Page |1
NURSING FOR WELLNESS IN OLDER ADULTS EXAM 1 2
& 3 BEST GRADED A+ VERIFIED AND APPROVED
QUESTIONS AND ANSWERS YEAR 2025/2026
An older man who is admitted to the hospital for surgery has a history of medication
therapy for hypertension. Which intervention does the nurse implement when the
client reports that, "I've fallen twice in 5 weeks"?
a. Blood pressure monitoring every 2 hours
b. Orthostatic blood pressures
c. Serum creatinine levels
d. Blood levels of prescribed antihypertensive medications - answers-B
As the nurse plans to instruct a chronically ill older adult about the changes needed
to maintain his health, what statement is most appropriate to consider in establishing
goals for behavior change?
a. Management of the client's chronic disease rests on the client and caregiver;
goals should be set in collaboration.
b. The client will be able to make needed changes in his life if the nurse provides
accurate written instructions.
c. Psychological functioning is usually impaired only to a small extent in a client with
chronic illness.
d. The client's values, culture, and beliefs have little to do with the types of changes
he will be able to make. - answers-A
The primary risk for injury experienced by a client diagnosed with asthma is:
a. musculoskeletal degenerative disorders
b. development of cardiac complications
c. infections of the lower respiratory tract
d. development of pernicious anemia - answers-C
The nurse is caring for a client with a newly diagnosed chronic illness. In answering
the client's questions, the nurse most accurately responds when basing the response
on the fact that:
a. the most prevalent form of disease in older adults at this time is acute illness.
b. although chronic illness lasts a long time, the condition primarily affects the client.
c. chronic illness is lifelong, and coping can be influenced by perceived uncertainty.
d. the client's acquisition of knowledge of the disease will guarantee successful
coping. - answers-C
A 77-year-old patient had an acute myocardial infarction and subsequently coronary
artery bypass graft (CABG) surgery. The multi-disciplinary team recommends that
the patient attend a cardiac rehabilitation program. The client tells the nurse, "I don't
see why I can't go home. I will go to my gym every day. I don't see what the
difference is between that and the rehab." The nurse's response is based on the
knowledge that:
a. cardiac rehabilitation programs typically begin with light activity and progress in
intensity with the supervision of a nurse or physical therapist.
, Page |2
b. cardiac rehabilitation programs are only useful for individuals who are typically
sedentary and would not exercise otherwise.
c. cardiac rehabilitation programs are only offered in long-term care settings.
d. cardiac rehabilitation programs are more effective in men than in women. -
answers-A
A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test will
best evaluate the management plan prescribed for this client?
a. A yearly funduscopic examination by an ophthalmologist
b. Regular foot examinations by a podiatrist
c. Quarterly hemoglobin A1C
d. Biannual cholesterol testing - answers-C
After first managing the pain being experienced by the client with gout, the treatment
focuses on:
a. Strengthening the affected joints through a controlled exercise plan
b. Minimizing joint disfigurement by using therapeutic splinting
c. Preventing systemic involvement by altering the client's diet
d. Managing chronic pain by taking regular doses of salicylates - answers-C
When assessing both African-American and Hispanic males for genitourinary
dysfunction, the nurse asks:
a. Do the males in your family have a history of benign prostatic hypertrophy (BPH)?
b. Do you experience burning or other pain when you urinate?
c. Is your urine ever bloody?
d. Have you ever been diagnosed with a sexually transmitted disease (STD)? -
answers-A
The greatest risk for injury for a client with progressed Parkinson's disease is:
a. Falls
b. Suicide
c. Bleeding ulcers
d. Respiratory arrest - answers-A
What does older adults need? - answers--Accurate information
-Interventions to promote wellness during all stages of health and illness
What is the intent of Gerontological Nursing text? - answers--To provide
comprehensive and research-based information so that nurses can distinguish
between the changes associated with normal aging and those that result from risk
factors.
What can nurses do for older adults? - answers--Promote wellness which includes:
1.) Improved health
2.) Improved Functioning
3.) Improved Quality of Life
Who brought the concept of wellness in relation to aging and talked about high-level
wellness on the radio? - answers--Halbert L. Dunn, MD, PhD
, Page |3
High-level wellness - answers--integrated method of functioning that is oriented
toward maximizing each person's potential, while maintaining a continuum of
balance and purposeful direction within the person's environment.
What did Halbert L. Dunn addressed? - answers--Stereotypes about aging and
emphasized that "Healthy maturity" is characterized not only by physical decline but
also by wisdom.
-Discussed the relationship between mind, body, and spirit and stressed the
importance of older adults having a purpose in life, communicating with others,
maintaining personal dignity, and contributing to society.
What are the barriers in promoting wellness in older adults? - answers-- Older adults
may be pessimistic about their ability to improve their health and functioning.
-Survival needs and a multitude of health problems may take precedence over the
"luxury" of being able to focus on wellness and quality of life.
-Despite the increasing emphasis on wellness and health promotion, health care
environments focus more on treating diseases than on preventing illness and
addressing whole-person needs.
