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Exam (elaborations)

Gerontological_Nursing

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Holistic iModel ifor iGerontological iNursing iEliopoulos: iGerontological iNursing, i9th iEdition 1.After ia ilifetime iof igood ihealth, ia i72-year-old iman ihas ibeen ifound ito ihave isevere ihypertension. iWhat ican ihis inurse ido ithat imost iclearly iprioritizes ithe irole iof imonitoring ithat inurses iplay iin ithe imanagement iof ihealth ichallenges?: Ans: iGuiding ithe iclient itoward ithe ipurchase iof ia ihome iblood ipressure icuff iand ikeeping iup ito idate ion ihis iregular ireadings. 2.A icommunity ihealth inurse ihas ibeen iinvited ito ispeak ito ia igroup iof iolder iadults iin ithe icontext iof ithe ilocal icommunity icenter. iWhich iof ithe ifollowing inursing iactions ibest ireflects ian iapproach ithat iemphasizes ithe iimportance iof ihealth ipromotion iin igerontological inursing icare?: iAns: iA iclass ithat ipresents ithe ibeneficial ieffects iof iregular iexercise iand ipractical imethods ifor iintegrated iexercise iinto idaily iroutines. 3.A igerontological inurse imust iseek iinterventions irecognizing ithat ithe ielderly ihave iconsiderable iinner iresources ifor iself-care. iWhat iare ithe icentral iconsequences iof ithis iapproach?: iAns: iClients ibecoming iactive iparticipants iof icare irather ithan ipassive irecipients 4.The iinability iof ia ipatient ito imeet iself-care ineeds icreates ia ineed ifor ia inursing iintervention. iWhich iof ithe ifollowing iinterventions iis ithe ipreferred ifirst ipriority iwhenever ipossible?: iAns: iEmpowering ithe ipatient iby istrengthening iher ior ihis iself-care icapacities 5.In ia ibusy iclinical isetting, iwhich ielement iof ithe iholistic imodel iof igerontological icare iis imost iin idanger iof ibeing ioverlooked?: iAns: iGratification 6.In ithe iholistic imodel iof igerontological icare, ihealth iis ibest idefined ias:: iAns: iIntegration iand iquality iof ilife 7.In iwhich iof ithe ifollowing isituations iwould ithe icare iteam ibe imost ilikely ijustified iin isuperseding ithe idesires iof ithe iolder iadult iclient iin iquestion?: iAns: iMr. iL iis iadamantly iopposed ito iplacement iin ia icare ifacility, idespite ihis iprogressing idementia iand itendency ito ileave ihis istove iturned ion. 8.Mr. iC., iaged i82 iyears, ihas ialways ilived iindependently iin ithe ihouse ithat ihe iand ihis ilate iwife ipurchased iover i50 iyears iago. iMr. iC. ihas iexperienced ifew ihealth iproblems, iand ifor ithat ireason ihis irecent ifalls iin ithe ihome icomes ias ia isurprise ito ihimself iand ihis ichildren. iWhat ishould ithe inurse iwho iis iproviding iprimary icare ifor iMr. iC. ifirst ido iin ithis isituation?: iAns: iElicit ifrom iMr. iC. iwhat ihe iperceives ito ibe ithe icauses iof iand ipotential isolutions ito ihis ifalls. 9.Mrs. iD, iage i77, ihas ibeen irecently idiagnosed iwith itype i2 idiabetes imellitus. iWhich iof ithe ifollowing iquestions iby iher inurse iis imost iindicative iof ia iholistic iapproach ito igerontological inursing icare?: iAns: i"How ido iyou ianticipate ithis iaffecting iyour ilifestyle iand iyour idaily iroutines?" 10.Mr. iS iis iliving ialone iat iage i82. iHis iwife iof imore ithan i50 iyears idied irecently. iVisiting ihis ihome, ihis inurse ifinds ithat iMr. iS iis ieating iwell iand imaintaining ihis imobility ibut ineglecting ihis ipersonal ihygiene. iHis iclothes iare idirty, iand ihis ibody iodor iis istrong. iWhat ishould ibe ihis inurse's ifirst action?: iAns: iProbe ithe ireasons iwhy iMr. iS iis inot ibathing ior idoing ilaundry 11.Mrs. iJ, iage i79, ipresents iwith iacute iabdominal ipain iat ithe iER. iShe iis ifound ito ihave ian iovarian icyst. iSurgery iis iperformed ipromptly iand isuccessfully. iBecause iMrs. iJ ilives ialone, ishe iis itransferred ito ia ishort-term icare ifacility iwhere ishe ican irecover iuntil iher idaughter ican itravel ifrom ianother istate ito itake iher ihome. iWhile iin ithe icare ifacility, iMrs. iJ, iwho iis ialready iunderweight iand ifrail, irefuses ito ieat. iShe ibegins ito ilose iweight irapidly. iIn ideveloping ia icare iplan ifor iMrs. iJ, iwhat idoes ithe inurse imost ineed ito iknow ibefore iundertaking iany iaction