Nursing For Wellness in Older Adults 6th Edition by CarolMiller -Test Bank
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Sample
Test
Chapter 3- Applying a Nursing Model for Promoting
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1. |
The nurse is using the
Functional Consequences Theory as a lens for planning patient care in a
health care facility. The nurse recognizes that which of the following
is an element of this nursing theory? |
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A) |
Most problems affecting
older adults may be attributed to age-related changes. |
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B) |
Most functional
consequences cannot be addressed through nursing interventions. |
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C) |
Wellness is a concept that
is broader than just physiologic functioning. |
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D) |
The Functional Consequences
Theory is a more comprehensive alternative to holistic nursing care. |
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2. |
The nurse is working with a
79-year-old female patient with a diagnosis of osteoporosis. Which of
the following interactions best exemplifies the nurse’s understanding of the
relationship between age-related changes and risk factors? |
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A) |
The nurse performs strength
and mobility training appropriate to the patient’s age and diagnosis. |
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B) |
The nurse teaches the
patient about bone density in older women and the role of vitamin D and
calcium intake. |
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C) |
The nurse plans
interventions in light of the body-mind-spirit interconnectedness of the
patient. |
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D) |
The nurse teaches the
patient about how her risk factors are a consequence of age. |
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3. |
The nurse is teaching a
colleague about the difference between age-related changes and risk factors.
Which of the following examples best demonstrates an age-related change? |
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A) |
An older adult with a
diagnosis of diabetes mellitus |
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B) |
An older adult who is obese |
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C) |
An older adult with
obstructive lung disease |
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D) |
An older adult with
decreased bowel motility |
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4. |
The nurse is
differentiating between an 81-year-old patient’s age-related changes and his
risk factors for disease. Which of the following characteristics of the
patient would the nurse consider as a risk factor? |
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A) |
Chronic bronchitis |
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B) |
Loss of bone density |
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C) |
Decreased vital lung
capacity |
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D) |
Delayed gastric emptying |
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5. |
The nurse is identifying
positive functional consequences as part of the development of an older
patient’s care plan. Which of the following statements best captures the
concept of positive functional consequences? |
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A) |
They are synonymous with
functional assessment. |
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B) |
They are the result of
conscious intent. |
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C) |
They are not outcomes of
age-related changes. |
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D) |
They result from automatic
actions or purposeful interventions. |
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6. |
The Functional Consequences
Theory accounts for the important role that each of the domains of nursing
play in the wellness of older adults. Which of the following situations best
demonstrates the effect of environment on the older adult? |
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A) |
A resident of a care
facility experiences a fall because there are not grab bars outside his
bathtub. |
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B) |
A hospital patient
develops Clostridium
difficile-related diarrhea because a care provider did not
perform adequate hand-washing. |
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C) |
A man cannot afford a
wheeled walker and suffers a fall while trying to mobilize using his cane. |
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D) |
A woman develops emphysema
as a result of her 70 pack-year history of cigarette smoking. |
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7. |
The Functional Consequences
Theory can be applied to promote wellness in older adults in diverse
settings. Which of the following examples demonstrates this application? |
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A) |
Organizing an
interdisciplinary meeting to discuss the available treatment options for an
older adult with an acute illness |
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B) |
Facilitating early
mobilization to prevent muscle wasting and loss of function in an older
hospital patient |
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C) |
Deferring the final
decision regarding an older man’s choice of assisted living facility to the
man’s son and daughter |
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D) |
Placing a 76-year-old woman
on the waitlist for a kidney transplant |
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8. |
A nurse is aware that
addressing issues related to connectedness and quality of life is central to
the Functional Consequences Theory. Which of the following actions is most
likely to enhance the older adult’s connectedness? |
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A) |
Teaching a patient who has
had a below-the-knee amputation how to care for his stump |
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B) |
Organizing a client’s
intravenous antibiotic therapy on an outpatient basis |
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C) |
Performing a focused
respiratory assessment on a client who has a diagnosis of lung cancer |
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D) |
Changing a policy so that a
husband and wife can remain in the same room of a care facility |
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9. |
A nurse who provides care
for older adults in a long-term care setting is aware of the importance of
maintaining residents’ connectedness to society. How can this aspect of
quality of life be best achieved? |
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A) |
Ensuring that there are
multiple television sets available to residents of the facility |
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B) |
Arranging regular visits by
school children to the facility |
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C) |
Conducting reminiscence
therapy |
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D) |
Allowing residents to have
input into the meal planning at the facility |
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10. |
A 79-year-old man is
dismayed that his driver’s license will not be renewed, an action that his
primary care provider states is a result of his loss of visual acuity and
increased reaction time. This man is experiencing the consequences of |
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A) |
risk factors. |
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B) |
age-related changes. |
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C) |
positive functional
consequences. |
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D) |
wellness outcomes. |
Answer Key
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1. |
C |
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2. |
B |
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3. |
D |
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4. |
A |
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5. |
D |
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6. |
A |
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7. |
B |
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8. |
D |
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9. |
B |
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10. |
B |
Chapter 4- Theoretical Perspectives on Aging Well
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1. |
A 77-year-old man was put
on broad-spectrum antibiotics when he was hospitalized for sepsis. He has a
history of rheumatoid arthritis and a recurring problem with pneumonia. Which
of the following theories best explains why he has had these concerns? |
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A) |
Apoptosis theory |
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B) |
Neuroendocrine theory |
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C) |
Immunity theory |
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D) |
Genetic theory |
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2. |
Until recently, a
77-year-old woman lived alone in her own home. Her younger sister assisted
her with grocery shopping, and they would occasionally have lunch together.
