Deck 3: Health and Wellness

Question 1

Environmental press is defined as:

A) learned helplessness as a result of lack of social support in the environment.
B) modifications made to the environment to make it "elder friendly."
C) obstacles in the environment that make it unsafe for older adults.
D) demands that environments make on the older person to adapt,respond,or change.

Answer 1

demands that environments make on the older person to adapt,respond,or change.

Question 2

Healthy People 2010:

A) describes racial and ethnic differences in health practices.
B) provides measurements of health status for specific diseases across the life span.
C) offers direction for the achievement of improved quality of life across the life span.
D) presents criteria for Medicare reimbursement for preventive health care for older adults.

Answer 2

offers direction for the achievement of improved quality of life across the life span.

Question 3

You are on a performance improvement committee at your hospital.The committee selects a project related to influenza vaccination.What is the guideline for influenza vaccination for individuals older than age 65?

A) Annually for individuals older than age 65 with a compromised immune system,or with a respiratory or cardiac condition
B) Annually for all individuals older than age 65,whether they are well or have chronic conditions
C) Once in persons age 65 or older,with boosters given as needed every 5 years
D) Every 2 to 5 years

Answer 3

Annually for all individuals older than age 65,whether they are well or have chronic conditions

Question 4

Your client,age 67,was recently admitted to an acute care facility after reluctantly seeking medical care at the insistence of his wife.Although he insists,"I'm fine,it's just something I ate," he has been diagnosed with an acute myocardial infarction.Which factor contributes to your client's statement?

A) Men generally suffer more sickness and dysfunction than women during their lifetime.
B) Men tend to see themselves as healthy despite serious problems.
C) Men have a longer life expectancy,so your client has nothing to worry about.
D) Older men receive fewer technical medical interventions than do women.

Question 5

Which is the best example of a wellness-based nursing intervention?

A) Providing the Internet address of support groups and resources to the computer-literate,Internet-proficient daughter of your oncology client
B) Lecturing your client with diabetes that he would not have been admitted this time if he had listened to your discharge instructions last time
C) Ignoring the ice cream treat and cappuccino you saw your cardiac client's visitors bring into her hospital room
D) Responding to your elderly client's request to be ambulated by stating,"You should take it easy and rest.You're 90 years old-you deserve it!"

Question 6

A 92-year-old widowed patient in the geriatric clinic moved to a senior housing apartment building 3 weeks ago.When she comes for her blood pressure check,she tells the nurse,"The move was very difficult for me.What is wrong with me? When I was younger,my husband was in the military,we moved constantly,and it was easy." The nurse bases her response on the knowledge that:

A) older people are not able to adapt to stress.
B) this patient does not have adequate social support to adapt to the move.
C) older persons need more time to recover to pre-stress levels than they did when younger.
D) the environment of the senior citizen apartment building is the main stressor for this patient.

Question 7

Select the statement about wellness that best applies to your client,who is terminally ill with end-stage prostate cancer.

A) Wellness is possible even if he refuses to assist in management of his medical care.
B) Wellness is unfortunately not a realistic option for him.
C) Wellness is the same thing as faith healing,and if he would be more receptive,he could be back at active gardening in a few weeks.
D) Your nursing interventions can help empower him to achieve a higher level of wellness.

Question 8

What best describes nutritional alterations with aging?

A) Caloric needs and nutritional needs decrease.
B) Caloric needs increase,but nutritional needs decrease.
C) Caloric and nutritional needs increase.
D) Caloric needs decrease,but nutritional needs remain constant.

Question 9

A 68-year-old patient is being seen in the geriatric clinic for her annual physical examination.The nurse practitioner states that she is going to do a pelvic examination and Pap smear.The patient asks the nurse,"Since my husband died,I am no longer sexually active.I don't think I need a pelvic exam anymore.What do you think?" The nurse bases her response on the knowledge that:

A) Pelvic examinations and Pap smears are not necessary in individuals older than age 65 who are no longer sexually active.
B) Pelvic examinations and Pap smears are only done in individuals older than age 65 who have specific gynecological complaints.
C) Pelvic examinations and Pap smears are performed annually until age 70.After age 70,they are no longer necessary if three or more consecutive examinations were negative in the previous 10 years.
D) Pelvic examinations and Pap smears are performed annually in all females,regardless of age.

Question 10

You engage in a casual conversation with your overweight 72-year-old neighbor.He was recently discharged from a stay at the hospital during which he had a treadmill test to evaluate the extent of his cardiac disease.After he relays information to you about the test,you ask him about any dietary changes he has made.Which statement best demonstrates wellness behavior on his part?

A) "My doctor didn't tell me I have to change anything.Isn't that good news?"
B) "My nurse said something about fat and cholesterol,but I'm sure that's not my problem.My father ate bacon and eggs every day of his life and he lived to a ripe old age."
C) "It's so hard to give up the foods I love,but my wife and I have bought the American Heart Association's cookbook and we're going to try our best."
D) "I heard there's a new fat substitute.I wonder if that would taste any good on my wife's cinnamon rolls."