvironmentgwithgpsychosocial,gspiritual,gcultural,gandgphysicalgprocesses.gHealthygPeopleg202
0,gangupdatedgdocumentgfromg2000gthatgoutlinesgtheggoalsgforgachievingghealthgingthisgcountry,gisgagmandategfo
rghealthgcaregprofessionalsgtogfollowgwithg467gobjectivesging28gfocusgareas.gMaslow’sghierarchygofghumangneed
sgprovidesgagbasisg forgunderstandinggindividualsgingcontextgandgforgrankinggnursinggassessments,gdiagnoses,ggo
als,gandginterventionsgingordergofgimportance.gDorotheagOrem’sgself-
caregrequirementsglistsghumangneeds,gincludinggthegneedgforgair,gfluids,gnutrition,ghygiene,gelimination,gactivity,g
comfort,greliefgfromgsuffering,gandgskingintegrity.gThegnurseghelpsgindividu-
galsgmeetgthesegneedsgtogachievegoptimalghealthgandgwellness.
PTS: 1 DIF: Remember REF: p.g7
TOP: Nursingg Process:gAssessment MSC: Safe,gEffectivegCaregEnvironment
9. Thegnursegplansgactivitiesgforgoldergwomengborngbetweeng1920gandg1930gandgwhogresideg
ingangassisted-livinggfacility.gWhichgisgthegbestginterventiongforgthegnursegtogimplement?
a. Havegthemgbakegcookiesgtwicegagweek.
b. Conductginterviewsgforgspecificginterests.
c. Arrangegdoggandgcatgvisitsgfromgvolunteers.
d. Takegthemgtogtheglibrarygforgguestgspeakers.
ANS: B
Thegnursegconductsgindividualginterviewsgwithgthegwomengtogdeterminegtheirginterestsgandgtogavoidggeneralizing
;gasgpeoplegliveglonger,gtheygbecomegmoregandgmoregunique.gBecausegmostgofgthesegwomengaregingtheirg80sgan
dg90sgweregborngbetweeng1920gandg1930gandghaveggenerallygspentgtheirglivesgasghomemakers,gthegnursegpresu
mesgtogknowgwhat
, activitiesgtheygwillgenjoy.gThegnursegavoidsgarrangingggroupgactivitiesguntilgindividualginterestsgaregdetermined.g
Ingaddition,gthegnursegmustgassessgforgallergiesgandgindividualgfearsgofganimalsgbeforegexposinggangoldergadultgt
ogagpetgvisit.gUnlessgitgisgorganizedgongagvoluntarygbasis,gthegnursegavoidsgarranginggvisitsgbygguestgspeakers.gI
ngaddition,gthegnursegwillgassessgeachgoldergwomangbeforegangoutsidegvisitgtogavoidgembarrassinggevents,ginclud
inggincontinencegandghearinggandgvisiongproblems.
PTS: 1 DIF: Analyze REF: p.g5
TOP: NursinggProcess:gImplementation MSC: Safe,gEffectivegCaregEnvironment
10. WhichgofgthegfollowinggissuesgingthegcaregofgoldergadultsgaregidentifiedgingHealthygPeopleg2020?
a. Delineatinggnursinggstaffingglevelsginglonggtermgcare
b. Eradicatinggpressuregulcersgingallgcaregsettings
c. Identifyinggminimumglevelsgofgtraininggforgpeoplegwh
o
caregforgoldergadults
d. Institutinggmandatorygtraininggingidentificationgofgelder
abusegforgallgcaregiversgofgoldergadults
ANS: C
IdentifyinggminimumgtrainingglevelsgforgpeoplegwhogcaregforgoldergadultsgisgonegofgthegissuesgidentifiedgingHea
lthygPeopleg2020.gThegrestgofgthegissuesgaregnotgdiscussedgingHealthygPeopleg2020.
PTS: 1 DIF: Remember REF: p.g8 TOP:
TeachinggandgLearningg MSC: HealthgPromotiongandgMaintenance
11. Angoldergmangasksgagnurse:g“Howgdogyougdefinegaging?gDogIgmeetgthegcriteriagofgagseniorg
citizen?”gThegnursegunderstandsgthatgonegcangdefinegaginggingmanygdifferentgmanners.gIfgthegnursegchoosesgtog
definegaginggasg“socialgaging,”gthegnursegwouldgconsidergwhichgofgthegfollowinggaspects?
a. Thegmangretiredgfromghisgjobgasgagpolicegofficer.
b. Thegmangtakesgsixgdifferentgmedicationsgmultiplegtime
s
overgthegcoursegofgthegday.
c. Thegmangwalksgwithgagrollinggwalker.
d. Thegmangcelebratedghisg65thgbirthday.
