TEST BANK FOR HAM’S PRIMARY CARE
GERIATRICS: A CASE-BASED APPROACH
7TH EDITION BY RICHARD J. HAM :ISBN10;/ISBN-13;978-0323721684
Chapter 1. Principles of Primary Care of Older Adults
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was publish...
MULTIPLEVCHOICE
1. InV2010,VtheVrevisedVStandardsVandVScopeVofVGerontologicalVNursingVPracticeVwasVpublished
.VTheVnurseVwouldVuseVtheseVstandardsVto:
a. promoteVtheVpracticeVofVgerontologicVnursingVwithinVtheVacuteVcareVsetting.
b. defineVtheVconceptsVandVdimensionsVofVgerontologicVnursingVpractice.
c. elevateVtheVpracticeVofVgerontologicVnursing.
d. incorporateVsuggestedVinterventionsVfromVothersVwhoVpracticeVgerontologicVnursin
g.VANS:VD
TheVcurrentVpublishingVofVtheVStandardsVandVScopeVofVGerontologicalVNursingVPracticeVinV2010
incorporatesVtheVinputVofVgerontologicVnursesVfromVacrossVtheVUnitedVStates.V ItVwasVnotVintend
edVtoVpromoteVgerontologicVnursingVpracticeVwithinVacuteVcareVsettings,VdefineVconceptsVorVdim
ensionsVofVgerontologicVnursingVpractice,VorVelevateVtheVpracticeVofVgerontologicVnursing.
DIF:VRememberingV(Knowledge)VREF:Vmsc:V2VOBJ:V1-
1VTOP:VN/AVMSC:VSafeVandVEffectiveVCareVEnvironme
nt
2. WhenVattemptingVtoVminimizeVtheVeffectVofVageismVonVtheVpracticeVofVnursingVolderVadults,
VaVnurseVneedsVtoVfirst:
a. recognizeVthatVnursesVmustVactVasVadvocatesVforVagingVpatients.
b. acceptVthatVthisVpopulationVrepresentsVaVsubstantialVportionVofVthoseVrequiringVnursingVcare.
c. self-reflectVandVformulateVonesVpersonalVviewVofVagingVandVtheVolderVpatient.
d. recognizeVageismVasVaVformVofVbigotryVsharedVbyVmanyVAmerican
s.VANS:VC
AgeismVisVanVever-increasingVprejudicialVviewVofVtheVeffectsVofVtheVagingVprocessVandVofVtheVolder
populationVasVaVwhole.VWithVnursesVbeingVmembersVofVaVsocietyVholdingVsuchVviews,VitVisVcriti
calVthatVtheVindividualVnurseVself-
reflectVonVpersonalVfeelingsVandVdetermineVwhetherVsuchVfeelingsVwillVaffectVtheVnursingVcareVt
hatVheVorVsheVprovidesVtoVtheVagingVpatient.VActingVasVanVadvocateVisVanVimportantVnursingVroleV
inVallVsettings.VSimplyVacceptingVaVfactVdoesVnotVhelpVendVageism,VnorVdoesVrecognizingVageis
mVasVaVformVofVbigotry.
DIF:VApplyingV(Application)VREF:VN/AVOBJ:V1-9
TOP:VTeaching-LearningVMSC:VSafeVandVEffectiveVCareVEnvironment
3. WhenVdiscussingVfactorsVthatVhaveVhelpedVtoVincreaseVtheVnumberVofVhealthy,VindependentVold
erVAmericans,VtheVnurseVincludesVtheVimportanceVof:
a. increasedVavailabilityVofVin-homeVcareVservices.
b. governmentVsupportVofVretiredVcitizens.
c. effectiveVantibioticVtherapies.
d. theVdevelopmentVofVlife-extendingVtherapies.
,ANS:VC
TheVhealthVandVultimateVautonomyVofVolderVAmericansVhasVbeenVpositivelyVimpactedVbyVtheVde
velopmentVofVantibiotics,VbetterVsanitation,VandVvaccines.VTheseVpublicVhealthVmeasuresVhaveVb
eenVmoreVinstrumentalVinVincreasingVtheVnumbersVofVhealthy,VindependentVolderVAmericansVtha
nVhaveVin-homeVcareVservices,VgovernmentVprograms,VorVlife-extendingVtherapies.
DIF:VRememberingV(Knowledge)VREF:Vmsc:V2VOBJ:V3-3
TOP:VNursingVProcess:VImplementationVMSC:VHealthVPromotionVandVMaintenance
4. BasedVonVcurrentVdata,VwhenVpresentingVanVolderVadultsVdischargeVteachingVplan,VtheVnur
seVincludesVtheVpatients:
a. nonrelatedVcaretaker.
b. paidVcaregiver.
c. familyVmember.
d. intuitionalVrepresentative
.VANS:VC
LessVthanV4%VofVolderVadultsVliveVinVaVformalVhealthVcareVenvironment.VTheVmajorityVofVthe
geriatricVpopulationVlivesVatVhomeVorVwithVfamilyVmember
s.VDIF:VApplyingV(Application)VREF:VN/AVOBJ:V3-3
TOP:VNursingVProcess:VPlanningVMSC:VSafeVandVEffectiveVCareVEnvironment
5. TheVnurseVplanningVcareVforVanVolderVadultVwhoVhasVrecentlyVbeenVdiagnosedVwithVrheumato
idVarthritisVviewsVtheVpriorityVcriterionVforVcontinuedVindependenceVtoVbeVtheVpatients:
a. age.
b. financialVstatus.
c. gender.
