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

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?
	A)	Most problems affecting older adults may be attributed to age-related changes.
	B)	Most functional consequences cannot be addressed through nursing interventions.
	C)	Wellness is a concept that is broader than just physiologic functioning.
	D)	The Functional Consequences Theory is a more comprehensive alternative to holistic nursing care.

 

 

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?
	A)	The nurse performs strength and mobility training appropriate to the patient’s age and diagnosis.
	B)	The nurse teaches the patient about bone density in older women and the role of vitamin D and calcium intake.
	C)	The nurse plans interventions in light of the body-mind-spirit interconnectedness of the patient.
	D)	The nurse teaches the patient about how her risk factors are a consequence of age.

 

 

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?
	A)	An older adult with a diagnosis of diabetes mellitus
	B)	An older adult who is obese
	C)	An older adult with obstructive lung disease
	D)	An older adult with decreased bowel motility

 

 

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?
	A)	Chronic bronchitis
	B)	Loss of bone density
	C)	Decreased vital lung capacity
	D)	Delayed gastric emptying

 

 

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?
	A)	They are synonymous with functional assessment.
	B)	They are the result of conscious intent.
	C)	They are not outcomes of age-related changes.
	D)	They result from automatic actions or purposeful interventions.

 

 

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?
	A)	A resident of a care facility experiences a fall because there are not grab bars outside his bathtub.
	B)	A hospital patient develops Clostridium difficile-related diarrhea because a care provider did not perform adequate hand-washing.
	C)	A man cannot afford a wheeled walker and suffers a fall while trying to mobilize using his cane.
	D)	A woman develops emphysema as a result of her 70 pack-year history of cigarette smoking.

 

 

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?
	A)	Organizing an interdisciplinary meeting to discuss the available treatment options for an older adult with an acute illness
	B)	Facilitating early mobilization to prevent muscle wasting and loss of function in an older hospital patient
	C)	Deferring the final decision regarding an older man’s choice of assisted living facility to the man’s son and daughter
	D)	Placing a 76-year-old woman on the waitlist for a kidney transplant

 

 

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?
	A)	Teaching a patient who has had a below-the-knee amputation how to care for his stump
	B)	Organizing a client’s intravenous antibiotic therapy on an outpatient basis
	C)	Performing a focused respiratory assessment on a client who has a diagnosis of lung cancer
	D)	Changing a policy so that a husband and wife can remain in the same room of a care facility

 

 

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?
	A)	Ensuring that there are multiple television sets available to residents of the facility
	B)	Arranging regular visits by school children to the facility
	C)	Conducting reminiscence therapy
	D)	Allowing residents to have input into the meal planning at the facility

 

 

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
	A)	risk factors.
	B)	age-related changes.
	C)	positive functional consequences.
	D)	wellness outcomes.

 

 

 

Answer Key

 

1.	C
2.	B
3.	D
4.	A
5.	D
6.	A
7.	B
8.	D
9.	B
10.	B

 

Chapter 4- Theoretical Perspectives on Aging Well

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?
	A)	Apoptosis theory
	B)	Neuroendocrine theory
	C)	Immunity theory
	D)	Genetic theory

 

 

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?
	A)	Activity theory
	B)	Person–environment fit theory
	C)	Life-course theory
	D)	Theory of thriving

 

 

3.	Which of the following statements best explains the relevance of psychological theories for gerontological nursing?
	A)	Human needs theory allows the nurse to determine priorities of nursing care for older adults.
	B)	Life-span development theories support the belief that it may be difficult to initiate behavioral changes in older adults.
	C)	Psychological theories explain why nurses should focus their discussion more on the present than on the past when talking with older adults.
	D)	Psychological theories explain why reminiscence groups may not be beneficial for older adults.

 

 

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?
	A)	Age stratification theory
	B)	Life-course development
	C)	Compression of morbidity
	D)	Longevity and senescence theory

 

 

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?
	A)	Immunity theory
	B)	Wear-and-tear theory
	C)	Free radicals theory
	D)	Nonstochastic theory

 

 

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?
	A)	“How can we help older adults maintain wellness as they age?”
	B)	“What can we do to increase life expectancy in our region?”
	C)	“How can we help older adults avoid age-related changes?
	D)	“What is stopping older adults from living longer lives?”

 

 

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?
	A)	Gerotranscendence
	B)	Life expectancy
	C)	Senescence
	D)	Active life expectancy

 

 

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?
	A)	Cross-linkage theory
	B)	Program theory of aging
	C)	Immunosenescence
	D)	Free radical theory

 

 

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?
	A)	Older adults have little control over the biological effects of the aging process.
	B)	Older adults have a decreased need for social interaction and peer support as they become older.
	C)	Older adults may see their status with their peers in terms of economic achievement.
	D)	Older adults may interact much more with other older adults than with members of other age groups.

 

 

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?
	A)	Biologic theories do not account for the differences in life expectancy between males and females.
	B)	Biologic theories are unable to explain the role of cell division in life expectancy and the aging process.
	C)	Biologic theories of aging do not adequately address issues of wellness and quality of life.
	D)	Biologic theories of aging are unable to explain the significant increases in life expectancy that occurred in the 20th century.

 

 

 

Answer Key

 

1.	C
2.	D
3.	A
4.	C
5.	C
6.	A
7.	D
8.	D
9.	D
10.	C