Exam (elaborations)

Test Bank Ham's Primary Care Geriatrics A Case-Based Approach 6th Edition

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Chamberlain College Of Nursing

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Test Bank Ham's Primary Care Geriatrics A Case-Based Approach 6th Edition
Table of Contents
Chapter 1. Principles of Primary Care of Older Adults .......................................................................................
Chapter 2. Interprofessional Team Care............................................................................................................
Chapter 3. Assessment .....................................................................................................................................
Chapter 4. Wellness and Prevention .................................................................................................................
Chapter 5. Advanced Cultural Competency in Caring for Geriatric Patients .......................................................
Chapter 6. Appropriate Prescribing ...................................................................................................................
Chapter 7. Ethics ...............................................................................................................................................
Chapter 8. Financing and Organization of Health Care......................................................................................
Chapter 9. Billing and Coding ............................................................................................................................
Chapter 10. Hospital Care .................................................................................................................................
Chapter 11. Long-Term Care ............................................................................................................................
Chapter 12. Home Care ....................................................................................................................................
Chapter 13. Rehabilitation .................................................................................................................................
Chapter 14. Palliative Care ............................................................................................................................... 1
Chapter 15. Emergency Care ........................................................................................................................... 1
Chapter 16. Delirium ........................................................................................................................................ 1
Chapter 17. Alzheimer’s Disease and Other Dementias ................................................................................... 1
Chapter 18. Depression ................................................................................................................................... 1
Chapter 19. Balance, Gait and Mobility ............................................................................................................ 1
Chapter 20. Falls .............................................................................................................................................. 1
Chapter 21. Dizziness ...................................................................................................................................... 1
Chapter 22. Syncope........................................................................................................................................ 1
Chapter 23. Urinary Incontinence ..................................................................................................................... 1
Chapter 24. Constipation and Fecal Incontinence ............................................................................................ 1
Chapter 25. Hearing Impairment ...................................................................................................................... 1
Chapter 26. Visual Impairment and Eye Problems ........................................................................................... 1
Chapter 27. Persistent Pain .............................................................................................................................. 1
Chapter 28. Malnutrition and Feeding Problems ............................................................................................... 2
Chapter 29. Frailty ............................................................................................................................................ 2
Chapter 30. Pressure Ulcers ............................................................................................................................ 2
Chapter 31. Sleep Disorders ............................................................................................................................ 2
Chapter 32. Sexual Health ............................................................................................................................... 2
Chapter 33. Mistreatment and Neglect ............................................................................................................. 2
Chapter 34. Alcoholism .................................................................................................................................... 2
Chapter 35. Driving .......................................................................................................................................... 2
Chapter 36. Hypertension................................................................................................................................. 2
Chapter 37. Coronary Artery Disease and Atrial Fibrillation .............................................................................. 2

1|Page

,Chapter 38. Congestive Heart Failure .............................................................................................................. 2
Chapter 39. Peripheral Vascular Disease ......................................................................................................... 2
Chapter 40. Transient Ischemic Attacks and Stroke ......................................................................................... 3
Chapter 41. Diabetes Mellitus .......................................................................................................................... 3
Chapter 42. Thyroid Disorders .......................................................................................................................... 3
Chapter 43. Osteoporosis ................................................................................................................................. 3
Chapter 44. Arthritis and Related Disorders...................................................................................................... 3
Chapter 45. Foot Problems .............................................................................................................................. 3
Chapter 46. Cancer .......................................................................................................................................... 3
Chapter 47. Anemia.......................................................................................................................................... 3
Chapter 48. Pulmonary Disease ....................................................................................................................... 3
Chapter 49. Infectious Diseases ....................................................................................................................... 4
Chapter 50. The Acute Abdomen ..................................................................................................................... 4
Chapter 51. Benign Prostate Disease ............................................................................................................... 4
Chapter 52. Parkinson’s Disease ..................................................................................................................... 4
Chapter 53. Oral Disorders............................................................................................................................... 4
Chapter 54. Skin Problems............................................................................................................................... 4

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, 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.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 intendedto
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: 1-1TOP: N/A MSC: Safe and Effective Care
Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
anurse 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 th
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 nursin
role in all settings. Simply accepting a fact does not help end ageism, nor does recognizing ageism as
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
olderAmericans, 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 developme
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 ca
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, 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
nurseincludes 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

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
rheumatoidarthritis 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/
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
assessmentand history on an older patient reflects an understanding of the general health
status of this population?

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Test Bank Ham's Primary Care Geriatrics A Case-Based Approach 6th Edition

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