Ebersole and Hess Gerontological Nursing and Healthy Aging in Canada 1st Edition Touhy Test Bank
Chapter 1: Introduction to Healthy Aging
Test Bank
MULTIPLE CHOICE
- A man is terminally ill with end-stage prostate cancer. What is the best statement about this
- Wellness is possible, even if the patient uses medication to assist in management
- Wellness is unfortunately not a real option for the patient.
- Wellness is the same thing as faith healing, and if the patient were more receptive,
- Nursing interventions can help empower a patient to achieve a higher level of
man’s wellness?
of his medical care.
he could be back at work in a few weeks.
wellness.
ANS: D
Feedback A Incorrect. An individual must work hard to achieve wellness, just as in a job.B Incorrect. All persons, regardless of age or life–health situation, can be helped to achieve a higher level of wellness.C Incorrect. Biomedical approaches and other treatments and techniques are used to achieve realistic improvements in wellness.D Correct. A nurse can foster wellness at all levels of the needs hierarchy.
DIF: Application RETFE: ST5 BANKSELLOEBRJ.: C2OM TOP: CRNE: CH (Changes in Health)
- In differentiating between health and wellness in health care, which of the following
- Health is a broad term encompassing attitudes and behaviours.
- The concept of wellness was rarely or never considered by previous generations.
- Wellness and self-actualization develop through learning and growth.
- It is impossible to have wellness when one’s health is compromised.
statements is true?
ANS: A
Feedback A Correct. Holistically, health includes wellness, which involves one’s whole being.B Incorrect. Throughout history, basic self-care requirements have been recognized.C Incorrect. As basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.D Incorrect. Even with chronic illness, with multiple disabilities, or in dying, movement toward higher wellness is possible.
DIF: Comprehension REF: 4–5 OBJ: 2 TOP: CRNE: HW (Health & Wellness) 1 / 4
- Which province or territory is predicted to have the fastest growing older adult population in
- Ontario
- British Columbia
- Yukon
- Newfoundland
Canada between the years 2006 and 2031?
ANS: C
Feedback A Incorrect. As shown in Figure 1-1 in your text, the older adult population of Ontario does not rise as rapidly as the older adult population of Yukon between 2006 and 2031.B Incorrect. As shown in Figure 1-1 in your text, the older adult population of British Columbia does not rise as rapidly as the older adult population of Yukon between 2006 and 2031.C Correct. As shown in Figure 1-1 in your text, the older adult population of Yukon rises faster than any of the other provinces and territories between 2006 and 2031.D Incorrect. As shown in Figure 1-1 in your text, the older adult population of Newfoundland does not rise as rapidly as the older adult population of Yukon between 2006 and 2031.
DIF: Knowledge REF: 3, Fig 1-1 OBJ: 3 TOP: CRNE: HW (Health & Wellness)
- Historical influences that have shaped the lives of the majority of the middle-old in Canada
- Influenza epidemic of 1918
- Immigration from Communist Europe
- Child-rearing during the Depression
- World War II
today include which of the following?
ANS: D
Feedback A Incorrect. A person who survived the influenza epidemic would be at least 93 years old in 2011 and therefore be considered old-old, or centenarian.B Incorrect. Those who are middle-old in 2011 were born between 1920 and 1930, before Communism swept Europe.C Incorrect. Most of those who are middle-old in 2011 had not reached childbearing age by the end of the Depression.D Correct. Those who are middle-old in 2011 were in their teens and twenties during the war; in particular, the men were very likely to have fought in it.
DIF: Comprehension REF: 2 OBJ: 3 TOP: CRNE: HW (Health & Wellness) 2 / 4
- A nurse prepares for the arrival of older adults evacuated from a forest fire in northern
- Demonstrate that the staff is prepared to meet their needs.
- Use individual medical records to develop a medication plan.
- Help older adults to display family photos and memorabilia.
- Help older adults to teach one another a new skill in the shelter.
Manitoba to a shelter for short-term care. Which of the following is the priority nursing intervention?
ANS: B
Feedback A Incorrect. Providing safety and security from the fire is evident and implied, as the older adults have been evacuated from danger. The priority nursing intervention is caring for any health concerns; e.g., medication or treatments that were left behind.B Correct. The nurse prepares for short-term care by prioritizing the needs of the older adults, and this intervention helps to maintain the therapeutic plan, thereby addressing the need for physiological integrity. Furthermore, the nurse maintains continuity of care by preparing a medication schedule to prevent missed doses of medication.C Incorrect. In emergency conditions, the nurse provides basic care relating to safety, security, and physical well-being. Maintaining a sense of belonging is important, but not in emergency conditions.D Incorrect. A state of emergency is not the time to develop self-esteem because meeting safety, security, and physical needs is more important.
DIF: Analysis RETFE: ST5–B6ANKSELLOEBRJ.: C2OM TOP: CRNE: HW (Health & Wellness)
- According to researchers, which characteristic will most centenarians share in the future?
- Being female
- Having dementia
- Being malnourished
- Being wheelchair-bound
ANS: A
Feedback A Correct. Researchers expect women to comprise the majority of centenarians in the future.B Incorrect. Gerontologists expect dementia to be common among older adults, but they are not predicting most centenarians will have dementia.C Incorrect. Malnutrition is common among older adults, but researchers have not predicted that most centenarians will be malnourished.D Incorrect. Decreased mobility is common among older adults, but researchers have not predicted that most centenarians will be confined to a wheelchair.
DIF: Knowledge REF: 2 OBJ: 3 TOP: CRNE: CH (Changes in Health) 3 / 4
- Which statement describes aging in developing countries?
- Aged dependence is likely to improve from 1:4 to 1:2.
- The biggest problem for older adults will be lack of food.
- Most of the world’s older adults are likely to reside in developing countries.
- Like fertility, life expectancy is increasing, although at a different rate.
ANS: C
Feedback A Incorrect. Aged dependence is likely to deteriorate from 1:4 to 1:2.B Incorrect. The biggest problem of the world’s oldest adults is most likely to be lack of regular income.C Correct. Developing countries contain 64% of the world’s older adults already.D Incorrect. Life expectancy is increasing, but fertility is decreasing worldwide.
DIF: Knowledge REF: 4 OBJ: 3 TOP: CRNE: HW (Health & Wellness)
- A female older adult tells the nurse that she has experienced increasing fatigue and shortness
- Promote safety to prevent injury.
- Complete a nutritional assessment.
- Balance exercise and rest periods.
- Explore the woman’s complaints.
of breath over the last two days. Which of the following goals is the nurse’s priority?
ANS: D
DIF: Analysis REF: 8 OBJ: 2 TOP: CRNE: NCP (Nurse–Client Partnership) Feedback A Incorrect. Promoting safety and preventing injury are reasonable goals to include for this older adult, but are not as important as investigating the chief complaint, because breathing and circulation are two of the three most important physical needs.B Incorrect. Completing the nutritional assessment for this older adult is reasonable because the symptoms can be related to nutritional deficiencies; however, this should be a part of the examination of the chief complaint.C Incorrect. Balancing rest and exercise is a reasonable approach to a complaint of fatigue and shortness of breath if the older adult is deconditioned; however, the nurse must investigate the chief complaint to determine if deconditioning is a factor.D Correct. Investigating the complaint is the nurse’s priority because fatigue and shortness of breath can indicate cardiac disease, especially in women. Women with cardiac disease often manifest atypical symptoms, and since it tends to be treated less aggressively in women, the nurse must be careful not to miss indicators of potential cardiac disease. In addition, in investigating the older adult’s chief complaint, the nurse investigates all possible causes.
- / 4