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TEST BANK for HAM'S PRIMARY CARE GERIATRICS- A CASE-BASED APPROACH 7TH EDITION /COMPLETE GUIDE
TEST BANK for HAM'S PRIMARY CARE GERIATRICS- A CASE-BASED APPROACH 7TH EDITION /COMPLETE GUIDE
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TEST BANK for HAM'S PRIMARY CARE GERIATRICS- A CASEBASED APPROACH 7TH EDITION /COMPLETE GUIDE
, Chapter 1. Principles of Primary Care of Older Adults
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The 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.
CORRECT CHOICE:-D
Rationale :->>> The current publishing of the Standards and Scope of Gerontological Nursing Practice in 20
incorporates the input of gerontologic caregivers 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.
DIF: Remembering (Knowledge) REF: 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 older adults, a
caregiver needs to first:
a. recognize that caregivers 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 older client.
d. recognize ageism as a form of bigotry shared by many Americans.
CORRECT CHOICE:-C
Rationale :->>> Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
older
population as a whole. With caregivers being members of a society holding such views, it is
critical that the individual caregiver 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.
DIF: Applying (Application) REF: 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 older
Americans, the caregiver 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.
,CORRECT CHOICE:-C
Rationale :->>> The health and ultimate autonomy of older 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 older
Americans than have in-home care services, government programs, or life-extending therapies.
DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adults discharge teaching plan, the
caregiver includes the clients:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
CORRECT CHOICE:-C
Rationale :->>> Less than 4% of older adults live in a formal health care environment. The majority of the
geriatric population lives at home or with family members.
DIF: Applying (Application) REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The caregiver planning care for an older 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.
CORRECT CHOICE:-D
Rationale :->>> Maintaining the functional status of older adults may avert the onset of physical frailty and
cognitive impairment, two conditions that increase the likelihood of institutionalization.
DIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
TOP: Nursing Process: Planning MSC: Physiologic Integrity
6. A caregiver working with the older 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.
CORRECT CHOICE:-B
Rationale :->>> The poverty rate among older black women is substantially higher than that seen among mal
or
females of other ethnic groups. White males had the least poverty.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
, 7. Which of the following statements made by a caregiver preparing to complete a health
assessment and history on an older 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 older 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.
CORRECT CHOICE:-D
Rationale :->>> It is a misconception that old age is synonymous with disease and illness. The caregiver shou
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 older adults do have chronic health conditions, but their perception is more
important than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
8. The caregiver is caring for an older adult who has been admitted to an acute care health
center for treatment of a fractured femur. The family expresses concern about the clients
pending transfer to a subacute care facility. What response by the caregiver 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.
CORRECT CHOICE:-C
Rationale :->>> 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
caregiver 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.
DIF: Applying (Application) REF: 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 older adult client who requires in-
home unlicensed assistive personal (UAP) assistance, the geriatric caregiver:
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.
CORRECT CHOICE:-A
Rationale :->>> As more care traditionally provided by professional caregivers is being transferred to UAP, t
caregiver
must assume more responsibility for educating, training, and evaluating the competency of UAP
staff to provide safe, effective care for the older adult client.
DIF: Applying (Application) REF: N/A OBJ: 1-2
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