ANS: A
Socialgaginggisgdeterminedgbygchangesgingroles.gTakinggmultiplegmedicationsgmultiplegtimesgovergthegcourseg
ofgthegdaygandgwalkinggwithgagrollinggwalkergaregfunctionalgdeterminantsgofgaging.gAgegrefersgtogchronologic
algaging.
PTS: 1 DIF: Understand REF: p.g7
TOP: Nursingg Process:gAssessment MSC: HealthgPromotiongandgMaintenance
12. Thegholisticghealthgmovementghasgimpactedghealthgcaregingwhichgofgthegfollowinggways?
a. Itghasgfocusedghealthgcaregongdiseasegprevention.
b. Itghasgreshapedghowghealthgandghealthgcaregaregper-
ceived.
c. Itghasgimprovedgaccessgtoghealthgcare.
d. Itg hasgintroducedgnumerousgalternativeg modalitiesginto
healthgcare.
ANS: B
Thegholisticgparadigmghasgreshapedghowghealthgandghealthgcaregaregperceived.gWellnessgisgseengasgagstategofgb
einggwhichgcangbegdefinedganywheregalonggthegcontinuumgofghealth.
PTS: 1 DIF: Understand REF: p.g7 TOP:
TeachinggandgLearningg MSC: HealthgPromotiongandgMaintenance
MULTIPLEg RESPONSE
Touhyg&gJett:gEbersolegandgHess’gGerontologicalgNursingg&gHealthygAging,g5thgEdition
MULTIPLEg CHOICE
1. Agmangisgterminallygillgwithgend-
stagegprostategcancer.gWhichgisgthegbestgstatementgaboutgthisgman’sgwellness?
a. Wellnessgcangonlygbegachievedgwithgaggressivegmedica
l
interventions.
b. Wellnessgisgnotgagrealgoptiongforgthisgclientgbecausegh
e
isg terminallygill.
c. Wellnessgisgdefinedgasgthegabsencegofgdisease.
d. Nursingginterventionsgcanghelpgempowergagclientgto
achievegaghigherglevelgofgwellness.
ANS: D
Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelgofgwellness;gagnursegcangfostergwell
nessginghisgorghergclients.gWellnessgisgdefinedgbygthegindividualgandgisgmultidimensional.gItgisgnotgjustgthegabse
ncegofgdisease.g Agwellnessgperspectivegisgbasedgongthegbeliefgthatgeverygpersonghasgangoptimalglevelgofghealth
gindependentgofghisgorg hergsituationgorgfunctionalglevel.gEvengingthegpresencegofgchronicgillnessgorgwhilegdyin
g,gagmovementgtowardgwellnessg isgpossiblegifgemphasisgofgcaregisgplacedgongthegpromotiongofgwell-
beinggingagsupportivegenvironment.
PTS: 1 DIF: Apply REF: p.g7 TOP:
NursinggProcess:gDiagnosisg MSC: HealthgPromotiongandgMaintenance
2. Ingdifferentiatinggbetweenghealthgandgwellnessginghealthgcare,gwhichgofgthegfollowinggstatements
isgtrue?
a. Healthgisgagbroadgtermgencompassinggattitudesgand
behaviors.
b. Thegconceptgofgillnessgpreventiongwasgnevergconsidere
d
bygpreviousggenerations.
c. Wellnessgandgself-actualizationgdevelopgthroughglearn-
inggandggrowth.
d. Wellnessgisgimpossiblegwhengone’sghealthgisgcompro-
mised.
ANS: A
Healthgisgagbroadgtermgthatgencompassesgattitudesgandgbehaviors;gholistically,ghealthgincludesgwellness,gwhichgi
n-
gvolvesgone’sgwholegbeing.gThegconceptgofgillnessgpreventiongwasgnevergconsideredgbygpreviousggenerations;gth
rough-goutghistory,gbasicgself-caregrequirementsghavegbeengrecognized.gWellnessgandgself-
actualizationgdevelopgthroughglearninggandggrowth—
asgbasicgneedsgaregmet,ghigherglevelgneedsgcangbegsatisfiedgingturn,gwithgever-deepeninggrich-
gnessgtoglife.gWellnessgisgpossiblegwhengone’sghealthgisgcompromised—
evengwithgchronicgillness,gwithgmultiplegdis-
gabilities,gorgingdying,gmovementgtowardgaghigherglevelgofgwellnessgisgpossible.
