NursingtfortWellnesstintOldertAdultstMillert8thtEditiontTesttBank
Chaptert1tSeeingtOldertAdultstThroughtthetEyestoftWellness
1. Int2010,tthetrevisedtStandardstandtScopetoftGerontologicaltNursingtPracticetwastpublished.tThet
nursetwouldtusetthesetstandardstto:
a. promotetthetpracticetoftgerontologictnursingtwithintthetacutetcaretsetting.
b. definetthetconceptstandtdimensionstoftgerontologictnursingtpractice.
c. elevatetthetpracticetoftgerontologictnursing.
d. incorporatetsuggestedtinterventionstfromtotherstwhotpracticetgerontologictnu
rsing.
ANS:tD
ThetcurrenttpublishingtoftthetStandardstandtScopetoftGerontologicaltNursingtPracticetint2010tincor
poratestthetinputtoftgerontologictnursestfromtacrosstthetUnitedtStates.tIttwastnottintendedttotpromotet
gerontologictnursingtpracticetwithintacutetcaretsettings,tdefinetconceptstortdimensionstoftgerontolo
gictnursingtpractice,tortelevatett h .e tpracticetoftgerontologictnursing.
DIF:tRememberingt(Knowledge)tREF:tMCS:t2tOBJ:t1-
1tTOP:tN/AtMSC:tSafetandtEffectivetCaretEnvironment
2. Whentattemptingttotminimizettheteffecttoftageismtontthetpracticetoftnursingtoldertadults,tatnurs
etneedsttotfirst:
a. recognizetthattnursestmusttacttastadvocatestfortagingtpatients.
b. accepttthattthistpopulationtrepresentstatsubstantialtportiontoftthosetrequiringtnur
singtcare.
c. self-reflecttandtformulatetonestpersonaltviewtoftagingtandtthetoldertpatient.
d. recognizetageismtastatformtoftbigotrytsharedtbytmanytAmericans.
ANS:tC
,Ageismtistantever-
increasingtprejudicialtviewtofttheteffectstoftthetagingtprocesstandtoftthetoldertpopulationtastatwhole.t
Withtnursestbeingtmemberstoftatsocietytholdingtsuchtviews,tittistcriticaltthattthetindividualtnursetself-
reflecttontpersonaltfeelingstandtdeterminetwhethertsuchtfeelingstwilltaffecttthetnursingtcaretthatthetort
shetprovidesttotthetagingtpatient.tActingtastantadvocatetistantimportanttnursingtroletintalltsettings.tSim
plytacceptingtatfacttdoestnotthelptendtageism,tnortdoestrecognizingtageismtastatformtoftbigotry.
DIF:tApplyingt(Application)tREF:tN/AtOBJ:t1-9
TOP:tTeaching-LearningtMSC:tSafetandtEffectivetCaretEnvironment
3. Whentdiscussingtfactorstthatthavethelpedttotincreasetthetnumbertofthealthy,tindependenttoldertAm
ericans,tthetnursetincludestthetimportancetof:
a. increasedtavailabilitytoftin-hometcaretservices.
b. governmenttsupporttoftretiredtcitizens.
c. effectivetantibioticttherapies.
d. thetdevelopmenttoftlife-extendingttherapies.
ANS:tC
ThethealthtandtultimatetautonomytoftoldertAmericansthastbeentpositivelytimpactedtbytthetdevelopme
nttoftantibiotics,tbettertsanitation,tandtvaccines.tThesetpublicthealthtmeasuresthavetbeentmoretinstru
mentaltintincreasingtthetnumberstofthealthy,tindependenttoldertAmericanstthanthavetin-
hometcaretservices,tgovernmenttprograms,tortlife-extendingttherapies.
