,https://browsegrades.net/singlePaper/416806/testbank-millers-nursing-for-wellness-in-older-ad
1. A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a
v v v v v v v v v v v v v
colleague. Which of the nurse's statements reflects an accurate view of the relationship
v v v v v v v v v v v v v
between aging and wellness?
v v v v
A) “It's important that the individual knows this is an expected part of growing older.”
v v v v v v v v v v v v v
B) “We need to teach the older adult how he can keep living a fruitful life in spite
v v v v v v v v v v v v v v v v
of his diagnosis.”
v v v
C) “We need to make sure our teaching is not too detailed for someone of his age.”
v v v v v v v v v v v v v v v
D) “We need to ensure his expectations of continuing to live alone are realistic.”
v v v v v v v v v v v v
2. A nurse is teaching an older person about the concept of successful aging. Which of the
v v v v v v v v v v v v v v v
nurse's questions addresses an important contributor to successful aging?
v v v v v v v v v
A) “Are you largely free of acute or chronic illnesses?”
v v v v v v v v
B) “Do you feel financially secure?”
v v v v
C) “Do you feel like you actively engage with life?”
v v v v v v v v
D) “Do you have a reliable support network?”
v v v v v v
3. An older adult has recently begun to display unprecedented lapses in short-term
v v v v v v v v v v v
memory. The nurse overhears a colleague reassuring the person by saying, “Try not to
v v v v v v v v v v v v v v
worry; it's just a part of growing older.” The nurse recognizes that this is an example of
v v v v v v v v v v v v v v v v v
what phenomenon?
v v
A) Multiple jeopardy v
B) Gerontophobia
C) Age attribution v
D) Implicit ageism v
4. A nurse hears a colleague make the statement, “Most older adults have nothing to worry
v v v v v v v v v v v v v v
about financially.” Which response is most appropriate?
v v v v v v v
A) “You have to remember that there's a huge economic disparity among older
v v v v v v v v v v v
adults.”
v
B) “Actually, the number of older people living below the poverty line has been
v v v v v v v v v v v v
increasing, not decreasing.”
v v v
C) “This isn't really true now, but it is true that the gaps that disadvantaged groups live
v v v v v v v v v v v v v v v
with are expected to shrink.”
v v v v v
D) “This is true for some groups, but not for minorities who are less likely to be living
v v v v v v v v v v v v v v v v
with their relatives.”
v v v
Page 1 v
,https://browsegrades.net/singlePaper/416806/testbank-millers-nursing-for-wellness-in-older-ad
5. A nurse is conducting a study on the needs and living situations of older adults in the
v v v v v v v v v v v v v v v v
community. Which statement should the nurse take into account?
v v v v v v v v v
A) A majority of older adults will live in a nursing home at some point.
v v v v v v v v v v v v v
B) More older men live alone than do older women.
v v v v v v v v
C) Assisted living arrangements have become increasingly common.
v v v v v v
D) Most older adults reside in some form of institutional arrangement.
v v v v v v v v v
6. A nurse who provides care to many older adults recognizes the importance of
v v v v v v v v v v v v
implementing a wellness approach to care. What principle underlies this approach to the
v v v v v v v v v v v v v
health care of older adults?
v v v v v
A) Older adults have decreasing expectations for wellness as they move through the
v v v v v v v v v v v
aging process.
v v
B) Health problems are a Western cultural construct that has no objective, physiologic
v v v v v v v v v v v
basis. v
C) Older adults must come to accept a decline in wellness as they age.
v v v v v v v v v v v v
D) A holistic approach to caring for older adults can foster their well-being at
v v v v v v v v v v v v
every stage of life.
v v v v
7. A diabetes nurse is providing care for a 73-year-old client who is a regular client of the
v v v v v v v v v v v v v v v v
hospital's out-patient diabetes clinic. What assessment question most clearly addresses
v v v v v v v v v v
this client's potential for optimal function?
v v v v v v
A) “What are some goals that you have for maximizing your level of wellness?”
v v v v v v v v v v v v
B) “How can we help you to take ownership of your own health?”
v v v v v v v v v v v
C) “Is there anything that you're doing that might be exacerbating your diabetes?”
v v v v v v v v v v v
D) “How long do you think that you'll be able to live independently?”
v v v v v v v v v v v
8. A nurse cares for an 81-year-old client whose current hospital admission has been
v v v v v v v v v v v v
prompted by an exacerbation of chronic renal failure. Which action by the nurse will
v v v v v v v v v v v v v v
best emphasize the goal of client wellness?
v v v v v v v
A) Ask for the client's code status be changed to “do not resuscitate.”
v v v v v v v v v v v
B) Explore the client's abilities and strengths. v v v v v
C) Show the client others who are more ill.
v v v v v v v
D) Teach the client that health problems do not have to affect daily routines.
v v v v v v v v v v v v
9. A nurse administrator is involved in strategic planning for a large long-term care facility
v v v v v v v v v v v v v
that has locations in numerous regions of the country. What trend should the nurse
v v v v v v v v v v v v v v
administrator anticipate?
v v
A) A decrease in the proportion of older adults who are members of minority groups
v v v v v v v v v v v v v
B) A gradual decline in overall life expectancy
v v v v v v
C) Average longevity of men exceeding that of women v v v v v v v
D) Increased use of assisted living facilities by older adults v v v v v v v v
Page 2 v
, https://browsegrades.net/singlePaper/416806/testbank-millers-nursing-for-wellness-in-older-ad
10. A nurse identifies those who are at risk for familial stress. Who exemplifies the
v v v v v v v v v v v v v
sandwich generation?
v v
A) 50-year-old who balances the care of an 82-year-old parent and a 20-year-old
v v v v v v v v v v v
child v
B) 58-year-old whose elderly parents have been forced to live in separate care
v v v v v v v v v v v
facilities v
C) 72-year-old who deals with own health problems with the care of a grandchild
v v v v v v v v v v v v
D) 83-year-old who is the sole caregiver for the 79-year-old spouse v v v v v v v v v
11. A nurse interviews a centenarian, gathering data for a large study. In the interview, the
v v v v v v v v v v v v v v
centenarian defines aging as not growing older, but growing wiser. Which represents the
v v v v v v v v v v v v v
nurse's best response to this definition?
v v v v v v
A) “Aging might make you wiser, but it does lead to eventual death.”
v v v v v v v v v v v
B) “Healthy maturity is characterized by wisdom.” v v v v v
C) “How did you get to live to this old?”
v v v v v v v v
D) “I will never make it to be 100 like you.”
v v v v v v v v v
12. A nurse interviews a centenarian, gathering data for a large study. In the interview, the
v v v v v v v v v v v v v v
centenarian says, “You're only as old as you feel, some days I feel like 'I'm 50.'” To
v v v v v v v v v v v v v v v v v
which definition of aging does this response correspond?
v v v v v v v v
A) Chronologic aging v
B) Functional aging v
C) Perceived aging v
D) Subjective aging v
13. An 85-year-old client takes meals on wheels around the community. The client states,
v v v v v v v v v v v v
“All those old people really need me, you know how older people are. They can't get
v v v v v v v v v v v v v v v v
out, and are a burden to their family, and I just want to help.” Most of the people on the
v v v v v v v v v v v v v v v v v v v v
client's delivery route are in their 60s. Which characterizes this scenario?
v v v v v v v v v v v
A) Ageism
B) Aging anxiety v
C) Aging attribution v
D) Antiaging
Page 3 v