PTS: 1 DIF: Understand REF: p.g7 TOP:
NursinggProcess:gEvaluationg MSC: HealthgPromotiongandgMaintenance
3. WhichgracialgorgethnicggroupghasgtheghighestglifegexpectancygingthegUnitedgStates?
a. NativegAmericans
b. AfricangAmericans
c. HispanicgAmericans
d. AsiangandgPacificgIslandgAmericans
ANS: C
AsgshowngingFigureg1.4,gHispanicgmengandgwomenghavegtheghighestglifegexpectancygofgall.gIng2011,gforgthoseg
ofgHis-
gpanicgorigingofganygrace,gthegoverallglifegexpectancygatg65gyearsgofgagegwasg20.7gmoregyearsging2011g(19.1gye
arsgforgmengandg21.8gyearsgforgwomen).
PTS: 1 DIF: Understand REF: p.g6
,TOP: Nursingg Process:gAssessment MSC: Safe,gEffectivegCaregEnvironment
4. Historicalginfluencesgthatghavegshapedgtheglivesgofgthegmajoritygofgthegin-
betweengcohortgingthegUnitedgStatesgtodaygincludegwhichgofgthegfollowing?
a. Influenzagepidemicgofg1918
b. WorldgWargI
c. ChildgrearinggingthegDepression
d. WorldgWargII
ANS: D
Thosegwhogaregingthegin-
betweengcohortging2016gweregborngbetweeng1915gandg1945.gThegmengwereglikelygtoghavegfoughtgingWorldgWarg
II.gTheglastgofgthegHolocaustgsurvivorsgaregingthisggroup.gAgpersongwhogsurvivedgtheginfluenzagepidemicgwouldg
begatgleastg98gyearsgoldging2016gandgthereforegwouldgbegconsideredgold-
oldgorgagcentenarian.gMostgofgthoseg whog areg ofg theg in-
betweeng cohortg hadg notg reachedg childbearingg ageg byg theg endg ofg theg Depression.g Individualsgingthegin-
betweengcohortgwouldgnotghavegbeengoldgenoughgtogfightgingWorldgWargII.
PTS: 1 DIF: Understand REF: p.g5
TOP: Nursingg Process:gAssessment MSC: Safe,gEffectivegCaregEnvironment
5. Accordinggtogresearchers,gwhichgcharacteristicgdogmostgcentenariansgshare?
a. Female
b. Hispanic
c. Livinggingruralgareas
d. LocatedgingthegMidwesterngstates
ANS: A
BasedgongthegU.S.gcensusgreportgofg2010,gcentenariansgweregoverwhelminglygwhite,gfemale,gandglivinggingthegu
rbangareasgofgthegSoutherngstates.
PTS: 1 DIF: Remember REF: p.g5
TOP: Nursingg Process:gAssessment MSC: Safe,gEffectivegCaregEnvironment
6. Whichgnursingginterventiongisgagholisticgapproachgtogangoldergadult?
a. Performsgglucosegtestinggduringgthegweeklygworship
service
b. Wheelsgambulatorygadultsgtogexercisegwhengrunning
late
c. AssignsgfemalegnursesgtogoldergwomengwhogaregIslami
c
d. Allowsgoldergadultsgingagnursingghomegtogeatgmeals
alone
ANS: C
ThegnursegusesgagholisticgapproachgtogthegcaregofgangoldergfemalegadultgwhogisgIslamicgbecausegthegwomangand
ghergfamilygaregmoreglikelygtogbegwillinggparticipantsgingagtherapeuticgregimengthatgrespectsgagtenetgofgtheirgcul
ture.gInter-
gruptinggangoldergadult’sgworshipgwithgglucosegtestinggcangbeginterpretedgasgaglackgofgrespectgforgspiritualgneed
s.gThegnursegcangprovidegforgandgrespectgthegphysicalgandgspiritualgaspectsgofgthegoldergadult’sglifegbygtestinggf
orgglucosegbeforegthegservicegbegins.gIngtransportinggambulatorygadultsgtogthegexercisegprogramgingwheelchairsgt
ogsavegtime,gthegnursegdisregardsgthegneedgforgself-
esteemgandgexercise,gbothgimportantgaspectsgofgphysicalgwell-
being.gAmbulatorygadultsgcangwalkgwithgassistance,gifgneeded,gtogexercisegprogramsgandgcangbenefitgfromgthega
dditionalgactivitygandgindependence.gThegnursegcangbegtemptedgtogallowgangoldergadultgtogeatgmealsgaloneginghi
sgorghergroomgifgthisgwillgmotivategthegpersongtogeatgorgifgthegoldergadultghasgdysphasiagandgisgembarrassed.gH
owever,galthoughgfocusinggongphysicalgneeds,gthegnursegignoresgpsychosocialgandgothergaspectsgofghealthgandgw
ell-being.
