BasicgGeriatricgNursingg8thgEditiongWilliamsgTestgBank
Chapterg1gTrendsgandgIssuesgMULTIPL
EgCHOICE
1. Whichg optiong refersg tog theg highestg levelg ofg humang functioningg accordingg tog Maslow?
a. Biologicalg andg physicalg integrity
b. Safetyg andgsecurity
c. Self-esteem
d. Self-actualization
ANS:gD
AccordinggtogMaslow,gpersonsgwhosegbasicgphysicalgneedsgaregmet,gwhogfeelgsafegandgsecure,
gandgwhogpossessgself-esteemgandgself-efficacygcangachievegself-
actualization,greachinggoutgbeyondgthemselvesgtogmakegtheirglivesgmeaningful.
BiologicalgandgphysicalgintegritygisgtheglowestglevelgingMaslowsghierarchy,gbelowgsafetygan
dgsecurity.gSafetygandgsecuritygaregthegsecond-lowestglevel,gbelowgself-esteem.gSelf-
esteemgisgthegsecond-highestglevel,gbelowgself-actualization.
PTS:1DIF:RememberREF:5-6
TOP:gNursingg Process:g Assessmentg MSC:g Safe,g EffectivegCareg Environment
2. Agmangisgterminallygillgwithgend-
stagegprostategcancer.gWhichgisgthegbestgstatementgaboutgthisgmansgwellness?
a Wellnessg isg possibleging theg managementgofg hisgmedicalgcare.
.
b Wellnessgisg unfortunatelygnotgagrealgoptiongforg thisgclient.
.
c Wellnessgisgthegsamegthinggasgfaithghealing,gandgifgthegclientgwouldgbegmoregrecep
. tive,gthenghegcouldgbegbackgatgworkgingagfewgweeks.
d Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelgofgwell
. ness.
ANS:gD
Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelgofgwellness;gagn
ursegcangfostergwellnessgatgallglevelsgofgthegneedsghierarchy.
Wellnessgisgpossiblegevengifgthegclientgassistsgingthegmanagementgofghisgmedicalgcare;gangin
dividualgmustgworkghardgtogachievegwellness,gsimilargtogagjob.gWellnessgisgunfortunatelygn
otgagrealgoptiongforgthisgclient;ghowever,gallgpersons,gregardlessgofgagegorglife-
healthgsituations,gcangbeghelpedgtogachievegaghigherglevelgofgwellness.gWellnessgisgthegsame
gthinggasgfaithghealing,gandgifg thegclientgwouldgbegmoregreceptive,gthenghegcouldgbegbackgat
gworkgingagfewgweeks;gbiomedicalgapproachesgandgothergtreatmentsgandgtechniquesgareguse
dgtogachievegrealisticgimprovementsgingwellness.
,PTS:g1gDIF:gApplygREF:g4-
5gTOP:gNursinggProcess:gDiagnosisgMSC:HealthgPromotiongandgM
aintenance
3. Ingdifferentiatinggbetweenghealthgandgwellnessginghealthgcare,gwhichgofgth
egfollowinggstatementsgisgtrue?
a Healthgisg ag broadgtermgencompassingg attitudesg andg behaviors.
.
b Thegconceptgofgillnessgpreventiongwasgnevergconsideredgbygpreviousggeneratio
. ns.
c Wellnessgandg self-actualizationg developg throughg learningg andg growth.
.
d Wellnessgisg impossibleg whengonesghealthgisg compromised.
.
ANS:gA
Healthgisgagbroadgtermgthatgencompassesgattitudesgandgbehaviors;gholistically,ghealthgincludesgwelln
ess,gwhichginvolvesgonesgwholegbeing.
Thegconceptgofgillnessgpreventiongwasgnevergconsideredgbygpreviousggenerations;gthrougho
utghistory,gbasicgself-caregrequirementsghavegbeengrecognized.gWellnessgandgself-
actualizationgdevelopgthroughglearninggandggrowthasgbasicgneedsgaregmet,ghigher-
levelgneedsgcangbeg satisfiedgingturn,gwithgever-
deepeninggrichnessgtoglife.gWellnessgisgimpossiblegwhengonesghealthgisgcompromisedeveng
withgchronicgillness,gwithgmultiplegdisabilities,gorgingdying,gmovementgtowardg aghigherglev
elgofgwellnessgisgpossible.
