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Gerontological Nursing, 4e (Tabloski) Chapter 2 Contemporary Gerontological Nursing
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Gerontological Nursing, 4e (Tabloski) Chapter 2 Contemporary Gerontological Nursing
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Gerontological Nursing, 4e (Tabloski)Chapter 2 Contemporary Gerontological Nursing
Thernursersupportsranrolderrclient'srdesirertordiscussradvancerdirectivesrwithrtherclient'srfamily.r
Whatractionrisrthernurserperformingrwithrthisrclient?
1. Facilitatingrpalliativercare
2. Educatingrtherfamilyronrhealthcarerservices
3. Collaboratingrwithrtherinterdisciplinaryrteam
4. Advocatingrforrclient'srrightsrandrautonomyr
Answer:r 4
Explanation:r 1.rPalliativercareralleviatesrpainrandrsuffering.rThererisrnorinformationrtorsuggestrthercl
ientrisrinrneedrofrpalliativercare.
2. Educatingrtherclientsronrhealthcarerservicesrisrimportant,rbutrthernurserisrnotreducatingrinrthisrrole
,rtheyrarersupportingrardiscussionrwithrtherfamily.
3. Collaborationrwithrtherinterdisciplinaryrteamrwouldrincluderthernurserworkingrwithrotherrpr
ofessionalsrtorproviderclientrcare.rThernurserisrnotrcollaboratingrwithrotherrprofessionalsrregar
dingrtherclient'srdesirertorcompleteradvancerdirectives.
4. Thernurserisradvocatingrforrtherfamilyrandrclientrregardingrend-of-
liferdecisions.rThisrisrincludedrinrtherknowledgerandrskillsrofrgerontologicalrnurses.
PagerRef:r29
CognitiverLevel:r Analyzing
ClientrNeed:r SaferEffectiverCarerEnvironmentrClie
ntrNeedrSub:r ManagementrofrCare
Nurs/IntegrConc.:r NursingrProcess:rImplementation
LearningrOutcome:r 4.rDescribertherANArstandardsrandrscoperofrpracticerforrgerontologicalrnursing.
1) Thernursersupportsranrolderrclient'srautonomy;rwhichrdecisionrsupportsrthisrethicalrprinciple?
1. ClientrwantsrtorseercasermanagementrforrMedicaidrresources.
2. Clientrdecidesrtorstoprfurtherrchemotherapyrtreatments.
3. Clientrisrgivenrmorereducationrregardingrmedicationrsidereffects.
4. Clientrtreatmentrinformationrisrkeptrfromrclientrbecauserofrfamilyrrequest.rA
nswer:r 2
Explanation:r 1.rJusticerinvolvesrfairnessrandrequalrdistributionrofrresourcesrtorallrinrneed.
2. Autonomyrisrtherrespectrforrarclient'srself-
determination,rfreedom,randrrightsrincludingrtherrightrtorrefusertreatment.
3. Beneficencerisrtherprinciplerofrdoingr"good"randrnotrdoingrharmrtorclients.
4. Nondisclosurerisranrethicalrissuerwhenrpersonsrwhorcareraboutrarclient,rsuchrasrfamily,rdornotrwan
trarclientrtorbertoldrtherentirerfactsrofrarnegativerprognosisrinrorderrtorprotectrtherclientrfromranxietyra
ndrfear.
PagerRef:r42-43
CognitiverLevel:r Analyzing
ClientrNeed:r SaferEffectiverCarerEnvironmentrClie
ntrNeedrSub:r ManagementrofrCare
Nurs/IntegrConc.:r NursingrProcess:rImplementation
LearningrOutcome:r 1.rDiscussrthernurse'srrolerinrcaringrforrolderradults.
1
Copyrightr©r2019rPearsonrEducation,rInc.
,2) Thernurserisrpreparingrtorassessranrolderrclientrusingrfunctionalrhealthrpatterns.rHowrdoesrthisrapp
roachrensurerholisticrcarerwillrberprovidedrtortherclient?
1. Focusesronrthereffectsrofrdiseases
2. Predictsrtheroutcomerforrclientsrwithrdisabilities
3. Demonstratesrtherclient'srinteractionrwithrtherenvironment
4. IdentifiesrtherpotentialrforrrehabilitationrearlyrinrtherprocessrA
nswer:r 3
Explanation:r 1.rFunctionalrhealthrpatternsrareranrinterrelatedrgrouprofrbehavioralrareasrthatrprovidesra
rviewrofrtherwholerpersonrandrtherrelationshiprwithrtherenvironment.rFunctionalrhealthrpatternsrdornotr
focusronrthereffectsrofrdiseases.
2. Functionalrhealthrpatternsrareranrinterrelatedrgrouprofrbehavioralrareasrthatrprovidesrarviewrofrther
wholerpersonrandrtherrelationshiprwithrtherenvironment.rFunctionalrhealthrpatternsrdornotrpredictrth
eroutcomerforrclientsrwithrdisabilities.
3. Functionalrhealthrpatternsrareranrinterrelatedrgrouprofrbehavioralrareasrthatrprovidesrarviewrofrther
wholerpersonrandrtherrelationshiprwithrtherenvironment.
4. Functionalrhealthrpatternsrareranrinterrelatedrgrouprofrbehavioralrareasrthatrprovidesrarviewrofrther
wholerpersonrandrtherrelationshiprwithrtherenvironment.rFunctionalrhealthrpatternsrdornotridentifyrt
herpotentialrforrrehabilitationrearlyrinrtherprocess.