Recently, the woman fell on some ice and fractured her ankle. Her
orthopedic surgeon and her case manager have obtained for her a short-term
placement in a long-term care facility for rehabilitation physical therapy.
After the patient’s physical therapy is finished and her ankle is healed, the
patient tells her nurse that she wants to stay at the facility; she is very
happy living there and likes the social interaction that she experiences
there. Which of the following theories of aging best describes the status of
this patient? |
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A) |
Activity theory |
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B) |
Person–environment fit
theory |
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C) |
Life-course theory |
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D) |
Theory of thriving |
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3. |
Which of the following
statements best explains the relevance of psychological theories for gerontological
nursing? |
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A) |
Human needs theory allows
the nurse to determine priorities of nursing care for older adults. |
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B) |
Life-span development
theories support the belief that it may be difficult to initiate behavioral
changes in older adults. |
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C) |
Psychological theories
explain why nurses should focus their discussion more on the present than on
the past when talking with older adults. |
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D) |
Psychological theories
explain why reminiscence groups may not be beneficial for older adults. |
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4. |
A 55-year-old adult female
patient recently learned she has type 2 diabetes. She does water aerobics
three times a week, has completed a diabetes education class, and does blood
glucose monitoring herself. Her blood sugar and hemoglobin A1c have improved and she
has lost weight. Which of the following statements best describes this
patient’s actions? |
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A) |
Age stratification theory |
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B) |
Life-course development |
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C) |
Compression of morbidity |
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D) |
Longevity and senescence
theory |
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5. |
You are asked by the son of
an 81-year-old patient about vitamins, antioxidants, and age-related macular
degeneration. Which of the following theories of aging will help you most
when responding to him? |
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A) |
Immunity theory |
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B) |
Wear-and-tear theory |
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C) |
Free radicals theory |
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D) |
Nonstochastic theory |
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6. |
A group of nurses is
involved in the planning and implementation of a health promotion campaign
that is aimed at older adults. Which of the following questions is the best
guide to such a campaign? |
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A) |
“How can we help older
adults maintain wellness as they age?” |
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B) |
“What can we do to increase
life expectancy in our region?” |
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C) |
“How can we help older
adults avoid age-related changes? |
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D) |
“What is stopping older
adults from living longer lives?” |
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7. |
A gerontological nurse is
aware that quality of life is an important consideration when assessing the
functioning of older adults. What measure should the nurse use when
appraising older adults’ quality of life? |
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A) |
Gerotranscendence |
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B) |
Life expectancy |
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C) |
Senescence |
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D) |
Active life expectancy |
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8. |
A 74-year-old woman has
recently begun integrating more fresh fruit and vitamin supplements into her
diet in an effort to increase the levels of antioxidants in her body. This
woman’s actions indicate an understanding of what theory of aging? |
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A) |
Cross-linkage theory |
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B) |
Program theory of aging |
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C) |
Immunosenescence |
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D) |
Free radical theory |
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9. |
The subculture theory of aging
has been proposed to explain some of the sociocultural aspects of the aging
process. Which of the following characteristics of older adults is explained
by the subculture theory? |
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A) |
Older adults have little
control over the biological effects of the aging process. |
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B) |
Older adults have a
decreased need for social interaction and peer support as they become older. |
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C) |
Older adults may see their
status with their peers in terms of economic achievement. |
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D) |
Older adults may interact
much more with other older adults than with members of other age groups. |
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10. |
A nurse is aware that many
health care providers prioritize the role of biology in the aging process.
What is a weakness of biologic theories of aging? |
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A) |
Biologic theories do not
account for the differences in life expectancy between males and females. |
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B) |
Biologic theories are
unable to explain the role of cell division in life expectancy and the aging
process. |
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C) |
Biologic theories of aging
do not adequately address issues of wellness and quality of life. |
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D) |
Biologic theories of aging
are unable to explain the significant increases in life expectancy that
occurred in the 20th century. |
Answer Key
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1. |
C |
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2. |
D |
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3. |
A |
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4. |
C |
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5. |
C |
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6. |
A |
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7. |
D |
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8. |
D |
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9. |
D |
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10. |
C |
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