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1. Which option refers to the highest level of human functioning according to Maslow?
a. Biological and physical integrity
b. Safety and security
c. Self-esteem
d. Self-actualization |
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2. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this man’s wellness?
a. Wellness is possible in the management of his medical care.
b. Wellness is unfortunately not a real option for this client.
c. Wellness is the same thing as faith healing, and if the client would be more receptive, then he could be back at work in a few weeks.
d. Nursing interventions can help empower a client to achieve a higher level of wellness. |
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3. In differentiating between health and wellness in health care, which of the following statements is true?
a. Health is a broad term encompassing attitudes and behaviors.
b. The concept of illness prevention was never considered by previous generations.
c. Wellness and self-actualization develop through learning and growth.
d. Wellness is impossible when one’s health is compromised. |
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4. Which cultural group is predicted to have the fastest growing older adult population in the United States between the years 2010 and 2050?
a. Native Americans
b. African Americans
c. Hispanic Americans
d. Asian/Pacific Island Americans |
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5. Historical influences that have shaped the lives of the majority of the middle-old population in the United States today include which of the following?
a. Influenza epidemic of 1918
b. Immigration from communist Europe
c. Child rearing in the Depression
d. World War II |
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6. The nurse prepares for the arrival of older adults evacuated from a hurricane to a shelter for short-term care. Which of the following is the priority nursing intervention?
a. Demonstrate that the staff is prepared to meet their needs.
b. Use individual medical records to develop a medication plan.
c. Help older adults display family photographs and memorabilia.
d. Help older adults teach one another a new skill in the shelter. |
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7. According to researchers, which characteristic will most centenarians share in the future?
a. Female
b. Demented
c. Malnourished
d. Wheelchair bound |
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8. Which statement describes aging in developing countries?
a. Aged dependence is likely to improve from 1:4 to 1:2.
b. The biggest problem for older adults will be the lack of food.
c. Most older adults are likely to reside in these countries.
d. Similar to fertility, life expectancy is increasing, although at a different rate. |
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9. An older woman tells the nurse that she has experienced increasing fatigue and shortness of breath over the last 2 days. Which goal is the nurse’s priority?
a. Promote safety to prevent injury.
b. Complete nutritional assessment.
c. Balance exercise and rest periods.
d. Explore the woman’s complaints. |
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10. The nurse develops a community program to promote exercise for older adults. Which should the nurse include in the exercise program?
a. Reinforce the ease of exercising every day.
b. Use exercise to relax any dietary restrictions.
c. Describe ways to resume exercise after lapses.
d. Participate because exercise achieves wellness. |
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11. Which describes the older man who is likely to experience the best overall health and well-being?
a. Resides in assisted-living facility, watches television alone, uses herbal remedies, is underweight
b. Resides alone, was moved to a new city recently by his family members for their convenience, has osteoarthritis
c. Has prostate cancer with metastasis to the lungs, is receiving radiation therapy, is wealthy, has a large family
d. Uses a wheelchair, has peripheral arterial disease, attends weekly baseball games with three friends |
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12. Which nursing intervention is a holistic approach to an older adult?
a. Performs glucose testing during the weekly worship service.
b. Wheels ambulatory adults to exercise when running late.
c. Assigns female nurses to older women who are Islamic.
d. Allows older adults in a nursing home to eat meals alone. |
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13. An older man who resides in a nursing home has total cholesterol of 245 mg/dl. Which nursing intervention is most likely to assist this man in achieving his highest level of wellness?
a. Instruct him about increasing dietary fiber.
b. Ask the health care provider for a low-fat diet.
c. Schedule a consultation for him with the dietitian.
d. Review a menu with him to choose suitable foods. |
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14. Which approach requires the nurse to integrate and balance all aspects of an individual’s life into the plan of care?
a. Holistic nursing
b. Healthy People 2020
c. Maslow’s Hierarchy of Human Needs
d. Orem’s Self-Care Requirements |
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15. An older man living in an adult community becomes a widower 1 month after retirement. Two months later, he has not resumed a weekly outing with his fishing club. Which should the nurse implement?
a. Ask the older adult why he is not fishing.
b. Have club members visit him at home.
c. Meet with him to assess his interests.
d. Enroll him in a weekly card game. |
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16. The nurse plans activities for older women born between 1920 and 1930 and who reside in an assisted-living facility. Which is the best intervention for the nurse to implement?
a. Have them bake cookies twice a week.
b. Conduct interviews for specific interests.
c. Arrange dog and cat visits from volunteers.
d. Take them to the library for guest speakers. |
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17. Which are the major factors influencing the experience of aging?
a. Health, history, and sex
b. Self-care needs and culture
c. Self-fulfillment and self-esteem
d. Society, culture, and marital status |
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1. The nurse plans the care for an older man who has Medicare, lives on Social Security and a small pension, and has type 2 diabetes mellitus. Which aspect(s) of this man should the nurse integrate into a positive approach to his health and well-being? (Select all that apply.)
a. Pays for some diabetic supplies.
b. Enjoys regular physical activity.
c. Practices effective glucose control.
d. Lives alone in a high-rise apartment.
e. Lacks low-cost, reliable transportation.
f. Attends weekly dinner club for diabetics. |
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2. According to Healthy People 2020, older adults have been identified as a priority, with a goal to improve their health, function, and quality of life. Identify the targeted chronic focus areas for improvement. (Select all that apply.)
a. Diabetes
b. Arthritis
c. Congestive heart failure
d. Dementia
e. Cancer
f. Pressure ulcers |
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3. Identify the Healthy People 2020 emerging issues in the health of older adults. (Select all that apply.)
a. Coordinating care for the older adult population
b. Assisting older adults in the management of their own care
c. Identifying levels of training for those caring for older adults
d. Making community resources available for older adults
e. Increase in health disparities for rural older adults |
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1. An older woman has left-sided paralysis from a thrombus formation in the cerebral vasculature. Rank the nursing goals of this woman’s plan of care in order of importance, starting with the most important goal. (Select all that apply.)
A. Instruct her to call for help before moving.
B. Maintain her blood pressure below 120/80 mm Hg.
C. Reinforce occupational therapy for feeding.
D. Use range-of-motion exercises to prevent contractures. |
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2. A nurse is providing care for a variety of older adults on a transitional care unit. Using Maslow’s Hierarchy of Human Needs as a basis for prioritizing care, rank the following actions, starting with the most important. (Select all that apply.)
A. Encourage a family member to take part in a teaching session.
B. Administer 2 liters of oxygen via nasal cannula.
C. Place a call bell in reach after transferring the older adult to bed.
D. Ask clients their preferences before beginning care. |
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