Nursing for Wellness in Older Adults 8th Edition by Carol A. Miller 9781496368287-Test Bank

TestBank
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,Nursing for Wellness in Older Adults Miller 8thEdition TestBank
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Chapter 1 Seeing Older Adults Through the Eyes of Wellness
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1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The
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b nurse would use these standards to:
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a. promote the practice of gerontologic nursing within the acute care setting.
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b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing.
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d. incorporate suggested interventions from others who practice gerontologic b b b b b b b




nursing.
b




ANS: D b




The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
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b incorporates the input of gerontologic nurses from across the United States. It was not intended to
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b promote gerontologic nursing practice within acute care settings, define concepts or dimensions of
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b gerontologic nursing practice, or elevate the practice of gerontologic nursing.
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DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-1 TOP:
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b N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
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b nurse needs to first:
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a. recognize that nurses must act as advocates for aging patients.
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b. accept that this population represents a substantial portion of those requiring
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nursing care.
b b




c. self-reflect and formulate ones personal view of aging and the older patient.
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d. recognize ageism as a form of bigotry shared by many Americans.
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ANS: C b

,Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
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b population as a whole. With nurses being members of a society holding such views, it is critical that
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b the individual nurse self-reflect on personal feelings and determine whether such feelings will affect
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b the nursing care that he or she provides to the aging patient. Acting as an advocate is an important
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b nursing role in all settings. Simply accepting a fact does not help end ageism, nor does recognizing
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b ageism as a form of bigotry.
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DIF: Applying (Application) REF: N/A OBJ: 1-9
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TOP: Teaching-Learning MSC: Safe and Effective Care Environment
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3. When discussing factors that have helped to increase the number of healthy, independent older
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b Americans, the nurse includes the importance of: b b b b b b




a. increased availability of in-home care services. b b b b b




b. government support of retired citizens. b b b b




c. effective antibiotic therapies. b b




d. the development of life-extending therapies.
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ANS: C b




The health and ultimate autonomy of older Americans has been positively impacted by the
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b development of antibiotics, better sanitation, and vaccines. These public health measures have been
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more instrumental in increasing the numbers of healthy, independent older Americans than have in-
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home care services, government programs, or life-extending therapies.
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DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
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TOP: NursingProcess: Implementation MSC: Health Promotion and Maintenance
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4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
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a. nonrelated caretaker. b




b. paid caregiver. b

, c. family member. b




d. intuitional representative. b




ANS: C b




Less than 4% of older adults live in a formal health care environment. The majority of the geriatric
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b population lives at home or with family members.
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DIF: Applying (Application) REF: N/A OBJ: 3-3
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TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
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b arthritis views the priority criterion for continued independence to be the patients:
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a. age.
b. financialstatus. b




c. gender.
d. functional status. b




ANS: D b




Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
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b impairment, two conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-6 TOP:
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NursingProcess: PlanningMSC: Physiologic Integrity
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6. A nurse working with the older adult population is most likely to assess a need for a financial
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b social services referral for a(n):
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a. white male. b




b. black female. b




c. Hispanic male. b