PTS:g1gDIF:gUnderstandgREF:g4gTOP:gNursinggProcess:
EvaluationgMSC:HealthgPromotiongandgMaintenance
4. Whichgculturalggroupgisgpredictedgtoghavegthegfastestggrowinggoldergadultgpopulationgi
ngthegUnitedgStatesgbetweengthegyearsg2010gandg2050?
a. NativegAmericans
b. AfricangAmericans
c. HispanicgAmericans
d. Asian/Pacificg Islandg Americans
ANS:gC
AsgshowngingFigureg1-
1,gthegHispanicgoldergadultgpopulationgisgprojectedgtogbegthegmostgrapidlygincreasinggpopulationgseg
mentgbetweeng2010gandg2050.
Thegoldergadultgpopulationsgofgallgothergraces,gcombined,gdognotgrisegasgrapidlygasgthegHisp
anicgoldergadultgpopulationgbetweengthegyearsg2010gandg2050.gThegAfrican-
Americangoldergadultgpopulationgisgexpectedgtoghavegthegsecond-
fastestgrisegbetweeng2010gandg2050.gThegnon-
Hispanicgwhitegoldergadultgpopulationgisgprojectedgtogdecreasegbetweeng2010gandg2050.
PTS:1DIF:UnderstandREF:Figureg 1-1g ong pageg 3.
TOP:gNursingg Process:g AssessmentgMSC:g Safe,g Effectiveg Careg Environment
,5. Historicalginfluencesgthatghavegshapedgtheglivesgofgthegmajoritygofgthegmiddle-
oldgpopulationgin
, thegUnitedgStatesgtodayg includegwhichgofgthegfollowing?
a. Influenzag epidemicg ofg 1918
b. Immigrationg fromg communistg Europe
c. ChildgrearinggingthegDepression
d. WorldgWarg II
ANS:gD
Thosegwhogaregmiddle-
oldging2005gweregingtheirgteensgandg20sgduringgWorldgWargII;gingparticular,gthegmengweregli
kelygtoghavegfoughtgingit.
Agpersongwhogsurvivedgtheginfluenzagepidemicgwouldgbegatgleastg87gyearsgoldging2005gandg
thereforegwouldgbegconsideredgold-oldgorgagcentenarian.gThosegwhogaregmiddle-
oldging2005gweregborngbetweeng1920gandg1930,gbeforegcommunismgsweptgEurope.gMostgof
gthosegwhogaregmiddle-
goldging2005ghadgnotgreachedgchildbearinggagegbygthegendgofgthegDepression.
PTS:1DIF:UnderstandREF:2-3
TOP:gNursingg Process:g AssessmentgMSC:g Safe,g Effectiveg Careg Environment
6. Thegnursegpreparesgforgthegarrivalgofgoldergadultsgevacuatedgfromgaghurricanegtogagshelt
ergforgshort-termgcare.gWhichgofgthegfollowinggisgthegprioritygnursinggintervention?
a Demonstrategthatgtheg staffgisgpreparedgtogmeetgtheirgneeds.
.
b Usegindividualg medicalg recordsg tog developg ag medicationg plan.
.
c Helpgolderg adultsg displayg familyg photographsg andg memorabilia.
.
d Helpgolderg adultsgteachg oneganotherg agnewgskillgingthegshelter.
.
ANS:gB
Thegnursegpreparesgforgshort-
termgcaregbygprioritizinggthegneedsgofgthegoldergadults,gandgthisginterventionghelpsgmaintaing
thegtherapeuticgplan,gtherebygaddressinggthegneedgforgphysiologicalgintegrity.gFurthermore,g
thegnursegmaintainsgcontinuitygofgcaregbygpreparinggagmedicationgscheduleg togpreventgmiss
edgdosesgofgmedication.gProvidinggsafetygandgsecuritygfromgthegstormgisgMaslowsgsecondg
mostgbasicgneed.
Ingemergencygconditions,gthegnursegprovidesgbasicgcaregrelatinggtogsafety,gsecurity,gandgphy
sicalgwell-
being.gMaintaininggagsensegofgbelonginggisgimportantgbutgnotgingemergencygconditions.gAgst
ategofgemergencygisgnotgthegtimegtogdevelopgself-
esteem;gmeetinggsafety,gsecurity,gandgphysicalgneedsgaregmoregimportant.