PTS: 1 DIF: Understand REF: p.g7 TOP:
NursinggProcess:gEvaluationg MSC: HealthgPromotiongandgMaintenance
, 7. Angoldergmangwhogresidesgingagnursingghomeghasgagtotalgcholesterolglevelgofg245gmg/dL.g
Whichgnursingginterventiongisgmostglikelygtogassistgthisgmangingachievingghisghighestglevelgofgwellness?
a. Instructghimgaboutgincreasinggdietarygfiber.
b. Askgtheghealthgcaregprovidergforgaglow-fatgdiet.
c. Schedulegagconsultationgforghimgwithgthegdietitian.
d. Reviewgagmenugwithghimgtogchoosegsuitablegfoods.
ANS: D
Thegnursegcollaboratesgwithgthegoldergadultgtogchoosegsuitablegfoods,gwhichgisglikelygtogbegangeffectivegnursing
ginter-gventiongtoghelpgangoldergadultgwithghyperlipidemiagachievegoptimalghealthgandgwell-
being;gitggivesghimgsomegcontrolgovergthegregimengandgthusgengagesghimgingthegprocessgofgloweringgserumgcho
lesterol.gInforminggthegoldergmangaboutgdietarygfibergoffersgnogcontrolgtoghimgbecauseghegisgnotgpartgofgthegdec
ision.gNursingginterventionsgdevelopedgwithgthegoldergadult’sgcollaborationgaregmostglikelygtoghelpgthegoldergadu
ltgachieveghealthgandgwellness.gCollaboratinggwithgtheghealthg careg providerg forg ag low-
fatg dietg isg ag reasonableg approachg tog helpg thisg mang withg hyperlipidemiag tog achieveghealthgandgwellness.gHowe
ver,ghegisgmoreglikelygtoghavegmotivationgandgenthusiasmgforgagtherapeuticgregimengovergwhichgheghasghadgso
megcontrol.gSchedulinggagconsultationgwithgagdietitiangisgagreasonablegapproachgtogangoldergadultgwithghyperlipi
demiagandgisgagpartgofgagmultifacetedgapproachgtogoptimizingghisghealth.gHowever,gthegoldergadultgisg moreglike
lygtogengagegingagregimengovergwhichgheghasginput.
PTS: 1 DIF: Analyze REF: p.g7 TOP:
NursinggProcess:gPlanningg MSC: HealthgPromotiongandgMaintenance
8. Whichgapproachgrequiresgthegnursegtogintegrategandgbalancegallgaspectsgofgangindividual’sglife
gintogthegplangofgcare?
a. Holisticgnursing
b. HealthygPeopleg2020
c. Maslow’sghierarchygofghumangneeds
d. Orem’sgself-caregrequirements
ANS: A
Holisticgnursinggintegratesgallgaspectsgofgangindividual’sglifegintogthegplangofgcaregbygbalancinggangindividual’sg
inter-
gnalgandgexternalgenvironmentgwithgpsychosocial,gspiritual,gcultural,gandgphysicalgprocesses.gHealthygPeopleg202
0,gangupdatedgdocumentgfromg2000gthatgoutlinesgtheggoalsgforgachievingghealthgingthisgcountry,gisgagmandategfo
rghealthgcaregprofessionalsgtogfollowgwithg467gobjectivesging28gfocusgareas.gMaslow’sghierarchygofghumangneed
sgprovidesgagbasisg forgunderstandinggindividualsgingcontextgandgforgrankinggnursinggassessments,gdiagnoses,ggo
als,gandginterventionsgingordergofgimportance.gDorotheagOrem’sgself-
caregrequirementsglistsghumangneeds,gincludinggthegneedgforgair,gfluids,gnutrition,ghygiene,gelimination,gactivity,g
comfort,greliefgfromgsuffering,gandgskingintegrity.gThegnurseghelpsgindividu-
galsgmeetgthesegneedsgtogachievegoptimalghealthgandgwellness.
PTS: 1 DIF: Remember REF: p.g7
TOP: Nursingg Process:gAssessment MSC: Safe,gEffectivegCaregEnvironment
9. Thegnursegplansgactivitiesgforgoldergwomengborngbetweeng1920gandg1930gandgwhogresideg
ingangassisted-livinggfacility.gWhichgisgthegbestginterventiongforgthegnursegtogimplement?
a. Havegthemgbakegcookiesgtwicegagweek.
b. Conductginterviewsgforgspecificginterests.
c. Arrangegdoggandgcatgvisitsgfromgvolunteers.
d. Takegthemgtogtheglibrarygforgguestgspeakers.
