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NSG 4067 MIDTERM EXAM STUDY GUIDE
A nurse is discussing an older adult's
recent diagnosis of rheumatoid arthritis
1. with a colleague. Which of the nurse's
statements reflects an accurate view of the
relationship between aging and wellness?
"It's important that the individual knows
A)
this is an expected part of growing older."
"We need to teach the older adult how he
B) can keep living a fruitful life in spite of
his diagnosis."
"We need to make sure our teaching is not
C)
too detailed for someone of his age."
"We need to ensure his expectations of
D)
continuing to live alone are realistic."
Ans: B
Feedback:
Answer B reflects a desire to foster a
fulfilling and productive life for the older
adult despite his diagnosis, and reflects an
understanding of wellness and aging.
Option A implies that illness is an
inevitability of aging. Option C suggests
that older adults have a limited capacity to
learn by virtue of their age, and option D
implies pessimism about the health and
functioning of the older adult.
Origin: Chapter 1- Seeing Older Adults T
hrough the Eyes of Wellness, 2
A nurse is teaching an older person about
the concept of successful aging. Which of
2.
the nurse's questions addresses an
important contributor to successful aging?
"Are you largely free of acute or chronic
A)
illnesses?"
B) "Do you feel financially secure?"
, "Do you feel like you actively engage
C)
with life?"
D) "Do you have a reliable support network?"
Ans: C
Feedback:
Research has indicated that an active
engagement with life is central to
successful and healthy aging. Absence of
illness, financial security, and the nature
of a person's support network are not
identified components of successful aging.
Origin: Chapter 1- Seeing Older Adults T
hrough the Eyes of Wellness, 3
An older adult has recently begun to
display unprecedented lapses in short-term
memory. The nurse overhears a colleague
3. reassuring the person by saying, "Try not
to worry; it's just a part of growing older."
The nurse recognizes that this is an
example of what phenomenon?
A) Multiple jeopardy
B) Gerontophobia
C) Age attribution
D) Implicit ageism
Ans: C
Feedback:
Age attribution is the act of attributing a
problem to age rather than to a pathology,
as in the colleague's statement. Multiple
jeopardy is the compounding of
discrimination based on factors such as
race and gender, while gerontophobia is
the fear or hatred of older people. Implicit
ageism is the unrecognized, negative
perception of older people.
Origin: Chapter 1- Seeing Older Adults T
, hrough the Eyes of Wellness, 4
A nurse hears a colleague make the
statement, "Most older adults have
4. nothing to worry about financially."
Which of the following responses is most
appropriate?
"You have to remember that there's a huge
A)
economic disparity among older adults."
"Actually, the number of older people
B) living below the poverty line has been
increasing, not decreasing."
"This isn't really true now, but it is true
C) that the gaps that disadvantaged groups
live with are expected to shrink."
"This is true for some groups, but not for
D) minorities who are less likely to be living
with their relatives."
Ans: A
Feedback:
An important consideration with regard to
economic conditions of older adults is the
tremendous range in financial status,
which varies significantly according to
race, gender, and living arrangements. The
number of adults living below the poverty
line, however, has decreased in recent
years. The disparities that separate
disadvantaged groups from more
economically secure older adults are
predicted to persist. Minorities are more
likely, not less likely, to be living with
their relatives.
Origin: Chapter 1- Seeing Older Adults T
hrough the Eyes of Wellness, 5
A nurse is conducting a study on the needs
and living situations of older adults in the
5. community. Which of the following
statements should the nurse take into
account?
, A majority of older Americans will live in
A)
a nursing home at some point.
More older men live alone than older
B)
women.
Assisted living arrangements have become
C)
increasingly common.
Most older Americans reside in some
D)
form of institutional arrangement.
Ans: C
Feedback:
Assisted living arrangements have become
an increasingly common alternative to
nursing homes. The number of Americans
living in nursing homes has recently
decreased, not increased, and more older
women live alone than do older men.
Ninety percent of older Americans live in
an apartment or house, rather than in an
institutional arrangement.
Origin: Chapter 1- Seeing Older Adults T
hrough the Eyes of Wellness, 6
A nurse who provides care to many older
adults recognizes the importance of
6. implementing a wellness approach to care.
What principle underlies this approach to
the health care of older adults?
Older adults have decreasing expectations
A) for wellness as they move through the
aging process.
Health problems are a Western cultural
B) construct that has no objective,
physiologic basis.
Older adults must come to accept a
C)
decline in wellness as they age.
A holistic approach to caring for older
D) adults can foster their well-being at every
stage of life.
Ans: D
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