Gerontological Nursing, 4e (Tabloski) Chapter 2 Contemporary Gerontological Nursing

Gerontological Nursing, 4e (Tabloski) Chapter 2 Contemporary Gerontological Nursing 1) The nurse supports an older client's desire to discuss advance directives with the client's family. What action is the nurse performing with this client? 1. Facilitating palliative care 2. Educating the family on healthcare services 3. Collaborating with the interdisciplinary team 4. Advocating for client's rights and autonomy Answer: 4 Explanation: 1. Palliative care alleviates pain and suffering. There is no information to suggest the client is in need of palliative care. 2. Educating the clients on healthcare services is important, but the nurse is not educating in this role, they are supporting a discussion with the family. 3. Collaboration with the interdisciplinary team would include the nurse working with other professionals to provide client care. The nurse is not collaborating with other professionals regarding the client's desire to complete advance directives. 4. The nurse is advocating for the family and client regarding end-of-life decisions. This is included in the knowledge and skills of gerontological nurses. Page Ref: 29 Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nurs/Integ Conc.: Nursing Process: Implementation Learning Outcome: 4. Describe the ANA standards and scope of practice for gerontological nursing. 2) The nurse supports an older client's autonomy; which decision supports this ethical principle? 1. Client wants to see case management for Medicaid resources. 2. Client decides to stop further chemotherapy treatments. 3. Client is given more education regarding medication side effects. 4. Client treatment information is kept from client because of family request. Answer: 2 Explanation: 1. Justice involves fairness and equal distribution of resources to all in need. 2. Autonomy is the respect for a client's self-determination, freedom, and rights including the right to refuse treatment. 3. Beneficence is the principle of doing "good" and not doing harm to clients. 4. Nondisclosure is an ethical issue when persons who care about a client, such as family, do not want a client to be told the entire facts of a negative prognosis in order to protect the client from anxiety and fear. Page Ref: 42-43 Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nurs/Integ Conc.: Nursing Process: Implementation Learning Outcome: 1. Discuss the nurse's role in caring for older adults. 1 Copyright © 2019 Pearson Education, Inc. 3) The nurse is preparing to assess an older client using functional health patterns. How does this approach ensure holistic care will be provided to the client? 1. Focuses on the effects of diseases 2. Predicts the outcome for clients with disabilities 3. Demonstrates the client's interaction with the environment 4. Identifies the potential for rehabilitation early in the process Answer: 3 Explanation: 1. Functional health patterns are an interrelated group of behavioral areas that provides a view of the whole person and the relationship with the environment. Functional health patterns do not focus on the effects of diseases. 2. Functional health patterns are an interrelated group of behavioral areas that provides a view of the whole person and the relationship with the environment. Functional health patterns do not predict the outcome for clients with disabilities. 3. Functional health patterns are an interrelated group of behavioral areas that provides a view of the whole person and the relationship with the environment. 4. Functional health patterns are an interrelated group of behavioral areas that provides a view of the whole person and the relationship with the environment. Functional health patterns do not identify the potential for rehabilitation early in the process. Page Ref: 33 Cognitive Level: Analyzing Client Need: Health Promotion and Maintenance Client Need Sub: Health Promotion and Disease Prevention Nurs/Integ Conc.: Nursing Process: Assessment Learning Outcome: 5. Apply the use of functional health patterns in the formulation of a nursing diagnosis. 4) Which action by the gerontological nurse demonstrates the role of manager? 1. Performing blood pressure screenings 2. Performing a skin assessment 3. Researching the latest evidence-based practice on wound care 4. Arranging respite care for a client Answer: 4 Explanation: 1. Participating in taking blood pressure screening is within the traditional nursing role of clinical practitioner. 2. Participating in skin assessments are within the traditional nursing role of clinical practitioner. 3. The nurse is functioning within the role of researcher when seeking the latest evidence-based practice. 4. The nurse is functioning in the role of manager by connecting a client to community resources and coordinating the transfer of care of the client needing respite care. Page Ref: 32 Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nurs/Integ Conc.: Nursing Process: Implementation Learning Outcome: 1. Discuss the nurse's role in caring for older adults.