DIF:tRememberingt(Knowledge)tREF:tMCS:t2tOBJ:t3-3
TOP:tNursingtProcess:tImplementationtMSC:tHealthtPromotiontandtMaintenance
4. Basedtontcurrenttdata,twhentpresentingtantoldertadultstdischargetteachingtplan,tthetnursetincl
udestthetpatients:
a. nonrelatedtcaretaker.
b. paidtcaregiver.
, c. familytmember.
d. intuitionaltrepresentative.
ANS:tC
Lesstthant4%toftoldertadultstlivetintatformalthealthtcaretenvironment.tThetmajoritytoftthetgeriatrictpo
pulationtlivestatthometortwithtfamilytmembers.
DIF:tApplyingt(Application)tREF:tN/AtOBJ:t3-3
TOP:tNursingtProcess:tPlanningtMSC:tSafetandtEffectivetCaretEnvironment
5. Thetnursetplanningtcaretfortantoldertadulttwhothastrecentlytbeentdiagnosedtwithtrheumatoidtarthr
itistviewstthetprioritytcriteriontfortcontinuedtindependencettotbetthetpatients:
a. age.
b. financialtstatus.
c. gender.
d. functionaltstatus.
ANS:tD
Maintainingtthetfunctionaltstatustoftoldertadultstmaytaverttthetonsettoftphysicaltfrailtytandtcognitiveti
mpairment,ttwotconditionstthattincreasetthetlikelihoodtoftinstitutionalization.
DIF:tRememberingt(Knowledge)tREF:tMCS:t8tOBJ:t1-
6tTOP:tNursingtProcess:tPlanningtMSC:tPhysiologictIntegrity
6. Atnursetworkingtwithtthetoldertadulttpopulationtistmosttlikelyttotassesstatneedtfortatfinancialtsocial
t servicestreferraltforta(n):
a. whitetmale.
b. blacktfemale.
c. Hispanictmale.
, d. AsiantAmericantfemale.
ANS:tB
Thetpovertytratetamongtoldertblacktwomentistsubstantiallythighertthantthattseentamongtmalestortfema
lestoftothertethnictgroups.tWhitetmalesthadtthetleasttpoverty.
DIF:tApplyingt(Application)tREF:tN/AtOBJ:t1-4
TOP:tNursingtProcess:tAssessmenttMSC:tSafetandtEffectivetCaretEnvironment
7. Whichtoftthetfollowingtstatementstmadetbytatnursetpreparingttotcompletetathealthtassessmenttandt
historytontantoldertpatienttreflectstantunderstandingtoftthetgeneralthealthtstatustoftthistpopulation?
a. Illtneedttotdocumenttwelltregardingtthetmedicationstthetpatienttistcurrentlytpre
scribed.
b. Itwouldtlikettotunderstandthowtsupportivetthetpatientstfamilytmemberstare.
c. Mosttoldertpatientstaretbeingttreatedtfortatvarietytoftchronicthealthtcaretissues.
d. Ittwilltbetinterestingttotseetwhethertthistpatienttseestherselftastbeingthealthy.
ANS:tD
Ittistatmisconceptiontthattoldtagetistsynonymoustwithtdiseasetandtillness.tThetnursetshouldtalwaystdet
erminetthetpatientstsensetoftwellnesstandtindependencetwhentconductingtathealthtandthistorytassessm
ent.tAntassessmenttoftmedicationtusetandtfamilytsupporttistimportanttfortanytpatient.tManytoldertadul
tstdothavetchronicthealthtconditions,tbutttheirtperceptiontistmoretimportanttthantatsingletnumber.
DIF:tApplyingt(Application)tREF:tN/AtOBJ:t1-4
TOP:tNursingtProcess:tAssessmenttMSC:tHealthtPromotion
8. Thetnursetistcaringtfortantoldertadulttwhothastbeentadmittedttotantacutetcarethospitaltforttreatmentt
oftatfracturedtfemur.tThetfamilytexpressestconcerntabouttthetpatientstpendingttransferttotatsubacutetc
aretfacility.tWhattresponsetbytthetnursetistbest?
