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NR 601 Ham's Primary Care Geriatrics LATEST TEST BANK 2023(Q&A)
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NR 601 Ham's Primary Care Geriatrics LATEST TEST BANK 2023(Q&A)
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Ham’s primary care geriatrics test bank 2023 NR 601 Ham's Primary Care Geriatrics LATEST TEST BANK 2023 (Q&A) Principles of Primary Care of Older Adults Chapter 1. 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. RIGHT ANSWER: D The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of gerontologic nurses from across the United States. It was not intended to promote gerontologic nurs ing 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 nurse needs to first: a. recognize that nurses must act as advocates for aging patients. 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 patient. d. recognize ageism as a form of bigotry shared by many Amerians. RIGHT ANSWER: C Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older population as a whole. With nurses being members of a society holding such views, it is critical that the individual nurse self -reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she prov ides to the aging patient. 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 answer, the nurse includes the importance of: a. increased availability of in-home care services. b. governm ent support of retired citizens. c. effective antibiotic therapies. d. the development of life-extending therapies. RIGHT ANSWER: C The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics, better sanitat ion, and vaccines. These public health measures have been more instrumental in increasing the numbers of healthy, independent older Americans Ham’s primary care geriatrics test bank 2023 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 nurse includes the patients: a. nonrelated caretaker. b. paid caregiver. c. family member. d. intuitional representative. RIGHT ANSWER: C 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: Nursi ng Process: Planning MSC: Safe and Effective Care Environment Ham’s primary care geriatrics test bank 2023 5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the priority criterion for continued independence to be the patients: a. age. b. financial status. c. gender. d. functional status. RIGHT ANSWER: D 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 (Kno wledge) REF: msc: 8 OBJ: 1 -6 TOP: Nursing Process: Planning MSC: Physiologic Integrity 6. A nurse 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. RIGHT ANSWER: B The poverty rate among older black women is substantially higher than that seen among males 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 nurse preparing to complete a health assessment and history on an older patient reflects an understanding of the general health status of this population? a. Ill need to document well regarding the medications the patient is currently prescribed. b. I would like to understand how supportive the patients family members are. c. Most older patients are being treated for a variety of chronic health care issues. d. It will be interesting to see whether this patient sees herself as being healthy. RIGHT ANSWER: D It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patients sense of wellness and independen ce when conducting a health and history assessment. An assessment of medication use and family support is important for any patient. Many older adults do have chronic health conditions, but their perception is more important than a single number. DIF: Appl ying (Application) REF: N/A OBJ: 1-4 TOP: Nursing Process: Assessment MSC: Health Promotion 8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur. The family expresses concern about the patients pending trright answerfer to a subacute care facility. What response by the nurse 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. RIGHT ANSWER: C The trright answerfer of the patient to a subacute facility is based on the need to m aintain the patients level of function and independence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The patient may or may not be happier in the new setting; the nurse 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 patient to trright answerfer. DIF: Applying (Application) REF: N/A OBJ: 1-6 TOP: Communication and Documentation Ham’s primary care geriatrics test bank 2023 MSC: Heal th Promotion and Maintenance 9. To best assure both the quality of care and the safety of the older adult patient who requires in home unlicensed assistive personal (UAP) assistance, the geriatric nurse: a. evaluates the competency of the UAP staff.The benefits of buying summaries with Stuvia:
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