TEST BANK FOR HAM’S PRIMARY CARE GERIATRICS: A CASE-BASED APPROACH 7TH EDITION BY RICHARD J. HAM :ISBN10; /ISBN-13; 978-0323721684
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Course
PRIMARY CARE GERIATRICS
Institution
PRIMARY CARE GERIATRICS
TEST BANK FOR HAM’S PRIMARY CARE GERIATRICS: A CASE-BASED APPROACH 7TH EDITION BY RICHARD J. HAM :ISBN10; /ISBN-13; 978-0323721684 Chapter 1. Principles of Primary Care of Older Adults MULTIPLE CHOICE 1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. Th...
MULTIPLEiCHOICE
1. Ini2010,itheirevisediStandardsiandiScopeiofiGerontologicaliNursingiPracticeiwasipublished.
Theinurseiwouldiuseitheseistandardsito:
a. promoteitheipracticeiofigerontologicinursingiwithinitheiacuteicareisetting.
b. defineitheiconceptsiandidimensionsiofigerontologicinursingipractice.
c. elevateitheipracticeiofigerontologicinursing.
d. incorporateisuggestediinterventionsifromiothersiwhoipracticeigerontologicinursing
.iANS:iD
TheicurrentipublishingiofitheiStandardsiandiScopeiofiGerontologicaliNursingiPracticeiini2010
incorporatesitheiinputiofigerontologicinursesifromiacrossitheiUnitediStates.iItiwasinotiintende
ditoipromoteigerontologicinursingipracticeiwithiniacuteicareisettings,idefineiconceptsioridime
nsionsiofigerontologicinursingipractice,iorielevateitheipracticeiofigerontologicinursing.
DIF:iRememberingi(Knowledge)iREF:imsc:i2iOBJ:i1-
1iTOP:iN/AiMSC:iSafeiandiEffectiveiCareiEnvironmen
t
2. Wheniattemptingitoiminimizeitheieffectiofiageismionitheipracticeiofinursingiolderiadults,i
ainurseineedsitoifirst:
a. recognizeithatinursesimustiactiasiadvocatesiforiagingipatients.
b. acceptithatithisipopulationirepresentsiaisubstantialiportioniofithoseirequiringinursingicare.
c. self-reflectiandiformulateionesipersonaliviewiofiagingianditheiolderipatient.
d. recognizeiageismiasiaiformiofibigotryisharedibyimanyiAmerican
s.iANS:iC
Ageismiisianiever-increasingiprejudicialiviewiofitheieffectsiofitheiagingiprocessiandiofitheiolder
populationiasiaiwhole.iWithinursesibeingimembersiofiaisocietyiholdingisuchiviews,iitiisicritic
alithatitheiindividualinurseiself-
reflectionipersonalifeelingsiandidetermineiwhetherisuchifeelingsiwilliaffectitheinursingicareith
atiheiorisheiprovidesitoitheiagingipatient.iActingiasianiadvocateiisianiimportantinursingiroleiin
iallisettings.iSimplyiacceptingiaifactidoesinotihelpiendiageism,inoridoesirecognizingiageismia
siaiformiofibigotry.
DIF:iApplyingi(Application)iREF:iN/AiOBJ:i1-9
TOP:iTeaching-LearningiMSC:iSafeiandiEffectiveiCareiEnvironment
3. Whenidiscussingifactorsithatihaveihelpeditoiincreaseitheinumberiofihealthy,iindependentiolder
Americans,itheinurseiincludesitheiimportanceiof:
a. increasediavailabilityiofiin-homeicareiservices.
b. governmentisupportiofiretiredicitizens.
,c. effectiveiantibioticitherapies.
d. theidevelopmentiofilife-extendingitherapies.
,ANS:iC
TheihealthiandiultimateiautonomyiofiolderiAmericansihasibeenipositivelyiimpactedibyitheidev
elopmentiofiantibiotics,ibetterisanitation,iandivaccines.iTheseipublicihealthimeasuresihaveibee
nimoreiinstrumentaliiniincreasingitheinumbersiofihealthy,iindependentiolderiAmericansithaniha
veiin-homeicareiservices,igovernmentiprograms,iorilife-extendingitherapies.
DIF:iRememberingi(Knowledge)iREF:imsc:i2iOBJ:i3-3
TOP:iNursingiProcess:iImplementationiMSC:iHealthiPromotioniandiMaintenance
4. Basedionicurrentidata,iwhenipresentingianiolderiadultsidischargeiteachingiplan,itheinurs
eiincludesitheipatients:
a. nonrelatedicaretaker.
b. paidicaregiver.
c. familyimember.
d. intuitionalirepresentative.
iANS:iC
Lessithani4%iofiolderiadultsiliveiiniaiformalihealthicareienvironment.iTheimajorityiofithe
geriatricipopulationilivesiatihomeioriwithifamilyimembers
.iDIF:iApplyingi(Application)iREF:iN/AiOBJ:i3-3
TOP:iNursingiProcess:iPlanningiMSC:iSafeiandiEffectiveiCareiEnvironment
5. Theinurseiplanningicareiforianiolderiadultiwhoihasirecentlyibeenidiagnosediwithirheumatoi
diarthritisiviewsitheipriorityicriterioniforicontinuediindependenceitoibeitheipatients:
a. age.
