,1. A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a
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colleague. Which of the nurse's statements reflects an accurate view of the relationship
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between aging and wellness?
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A) “It's important that the individual knows this is an expected part of growing older.”
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B) “We need to teach the older adult how he can keep living a fruitful life in spite
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of his diagnosis.”
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C) “We need to make sure our teaching is not too detailed for someone of his age.”
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D) “We need to ensure his expectations of continuing to live alone are realistic.”
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2. A nurse is teaching an older person about the concept of successful aging. Which of the
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nurse's questions addresses an important contributor to successful aging?
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A) “Are you largely free of acute or chronic illnesses?”
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B) “Do you feel financially secure?”r r r r
C) “Do you feel like you actively engage with life?”
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D) “Do you have a reliable support network?”
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3. An older adult has recently begun to display unprecedented lapses in short-term
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memory. The nurse overhears a colleague reassuring the person by saying, “Try not to
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worry; it's just a part of growing older.” The nurse recognizes that this is an example of
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what phenomenon?
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A) Multiple jeopardy r
B) Gerontophobia
C) Age attribution r
D) Implicit ageism r
4. A nurse hears a colleague make the statement, “Most older adults have nothing to worry
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about financially.” Which response is most appropriate?
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A) “You have to remember that there's a huge economic disparity among older
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adults.”
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B) “Actually, the number of older people living below the poverty line has been r r r r r r r r r r r r
increasing, not decreasing.”
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C) “This isn't really true now, but it is true that the gaps that disadvantaged groups live
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with are expected to shrink.”
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D) “This is true for some groups, but not for minorities who are less likely to be living
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with their relatives.”
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,5. A nurse is conducting a study on the needs and living situations of older adults in the
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community. Which statement should the nurse take into account?
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A) A majority of older adults will live in a nursing home at some point.
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B) More older men live alone than do older women.
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C) Assisted living arrangements have become increasingly common. r r r r r r
D) Most older adults reside in some form of institutional arrangement.
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6. A nurse who provides care to many older adults recognizes the importance of
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implementing a wellness approach to care. What principle underlies this approach to the
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health care of older adults?
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A) Older adults have decreasing expectations for wellness as they move through the
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aging process.
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B) Health problems are a Western cultural construct that has no objective, physiologic
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basis. r
C) Older adults must come to accept a decline in wellness as they age.
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D) A holistic approach to caring for older adults can foster their well-being at
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every stage of life.
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7. A diabetes nurse is providing care for a 73-year-old client who is a regular client of the
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hospital's out-patient diabetes clinic. What assessment question most clearly addresses
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this client's potential for optimal function?
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A) “What are some goals that you have for maximizing your level of wellness?”
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B) “How can we help you to take ownership of your own health?”
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C) “Is there anything that you're doing that might be exacerbating your diabetes?”
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D) “How long do you think that you'll be able to live independently?”
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8. A nurse cares for an 81-year-old client whose current hospital admission has been
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prompted by an exacerbation of chronic renal failure. Which action by the nurse will
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best emphasize the goal of client wellness?
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A) Ask for the client's code status be changed to “do not resuscitate.”
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B) Explore the client's abilities and strengths. r r r r r
C) Show the client others who are more ill. r r r r r r r
D) Teach the client that health problems do not have to affect daily routines.
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9. A nurse administrator is involved in strategic planning for a large long-term care facility
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that has locations in numerous regions of the country. What trend should the nurse
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administrator anticipate?
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A) A decrease in the proportion of older adults who are members of minority groups
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B) A gradual decline in overall life expectancy
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C) Average longevity of men exceeding that of women r r r r r r r
D) Increased use of assisted living facilities by older adults r r r r r r r r
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, 10. A nurse identifies those who are at risk for familial stress. Who exemplifies the
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sandwich generation?
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A) 50-year-old who balances the care of an 82-year-old parent and a 20-year-old r r r r r r r r r r r
child r
B) 58-year-old whose elderly parents have been forced to live in separate care r r r r r r r r r r r
facilities r
C) 72-year-old who deals with own health problems with the care of a grandchild r r r r r r r r r r r r
D) 83-year-old who is the sole caregiver for the 79-year-old spouse r r r r r r r r r
11. A nurse interviews a centenarian, gathering data for a large study. In the interview, the
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centenarian defines aging as not growing older, but growing wiser. Which represents the
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nurse's best response to this definition?
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A) “Aging might make you wiser, but it does lead to eventual death.”
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B) “Healthy maturity is characterized by wisdom.” r r r r r
C) “How did you get to live to this old?” r r r r r r r r
D) “I will never make it to be 100 like you.”
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12. A nurse interviews a centenarian, gathering data for a large study. In the interview, the
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centenarian says, “You're only as old as you feel, some days I feel like 'I'm 50.'” To
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which definition of aging does this response correspond?
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A) Chronologic aging r
B) Functional aging r
C) Perceived aging r
D) Subjective aging r
13. An 85-year-old client takes meals on wheels around the community. The client states,
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“All those old people really need me, you know how older people are. They can't get out,
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and are a burden to their family, and I just want to help.” Most of the people on the client's
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delivery route are in their 60s. Which characterizes this scenario?
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A) Ageism
B) Aging anxiety r
C) Aging attribution r
D) Antiaging
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