Chaptert1tSeeingtOldertAdultstThroughtthetEyestoftWellness
1. Int2010,tthetrevisedtStandardstandtScopetoftGerontologicaltNursingtPracticetwastpublished.tThet
nursetwouldtusetthesetstandardstto:
a. promotetthetpracticetoftgerontologictnursingtwithintthetacutetcaretsetting.
b. definetthetconceptstandtdimensionstoftgerontologictnursingtpractice.
c. elevatetthetpracticetoftgerontologictnursing.
d. incorporatetsuggestedtinterventionstfromtotherstwhotpracticetgerontologictnu
rsing.
ANS:tD
ThetcurrenttpublishingtoftthetStandardstandtScopetoftGerontologicaltNursingtPracticetint2010tincor
poratestthetinputtoftgerontologictnursestfromtacrosstthetUnitedtStates.tIttwastnottintendedttotpromotet
gerontologictnursingtpracticetwithintacutetcaretsettings,tdefinetconceptstortdimensionstoftgerontolo
gictnursingtpractice,tortelevatett h .e tpracticetoftgerontologictnursing.
DIF:tRememberingt(Knowledge)tREF:tMCS:t2tOBJ:t1-
1tTOP:tN/AtMSC:tSafetandtEffectivetCaretEnvironment
2. Whentattemptingttotminimizettheteffecttoftageismtontthetpracticetoftnursingtoldertadults,tatnurs
etneedsttotfirst:
a. recognizetthattnursestmusttacttastadvocatestfortagingtpatients.
b. accepttthattthistpopulationtrepresentstatsubstantialtportiontoftthosetrequiringtnur
singtcare.
c. self-reflecttandtformulatetonestpersonaltviewtoftagingtandtthetoldertpatient.
d. recognizetageismtastatformtoftbigotrytsharedtbytmanytAmericans.
ANS:tC
,Ageismtistantever-
increasingtprejudicialtviewtofttheteffectstoftthetagingtprocesstandtoftthetoldertpopulationtastatwhole.t
Withtnursestbeingtmemberstoftatsocietytholdingtsuchtviews,tittistcriticaltthattthetindividualtnursetself-
reflecttontpersonaltfeelingstandtdeterminetwhethertsuchtfeelingstwilltaffecttthetnursingtcaretthatthetort
shetprovidesttotthetagingtpatient.tActingtastantadvocatetistantimportanttnursingtroletintalltsettings.tSim
plytacceptingtatfacttdoestnotthelptendtageism,tnortdoestrecognizingtageismtastatformtoftbigotry.
DIF:tApplyingt(Application)tREF:tN/AtOBJ:t1-9
TOP:tTeaching-LearningtMSC:tSafetandtEffectivetCaretEnvironment
3. Whentdiscussingtfactorstthatthavethelpedttotincreasetthetnumbertofthealthy,tindependenttoldertAm
ericans,tthetnursetincludestthetimportancetof:
a. increasedtavailabilitytoftin-hometcaretservices.
b. governmenttsupporttoftretiredtcitizens.
c. effectivetantibioticttherapies.
d. thetdevelopmenttoftlife-extendingttherapies.
ANS:tC
ThethealthtandtultimatetautonomytoftoldertAmericansthastbeentpositivelytimpactedtbytthetdevelopme
nttoftantibiotics,tbettertsanitation,tandtvaccines.tThesetpublicthealthtmeasuresthavetbeentmoretinstru
mentaltintincreasingtthetnumberstofthealthy,tindependenttoldertAmericanstthanthavetin-
hometcaretservices,tgovernmenttprograms,tortlife-extendingttherapies.
DIF:tRememberingt(Knowledge)tREF:tMCS:t2tOBJ:t3-3
TOP:tNursingtProcess:tImplementationtMSC:tHealthtPromotiontandtMaintenance
4. Basedtontcurrenttdata,twhentpresentingtantoldertadultstdischargetteachingtplan,tthetnursetincl
udestthetpatients:
a. nonrelatedtcaretaker.
b. paidtcaregiver.
