, Test Bank-Ham's Primary Care Geriatrics- r r r r
ACase-Based Approach 7th Edition Latest
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2024
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Chapter 1. Principles of Primary Care of Older Adults
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MULTIPLE CHOICE r
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
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The nurse would use these standards to:
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a. promote the practice of gerontologic nursing within the acute care setting. r r r r r r r u r u
b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. r r r r r
d. incorporate suggested interventions from others who practice gerontologic nursing. r r r r u r r r
ANS: D
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The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
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incorporates the input of gerontologic nurses from across the United States. It was not intended to
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promote gerontologic nursing practice within acute care settings, define concepts or dimensions
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of gerontologic nursing practice, or elevate the practice of gerontologic nursing. DIF:
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Remembering (Knowledge) REF: msc: 2 OBJ: 1-1
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TOP: N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
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nurse needs to first:
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a. recognize that nurses must act as advocates for aging patients. r u r r ru r r r r
b. accept that this population represents a substantial portion of those requiring nursing care.
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c. self-reflect and formulate ones personal view ofaging and the older patient. r u r r u r r r r r r
d. recognize ageism as a form of bigotryshared by many Americans. r r u u r r r r r r
ANS: C
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Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
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population as a whole. With nurses being members of a society holding such views, it is critical that
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the individual nurse self-reflect on personal feelings and determine whether such feelings
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will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
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important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
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does recognizing ageism as a form of bigotry.
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DIF: Applying (Application) REF: N/A OBJ: 1-9
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TOP: Teaching-Learning MSC: Safe and Effective Care Environment
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3. When discussing factors t hat have helped to increase the number of healthy, independent older
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Americans, the nurse includes the importance of:
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a. increased availability of in-home care services. r r r r r
b. government support of retired citizens. r r r r
c. effective antibiotic therapies. r r
d. the development of life-extending therapies.
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,ANS: C r
The health and ultimate autonomy of older Americans has been positively impacted by the
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rdevelopment of antibiotics, better sanitation, and vaccines. These public health measures have
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rbeen more instrumental in increasing the numbers of healthy, independent older Americans
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thanhave in-home care services, government programs, or life-extending therapies.
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DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
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TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
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4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
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rincludes the patients: r r
a. nonrelated caretaker. r
b. paid caregiver. r
c. family member. r
d. intuitional
representative.ANS: C
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Less than 4% of older adults live in a formal health care environment. The majority of the
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geriatric population lives at home or with family members.DIF:
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rApplying (Application) REF: N/A OBJ: 3-3 r r r r r
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
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rarthritis views the priority criterion for continued independence to be the patients:
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a. age.
b. financial status. r
c. gender.
d. functionalstatus. r
ANS: D r
Maintaining the functional status of older adults may avert the onset of physical frailty and
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cognitive impairment, two conditions that increase the likelihood of institutionalization.
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rDIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
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TOP: Nursing Process: Planning MSC: Physiologic Integrity
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6. A nurse working with the older adult population is most likelyto assess a need for a financial
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rsocial services referral for a(n):
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a. white male. r
b. black female. u
c. Hispanic male. u
d. Asian American female. u
rANS: B r
The povertyrate among older black women is substantially higher than that seen among males or
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females ofother ethnic groups. White males had the least
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rpoverty.DIF: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
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, 7. Which of the following statements made by a nurse preparing to complete a health
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assessmentand history on an older patient reflects an understanding of the general health status
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of this population?
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a. Ill need to document well regarding the medications the patient is currently prescribed. r r r r r r r r r r r r
b. I would like to understand how supportive the patients family members are.
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c. Most older patients are being treated for a variety of chronic health care issues.
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d. It will be interesting to see whether this patient sees herself as being healthy. r r r r r r r r r r r r u
ANS: D
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It is a misconception that old age is synonymous with disease and illness. The nurse should
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always determine the patients sense of wellness and independence when conducting a health and
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history assessment. An assessment of medication use and family support is important for any
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patient. Many older adults do have chronic health conditions, but their perception is more
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important than a single number.
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DIF: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Health Promotion
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8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
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treatment of a fractured femur. The family expresses concern about the patients pending transfer
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to a subacute care facility. What response by the nurse is best?
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a. Acute care facilities lack the long-term physical therapy support your dad requires. r r r r r r u u r u r
b. Your dad will be much happier in a more serene, private environment.
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c. The subacute facility will focus on helping your dad maintain his independence.
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d. Insurance, including Medicare, will cover only a limited amount of time here. r r r r u r u r r r r
ANS: C
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The transfer of the patient to a subacute facility is based on the need to maintain the patients
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level of function and independence, a task the acute care facility is not prepared to address once
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the patient is physiologically stable. The patient may or may not be happier in the new setting; the
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nurse should not make this judgment. It is true that insurance only pays for a limited amount of
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time in an acute care facility, but this is not the best reason for the patient to transfer.
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DIF: Applying (Application) REF: N/A OBJ: 1-6
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TOP: Communication and Documentation
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MSC: Health Promotion and Maintenance
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9. To best assure both the quality of care and the safety of the older adult patient who requires in-
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home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
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a. evaluates the competency of the UAP staff. u r r r r r
b. assumes the roles of case manager and patient advocate. u r u r r r r r
c. arranges for the needed UAP provided services. r r r r r r
d. assesses the patient for functional limitations. u r r r r
ANS: A
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As more care traditionally provided by professional nurses is being transferred to UAP, the nurse
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must assume more responsibility for educating, training, and evaluating the competencyof
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UAPstaff to provide safe, effective care for the older adult patient.
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DIF: Applying (Application) REF: N/A OBJ: 1-2
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