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Test Bank-Ham's Primary Care Geriatrics- A Case-Based Approach 7th Edition Latest 2024
Test Bank-Ham's Primary Care Geriatrics- A Case-Based Approach 7th Edition Latest 2024
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, Test Bank-Ham's Primary Care Geriatrics- ACase-Based Approach 7th Edition Latest 2024
Chapter 1. Principles of Primary Care of Older Adults
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MULTIPLE CHOICE u
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
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The nurse would use these standards to:
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a. promote the practice of gerontologic nursing within the acute care setting. u u u u u u u u u u
b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing.
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d. incorporate suggested interventions from others who practice gerontologic nursing. u u u u u u u u
uANS: D u
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
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incorporates the input of gerontologic nurses from across the United States. It was not intended
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uto promote gerontologic nursing practice within acute care settings, define concepts or
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udimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
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DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-1
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uTOP: N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
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unurse needs to first:
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a. recognize that nurses must act as advocates for aging patients. u u u u u u u u u
b. accept that this population represents a substantial portion of those requiring nursing care.
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c. self-reflect and formulate ones personal view of aging and the older patient.
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d. recognize ageism as a form of bigotry shared by many Americans. u u u u u u u u u u
ANS: C
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Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
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population as a whole. With nurses being members of a society holding such views, it is critical
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that the individual nurse self-reflect on personal feelings and determine whether such feelings
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will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is
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an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
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does recognizing ageism as a form of bigotry.
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DIF: Applying (Application) REF: N/A OBJ: 1-9
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TOP: Teaching-Learning MSC: Safe and Effective Care Environment
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3. When discussing factors that have helped to increase the number of healthy, independent older
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Americans, the nurse includes the importance of:
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a. increased availability of in-home care services. u u u u u
b. government support of retired citizens. u u u u
c. effective antibiotic therapies. u u
d. the development of life-extending therapies.
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,ANS: C u
The health and ultimate autonomy of older Americans has been positively impacted by the
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development of antibiotics, better sanitation, and vaccines. These public health measures have
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been more instrumental in increasing the numbers of healthy, independent older Americans than
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have in-home care services, government programs, or life-extending therapies.
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DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
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TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
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4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
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includes the patients:
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a. nonrelated caretaker. u
b. paid caregiver. u
c. family member. u
d. intuitional representative. u
ANS: C
u u
Less than 4% of older adults live in a formal health care environment. The majority of the
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geriatric population lives at home or with family members.
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DIF: Applying (Application) REF: N/A OBJ: 3-3
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TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
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arthritis views the priority criterion for continued independence to be the patients:
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a. age.
b. financial status. u
c. gender.
d. functional status. u
ANS: D
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Maintaining the functional status of older adults may avert the onset of physical frailty and
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cognitive impairment, two conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
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TOP: Nursing Process: Planning MSC: Physiologic Integrity
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6. A nurse working with the older adult population is most likely to assess a need for a financial
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social services referral for a(n):
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a. white male. u
b. black female. u
c. Hispanic male. u
d. Asian American female. u u
uANS: B u
The poverty rate among older black women is substantially higher than that seen among males or
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females of other ethnic groups. White males had the least poverty.
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uDIF: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
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, 7. Which of the following statements made by a nurse preparing to complete a health assessment
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and history on an older patient reflects an understanding of the general health status of this
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population?
u
a. Ill need to document well regarding the medications the patient is currently prescribed.
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b. I would like to understand how supportive the patients family members are.
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c. Most older patients are being treated for a variety of chronic health care issues.
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d. It will be interesting to see whether this patient sees herself as being healthy.
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ANS: D
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It is a misconception that old age is synonymous with disease and illness. The nurse should
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always determine the patients sense of wellness and independence when conducting a health and
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history assessment. An assessment of medication use and family support is important for any
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patient. Many older adults do have chronic health conditions, but their perception is more
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uimportant than a single number. u u u u
DIF: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Health Promotion
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8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
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treatment of a fractured femur. The family expresses concern about the patients pending transfer
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to a subacute care facility. What response by the nurse is best?
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a. Acute care facilities lack the long-term physical therapy support your dad requires. u u u u u u u u u u u
b. Your dad will be much happier in a more serene, private environment.
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c. The subacute facility will focus on helping your dad maintain his independence.
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d. Insurance, including Medicare, will cover only a limited amount of time here. u u u u u u u u u u u
uANS: C u
The transfer of the patient to a subacute facility is based on the need to maintain the patients
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level of function and independence, a task the acute care facility is not prepared to address once
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uthe patient is physiologically stable. The patient may or may not be happier in the new setting;
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uthe nurse should not make this judgment. It is true that insurance only pays for a limited amount
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uof time in an acute care facility, but this is not the best reason for the patient to transfer.
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DIF: Applying (Application) REF: N/A OBJ: 1-6
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uTOP: Communication and Documentation
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MSC: Health Promotion and Maintenance
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9. To best assure both the quality of care and the safety of the older adult patient who requires in-
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uhome unlicensed assistive personal (UAP) assistance, the geriatric nurse:
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a. evaluates the competency of the UAP staff. u u u u u u
b. assumes the roles of case manager and patient advocate.
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c. arranges for the needed UAP provided services. u u u u u u
d. assesses the patient for functional limitations. u u u u u
ANS: A
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As more care traditionally provided by professional nurses is being transferred to UAP, the nurse
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must assume more responsibility for educating, training, and evaluating the competency of UAP
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staff to provide safe, effective care for the older adult patient.
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DIF: Applying (Application) REF: N/A OBJ: 1-2
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