GERONTOLOGICAL NURSING & HEALTHY AGING 5TH EDITION TOUH
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: ANS: D
According to Maslow, persons whose basic physical needs are met, who feel safe
and secure, and who possess self-esteem and self-efficacy can achieve self-
actualization, reaching out beyond themselves to make their lives meaningful.
Biological and physical integrity is the lowest level in Maslows hierarchy, below
safety and security. Safety and security are the second-lowest level, below self-
esteem. Self-esteem is the second-highest level, below self-actualization.
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2. A man is terminally ill with end-stage prostate cancer. Which is the best
statement about this mans 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.: ANS: D
Nursing interventions can help empower a client to achieve a higher level of
wellness; a nurse can foster wellness at all levels of the needs hierarchy.
Wellness is possible even if the client assists in the management of his medical
care; an individual must work hard to achieve wellness, similar to a job. Wellness is
unfortunately not a real option for this client; however, all persons, regardless of age
, GERONTOLOGICAL NURSING & HEALTHY AGING 5TH EDITION TOUH
or life-health situations, can be helped to achieve a higher level of wellness.
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; biomedical approaches
and other treatments and techniques are used to achieve realistic improvements in
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 gener-
ations.
c.Wellness and self-actualization develop through learning and growth.
d.Wellness is impossible when ones health is compromised.: ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health
includes wellness, which involves ones whole being.
The concept of illness prevention was never considered by previous generations;
throughout history, basic self-care requirements have been recognized. Wellness
and self-actualization develop through learning and growthas basic needs are
met, higher-level needs can be satisfied in turn, with ever-deepening richness to
life. Wellness is impossible when ones health is compromised even with chronic
illness, with multiple disabilities, or in dying, movement toward a higher level of
wellness is possible.
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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
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d.Asian/Pacific Island Americans: ANS: C
As shown in Figure 1-1, the Hispanic older adult population is projected to be the
most rapidly increasing population segment between 2010 and 2050.
The older adult populations of all other races, combined, do not rise as rapidly
as the Hispanic older adult population between the years 2010 and 2050. The
African-American older adult population is expected to have the second-fastest rise
between 2010 and 2050. The non-Hispanic white older adult population is projected
to decrease between 2010 and 2050.
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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: ANS: D
Those who are middle-old in 2005 were in their teens and 20s during World War II;
in particular, the men were likely to have fought in it.
A person who survived the influenza epidemic would be at least 87 years old in
2005 and therefore would be considered old-old or a centenarian. Those who are
middle-old in 2005 were born between 1920 and 1930, before communism swept
Europe. Most of those who are middle-old in 2005 had not reached childbearing
age by the end of the Depression.
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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.
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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.: ANS: B
The nurse prepares for short-term care by prioritizing the needs of the older adults,
and this intervention helps 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.
Providing safety and security from the storm is Maslows second most basic need.
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. A state of emergency is not the time to develop self-esteem;
meeting safety, security, and physical needs are more important.
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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: ANS: A
Researchers expect women to make up the majority of centenarians in the future.
Gerontologists expect dementia to be common among older adults, but they are not
predicting most centenarians will have dementia. Malnutrition is common among
older adults, but researchers have not predicted that most centenarians will be
malnourished. Decreased mobility is common among older adults, but researchers
have not predicted that most centenarians will be confined to a wheelchair.
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