ito istrengthen iMrs. iJ's iself-care icapacity?: iAns: iMrs. iJ's ireasons ifor irejecting ifood 12.Mrs. iJ, iage i79, ipresents iwith iacute iabdominal ipain iat ithe iER. iShe iis ifound ito ihave ian iovarian icyst. iSurgery iis ipromptly iand isuccessfully iperformed. iBecause iMrs. iJ ilives ialone, ishe iis itransferred ito ia ishort-term icare ifacility iwhere ishe ican irecover iuntil iher idaughter ican itravel ifrom ianother istate ito itake iher ihome. iWhile iin ithe icare ifacility, iMrs. iJ, iwho iis ialready iunderweight iand ifrail, irefuses ito ieat. iShe ibegins ito ilose iweight irapidly. iIn ideveloping ia icare iplan ifor iMrs. iJ, iher igerontological inurse ican ibest istrengthen iMrs. iJ's iself-care icapacity iby:: iAns: iObtaining ia imenu ifrom ithe ifacility's ikitchen ifrom iwhich ishe ican iorder ifoods ishe iprefers 13.The inurse iensures ithat iconflicting itreatments iare inot iprescribed ifor ian ielderly ipatient. iWhat iresponsibility iis ihe ior ishe ifulfilling ifor ithe iclient?: iAns: iCoordination 14.A inurse iis iperforming ia icomprehensive iassessment iof inew imale iclient, iage i76 iyears. iWhich iof ithe ifollowing icomponents iof ithe inurse's iassessment irelate idirectly ito ithe iholistic imodel? iSelect iall ithat iapply.: iAns: iAsking ithe iclient iabout ihis ichurch iinvolvement. Identifying ithe isupport isystems ithat ithe iclient ibelieves ihe ipossesses. 15.Nurse iJ iprovides icare ifor inumerous iolder iadult iclients iin ithe icontext iof iher iwork ias ia icommunity ihealth inurse. iWhich iof iher ifollowing iclients iis idisplaying ia ideficit iin iknowledge, iexperience, iand iskills ithat ihas ithe ipotential ito icompromise ihis ior iher ihealth?: iAns: iMr. iI, irecently idiagnosed iwith idiabetes, iwho ishows ian iinability ito imanipulate ihis iglucometer iand itest istrips. 16.A inurse iwho iprovides icare ion ithe ipalliative iunit iof ia ilarge iteaching ihospital ihas ibeen iworking iwith ian iolder iadult iclient iwho iis idying iof ilung icancer iwith iliver imetastases iand ihas igenerated igood irapport iwith iboth ithe iclient iand ihis ifamily. iWhich iof ithe ifollowing istatements ibest iexemplifies ia iholistic iapproach ito inursing icare?: iAns: i"I'm iwondering iwhat ifeelings iyou ihave iaround ibeing iat ithis istage iof iyour ilife." 17.Older iadults ihave ithe isame ibasic ihealth ineeds ias iothers. iThey imay ialso ihave iwhat iadditional ineed?: iAns: iMonitoring 18.Which iof ithe ifollowing ibest idescribes ia inursing iintervention ifor ithe inursing idiagnosis iRisk ifor iInfection iwhich iis icongruent iwith ithe iholistic imodel iof igerontological inursing icare?: iAns: iTeach ithe iimportance iof icleansing ithe iperineal iregion iafter ielimination 19.Which iof ithe ifollowing iis ia iholistically ibased inursing iintervention ifor ithe inursing idiagnosis iImpaired iGas iExchange irelated ito iimmobility?: iAns: iTeach iand iencourage iturning 20.Which iof ithe ifollowing iis ia iprerequisite ifor iself-care?: iAns: iDesire 21.Which iof ithe ifollowing iis itrue iof icoaching ian ielder ito iperform ia iself-care itask iindependently?: iAns: iIt irequires imore itime iand ieffort ithan iletting ithe icaregiver ido ithe itask 22.Which iof ithe ifollowing istatements iprovides ithe iclearest ijustification ifor ithe iperformance iof igerontological inursing iintervention?: iAns: iThe iclient idoes inot ipossess ithe irequisites ito imeet ihis ior iher ineeds iindependently. 23.While iworking iwith ia iclient iwho iis iliving iwith iprogressively iworsening iParkinson idisease iand iconsequent iself-care ideficits, iNurse iP iis iconscious iof iintegrating iprinciples iof iholistic igerontological inursing icare. iPlace ithe ifollowing isteps iin ithe iapplication iof ithese iprinciples iin ithe icorrect ilogical iand ichronological iorder. iUse iall ithe ioptions. A) Implement ispecific inursing icare iplan iactions B) Perform ian iassessment iof ithe iclient C) Identify ithe ipresence iof ineeds irelated ito ihealth ichallenges D) Evaluate ihow iwell iidentified ihealth ineeds iare ibeing imet E) Explore ireasons iunderlying ithe iclient's ihealth ineeds: iAns: iB, iC, iD, iE, iA

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