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Test Bank: Gerontological Nursing, 4th Edition, Patricia A. Tabloski, $11.99
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Test Bank: Gerontological Nursing, 4th Edition, Patricia A. Tabloski,

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Gerontological Nursing, 4e (Tabloski) Chapter 1 Principles of Gerontology 1) The nurse is preparing to discharge an older client with instructions on smoking cessation. The nurse states to a colleague, "This client has been smoking for years and isn't going to stop now." Which negative stereoty...

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  • May 25, 2021
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  • 2020/2021
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Test Bank: Gerontological Nursing, 4th Edition, Patricia A. Tabloski, 1 Copyright © 2019 Pearson Education, Inc. Gerontological Nursing, 4e (Tabloski) Chapter 1 Principles of Gerontology 1) The nurse is preparing to discharge an older client with instructions on smoking cessation. The nurse states to a colleague, "This client has been smoking for years and isn't g oing to stop now." Which negative stereotype of aging does the nurse's statement most reflect? 1. Old people are expected to be sick. 2. Old people are set in their ways. 3. Old people do not value health promotion education. 4. Old people are a drain on s ocietal resources. Answer: 3 Explanation: 1. Many older adults have chronic disease but function well. 2. Often people characterize the elderly in a negative way, believing that after a certain age, things cannot be changed. Older people can learn new t hings and take up new hobbies they can enjoy and give life meaning and pleasure. 3. Although it may not be possible to reverse all the damage, it is never too late to stop smoking cigarettes. People who quit smoking at an older age enjoy better health outc omes. 4. Older people contribute greatly to society by volunteering, helping with grandchildren, mentoring others, and continue working. Page Ref: 4 Cognitive Level: Applying Client Need: Health Promotion and Maintenance Client Need Sub: High -Risk Beh aviors Nurs/Integ Conc.: Nursing Process: Planning Learning Outcome: 3. Identify common myths of aging and their contribution to ageism. 2) The nurse is planning to conduct education for older adult clients regarding preventative health screenings. Whic h type of screening does the nurse anticipate educating this population on? 1. Glaucoma 2. Nutrition 3. An annual mammogram 4. Prostate -specific antigen Answer: 3 Explanation: 1. A glaucoma screening is recommended annually for those at risk for glaucoma . 2. Nutritional assessment and counseling are encouraged for those with diabetes or renal disease. 3. The nurse will discuss the importance of annual mammograms. Older women are the fastest growing population in the United States. 4. A prostate -specific antigen is recommended yearly for men under the age of 70. Page Ref: 7 Cognitive Level: Analyzing Client Need: Health Promotion and Maintenance Client Need Sub: Health Screening Nurs/Integ Conc.: Nursing Process: Planning Learning Outcome: 1. Interpr et demographic data according to race, gender, and age. 2 Copyright © 2019 Pearson Education, Inc. 3) While completing an admission assessment, the nurse learns that a female adult patient has smoked a pack of cigarettes daily for 20 years and works at a chemical plant. From this information, what is this patient most at risk for? 1. Decline in muscle mass 2. Nutritional deficiencies 3. Depression and social isolation 4. Occupational hazard shortening life expectancy Answer: 4 Explanation: 1. While muscle mass does naturally decline in older adul ts, there is no indication that she is not physically active. 2. In older adults, adequate nutrition can be a concern, yet there is no indication that she is not adequately nourished. 3. In older adults, depression and social isolation are a risk, yet ther e is no indication that she is not socially active. 4. Exposure to occupational risk factors has been known to affect life expectancy in men and will have the same effect on women given similar circumstances. Page Ref: 8 -17 Cognitive Level: Analyzing Client Need: Health Promotion and Maintenance Client Need Sub: High -Risk Behaviors Nurs/Integ Conc.: Nursing Process: Diagnosis Learning Outcome: 2. Relate leading causes of morbidity and mortality among older adults. 4) The nurse is caring for an older a dult with a chronic disease. Which is reflective of a tertiary intervention to help slow down the progression of the client's illness? 1. Assess the client's mobility 2. Integrate physical therapy 3. Discuss injury -prevention measures within the home 4. Ob tain a referral for occupational therapy Answer: 2 Explanation: 1. Assessment of the client's mobility is reflective of secondary prevention. 2. The integration of physical therapy for a client with chronic disease reflects a tertiary intervention to pr omote restoration and prevent or slow down further debilitation. 3. Discussing injury prevention is health promotion or primary prevention. 4. Obtaining a referral for an occupational therapist reflects a secondary measure of prevention in which there is an early diagnosis and prompt treatment. Page Ref: 9 Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Reduction of Risk Potential Nurs/Integ Conc.: Nursing Process: Assessment Learning Outcome: 4. Describe the effects of chronic disease.

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