test bank for nursing for wellness in older adults 7th edition by miller
test bank for nursing for wellness in older adults 7th edition by miller
test bank for nursing for wellness in older adults 7th edition by miller
test bank for nursing for wellness in older adults 7th edition by miller
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Page 1 Origin: Chapter 3- Applying a Nursing Model for Pr omoting Wellness in Older Adults, 1 1. A nurse is using the Functional Consequences Theory as a lens for planning client care in a health care facility. Which of the following i s a key element of this nursing theory? A) Most problems affecting older adults may be attr ibuted to age-related changes. B) Most functional consequences cannot be addressed through nursing interventions. C) Wellness is a concept that is broader than just physiologic functioning. D) The Functional Consequences Theory is an alterna tive to holistic nursing care. Ans: C Feedback: Within the Functional Consequences Theory, wellness is a central concept that encompasses more than the older adult's level of ph ysiologic function. Most problems affecting older adults are attributable to risk fac tors, even though age-related changes are indeed relevant and inevitable. Functional cons equences can usually be addressed by nursing interventions, and holistic care is not an alternative to Functional Consequences Theory, but rather a component of the theory. Origin: Chapter 3- Applying a Nursing Model for Pr omoting Wellness in Older Adults, 2 2. A nurse is working with a 79-year-old client newly diagnosed with osteoporosis. Which of the following interactions promotes achievement of wellness outcomes? A) The nurse performs strength and mobility trainin g appropriate to the client's age and diagnosis. B) The nurse teaches the client about bone density in older women and the role of vitamin D and calcium intake. C) The nurse plans interventions in light of the bo dy–mind–spirit interconnectedness of the client. D) The nurse teaches the client about how her risk factors are a consequence of age. Ans: B Feedback: Teaching about bone density and the role of vitamin D reflects an acknowledgment that the client's diagnosis is attributable to both the client's age-related changes and risk factors such as inadequate nutrient and mineral int ake. Strength and mobility training may well be an appropriate intervention, but it doe s not necessarily acknowledge the interplay of risk factors and age in the client's d iagnosis. The body–mind–spirit interconnectedness is a component of the Functional Consequences Theory, but it does not address the relationship between risk factors a nd age per se. Teaching about risk factors as a consequence of age implies that these factors are an inevitable consequence of age, which is not the case. Test Bank for Nursing for Wellness in Older Adults 7th Edition by Miller
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Full download all chapters instantly please go to Solutions Manual, Test Bank site: TestBankLive.com Page 2 Origin: Chapter 3- Applying a Nursing Model for Pr omoting Wellness in Older Adults, 3 3. A nurse is teaching a colleague about the differenc e between age-related changes and risk factors. Which of the following examples shoul d the nurse use when discussing age-related changes? A) An older adult with a diagnosis of diabetes mell itus B) An older adult who is obese C) An older adult with obstructive lung disease D) An older adult with decreased bowel motility Ans: D Feedback: Decreased bowel motility is an example of a phenome non that is a normal consequence of the aging process. Diabetes, obesity, and obstru ctive lung disease are all phenomena that may constitute or exacerbate health problems f or older adults, but they are not age-related changes. Origin: Chapter 3- Applying a Nursing Model for Pr omoting Wellness in Older Adults, 4 4. A nurse determines risk factors for an 81-year-old client's plan of care. Which of the following characteristics of the client would the n urse consider as a risk factor? (Select all that apply.) A) Chronic bronchitis B) Loss of bone density C) Decreased vital lung capacity D) Delayed gastric emptying E) Digoxin (Lanoxin) toxicity Ans: A, E Feedback: Chronic bronchitis would be considered a pathologic process and risk factor for disease, rather than an expected or inevitable age-related c hange. Adverse medication effects are also considered risk factors. Loss of bone density, decreased vital lung capacity, and delayed gastric emptying are all examples of normal , age-related changes.
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