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Gerontological Nursing, 4e (Tabloski) Chapter 1 Principles of Gerontology
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Gerontological Nursing, 4e (Tabloski) Chapter 1 Principles of Gerontology
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Gerontological Nursing, 4e (Tabloski)Chapter 1 Principles of Gerontology
1) Thernurserisrpreparingrtordischargeranrolderrclientrwithrinstructionsronrsmokingrcessation.rThernur
serstatesrtorarcolleague,r"Thisrclientrhasrbeenrsmokingrforryearsrandrisn'trgoingrtorstoprnow."rWhichrn
egativerstereotyperofragingrdoesrthernurse'srstatementrmostrreflect?
1. Oldrpeoplerarerexpectedrtorbersick.
2. Oldrpeoplerarersetrinrtheirrways.
3. Oldrpeoplerdornotrvaluerhealthrpromotionreducation.
4. Oldrpeoplerarerardrainronrsocietalrresources.rA
nswer:r 3
Explanation:r 1.rManyrolderradultsrhaverchronicrdiseaserbutrfunctionrwell.
2. Oftenrpeoplercharacterizertherelderlyrinrarnegativerway,rbelievingrthatrafterrarcertainrage,rthingsr
cannotrberchanged.rOlderrpeoplercanrlearnrnewrthingsrandrtakeruprnewrhobbiesrtheyrcanrenjoyrandrg
iverlifermeaningrandrpleasure.
3. Althoughritrmayrnotrberpossiblertorreverserallrtherdamage,ritrisrneverrtoorlatertorstoprsmokingrcigar
ettes.rPeoplerwhorquitrsmokingratranrolderragerenjoyrbetterrhealthroutcomes.
4. Olderrpeoplercontributergreatlyrtorsocietyrbyrvolunteering,rhelpingrwithrgrandchildren,rm
entoringrothers,randrcontinuerworking.
PagerRef:r4
CognitiverLevel:r Applying
ClientrNeed:r HealthrPromotionrandrMaintenancer
ClientrNeedrSub:rHigh-
RiskrBehaviorsrNurs/IntegrConc.:r NursingrProces
s:rPlanning
LearningrOutcome:r 3.rIdentifyrcommonrmythsrofragingrandrtheirrcontributionrtorageism.
2) Thernurserisrplanningrtorconductreducationrforrolderradultrclientsrregardingrpreventativerhealth
rscreenings.rWhichrtyperofrscreeningrdoesrthernurseranticipatereducatingrthisrpopulationron?
1. Glaucoma
2. Nutrition
3. Anrannualrmammogram
4. Prostate-
specificrantigenrAnswer:r 3
Explanation:r 1.rArglaucomarscreeningrisrrecommendedrannuallyrforrthoseratrriskrforrglaucoma.
2. Nutritionalrassessmentrandrcounselingrarerencouragedrforrthoserwithrdiabetesrorrrenalrdisease.
3. Thernurserwillrdiscussrtherimportancerofrannualrmammograms.rOlderrwomenrarertherfastestrgro
wingrpopulationrinrtherUnitedrStates.
4. Arprostate-
specificrantigenrisrrecommendedryearlyrforrmenrunderrtheragerofr70.rPagerRef:r7
CognitiverLevel:r Analyzing
ClientrNeed:r HealthrPromotionrandrMaintenancer
ClientrNeedrSub:r HealthrScreening
Nurs/IntegrConc.:r NursingrProcess:rPlanning
LearningrOutcome:r 1.rInterpretrdemographicrdataraccordingrtorrace,rgender,randrage.
1
Copyrightr©r2019rPearsonrEducation,rInc.
,3) Whilercompletingranradmissionrassessment,rthernurserlearnsrthatrarfemaleradultrpatientrhasrsm
okedrarpackrofrcigarettesrdailyrforr20ryearsrandrworksratrarchemicalrplant.rFromrthisrinformation,r
whatrisrthisrpatientrmostratrriskrfor?
1. Declinerinrmusclermass
2. Nutritionalrdeficiencies
3. Depressionrandrsocialrisolation
4. Occupationalrhazardrshorteningrliferexpectancyr
Answer:r 4
Explanation:r 1.rWhilermusclermassrdoesrnaturallyrdeclinerinrolderradults,rthererisrnorindicationrthatr
sherisrnotrphysicallyractive.