ANS: B
Thegnursegconductsgindividualginterviewsgwithgthegwomengtogdeterminegtheirginterestsgandgtogavoidggeneralizing
;gasgpeoplegliveglonger,gtheygbecomegmoregandgmoregunique.gBecausegmostgofgthesegwomengaregingtheirg80sgan
dg90sgweregborngbetweeng1920gandg1930gandghaveggenerallygspentgtheirglivesgasghomemakers,gthegnursegpresu
mesgtogknowgwhat
, activitiesgtheygwillgenjoy.gThegnursegavoidsgarrangingggroupgactivitiesguntilgindividualginterestsgaregdetermined.g
Ingaddition,gthegnursegmustgassessgforgallergiesgandgindividualgfearsgofganimalsgbeforegexposinggangoldergadultgt
ogagpetgvisit.gUnlessgitgisgorganizedgongagvoluntarygbasis,gthegnursegavoidsgarranginggvisitsgbygguestgspeakers.gI
ngaddition,gthegnursegwillgassessgeachgoldergwomangbeforegangoutsidegvisitgtogavoidgembarrassinggevents,ginclud
inggincontinencegandghearinggandgvisiongproblems.
PTS: 1 DIF: Analyze REF: p.g5
TOP: NursinggProcess:gImplementation MSC: Safe,gEffectivegCaregEnvironment
10. WhichgofgthegfollowinggissuesgingthegcaregofgoldergadultsgaregidentifiedgingHealthygPeopleg2020?
a. Delineatinggnursinggstaffingglevelsginglonggtermgcare
b. Eradicatinggpressuregulcersgingallgcaregsettings
c. Identifyinggminimumglevelsgofgtraininggforgpeoplegwh
o
caregforgoldergadults
d. Institutinggmandatorygtraininggingidentificationgofgelder
abusegforgallgcaregiversgofgoldergadults
ANS: C
IdentifyinggminimumgtrainingglevelsgforgpeoplegwhogcaregforgoldergadultsgisgonegofgthegissuesgidentifiedgingHea
lthygPeopleg2020.gThegrestgofgthegissuesgaregnotgdiscussedgingHealthygPeopleg2020.
PTS: 1 DIF: Remember REF: p.g8 TOP:
TeachinggandgLearningg MSC: HealthgPromotiongandgMaintenance
11. Angoldergmangasksgagnurse:g“Howgdogyougdefinegaging?gDogIgmeetgthegcriteriagofgagseniorg
citizen?”gThegnursegunderstandsgthatgonegcangdefinegaginggingmanygdifferentgmanners.gIfgthegnursegchoosesgtog
definegaginggasg“socialgaging,”gthegnursegwouldgconsidergwhichgofgthegfollowinggaspects?
a. Thegmangretiredgfromghisgjobgasgagpolicegofficer.
b. Thegmangtakesgsixgdifferentgmedicationsgmultiplegtime
s
overgthegcoursegofgthegday.
c. Thegmangwalksgwithgagrollinggwalker.
d. Thegmangcelebratedghisg65thgbirthday.
ANS: A
Socialgaginggisgdeterminedgbygchangesgingroles.gTakinggmultiplegmedicationsgmultiplegtimesgovergthegcourseg
ofgthegdaygandgwalkinggwithgagrollinggwalkergaregfunctionalgdeterminantsgofgaging.gAgegrefersgtogchronologic
algaging.
PTS: 1 DIF: Understand REF: p.g7
TOP: Nursingg Process:gAssessment MSC: HealthgPromotiongandgMaintenance
12. Thegholisticghealthgmovementghasgimpactedghealthgcaregingwhichgofgthegfollowinggways?
a. Itghasgfocusedghealthgcaregongdiseasegprevention.
b. Itghasgreshapedghowghealthgandghealthgcaregaregper-
ceived.
c. Itghasgimprovedgaccessgtoghealthgcare.
d. Itg hasgintroducedgnumerousgalternativeg modalitiesginto
healthgcare.
ANS: B
Thegholisticgparadigmghasgreshapedghowghealthgandghealthgcaregaregperceived.gWellnessgisgseengasgagstategofgb
einggwhichgcangbegdefinedganywheregalonggthegcontinuumgofghealth.
PTS: 1 DIF: Understand REF: p.g7 TOP:
TeachinggandgLearningg MSC: HealthgPromotiongandgMaintenance
MULTIPLEg RESPONSE
