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...
TEST BANK for HAM'S PRIMARY CARE GERIATRICS- A CASE
BASED APPROACH 7TH EDITION /COMPLETE GUIDE
, Chapter 1. Principles of Primary Careof Older Adults it it it it it ti it it
MULTIPLE CHOICE ti
1. In2010, therevised Standards and Scope of Gerontological Nursing Practice was published.The n
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urse would use these standards to:
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a. promotethe practice ofgerontologic nursing within the acute care setting. ti it it ti it it it it it it
b. definethe concepts and dimensions ofgerontologic nursing practice.
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c. elevatethepractice ofgerontologic nursing. it ti it ti it
d. incorporate suggestedinterventions fromotherswho practice gerontologic nursing.AC it ti ti ti it it it it ti
CURATE ANSWER:-D it
Reasoning:->>>The current publishing ofthe Standardsand Scope of Gerontological Nursing Practice in 20 it it it ti it ti it it it it it it it
incorporates the input of gerontologic nursing attendants from across the United States. It was not inte
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nded to promote gerontologic nursing practice within acute care settings, define conceptsordimension
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s ofgerontologic nursing practice, or elevate the practice ofgerontologic nursing.
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DIFFICULT:Remembering (Knowledge) REF: msc: 2 OBJ:1- it it it it it it it
1TOPIC:N/AMSC: Safe and Effective Care Environment
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2. Whenattempting to minimize the effect ofageism onthe practice ofnursing older adults, anursin
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g attendant needs to first:
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a. recognizethat nursing attendants must act as advocatesfor aging hospital clients. ti it it it it it it ti it it it
b. accept that this population represents a substantial portiono fthose requiring nursing care.
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c. self-reflect and formulateones personal view ofaging and the older hospital client. it it ti it it it ti it it it it it
d. recognize ageismas a formofbigotryshared by many Americans.AC it ti it it ti ti ti it it it ti
CURATE ANSWER:-C it
Reasoning:->>>Ageism is an ever-increasing prejudicial view ofthe effects ofthe aging process and oftheolder it it it it it it ti it it it it it it it ti ti
population as a whole. With nursing attendants being members of a society holding such views, it is cr
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iticalthat the individual nursing attendant self-
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reflect onpersonal feelings and determine whether such feelings willaffect the nursing care that he or
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she provides to the aging hospital client. Acting as anadvocate is an important nursing role in all settin
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gs. Simply accepting a fact does not help end ageism, nor does recognizing ageism as a formofbigotr
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y.
DIFFICULT: Applying (Application) REF: N/AOBJ: 1-9 it it it it ti it
TOPIC: Teaching-Learning MSC: Safeand Effective CareEnvironment
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3. Whendiscussing factorsthat have helped to increase the number ofhealthy, independent olderAmer
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icans, the nursing attendant includes the importance of:
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a. increased availabilityo fin-home careservices. it ti ti ti it
b. government support ofretired citizens. it it ti it
c. effectiveantibiotictherapies. ti ti
d. thedevelopment oflife-extendingtherapies.
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,ACCURATE ANSWER:-C it
Reasoning:-
>>>The health and ultimate autonomy of older Americans has been positively impacted bythe develo
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pment ofantibiotics, bettersanitation, and vaccines. These public healthmeasures have been more inst
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rumental in increasing the numbers of healthy, independent olderAmericans than have in-
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home care services, government programs, or life-
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extending therapies.DIFFICULT: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
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TOPIC:NursingProcess: Implementation MSC: HealthPromotionandMaintenance ti it it it ti it it
4. Based oncurrent data, whenpresenting ano lder adults discharge teaching plan, thenursi
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ng attendant includes the hospital clients:
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a. nonrelatedcaretaker. ti
b. paidnursing attendant. ti it
c. familymember. ti
d. intuitionalrepresentative. it ti
ACCURATE ANSWER:-C it
Reasoning:->>>Less than4% ofolder adults live in a formal health care environment. The majorityo fthe it it it it it it it it it it it it it it ti ti
geriatric population livesat home orwith familymembers.DIFFI
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CULT: Applying (Application) REF: N/A OBJ: 3-3
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TOPIC:Nursing Process: Planning MSC: Safeand Effective CareEnvironment it it it it it it it it
5. The nursing attendant planning care for an older adult who has recently been diagnosed with rh
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eumatoid arthritis views the prioritycriterion for continued independence to bethe hospital clients
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:
a. age.
b. financialstatus. ti
c. gender.
