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Chapter 02: Theories Related to Care of the Older Adult
Meiner: Gerontologic Nursing, 6th Edition
MULTIPLE CHOICE
1. The practitioner who believes in the free radical theory of aging is likely to recommend that
the older adults
a. avoid excessive intake of zinc or magnesium.
b. supplement his or her diet with vitamins C and E.
c. increase intake of complex carbohydrates.
d. avoid the use of alcohol or tobacco.
ANS: B
Vitamins C and E are two naturally occurring antioxidants that appear to inhibit the
functioning of the free radicals or possibly decrease their production in the body. The free
radical theory of aging is not related to zinc, magnesium, carbohydrates, or alcohol and
tobacco.
DIF: Applying OBJ: 2-5 TOP: Nursing Process: Planning
MSC: Health Promotion and Maintenance
2. To provide effective care to the older adult, the nurse must understand which of the
following?
a. Older adults are not a homogeneous sociologic group.
b. Little variation exists in cohort groups of older adults.
c. Health problems are much the same for similar age groups of older adults.
d. Withdrawal by an older adult is a normal physiologic response to aging.
ANS: A
Older adults are not a homogenous sociological group, having four distinct cohort groups
and many individual variations within these cohorts. Nurses must take to not treat older
adults as if they were all the same. Health needs will vary among the cohorts and among
individuals. Withdrawal is not a normal part of aging and may signify depression.
DIF: Understanding OBJ: 2-2
TOP: Nursing Process: Planning MSC: Health Promotion and Maintenance
3. The nurse is using the eight stages of life theory to help an older adult patient assess the
developmental stage of personal ego differentiation. The nurse does this by assisting the
patient to do which of the following?
a. Determine feelings regarding the effects of aging on the physical being.
b. Describe feelings regarding what he or she expects the future to hold.
c. Identify aspects of work, recreation, and family life that provide self-worth and
pleasure.
d. Elaborate on feelings about the prospect of his or her personal death.
ANS: C