PTS:1DIF:AnalyzeREF:5-6
TOP:g Nursingg Process:g Implementationg MSC:g Healthg Promotiong andg Maintenance
7. Accordingg tog researchers,g whichg characteristicg willg mostg centenariansg shareg ing theg future?
Chapterg1gTrendsgandgIssuesgMULTIPL
EgCHOICE
1. Whichg optiong refersg tog theg highestg levelg ofg humang functioningg accordingg tog Maslow?
a. Biologicalg andg physicalg integrity
b. Safetyg andgsecurity
c. Self-esteem
d. Self-actualization
ANS:gD
AccordinggtogMaslow,gpersonsgwhosegbasicgphysicalgneedsgaregmet,gwhogfeelgsafegandgsecure,
gandgwhogpossessgself-esteemgandgself-efficacygcangachievegself-
actualization,greachinggoutgbeyondgthemselvesgtogmakegtheirglivesgmeaningful.
BiologicalgandgphysicalgintegritygisgtheglowestglevelgingMaslowsghierarchy,gbelowgsafetygan
dgsecurity.gSafetygandgsecuritygaregthegsecond-lowestglevel,gbelowgself-esteem.gSelf-
esteemgisgthegsecond-highestglevel,gbelowgself-actualization.
PTS:1DIF:RememberREF:5-6
TOP:gNursingg Process:g Assessmentg MSC:g Safe,g EffectivegCareg Environment
2. Agmangisgterminallygillgwithgend-
stagegprostategcancer.gWhichgisgthegbestgstatementgaboutgthisgmansgwellness?
a Wellnessg isg possibleging theg managementgofg hisgmedicalgcare.
.
b Wellnessgisg unfortunatelygnotgagrealgoptiongforg thisgclient.
.
c Wellnessgisgthegsamegthinggasgfaithghealing,gandgifgthegclientgwouldgbegmoregrecep
. tive,gthenghegcouldgbegbackgatgworkgingagfewgweeks.
d Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelgofgwell
. ness.
ANS:gD
Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelgofgwellness;gagn
ursegcangfostergwellnessgatgallglevelsgofgthegneedsghierarchy.
Wellnessgisgpossiblegevengifgthegclientgassistsgingthegmanagementgofghisgmedicalgcare;gangin
dividualgmustgworkghardgtogachievegwellness,gsimilargtogagjob.gWellnessgisgunfortunatelygn
otgagrealgoptiongforgthisgclient;ghowever,gallgpersons,gregardlessgofgagegorglife-
healthgsituations,gcangbeghelpedgtogachievegaghigherglevelgofgwellness.gWellnessgisgthegsame
gthinggasgfaithghealing,gandgifg thegclientgwouldgbegmoregreceptive,gthenghegcouldgbegbackgat
gworkgingagfewgweeks;gbiomedicalgapproachesgandgothergtreatmentsgandgtechniquesgareguse
dgtogachievegrealisticgimprovementsgingwellness.
,PTS:g1gDIF:gApplygREF:g4-
5gTOP:gNursinggProcess:gDiagnosisgMSC:HealthgPromotiongandgM
aintenance
3. Ingdifferentiatinggbetweenghealthgandgwellnessginghealthgcare,gwhichgofgth
egfollowinggstatementsgisgtrue?
a Healthgisg ag broadgtermgencompassingg attitudesg andg behaviors.
.
b Thegconceptgofgillnessgpreventiongwasgnevergconsideredgbygpreviousggeneratio
. ns.
c Wellnessgandg self-actualizationg developg throughg learningg andg growth.
.
d Wellnessgisg impossibleg whengonesghealthgisg compromised.
.
ANS:gA
Healthgisgagbroadgtermgthatgencompassesgattitudesgandgbehaviors;gholistically,ghealthgincludesgwelln
ess,gwhichginvolvesgonesgwholegbeing.
Thegconceptgofgillnessgpreventiongwasgnevergconsideredgbygpreviousggenerations;gthrougho
utghistory,gbasicgself-caregrequirementsghavegbeengrecognized.gWellnessgandgself-
actualizationgdevelopgthroughglearninggandggrowthasgbasicgneedsgaregmet,ghigher-
levelgneedsgcangbeg satisfiedgingturn,gwithgever-
deepeninggrichnessgtoglife.gWellnessgisgimpossiblegwhengonesghealthgisgcompromisedeveng
withgchronicgillness,gwithgmultiplegdisabilities,gorgingdying,gmovementgtowardg aghigherglev
elgofgwellnessgisgpossible.