d. functionalVstatus
.VANS:VD
MaintainingVtheVfunctionalVstatusVofVolderVadultsVmayVavertVtheVonsetVofVphysicalVfrailtyVand
cognitiveVimpairment,VtwoVconditionsVthatVincreaseVtheVlikelihoodVofVinstitutionalizatio
n.VDIF:VRememberingV(Knowledge)VREF:Vmsc:V8VOBJ:V1-6
TOP:VNursingVProcess:VPlanningVMSC:VPhysiologicVIntegrity
6. AVnurseVworkingVwithVtheVolderVadultVpopulationVisVmostVlikelyVtoVassessVaVneedVforVaVfinanc
ialVsocialVservicesVreferralVforVa(n):
a. whiteVmale.
b. blackVfemale.
c. HispanicVmale.
d. AsianVAmericanVfemale
.VANS:VB
TheVpovertyVrateVamongVolderVblackVwomenVisVsubstantiallyVhigherVthanVthatVseenVamongVmalesVor
femalesVofVotherVethnicVgroups.VWhiteVmalesVhadVtheVleastVpovert
y.VDIF:VApplyingV(Application)VREF:VN/AVOBJ:V1-4
TOP:VNursingVProcess:VAssessmentVMSC:VSafeVandVEffectiveVCareVEnvironment
, 7. WhichVofVtheVfollowingVstatementsVmadeVbyVaVnurseVpreparingVtoVcompleteVaVhealthVassessme
ntVandVhistoryVonVanVolderVpatientVreflectsVanVunderstandingVofVtheVgeneralVhealthVstatusVofVthisVp
opulation?
a. IllVneedVtoVdocumentVwellVregardingVtheVmedicationsVtheVpatientVisVcurrentlyVprescribed.
b. IVwouldVlikeVtoVunderstandVhowVsupportiveVtheVpatientsVfamilyVmembersVare.
c. MostVolderVpatientsVareVbeingVtreatedVforVaVvarietyVofVchronicVhealthVcareVissues.
d. ItVwillVbeVinterestingVtoVseeVwhetherVthisVpatientVseesVherselfVasVbeingVhealth
y.VANS:VD
ItVisVaVmisconceptionVthatVoldVageVisVsynonymousVwithVdiseaseVandVillness.VTheVnurseVshould
alwaysVdetermineVtheVpatientsVsenseVofVwellnessVandVindependenceVwhenVconductingVaVhealthVa
ndVhistoryVassessment.VAnVassessmentVofVmedicationVuseVandVfamilyVsupportVisVimportantVforVan
yVpatient.VManyVolderVadultsVdoVhaveVchronicVhealthVconditions,VbutVtheirVperceptionVisVmoreVim
portantVthanVaVsingleVnumber.
DIF:VApplyingV(Application)VREF:VN/AVOBJ:V1-4
TOP:VNursingVProcess:VAssessmentVMSC:VHealthVPromotion
8. TheVnurseVisVcaringVforVanVolderVadultVwhoVhasVbeenVadmittedVtoVanVacuteVcareVhospitalVforVtr
eatmentVofVaVfracturedVfemur.VTheVfamilyVexpressesVconcernVaboutVtheVpatientsVpendingVtransfer
toVaVsubacuteVcareVfacility.VWhatVresponseVbyVtheVnurseVisVbest?
V
a. AcuteVcareVfacilitiesVlackVtheVlong-termVphysicalVtherapyVsupportV yourVdadVrequires.
b. YourVdadVwillVbeVmuchVhappierVinVaVmoreVserene,VprivateVenvironment.
c. TheVsubacuteVfacilityVwillVfocusVonVhelpingV yourVdadVmaintainVhisVindependence.
d. Insurance,VincludingVMedicare,VwillVcoverVonlyVaVlimitedVamountVofVtimeVher
e.VANS:VC
TheVtransferVofVtheVpatientVtoVaVsubacuteVfacilityVisVbasedVonVtheVneedVtoVmaintainVtheVpatients
levelVofVfunctionVandVindependence,VaVtaskVtheVacuteVcareVfacilityVisVnotVpreparedVtoVaddressVon
ceVtheVpatientVisVphysiologicallyVstable.VTheVpatientVmayVorVmayVnotVbeVhappierVinVtheVnewVsetti
ng;VtheVnurseVshouldVnotVmakeVthisVjudgment.VItVisVtrueVthatVinsuranceVonlyVpaysVforVaVlimitedVa
mountVofVtimeVinVanVacuteVcareVfacility,VbutVthisVisVnotVtheVbestVreasonVforVtheVpatientVtoVtransfer.
DIF:VApplyingV(Application)VREF:VN/AVOBJ:V1-
6VTOP:VCommunicationVandVDocumentation
MSC:VHealthVPromotionVandVMaintenance
9. ToVbestVassureVbothVtheVqualityVofVcareVandVtheVsafetyVofVtheVolderVadultVpatientVwhoVrequiresV
in-VhomeVunlicensedVassistiveVpersonalV(UAP)Vassistance,VtheVgeriatricVnurse:
a. evaluatesVtheVcompetencyVofVtheVUAPVstaff.
b. assumesVtheVrolesVofVcaseVmanagerVandVpatientVadvocate.
c. arrangesVforVtheVneededVUAPVprovidedVservices.
d. assessesVtheVpatientVforVfunctionalVlimitations
.VANS:VA
AsVmoreVcareVtraditionallyVprovidedVbyVprofessionalVnursesVisVbeingVtransferredVtoVUAP,VtheVnurse
mustVassumeVmoreVresponsibilityVforVeducating,Vtraining,VandVevaluatingVtheVcompetencyVofVUA
PVstaffVtoVprovideVsafe,VeffectiveVcareVforVtheVolderVadultVpatient.
DIF:VApplyingV(Application)VREF:VN/AVOBJ:V1-2
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