Exam (elaborations)
Gerontological Nursing, 4e (Tabloski) Chapter 3 Principles of Geriatrics
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Gerontological Nursing, 4e (Tabloski) Chapter 3 Principles of Geriatrics
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Gerontological Nursing, 4e (Tabloski)Chapter 3 Principles of Geriatrics
1) Thernurserisrpreparingrtorconductrarhealthrhistoryrwithranrolderrclient.rWhichractionrshouldrther
nursertakertorensurertheraccuracyrandrefficiencyrofrtherclient'srhealthrhistory?
1. Schedulingrone-halfrhourrforrthermedicalrhistoryrinterview.
2. Requestingrtherclientrusertherbathroomrbeforerstartingrtherinterview.
3. Ensuringrtherclientrhasrtheirridentificationrandrinsurancercardrwithrthemruponrarrival.
4. Conductingrtherhistoryrinranrenvironmentrwithrcomfortablerseatingrandrproperrlighting.rAn
swer:r 4
Explanation:r1.rPatientsrshouldrhaverarminimumrofr1-
hourrappointmentsrscheduled.rShorterrappointmentsrwillrresultrinrarhurriedrinterviewrwithrmissedrinfo
rmation.
2. Therreferencerstatesrtorbersurerthererarerbathroomsravailablerduringrtherinterview.
3. TherIDrandrinsurancercardrarerunrelatedrtorgatheringrdatarforrarhealthrhistory.
4. Tormakertherolderrpatientrcomfortable,radequaterlightingrandrseatingrshouldrberavailable.rPa
gerRef:r50-51
CognitiverLevel:r Applying
ClientrNeed:rHealthrPromotionrandrMaintenancerClient
rNeedrSub:r HealthrPromotionrandrMaintenancerNurs/In
tegrConc.:r NursingrProcess:rImplementation
LearningrOutcome:r 3.rIdentifyrthernurse'srrolerinrthergeriatricrassessmentrprocess.
2) Whichrnursingrinterventionrwillrensurerthatrthernurserwillrproviderculturallyrcompetentrhe
althcarertoranrolderrpatient?
1. Speakrtherpatient'srprimaryrlanguage.
2. Userstandardizedrassessmentrinstrumentsrinrhealthrevaluations.
3. Approachrpatientsrofrarparticularrethnicrgrouprinrthersamermanner.
4. Knowrprevalence,rincidence,randrriskrfactorsrforrdiseasesrspecificrtordifferentrethnicrgroups.rAn
swer:r 4
Explanation:r1.rItrisrunrealisticrtorexpectrthatrthernurserwillrspeakrtherpatient'srprimaryrlanguagerifritri
srnotrEnglish.
2. Manyrofrtherclinicalrassessmentrinstrumentsrhavernotrbeenrvalidatedrforruserwithrethnicrmi
norities.
3. Toravoidrstereotypicalrthinking,rthernursermustrapproachreachrpatientrasraruniquerindividual.
4. Knowingrtherprevalence,rincidence,randrriskrfactorsrforrdiseasesrspecificrtordifferentrethnicrgro
upsrisrarcomponentrofrculturalrcompetencerinrhealthcare.
PagerRef:r56
CognitiverLevel:r Applying
ClientrNeed:r HealthrPromotionrandrMaintenancer
ClientrNeedrSub:r HealthrScreening
Nurs/IntegrConc.:r NursingrProcess:rImplementation
LearningrOutcome:r 3.rIdentifyrthernurse'srrolerinrthergeriatricrassessmentrprocess.
1
Copyrightr©r2019rPearsonrEducation,rInc.
,3) Thernurserisrcompletingrtherminimalrdatarsetr(MDS)rforranrolderrpatient.rWhatrarercha
racteristicsrofrthisrassessment?rSelectrallrthatrapply.
