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Gerontologic Nursing, 6th Edition, Prep-U, Study Mode Exam Questions And Correct Answers
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Gerontologic Nursing, 6th Edition, Prep-U, Study Mode Exam Questions And Correct Answers Overview of Gerontologic Nursing Why is gerontologic nursing growing in recognition compared with how it was viewed in the past? More people will be presented with the same health care problems. More old...

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  • October 18, 2024
  • 84
  • 2024/2025
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©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM


Gerontologic Nursing, 6th Edition, Prep-U,
Study Mode Exam Questions And
Correct Answers



Overview of Gerontologic Nursing
Why is gerontologic nursing growing in recognition compared with how it was viewed in
the past?
More people will be presented with the same health care problems.
More older adults are living a longer period of time in old age.
A greater number of people are surviving the unstable period of adolescence.
More older adults are married couples, with men's life expectancies equaling women's.
Correct
More older adults are living a longer period of time in old age.
With a "gerontology boom" beginning, the specialty of nursing is growing in recognition. Older
adults are living longer. They continue to be the fastest growing segment of the population.
Gerontologic nursing has seen a growth in recognition since the Baby Boomer generation began
turning 65. The health care problems affecting older adults are unique to each individual. There
is no great increase in the number of people surviving adolescence. Women typically outlive
men.
Overview of Gerontologic Nursing
Which of the following phenomena most likely accounts for the fact that more women than
men live alone at age 65 and older?
Women are living longer than men because of an increased mortality rate in men from chronic
disease.Older

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
women are much more likely to be married than older men.
Men have been living longer than women since the 1930s.
Women have better access to medical and social services than men.
Correct
Women are living longer than men because of an increased mortality rate in men from chronic
disease.
Women tend to live longer than men and live alone in the United States. Since 1930, women
have been living longer than men as a result of reduced maternal mortality, a decreased death
rate from infectious disease, and an increased death rate in men from chronic disease. Older men
are much more likely to be married than older women by 70% of men versus 45% of women.
Older women tend to be poor and live alone, which impacts their health status negatively.
The nurse is providing care for several older adults on an acute care unit. The nurse
recognizes that a patient with which of the following problems would be the most
appropriate candidate for transfer to a subacute unit?
A patient requiring an 8-week course of intravenous (IV) antibiotics for treatment of
osteomyelitis
A patient who has been admitted from the emergency department with a complaint of explosive
diarrhea of unknown origin
A patient with a hip fracture who is in pain and awaiting surgery
A patient who presents with left hemiplegia and an expressive speech aphasia and was admitted
to the unit today
Correct
A patient requiring an 8-week course of intravenous (IV) antibiotics for treatment of
osteomyelitis
The patient requiring the 8-week course of IV antibiotics is the best choice for a subacute unit.
Though this is an infection, the diagnosis has been made, treatment is in progress, and the patient
is considered stable. Staying in a hospital for such a lengthy period of time can have negative
effects of the patient's functional status. The other patients have acute care needs: the patient with
diarrhea needs diagnosis, the patient will have hip surgery in the hospital, and the patient with
stroke signs also needs diagnosis and acute care until stable.
An 86-year-old patient has been living at home alone for several years. The patient's needs
now exceed the ability to remain at home, and the patient is faced with relocating to a

, ©SIRJOEL EXAM SOLUTIONS
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nursing home. Which of the following characteristics of the patient's current situation is
most likely to prompt this move?
A new acute diagnosis of diabetes
An exacerbation of weakness secondary to the flu
A decline in functional skills
A recent loss of a sister in a neighboring state
Correct
A decline in functional skills
The segment of the population that is older than 85 and whose members have decreased
functional abilities is increasing and represents the group typically found in nursing facilities.
A new acute diagnosis of diabetes would not change the patient's functional skills or ADL
abilities by itself. An exacerbation of motor weakness secondary to the flu will resolve once the
short-term flu virus subsides.
A recent loss of a sister in a neighboring state, though saddening, would not change the patient's
functional skills or cause a decline in the patient's ADL abilities. The loss of functional skills
with resulting decline in ADL abilities is the common reason for which patients enter extended
care facilities.
As part of a functional assessment, the nurse is assessing an older adult's activities of daily
living in the home. What piece of assessment data would be considered part of a functional
assessment?
The ability to transfer and ambulate with an assistive device safely
The ability to get to the store, shop, and bring the groceries home
The ability to drive the car to the store and back safely
The ability to keep the walkway shoveled in the wintertime and the lawn mowed in the summer
Correct
The ability to transfer and ambulate with an assistive device safely
The ability to transfer and ambulate safely with an assistive device is a functional assessment
made by nurses in all practice settings. It is a basic activity that ensures overall health and well-
being. The ability to get to the store, shop, bring the groceries home, drive the car, and keep the
walkway clear to and from the home are called Instrumental ADLs and are a subset of functional
abilities.

, ©SIRJOEL EXAM SOLUTIONS
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They are necessary activities to maintain in the home setting, but they may be done by extended
family members or paid help at home. They are not core functional abilities. The nurse would
assess functional ability best by observing the older adult's ability to transfer and ambulate
safely.
The daughter of an 83-year-old patient asks you about the daily use of vitamins C and E to
help her parent maintain health. Which of the following theories will help you most to
explain why this supplement is beneficial to the patient?
Programmed theory
Immunological theory
Cross-linkage theory
Wear and tear theory
Correct
Immunological theory
The body does have naturally occurring antioxidants or protective mechanisms such as vitamins
C and E.
According to the immunological theory, antioxidants postpone the appearance of diseases such
as cardiovascular disease and cancer that occur due to the effects of free radicals in the body.
Programmed theory, cross-linkage theory, and wear and tear theory do not give the nurse
information to explain antioxidant use and its action to maximize health.
The home care nurse is working with an older adult who relates recently started wearing
sun screen and limiting time in direct sunlight to prevent cancer and keep the skin looking
young. What type of activity is this older adult participating in?
Health promotion
Illness prevention
Disease management
Prophylactic disease prevention
Correct
Health promotion
Health promotion activities are those taken to stay in an optimum level of health and to prevent
disease. The health care delivery system is beginning to focus on disease prevention and health
promotion, and older adults must be included in this focus.

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