d. functional status. it ti
ACCURATE ANSWER:-D it
Reasoning:->>>Maintaining the functionalstatusofolder adults mayavert the onset ofphysical frailtyand it it ti it ti it it it it it it it it ti
cognitive impairment,two conditionsthat increasethe likelihoodo finstitutionalization.DIFFI
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CULT: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
it it it it it it it
TOPIC: NursingProcess: PlanningMSC: Physiologic Integrity
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6. Anursing attendant working with the older adult population is most likelyto assess a need for
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afinancial social services referral for a(n):
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a. white male. it
b. black female. ti
c. Hispanic male. it
d. AsianAmericanfemale. ti ti ti
ACCURATE ANSWER:-B it
Reasoning:->>>The povertyrate among older black women is substantially higher than that seenamong maor it ti it it it it it it it it it it it it ti
femaleso fother ethnic groups. White males had the least poverty.DIF
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FICULT: Applying (Application) REF: N/A OBJ: 1-4 it it it it it it
TOPIC:NursingProcess: Assessment MSC: Safe and Effective CareEnvironment ti it it it ti it it ti
, 7. Which of the following statements made by a nursing attendant preparing to complete a health as it it it it it it it it it it it it it it it
sessment and historyonan older hospital client reflects an understanding ofthe general health status it it it it it it it it it it it ti it it it ti
ofthis population? it it
a. Illneed to document wellregarding the medicationsthe hospital client is currentlyprescribed. it it it it it it it ti it it it it ti
b. I would like to understand how supportive the hospital clients familymembers are.
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c. Most older hospital clients are being treated for a varietyo fchronic health care issues.
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d. It will be interesting to see whether this hospital client sees herselfas being healt it it it it it it it it it it it it it it
hy.ACCURATE ANSWER:-D ti it
Reasoning:->>>It is a misconceptionthat old age is synonymous with illness and illness. The nursing attendant sho it it it ti it it it it it it it it it it it it
always determine the hospital clients sense ofwellness and independence whenconducting a healthand
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history assessment. An assessment of medication use and family support is important for any hospital
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client. Many older adults do have chronic health conditions, but their perception is more important tha
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n a single number.
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DIFFICULT: Applying (Application) REF: N/AOBJ: 1-4 it it it it ti it
TOPIC:NursingProcess: Assessment MSC: HealthPromotion ti it it it it
8. The nursing attendant is caring for an older adult who has been admitted to an acute care healt
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hcenter for treatment of a fractured femur. The family expresses concern about the hospital clie
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nts pending transfer to a subacute supported care facility. What response bythe nursing attenda
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nt is best? it it
a. Acute care facilities lack the long-termphysicaltherapysupport your dad requires. it it it it it ti it ti it it it
b. Yourdad willbe much happier ina more serene, private environment. ti it it it it it ti it it it it
c. Thesubacute facilitywill focus on helping your dad maintain his independence.
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d. Insurance, including Medicare, willcover onlya limited amount oftime here.ACC it it it ti it ti it it it ti it ti
URATE ANSWER:-C it
Reasoning:-
>>>Thetransfer ofthe hospital client to a subacute facilityis based on the need to maintain the hospital clients
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level of function and independence, a task the acute supported care facility is not prepared to address
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oncethe hospital client is physiologically stable. The hospital client may or may not be happier in the
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new setting; thenursing attendant should not make this judgment.It is truethat insurance onlypays for
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alimited amountoft ime in an acute supported care facility, but this is not the best reason for the hospit
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al client to transfer.
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DIFFICULT: Applying(Application) REF:N/AOBJ:1 it ti it ti ti ti
-6TOPIC:Communication and Documentation
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MSC:HealthPromotionand Maintenance it ti ti it
9. To best assure boththe qualityo fcare and the safetyo fthe older adult hospital client who requires in
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-home unlicensed assistive personal (UAP) assistance, the geriatric nursing attendant:
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a. evaluates the competencyo fthe UAP staff. it it ti ti it it
b. assumesthe roles ofcase manager and hospital client advocate. ti it it ti it it it it it
c. arranges for theneeded UAP provided services. it it ti it it it
d. assessesthehospital client forfunctionallimita ti ti it it ti ti
tions. ACCURATE ANSWER:-A ti it
Reasoning:-
>>>As more caretraditionallyprovided byprofessional nursing attendants is being transferred to UAP,nursing atten
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dant
must assume more responsibilityfor educating, training, and evaluating the competencyofUAPstaffto
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provide safe, effective care for the older adult hospital client. it it it it it it it it it
DIFFICULT: Applying (Application) REF: N/AOBJ: 1-2 it it it it ti it
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