Gerontological Nursing Competencies For Care 3rd Edition By Kristen – Test Bank

Chapter 11 Promoting Health Aging 

1. According to the Merck Institute on Aging and Health, older adults fell short of the Healthy People 2000 goals in all but which of the following area?
2. physical activity
3. influenza vaccination
4. eating fruits and vegetables
5. overweight

2. The nurse is counseling a patient regarding Medicare prevention efforts. Which of the following is included?
3. initial physical examination
4. smoking cessation counseling
5. nutrition therapy for everyone
6. a and b only

3. The nurse chooses to use a health contract/calendar as a behavior-changing tool for an older adult client who wants to lose weight. Which of the following principles should the nurse keep in mind when choosing this tool?
4. it relies on the self-management capability of a client, after initial assistance is provided by a clinician or health educator
5. it relies on the ability and skill of the educator
6. it has been shown to be less effective with females who are older and widowed
7. it cannot be used in older adults with less than a high school education

4. The advantages of using a health contract for behavior change include all of the following except:
5. it identifies and enhances motivation
6. it assures that change will occur
7. it clarifies measurable and modest goals
8. it suggests tips to remember new behaviors
9. The nurse is instructing a new patient on the benefits of exercise. She would include which of the following in providing the most current recommendations for older adults?

1. the emphasis is on being more physically active rather than a narrow adherence to a rigid exercise regimen
2. older adults should exercise one solid hour per day to achieve benefits
3. research has shown that older adults need to burn more calories than younger adults in order to obtain cardiac benefit from exercise
4. all of the above are true

6. An older client is discussing his desire to continue walking during the winter months, but expresses fear of being out in the colder weather. The nurse appropriately recommends for him to:

1. suspend all walking activities until the weather is favorable
2. walk inside at the local shopping mall
3. join a health club and walk on the treadmill
4. continue to walk outside no matter what the weather

7. Nutrition counseling is thought to be important for older adults because of which factors?

1. older adults are more vulnerable to obesity than other age groups
2. older adults are more vulnerable to malnutrition than other age groups
3. eating and drinking habits are linked to several leading causes of death
4. all of the above

8. Which of the following foods should the nurse encourage the older client to eat 5 – 13 servings of per day?

1. grains
2. meat/eggs
3. dairy
4. fruits/vegetables

9. The nurse is investigating a model health program to recommend to a client who needs help with ADLs and is unable to live alone. Which of the following models would be most appropriate for the nurse to help the client explore?
10. Healthwise handbook
11. Green house
12. Project enhance
13. Ornish program