2. Inrolderradults,radequaternutritionrcanrberarconcern,ryetrthererisrnorindicationrthatrsherisrnotradeq
uatelyrnourished.
3. Inrolderradults,rdepressionrandrsocialrisolationrarerarrisk,ryetrthererisrnorindicationrthatrsherisrnotrs
ociallyractive.
4. Exposurertoroccupationalrriskrfactorsrhasrbeenrknownrtoraffectrliferexpectancyrinrmenrandrwillrhav
erthersamereffectronrwomenrgivenrsimilarrcircumstances.
PagerRef:r8-17
CognitiverLevel:r Analyzing
ClientrNeed:r HealthrPromotionrandrMaintenancer
ClientrNeedrSub:rHigh-
RiskrBehaviorsrNurs/IntegrConc.:r NursingrProces
s:rDiagnosis
LearningrOutcome:r2.rRelaterleadingrcausesrofrmorbidityrandrmortalityramongrolderradults.
4) Thernurserisrcaringrforranrolderradultrwithrarchronicrdisease.rWhichrisrreflectiverofrartertiaryrinter
ventionrtorhelprslowrdownrtherprogressionrofrtherclient'srillness?
1. Assessrtherclient'srmobility
2. Integraterphysicalrtherapy
3. Discussrinjury-preventionrmeasuresrwithinrtherhome
4. Obtainrarreferralrforroccupationalrtherapyr
Answer:r 2
Explanation:r 1.rAssessmentrofrtherclient'srmobilityrisrreflectiverofrsecondaryrprevention.
2. Therintegrationrofrphysicalrtherapyrforrarclientrwithrchronicrdiseaserreflectsrartertiaryrinte
rventionrtorpromoterrestorationrandrpreventrorrslowrdownrfurtherrdebilitation.
3. Discussingrinjuryrpreventionrisrhealthrpromotionrorrprimaryrprevention.
4. Obtainingrarreferralrforranroccupationalrtherapistrreflectsrarsecondaryrmeasurerofrpreventionrinrwhi
chrthererisranrearlyrdiagnosisrandrpromptrtreatment.
PagerRef:r9
CognitiverLevel:r Applying
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:rReductionrofrRiskrPotentialrNur
s/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r 4.rDescriberthereffectsrofrchronicrdisease.
2
Copyrightr©r2019rPearsonrEducation,rInc.
, 5) Thernurserisrcaringrforranrolderrclientrwithrheartrdiseaserthatrisrexperiencingrfatigue.rWhichrwillr
thernurserinitiallyrimplementrtorenhancertheroverallrqualityrofrliferandrfunctionalrabilityrofrtherclien
t?
1. Assessrtherneedrforrassistiverdevices
2. Providereducationronrhealthrscreenings
3. Reinforcertherimportancerofrrehabilitation
4. Instructrtherclientronrtechniquesrforrself-
managementrAnswer:r 3
Explanation:r 1.rAssistiverdevicesrmayrbernecessaryrtorincreasertherindependencerofrtherclient.rTh
erassessmentrforranrassistiverdeviceroccursrduringrtherrehabilitationrtime.
2. Educationrregardingrhealthrscreeningsrfocusesronrpreventionrofrdisease.
3. Rehabilitationrafterrarchronicrillnessrcanrenhancertherqualityrofrliferandrfunctionalrabilityrofrther
client.rManagingrchronicrfatiguerthatroccursrwithrheartrdiseasercanrrequirerrehabilitation.
4. Techniquesrofrself-
managementrcanrreducerpainrandrcostrofrchronicrdiseaserbyrteachingrtherclientrtormanagertheirrow
nrchronicrcondition.
PagerRef:r8-13
CognitiverLevel:r Applying
ClientrNeed:rPsychosocialrIntegrityrClientr
NeedrSub:r SupportrSystems
Nurs/IntegrConc.:r NursingrProcess:rPlanning
LearningrOutcome:r 4.rDescriberthereffectsrofrchronicrdisease.
3
Copyrightr©r2019rPearsonrEducation,rInc.
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