-Often older adults and health care providers mistakenly attribute symptoms to aging
rather than identify and address the contributing factors that are reversible and
treatable.
-Health care providers may not believe that older adults area capable of learning and
implementing health-promoting behaviors that are inherent in wellness-oriented care.
What is the major focus of a "wellness approach" to older adult? - answers--
Addressing the body-mind-spirit interconnectedness of each older adult as a unique
and respected individual.
What are some nursing actions that promote wellness for older adults? - answers--
Addressing the body-mind-spirit interrelatedness of each older adult.
-Identifying and challenging ageist attitudes (including their own), especially those
that interfere with optimal health care.
-Assessing each older adult from a whole-person perspective.
-Incorporating wellness nursing diagnoses as routing part of care.
-Planning for wellness outcomes, which are directed toward improved health,
functioning, and quality of life.
-Using nursing interventions to address conditions that interfere with optimal
functioning (including lack of accurate information about aging)
, Page |4
-Recognizing each older adult's potential for improved health and functioning as well
as psychological and spiritual growth.
-Teaching about self-care behaviors to improve health and functioning (or teaching
caregivers of dependent older adults)
What is aging? - answers-Is a universal process that begins at birth; it applies
equally to young and old people.
Children views on aging - answers--They are delight in announcing how old they are,
and they anticipate birthdays with great enthusiasm.
-They view their birthdays as positive events that will permit them to enjoy additional
opportunities and responsibilities.
Adolescents views on aging - answers--They view aging as the mechanism that
allows them to participate legally in important activities, such as driving and voting.
Adults views on aging - answers--They view "old age" as something to be avoided
and they are likely to define the onset of older adulthood as a decade beyond their
current age.
Subjective age (feel age or age identity) - answers--Describes a person's perception
of his or her age.
-how old the person feels, how the person categorizes himself or herself in age
groups, and how one sees oneself relative to one's younger self and relative to other
people.
Chronologic age - answers--As the length of time that has passed since birth.
Advantages of Chronologic age: - answers--It serves as an objective basis for social
organization
EX: age criteria for certain activities such as voting, education, driving, marriage,
employment, alcohol consumption, military services, and the collection of retirement
benefits.
What does gerontologists tended to view during the 1960's? - answers--They tended
to view 65 years of age as an acceptable chronologic criterion at which aging
process begin to occur.
Important indicators of age - answers--Physiologic health
-Psychological well-being
-Socioeconomic factors
-The ability to function
-Participate in desirable activities
Functional age - answers--measure of a person's ability to function effectively in his
or her physical and social environment in comparison with others of the same
chronological age
NURSING FOR WELLNESS IN OLDER ADULTS EXAM 1 2
& 3 BEST GRADED A+ VERIFIED AND APPROVED
QUESTIONS AND ANSWERS YEAR 2025/2026
An older man who is admitted to the hospital for surgery has a history of medication
therapy for hypertension. Which intervention does the nurse implement when the
client reports that, "I've fallen twice in 5 weeks"?
a. Blood pressure monitoring every 2 hours
b. Orthostatic blood pressures
c. Serum creatinine levels
d. Blood levels of prescribed antihypertensive medications - answers-B
As the nurse plans to instruct a chronically ill older adult about the changes needed
to maintain his health, what statement is most appropriate to consider in establishing
goals for behavior change?
a. Management of the client's chronic disease rests on the client and caregiver;
goals should be set in collaboration.
b. The client will be able to make needed changes in his life if the nurse provides
accurate written instructions.
c. Psychological functioning is usually impaired only to a small extent in a client with
chronic illness.
d. The client's values, culture, and beliefs have little to do with the types of changes
he will be able to make. - answers-A
The primary risk for injury experienced by a client diagnosed with asthma is:
a. musculoskeletal degenerative disorders
b. development of cardiac complications
c. infections of the lower respiratory tract
d. development of pernicious anemia - answers-C
The nurse is caring for a client with a newly diagnosed chronic illness. In answering
the client's questions, the nurse most accurately responds when basing the response
on the fact that:
a. the most prevalent form of disease in older adults at this time is acute illness.
b. although chronic illness lasts a long time, the condition primarily affects the client.
c. chronic illness is lifelong, and coping can be influenced by perceived uncertainty.
d. the client's acquisition of knowledge of the disease will guarantee successful
coping. - answers-C
A 77-year-old patient had an acute myocardial infarction and subsequently coronary
artery bypass graft (CABG) surgery. The multi-disciplinary team recommends that
the patient attend a cardiac rehabilitation program. The client tells the nurse, "I don't
see why I can't go home. I will go to my gym every day. I don't see what the
difference is between that and the rehab." The nurse's response is based on the
knowledge that:
a. cardiac rehabilitation programs typically begin with light activity and progress in
intensity with the supervision of a nurse or physical therapist.