PTS:g1gDIF:gUnderstandgREF:g4gTOP:gNursinggProcess:
EvaluationgMSC:HealthgPromotiongandgMaintenance
4. Whichgculturalggroupgisgpredictedgtoghavegthegfastestggrowinggoldergadultgpopulationgi
ngthegUnitedgStatesgbetweengthegyearsg2010gandg2050?
a. NativegAmericans
b. AfricangAmericans
c. HispanicgAmericans
d. Asian/Pacificg Islandg Americans
ANS:gC
AsgshowngingFigureg1-
1,gthegHispanicgoldergadultgpopulationgisgprojectedgtogbegthegmostgrapidlygincreasinggpopulationgseg
mentgbetweeng2010gandg2050.
Thegoldergadultgpopulationsgofgallgothergraces,gcombined,gdognotgrisegasgrapidlygasgthegHisp
anicgoldergadultgpopulationgbetweengthegyearsg2010gandg2050.gThegAfrican-
Americangoldergadultgpopulationgisgexpectedgtoghavegthegsecond-
fastestgrisegbetweeng2010gandg2050.gThegnon-
Hispanicgwhitegoldergadultgpopulationgisgprojectedgtogdecreasegbetweeng2010gandg2050.
PTS:1DIF:UnderstandREF:Figureg 1-1g ong pageg 3.
TOP:gNursingg Process:g AssessmentgMSC:g Safe,g Effectiveg Careg Environment
,5. Historicalginfluencesgthatghavegshapedgtheglivesgofgthegmajoritygofgthegmiddle-
oldgpopulationgin
, thegUnitedgStatesgtodayg includegwhichgofgthegfollowing?
a. Influenzag epidemicg ofg 1918
b. Immigrationg fromg communistg Europe
c. ChildgrearinggingthegDepression
d. WorldgWarg II
ANS:gD
Thosegwhogaregmiddle-
oldging2005gweregingtheirgteensgandg20sgduringgWorldgWargII;gingparticular,gthegmengweregli
kelygtoghavegfoughtgingit.
Agpersongwhogsurvivedgtheginfluenzagepidemicgwouldgbegatgleastg87gyearsgoldging2005gandg
thereforegwouldgbegconsideredgold-oldgorgagcentenarian.gThosegwhogaregmiddle-
oldging2005gweregborngbetweeng1920gandg1930,gbeforegcommunismgsweptgEurope.gMostgof
gthosegwhogaregmiddle-
goldging2005ghadgnotgreachedgchildbearinggagegbygthegendgofgthegDepression.
PTS:1DIF:UnderstandREF:2-3
TOP:gNursingg Process:g AssessmentgMSC:g Safe,g Effectiveg Careg Environment
6. Thegnursegpreparesgforgthegarrivalgofgoldergadultsgevacuatedgfromgaghurricanegtogagshelt
ergforgshort-termgcare.gWhichgofgthegfollowinggisgthegprioritygnursinggintervention?
a Demonstrategthatgtheg staffgisgpreparedgtogmeetgtheirgneeds.
.
b Usegindividualg medicalg recordsg tog developg ag medicationg plan.
.
c Helpgolderg adultsg displayg familyg photographsg andg memorabilia.
.
d Helpgolderg adultsgteachg oneganotherg agnewgskillgingthegshelter.
.
ANS:gB
Thegnursegpreparesgforgshort-
termgcaregbygprioritizinggthegneedsgofgthegoldergadults,gandgthisginterventionghelpsgmaintaing
thegtherapeuticgplan,gtherebygaddressinggthegneedgforgphysiologicalgintegrity.gFurthermore,g
thegnursegmaintainsgcontinuitygofgcaregbygpreparinggagmedicationgscheduleg togpreventgmiss
edgdosesgofgmedication.gProvidinggsafetygandgsecuritygfromgthegstormgisgMaslowsgsecondg
mostgbasicgneed.
Ingemergencygconditions,gthegnursegprovidesgbasicgcaregrelatinggtogsafety,gsecurity,gandgphy
sicalgwell-
being.gMaintaininggagsensegofgbelonginggisgimportantgbutgnotgingemergencygconditions.gAgst
ategofgemergencygisgnotgthegtimegtogdevelopgself-
esteem;gmeetinggsafety,gsecurity,gandgphysicalgneedsgaregmoregimportant.
PTS:1DIF:AnalyzeREF:5-6
TOP:g Nursingg Process:g Implementationg MSC:g Healthg Promotiong andg Maintenance
7. Accordingg tog researchers,g whichg characteristicg willg mostg centenariansg shareg ing theg future?