PagerRef:r33
CognitiverLevel:r Analyzing
ClientrNeed:r HealthrPromotionrandrMaintenance
ClientrNeedrSub:r HealthrPromotionrandrDiseaserPreventionrNurs/Integr
Conc.:r NursingrProcess:rAssessment
LearningrOutcome:r 5.rApplyrtheruserofrfunctionalrhealthrpatternsrinrtherformulationrofrarnursingrdiagn
osis.
3) Whichractionrbyrthergerontologicalrnurserdemonstratesrtherrolerofrmanager?
1. Performingrbloodrpressurerscreenings
2. Performingrarskinrassessment
3. Researchingrtherlatestrevidence-basedrpracticeronrwoundrcare
4. Arrangingrrespitercarerforrarclientr
Answer:r 4
Explanation:r 1.rParticipatingrinrtakingrbloodrpressurerscreeningrisrwithinrthertraditionalrnursingrrolero
frclinicalrpractitioner.
2. Participatingrinrskinrassessmentsrarerwithinrthertraditionalrnursingrrolerofrclinicalrpractitioner.
3. Thernurserisrfunctioningrwithinrtherrolerofrresearcherrwhenrseekingrtherlatestrevidence-
basedrpractice.
4. Thernurserisrfunctioningrinrtherrolerofrmanagerrbyrconnectingrarclientrtorcommunityrresourcesrandr
coordinatingrthertransferrofrcarerofrtherclientrneedingrrespitercare.
PagerRef:r32
CognitiverLevel:r Analyzing
ClientrNeed:r SaferEffectiverCarerEnvironmentrClie
ntrNeedrSub:r ManagementrofrCare
Nurs/IntegrConc.:r NursingrProcess:rImplementation
LearningrOutcome:r 1.rDiscussrthernurse'srrolerinrcaringrforrolderradults.
2
Copyrightr©r2019rPearsonrEducation,rInc.
, 4) Thernurserisrcompletingrarfunctionalrhealthrpatternrassessmentrwithranrolderrclient.rWhichrass
essmentrfindingrreflectsrthercognitive-perceptualrcategory?
1. Participatesrinrchurchrchoir
2. Volunteersrforrpoliticalrfunctions
3. Attendsrmeditationrclassesrweekly
4. Attendsrself-
helprseminarsrAnswer:r 2
Explanation:r 1.rTherfunctionalrhealthrpatternrassessmentrconsistsrofr11rhealthrpatterns.rThervalues-
beliefsrcategoryrincludesrtherclient'srbeliefs,rvalues,randrperceptionsraboutrthermeaningrofrlife.
2. Therfunctionalrhealthrpatternrassessmentrconsistsrofr11rhealthrpatterns.rThercognitive-
rperceptualrpatternrincludesrhowrtherclientrthinksrandrperceivesrtherworldrandrcurrentrevents.rTherclie
nt'sractivitiesrwithrpoliticalrfunctionsrwouldrberpartrofrthisrassessment.
3. Therfunctionalrhealthrpatternrassessmentrconsistsrofr11rhealthrpatterns.rCoping-
stressrtolerancerincludesrpatternsrofrcopingrwithrstressfulreventsrandrtherlevelrofreffectivenessr
ofrcopingrstrategies.
4. Therfunctionalrhealthrpatternrassessmentrconsistsrofr11rhealthrpatterns.rSelf-perception-self-
rconceptridentifiesrpatternsrofrhowrarpersonrviewsrandrvaluesrtherself.
PagerRef:r34
CognitiverLevel:r Applying
ClientrNeed:r PsychosocialrIntegrityrClient
rNeedrSub:r HealthrScreening
Nurs/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r 5.rApplyrtheruserofrfunctionalrhealthrpatternsrinrtherformulationrofrarnursingrdiagn
osis.
5) Thernurserdocumentsrvalues-
beliefsrinrtherfunctionalrhealthrpatternrcategories;rwhichrofrtherfollowingrisranrexamplerofrthisrdo
main?
1. Arclient'srreligiousraffiliation
2. Dailyrfluidrconsumption
3. Sleeprandrrestrpatterns
4. Copingrstrategies
Answer:r 1
Explanation:r 1.rThervalues-
beliefsrcategoryrofrtherfunctionalrhealthrpatternrassessmentrincludesrbeliefs,rvalues,randrperceptionsra
boutrthermeaningrofrlife.rArclient'srparticipationrinrarreligionrwouldrberpartrofrthisrassessment.
2. Dailyrfluidrconsumptionrisrpartrofrthernutrition-metabolicrcategory.
3. Sleeprandrrestrarerpartrofrthersleep-restrcategory.
4. Thercoping-
stressrtolerancercategoryrofrtherfunctionalrhealthrpatternrassessmentrincludesrpatternsrofrcopin
grwithrstressfulreventsrandrthereffectivenessrofrcopingrstrategies.
PagerRef:r34
CognitiverLevel:r Applying
ClientrNeed:r PsychosocialrIntegrity
ClientrNeedrSub:r ReligiousrandrSpiritualrInfluencesronrHealthrNurs/Inte
grConc.:r NursingrProcess:rAssessment
LearningrOutcome:r 5.rApplyrtheruserofrfunctionalrhealthrpatternsrinrtherformulationrofrarnursingrdiagn
3
Copyrightr©r2019rPearsonrEducation,rInc.
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