Test Bank for Ham's Primary Care Geriatrics- A Case-Based
Approach 7th Edition by Warshaw, Potter, Flaherty, Heflin,
McNabney, and Ham
,CHPT 1. Principles of Primary Care of Elderly Adults
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The professional nurse would use these standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic nursing.
RIGHT CHOICE✔✔D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
incorporates the input of gerontologic nurses from across the United States. It was not intended
to promote gerontologic nursing practice within acute care settings, define concepts or
dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
COMPLEXITY> Remembering (Knowledge)
REFERENCE: msc: 2 OBJ: 1-1 TOP: N/A MSC: Safe and
Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing elderly adults,
a professional nurse needs to first:
a. recognize that nurses must act as advocates for aging clients.
b. accept that this population represents a substantial portion of those requiring nursing care.
c. self-reflect and formulate ones personal view of aging and the elderly client.
d. recognize ageism as a form of bigotry shared by many Americans.
RIGHT CHOICE✔✔C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the elderly
population as a whole. With nurses being members of a society holding such views, it is critical
that the individual professional nurse self-reflect on personal feelings and determine whether
such feelings will affect the nursing care that he or she provides to the aging client. Acting as an
advocate is an important nursing role in all settings. Simply accepting a fact does not help end
ageism, nor does recognizing ageism as a form of bigotry.
COMPLEXITY> Applying (Application) REFERENCE: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent
elderly Americans, the professional nurse includes the importance of:
a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
d. the development of life-extending therapies.
,RIGHT CHOICE✔✔C
The health and ultimate autonomy of elderly Americans has been positively impacted by the
development of antibiotics, better sanitation, and vaccines. These public health measures have
been more instrumental in increasing the numbers of healthy, independent elderly Americans
than have in-home care services, government programs, or life-extending therapies.
COMPLEXITY> Remembering (Knowledge) REFERENCE: msc: 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an elderly adults discharge teaching plan, the
professional nurse includes the clients:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
RIGHT CHOICE✔✔C
Less than 4% of elderly adults live in a formal health care environment. The majority of the
geriatric population lives at home or with family members.
COMPLEXITY> Applying (Application) REFERENCE:
N/A OBJ: 3-3
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The professional nurse planning care for an elderly adult who has recently been diagnosed
with rheumatoid arthritis views the priority criterion for continued independence to be the
clients:
a. age.
b. financial status.
c. gender.
d. functional status.
RIGHT CHOICE✔✔D
Maintaining the functional status of elderly adults may avert the onset of physical frailty and
cognitive impairment, two conditions that increase the likelihood of institutionalization.
COMPLEXITY> Remembering (Knowledge) REFERENCE: msc: 8 OBJ: 1-6
TOP: Nursing Process: Planning MSC: Physiologic Integrity
6. A professional nurse working with the elderly adult population is most likely to assess a need
for a financial social services referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American female.
RIGHT CHOICE✔✔B
The poverty rate among elderly black women is substantially higher than that seen among males or
females of other ethnic groups. White males had the least poverty.
COMPLEXITY> Applying (Application) REFERENCE: N/A
OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
, 7. Which of the following statements made by a professional nurse preparing to complete a
health assessment and history on an elderly client reflects an understanding of the general health
status of this population?
a. Ill need to document well regarding the medications the client is currently prescribed.
b. I would like to understand how supportive the clients family members are.
c. Most elderly clients are being treated for a variety of chronic health care issues.
d. It will be interesting to see whether this client sees herself as being healthy.
RIGHT CHOICE✔✔D
It is a misconception that old age is synonymous with disease and illness. The professional nurse should
always determine the clients sense of wellness and independence when conducting a health and
history assessment. An assessment of medication use and family support is important for any
client. Many elderly adults do have chronic health conditions, but their perception is more
important than a single number.
COMPLEXITY> Applying (Application) REFERENCE: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
8. The professional nurse is caring for an elderly adult who has been admitted to an acute care
hospital for treatment of a fractured femur. The family expresses concern about the clients
pending transfer to a subacute care facility. What response by the professional nurse is best?
a. Acute care facilities lack the long-term physical therapy support your dad requires.
b. Your dad will be much happier in a more serene, private environment.
c. The subacute facility will focus on helping your dad maintain his independence.
d. Insurance, including Medicare, will cover only a limited amount of time here.
RIGHT CHOICE✔✔C
The transfer of the client to a subacute facility is based on the need to maintain the clients
level of function and independence, a task the acute care facility is not prepared to address once
the client is physiologically stable. The client may or may not be happier in the new setting; the
professional nurse should not make this judgment. It is true that insurance only pays for a
limited amount of time in an acute care facility, but this is not the best reason for the client to
transfer.
COMPLEXITY> Applying (Application)
REFERENCE: N/A OBJ: 1-6 TOP: Communication
and Documentation
MSC: Health Promotion and Maintenance
9. To best assure both the quality of care and the safety of the elderly adult client who requires
in- home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
a. evaluates the competency of the UAP staff.
b. assumes the roles of case manager and client advocate.
c. arranges for the needed UAP provided services.
d. assesses the client for functional limitations.
RIGHT CHOICE✔✔A
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse
must assume more responsibility for educating, training, and evaluating the competency of UAP
staff to provide safe, effective care for the elderly adult client.
COMPLEXITY> Applying (Application) REFERENCE: N/A OBJ: 1-2