b. financialistatus.
c. gender.
d. functionalistatus
.iANS:iD
Maintainingitheifunctionalistatusiofiolderiadultsimayiavertitheionsetiofiphysicalifrailtyiand
cognitiveiimpairment,itwoiconditionsithatiincreaseitheilikelihoodiofiinstitutionalization
.iDIF:iRememberingi(Knowledge)iREF:imsc:i8iOBJ:i1-6
TOP:iNursingiProcess:iPlanningiMSC:iPhysiologiciIntegrity
6. Ainurseiworkingiwithitheiolderiadultipopulationiisimostilikelyitoiassessiaineediforiaifinanci
alisocialiservicesireferraliforia(n):
a. whiteimale.
b. blackifemale.
c. Hispanicimale.
d. AsianiAmericanifemale
.iANS:iB
Theipovertyirateiamongiolderiblackiwomeniisisubstantiallyihigherithanithatiseeniamongimalesior
femalesiofiotheriethnicigroups.iWhiteimalesihaditheileastipoverty
.iDIF:iApplyingi(Application)iREF:iN/AiOBJ:i1-4
TOP:iNursingiProcess:iAssessmentiMSC:iSafeiandiEffectiveiCareiEnvironment
, 7. Whichiofitheifollowingistatementsimadeibyiainurseipreparingitoicompleteiaihealthiassessme
ntiandihistoryionianiolderipatientireflectsianiunderstandingiofitheigeneralihealthistatusiofithisip
opulation?
a. Illineeditoidocumentiwelliregardingitheimedicationsitheipatientiisicurrentlyiprescribed.
b. Iiwouldilikeitoiunderstandihowisupportiveitheipatientsifamilyimembersiare.
c. Mostiolderipatientsiareibeingitreatediforiaivarietyiofichronicihealthicareiissues.
d. Itiwillibeiinterestingitoiseeiwhetherithisipatientiseesiherselfiasibeingihealth
y.iANS:iD
Itiisiaimisconceptionithatioldiageiisisynonymousiwithidiseaseiandiillness.iTheinurseishould
alwaysidetermineitheipatientsisenseiofiwellnessiandiindependenceiwheniconductingiaihealthian
dihistoryiassessment.iAniassessmentiofimedicationiuseiandifamilyisupportiisiimportantiforianyi
patient.iManyiolderiadultsidoihaveichronicihealthiconditions,ibutitheiriperceptioniisimoreiimpor
tantithaniaisingleinumber.
DIF:iApplyingi(Application)iREF:iN/AiOBJ:i1-4
TOP:iNursingiProcess:iAssessmentiMSC:iHealthiPromotion
8. Theinurseiisicaringiforianiolderiadultiwhoihasibeeniadmitteditoianiacuteicareihospitaliforitre
atmentiofiaifracturedifemur.iTheifamilyiexpressesiconcerniaboutitheipatientsipendingitransferit
oiaisubacuteicareifacility.iWhatiresponseibyitheinurseiisibest?
a. Acuteicareifacilitiesilackitheilong-termiphysicalitherapyisupportiyouridadirequires.
b. Youridadiwillibeimuchihappieriiniaimoreiserene,iprivateienvironment.
c. Theisubacuteifacilityiwillifocusionihelpingiyouridadimaintainihisiindependence.
d. Insurance,iincludingiMedicare,iwillicoverionlyiailimitediamountiofitimeiher
e.iANS:iC
Theitransferiofitheipatientitoiaisubacuteifacilityiisibasedionitheineeditoimaintainitheipatients
leveliofifunctioniandiindependence,iaitaskitheiacuteicareifacilityiisinotiprepareditoiaddressionc
eitheipatientiisiphysiologicallyistable.iTheipatientimayiorimayinotibeihappieriinitheinewisetting
;itheinurseishouldinotimakeithisijudgment.iItiisitrueithatiinsuranceionlyipaysiforiailimitediamo
untiofitimeiinianiacuteicareifacility,ibutithisiisinotitheibestireasoniforitheipatientitoitransfer.
DIF:iApplyingi(Application)iREF:iN/AiOBJ:i1-
6iTOP:iCommunicationiandiDocumentation
MSC:iHealthiPromotioniandiMaintenance
9. Toibestiassureibothitheiqualityioficareianditheisafetyiofitheiolderiadultipatientiwhoirequiresii
n-ihomeiunlicensediassistiveipersonali(UAP)iassistance,itheigeriatricinurse:
a. evaluatesitheicompetencyiofitheiUAPistaff.
b. assumesitheirolesioficaseimanageriandipatientiadvocate.
c. arrangesiforitheineedediUAPiprovidediservices.
d. assessesitheipatientiforifunctionalilimitations
.iANS:iA
AsimoreicareitraditionallyiprovidedibyiprofessionalinursesiisibeingitransferreditoiUAP,itheinurse
mustiassumeimoreiresponsibilityiforieducating,itraining,iandievaluatingitheicompetencyiofiUA
Pistaffitoiprovideisafe,ieffectiveicareiforitheiolderiadultipatient.
DIF:iApplyingi(Application)iREF:iN/AiOBJ:i1-2
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