1. Eliminatesrlistingrtherpatient'srprescribedrmedications
2. IdentifiesrhealthrinsurancercoveragerthatrisrnotrMedicarerorrMedicaid
3. Providesrarmultidimensionalrviewrofrtherpatient'srfunctionalrcapacities
4. Usedrprimarilyrtordeterminertheramountrofrfundingrtherpatientrhasrforrlong-termrcare
5. Includesrarcorersetrofrscreening,rclinical,randrfunctionalrmeasuresrusedrinrpatientrassessmentrAn
swer:r 3,r5
Explanation:r 1.rMedicationrinformationrisrneededrsincerthisrmayrimpactrtherpatient'srabilityrtorfun
ction.
2. TherMDSrisrarstandardizedrassessmentrtoolrthatrformsrtherfoundationrforrallrresidentsrofrlong-
rtermrcarerfacilitiesrcertifiedrtorparticipaterinrMedicarerorrMedicaid.
3. TheritemsrinrtherMDSrgiverarmultidimensionalrviewrofrtherpatient'srfunctionalrcapacities.
4. TherMDSrisrusedrforrvalidatingrtherneedrforrlong-
termrcare,rreimbursement,rongoingrassessmentrofrclinicalrproblems,randrassessmentrofrandrnee
drtoralterrthercurrentrplanrofrcare.
5. TherMDSrincludesrcategoriesrthatrmeasurerphysical,rpsychological,randrpsychosocialrfu
nctioningrofrtherpatient.
PagerRef:r56
CognitiverLevel:r Applying
ClientrNeed:rHealthrPromotionrandrMaintenancerClient
rNeedrSub:rTechniquesrofrPhysicalrAssessmentrNurs/In
tegrConc.:r NursingrProcess:rImplementation
LearningrOutcome:r 1.rDefinerinterdisciplinaryrgeriatricrassessmentrandrterminology.
2
Copyrightr©r2019rPearsonrEducation,rInc.
, 4) Thernurserisrassessingranrolderrclient'srhealthrstatus.rWhichrcomments,rmaderbyrtherclient,rwo
uldrindicaterthatrtherclient'srhealthrbeliefsrarerbasedronrtherperceivedrimportancerofrtakingractionrt
orpromoterhealth?rSelectrallrthatrapply.
1. "IrshouldrgetrarphysicalreveryryearrsorIrcanrstayrhealthy."
2. "Irknowrthatrchoosingrtoreatrhealthyrorrnotrwillraffectrmyrhealthrnowrandrlaterron."
3. "IrknowrifrIrgorforrwalksronrarregularrbasis,rIramrlessrlikelyrtorhaverarhealthrproblem."
4. "IrunderstandrifrIrcontinuertorgortorchurchrandrspendrtimerwithrfriends,rIrwillrfeelrlessrlonely."
5. "IrunderstandrifrIrstoprdrinkingralcohol,rIrwillrdecreasermyrchancerofrliverrdiseaserandrotherrheal
thrissues."
Answer:r 3,r4
Explanation:r 1.rThisrstatementrindicatesrtherhealthrbeliefrbasedronrtherperceivedrcontrolrofrhea
lthroutcome.
2. Thisrstatementrisrbasedronrtherhealthrbeliefrofrperceivedrinternalrcontrolrofraction.
3. Thisrstatementrindicatesrtherclient'srhealthrbeliefsrarerbasedronrtherperceivedrimportancerofrtak
ingraction.
4. Thisrstatementrindicatesrtherclient'srhealthrbeliefsrarerbasedronrtherperceivedrimportancerofrtaki
ngraction.
5. Thisrstatementrindicatesrtherclient'srhealthrbeliefsrarerbasedronrtherperceivedrreductionrofrthr
eatrfromraction.
PagerRef:r56
CognitiverLevel:r Applying
ClientrNeed:rHealthrPromotionrandrMaintenancerClient
rNeedrSub:r HealthrPromotionrandrMaintenancerNurs/In
tegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r 2.rApplyrappropriaterguidelinesrforrhealthrpromotionrandrdiseaserpr
evention.
3
Copyrightr©r2019rPearsonrEducation,rInc.
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