Test Bank Complete_
Ham's Primary Care Geriatrics: A Case-Based Approach 7th Edition, (2021)
By Gregg A. Warshaw MD (Editor), Jane F. Potter MD (Editor), Ellen Flaherty PhD APRN AGSF
(Editor), Matthew K. McNabney (Editor), Mitchell T. Heflin (Editor), Richard J. Ham MD (Editor)
All Chapters 1-54| Three Units| With Correct Answers With Detailed Explanations
,UNIT ONE: PRINCIPLES AND PRACTICE ____________________________________________ 4
Chapter 1. Principles Of Primary Care Of Older Adults _____________________________________ 4
Chapter 2. Interprofessional Team Care _______________________________________________ 14
Chapter 3. Assessment _____________________________________________________________ 24
Chapter 4. Wellness And Prevention __________________________________________________ 33
Chapter 5. Advanced Cultural Competency In Caring For Geriatric Patients ___________________ 42
Chapter 6. Appropriate Prescribing ___________________________________________________ 52
Chapter 7. Ethics __________________________________________________________________ 62
Chapter 8. Financing And Organization Of Health Care ___________________________________ 72
Chapter 9. Billing And Coding _______________________________________________________ 77
Chapter 10. Hospital Care __________________________________________________________ 87
Chapter 11. Long-Term Care ________________________________________________________ 93
Chapter 12. Home Care ___________________________________________________________ 106
Chapter 13. Rehabilitation _________________________________________________________ 116
Chapter 14. Palliative Care _________________________________________________________ 125
UNIT TWO: GERIATRIC SYNDROMES AND COMMON SPECIAL PROBLEMS ______________ 134
Chapter 15. Emergency Care _______________________________________________________ 134
Chapter 16. Delirium _____________________________________________________________ 145
Chapter 17. Alzheimer’s Disease And Other Dementias__________________________________ 150
Chapter 18. Depression ___________________________________________________________ 160
Chapter 19. Balance, Gait And Mobility ______________________________________________ 165
Chapter 20. Falls _________________________________________________________________ 174
Chapter 21. Dizziness _____________________________________________________________ 182
Chapter 22. Syncope______________________________________________________________ 185
Chapter 23. Urinary Incontinence ___________________________________________________ 187
Chapter 24. Constipation And Fecal Incontinence ______________________________________ 196
Chapter 25. Hearing Impairment ____________________________________________________ 205
Chapter 26. Visual Impairment And Eye Problems ______________________________________ 219
Chapter 27. Persistent Pain ________________________________________________________ 233
Chapter 28. Malnutrition And Feeding Problems _______________________________________ 241
Chapter 29. Frailty _______________________________________________________________ 250
, Chapter 30. Pressure Ulcers ________________________________________________________ 259
Chapter 31. Sleep Disorders ________________________________________________________ 267
Chapter 32. Sexual Health _________________________________________________________ 276
Chapter 33. Mistreatment And Neglect ______________________________________________ 286
Chapter 34. Alcoholism ___________________________________________________________ 289
Chapter 35. Driving_______________________________________________________________ 295
UNIT THREE: SELECTED CLINICAL PROBLEMS OF THE ORGAN SYSTEMS ________________ 297
Chapter 36. Hypertension _________________________________________________________ 297
Chapter 37. Coronary Artery Disease And Atrial Fibrillation ______________________________ 315
Chapter 38. Congestive Heart Failure ________________________________________________ 324
Chapter 39. Peripheral Vascular Disease ______________________________________________ 339
Chapter 40. Transient Ischemic Attacks And Stroke _____________________________________ 355
Chapter 41. Diabetes Mellitus ______________________________________________________ 369
Chapter 42. Thyroid Disorders ______________________________________________________ 386
Chapter 43. Osteoporosis__________________________________________________________ 395
Chapter 44. Arthritis And Related Disorders ___________________________________________ 413
Chapter 45. Foot Problems ________________________________________________________ 428
Chapter 46. Cancer _______________________________________________________________ 438
Chapter 47. Anemia ______________________________________________________________ 447
Chapter 48. Pulmonary Disease _____________________________________________________ 466
Chapter 49. Infectious Diseases _____________________________________________________ 475
Chapter 50. The Acute Abdomen____________________________________________________ 484
Chapter 51. Benign Prostate Disease_________________________________________________ 499
Chapter 52. Parkinson’s Disease ____________________________________________________ 510
Chapter 53. Oral Disorders_________________________________________________________ 512
Chapter 54. Skin Problems _________________________________________________________ 515
,UNIT ONE: PRINCIPLES AND PRACTICE
Chapter 1. Principles Of Primary Care Of Older Adults
Richard J. Ham: Ham's Primary Care Geriatrics: A Case-Based Approach 7th Edition, (2021) Test Bank
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.
ANS: 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 Nursing 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 Americans.
ANS: 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 Provides 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, The Nurse Includes The Importance Of:
A. Increased Availability Of In-Home Care Services.
B. Government Support Of Retired Citizens.
C. Effective Antibiotic Therapies.
D. The Development Of Life-Extending Therapies.
ANS: C
The Health And Ultimate Autonomy Of Older Americans Has Been Positively Impacted
By The Development Of Antibiotics, Better Sanitation, And Vaccines. These Public
Health Measures Have Been More Instrumental In Increasing The Numbers Of Healthy,
Independent Older Americans 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.
ANS: 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: Nursing Process: Planning MSC: Safe And Effective Care Environment
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.
,ANS: 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 (Knowledge) 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.
ANS: 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. I’ll 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.
ANS: 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 Independence
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: Applying (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 Transfer 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.
ANS: C
The Transfer Of The Patient To A Subacute Facility Is Based On The Need To Maintain
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 Transfer.
DIF: Applying (Application) REF: N/A OBJ: 1-6 TOP: Communication And
Documentation MSC: Health 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.
B. Assumes The Roles Of Case Manager And Patient Advocate.
C. Arranges For The Needed UAP Provided Services.
D. Assesses The Patient For Functional Limitations.
ANS: A
As More Care Traditionally Provided By Professional Nurses Is Being Transferred To
UAP, The Nurse Must Assume More Responsibility For Educating, Training, And
Evaluating The Competency Of UAP Staff To Provide Safe, Effective Care For The
Older Adult Patient.
DIF: Applying (Application) REF: N/A OBJ: 1-2
TOP: Communication And Documentation MSC: Safe And Effective Care Environment
10. The Nurse Working With Older Adults Understands What Information About
Certification In Gerontologic Nursing?
A. It Is Mandatory For Those In Long-Term Care Settings.
B. It Is Voluntary And Shows Clinical Expertise In An Area.
C. It Allows Nurses To Be Paid By Third-Party Payers.
D. It Allows Nurses To Advance Their Careers In A Job.