, Page |2
b. cardiac rehabilitation programs are only useful for individuals who are typically
sedentary and would not exercise otherwise.
c. cardiac rehabilitation programs are only offered in long-term care settings.
d. cardiac rehabilitation programs are more effective in men than in women. -
answers-A
A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test will
best evaluate the management plan prescribed for this client?
a. A yearly funduscopic examination by an ophthalmologist
b. Regular foot examinations by a podiatrist
c. Quarterly hemoglobin A1C
d. Biannual cholesterol testing - answers-C
After first managing the pain being experienced by the client with gout, the treatment
focuses on:
a. Strengthening the affected joints through a controlled exercise plan
b. Minimizing joint disfigurement by using therapeutic splinting
c. Preventing systemic involvement by altering the client's diet
d. Managing chronic pain by taking regular doses of salicylates - answers-C
When assessing both African-American and Hispanic males for genitourinary
dysfunction, the nurse asks:
a. Do the males in your family have a history of benign prostatic hypertrophy (BPH)?
b. Do you experience burning or other pain when you urinate?
c. Is your urine ever bloody?
d. Have you ever been diagnosed with a sexually transmitted disease (STD)? -
answers-A
The greatest risk for injury for a client with progressed Parkinson's disease is:
a. Falls
b. Suicide
c. Bleeding ulcers
d. Respiratory arrest - answers-A
What does older adults need? - answers--Accurate information
-Interventions to promote wellness during all stages of health and illness
What is the intent of Gerontological Nursing text? - answers--To provide
comprehensive and research-based information so that nurses can distinguish
between the changes associated with normal aging and those that result from risk
factors.
What can nurses do for older adults? - answers--Promote wellness which includes:
1.) Improved health
2.) Improved Functioning
3.) Improved Quality of Life
Who brought the concept of wellness in relation to aging and talked about high-level
wellness on the radio? - answers--Halbert L. Dunn, MD, PhD
, Page |3
High-level wellness - answers--integrated method of functioning that is oriented
toward maximizing each person's potential, while maintaining a continuum of
balance and purposeful direction within the person's environment.
What did Halbert L. Dunn addressed? - answers--Stereotypes about aging and
emphasized that "Healthy maturity" is characterized not only by physical decline but
also by wisdom.
-Discussed the relationship between mind, body, and spirit and stressed the
importance of older adults having a purpose in life, communicating with others,
maintaining personal dignity, and contributing to society.
What are the barriers in promoting wellness in older adults? - answers-- Older adults
may be pessimistic about their ability to improve their health and functioning.
-Survival needs and a multitude of health problems may take precedence over the
"luxury" of being able to focus on wellness and quality of life.
-Despite the increasing emphasis on wellness and health promotion, health care
environments focus more on treating diseases than on preventing illness and
addressing whole-person needs.
-Often older adults and health care providers mistakenly attribute symptoms to aging
rather than identify and address the contributing factors that are reversible and
treatable.
-Health care providers may not believe that older adults area capable of learning and
implementing health-promoting behaviors that are inherent in wellness-oriented care.
What is the major focus of a "wellness approach" to older adult? - answers--
Addressing the body-mind-spirit interconnectedness of each older adult as a unique
and respected individual.
What are some nursing actions that promote wellness for older adults? - answers--
Addressing the body-mind-spirit interrelatedness of each older adult.
-Identifying and challenging ageist attitudes (including their own), especially those
that interfere with optimal health care.
-Assessing each older adult from a whole-person perspective.
-Incorporating wellness nursing diagnoses as routing part of care.
-Planning for wellness outcomes, which are directed toward improved health,
functioning, and quality of life.
-Using nursing interventions to address conditions that interfere with optimal
functioning (including lack of accurate information about aging)
, Page |4
-Recognizing each older adult's potential for improved health and functioning as well
as psychological and spiritual growth.
-Teaching about self-care behaviors to improve health and functioning (or teaching
caregivers of dependent older adults)
What is aging? - answers-Is a universal process that begins at birth; it applies
equally to young and old people.
Children views on aging - answers--They are delight in announcing how old they are,
and they anticipate birthdays with great enthusiasm.
-They view their birthdays as positive events that will permit them to enjoy additional
opportunities and responsibilities.
Adolescents views on aging - answers--They view aging as the mechanism that
allows them to participate legally in important activities, such as driving and voting.
Adults views on aging - answers--They view "old age" as something to be avoided
and they are likely to define the onset of older adulthood as a decade beyond their
current age.
Subjective age (feel age or age identity) - answers--Describes a person's perception
of his or her age.
-how old the person feels, how the person categorizes himself or herself in age
groups, and how one sees oneself relative to one's younger self and relative to other
people.
Chronologic age - answers--As the length of time that has passed since birth.
Advantages of Chronologic age: - answers--It serves as an objective basis for social
organization
EX: age criteria for certain activities such as voting, education, driving, marriage,
employment, alcohol consumption, military services, and the collection of retirement
benefits.
What does gerontologists tended to view during the 1960's? - answers--They tended
to view 65 years of age as an acceptable chronologic criterion at which aging
process begin to occur.
Important indicators of age - answers--Physiologic health
-Psychological well-being
-Socioeconomic factors
-The ability to function
-Participate in desirable activities
Functional age - answers--measure of a person's ability to function effectively in his
or her physical and social environment in comparison with others of the same
chronological age
