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Nursing for Wellness in Older Adults, 9th Edition by Carol A. Miller
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Nursing for Wellness in Older Adults, 9th Edition by Carol A. Miller
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NURSING FOR WELLNESS IN OLDER ADULTS 9TH EDITION MILLER’S TEST BANK
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Nursing for Wellness in Older Adults, 9th Edition by Carol A. Miller
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TEST BANK FOR NURSING FOR WELLNESS IN OLDER ADULTS MILLER 9TH EDITION 2024 ISBN: 9781975179137 ALL CHAPTERS COMPLETE & AVAILABLE INSTANT DOWNLOAD
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TEST BANK For Nursing for Wellness in Older Adults,9th Edition by Carol A. Miller
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 - ANSWER: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)? -
ANSWER: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 - ANSWER:A
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 - ANSWER: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. - ANSWER: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 - ANSWER: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. - ANSWER: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.
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. -
ANSWER: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 - ANSWER:C
An older adult reports being dizzy when getting up too quickly from a sitting position.
Which intervention will be appropriate in monitor the client's blood pressure.
a. Positioning the client in a supine position for the assessment
b. Taking 3 blood pressure assessments 5 minutes apart
c. Arranging for the client to have ambulatory blood pressure monitoring
d. Taking the blood pressure both manually and electronically to compare readings -
ANSWER:C
When diagnosed with diverticulosis, a client asks how this problem occurred. Which
assessment data identifies a risk factor for diverticulosis?
a. Drinks a quart of whole milk daily.
, b. Takes an over the counter laxative twice weekly.
c. History of a Helicobacter pylori infection.
d. Maintains a diet low in fiber. - ANSWER:D
What is the first step in developing a plan to reduce risk for injury for a client
diagnosed with chronic obstructive pulmonary disease (COPD)?
a. Evaluating the client's understanding of the pathophysiology of the disease.
b. Assessing the client's ability to cope with the physical changes the disease will
cause.
c. Determining the degree of acceptance the client has for the suggested lifestyle
changes.
d. Monitoring the client for signs of depression and hopelessness regarding the
future. - ANSWER:C
The major difference between a transient ischemic attack (TIA) and a
cerebrovascular accident (CVA) is that:
a. TIA symptoms begin to resolve within minutes and are completely resolved within
24 hours.
b. TIA symptoms always precede an ischemic CVA.
c. TIA symptoms begin to resolve within minutes but are not resolved for up to 72
hours.
d. TIA symptoms do not usually involve motor functions. - ANSWER:A
The nurse is developing a class on stroke prevention for a local senior citizens center.
What would be an important focus when teaching stroke prevention directed at
modifiable risk factors?
a. Smoking cessation
b. Blood glucose control
c. Annual physical examination
d. Annual influenza immunization - ANSWER:A
Which is the most likely reason that Type 2 diabetes mellitus is often difficult to
diagnose in older adults?
a. Presenting symptoms occur very quickly.
b. The disease rarely occurs in older adults.
c. The classic symptoms may not be present in older adults.
d. There are no recognizable symptoms; it is a "silent killer." - ANSWER:C
Which statement made by a client recently diagnosed with diverticular disease
would indicate that she needs additional teaching regarding dietary considerations?
a. "I will have to increase my daily fiber intake."
b. "I'll have to give up eating right before I go to bed."
c. "I need to drink at least 6 to 8 glasses of water every day."
d. "I should avoid drinking too much coffee." - ANSWER:B
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