, c. familytmember.
d. intuitionaltrepresentative.
ANS:tC
Lesstthant4%toftoldertadultstlivetintatformalthealthtcaretenvironment.tThetmajoritytoftthetgeriatrictpo
pulationtlivestatthometortwithtfamilytmembers.
DIF:tApplyingt(Application)tREF:tN/AtOBJ:t3-3
TOP:tNursingtProcess:tPlanningtMSC:tSafetandtEffectivetCaretEnvironment
5. Thetnursetplanningtcaretfortantoldertadulttwhothastrecentlytbeentdiagnosedtwithtrheumatoidtarthr
itistviewstthetprioritytcriteriontfortcontinuedtindependencettotbetthetpatients:
a. age.
b. financialtstatus.
c. gender.
d. functionaltstatus.
ANS:tD
Maintainingtthetfunctionaltstatustoftoldertadultstmaytaverttthetonsettoftphysicaltfrailtytandtcognitiveti
mpairment,ttwotconditionstthattincreasetthetlikelihoodtoftinstitutionalization.
DIF:tRememberingt(Knowledge)tREF:tMCS:t8tOBJ:t1-
6tTOP:tNursingtProcess:tPlanningtMSC:tPhysiologictIntegrity
6. Atnursetworkingtwithtthetoldertadulttpopulationtistmosttlikelyttotassesstatneedtfortatfinancialtsocial
t servicestreferraltforta(n):
a. whitetmale.
b. blacktfemale.
c. Hispanictmale.
, d. AsiantAmericantfemale.
ANS:tB
Thetpovertytratetamongtoldertblacktwomentistsubstantiallythighertthantthattseentamongtmalestortfema
lestoftothertethnictgroups.tWhitetmalesthadtthetleasttpoverty.
DIF:tApplyingt(Application)tREF:tN/AtOBJ:t1-4
TOP:tNursingtProcess:tAssessmenttMSC:tSafetandtEffectivetCaretEnvironment
7. Whichtoftthetfollowingtstatementstmadetbytatnursetpreparingttotcompletetathealthtassessmenttandt
historytontantoldertpatienttreflectstantunderstandingtoftthetgeneralthealthtstatustoftthistpopulation?
a. Illtneedttotdocumenttwelltregardingtthetmedicationstthetpatienttistcurrentlytpre
scribed.
b. Itwouldtlikettotunderstandthowtsupportivetthetpatientstfamilytmemberstare.
c. Mosttoldertpatientstaretbeingttreatedtfortatvarietytoftchronicthealthtcaretissues.
d. Ittwilltbetinterestingttotseetwhethertthistpatienttseestherselftastbeingthealthy.
ANS:tD
Ittistatmisconceptiontthattoldtagetistsynonymoustwithtdiseasetandtillness.tThetnursetshouldtalwaystdet
erminetthetpatientstsensetoftwellnesstandtindependencetwhentconductingtathealthtandthistorytassessm
ent.tAntassessmenttoftmedicationtusetandtfamilytsupporttistimportanttfortanytpatient.tManytoldertadul
tstdothavetchronicthealthtconditions,tbutttheirtperceptiontistmoretimportanttthantatsingletnumber.
DIF:tApplyingt(Application)tREF:tN/AtOBJ:t1-4
TOP:tNursingtProcess:tAssessmenttMSC:tHealthtPromotion
8. Thetnursetistcaringtfortantoldertadulttwhothastbeentadmittedttotantacutetcarethospitaltforttreatmentt
oftatfracturedtfemur.tThetfamilytexpressestconcerntabouttthetpatientstpendingttransferttotatsubacutetc
aretfacility.tWhattresponsetbytthetnursetistbest?
