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TEST BANK FOR HAM’S PRIMARY CARE GERIATRICS: A CASE-BASED APPROACH 7TH EDITION BY RICHARD J. HAM :ISBN10; /ISBN-13; 978-0323721684 $22.99
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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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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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  • November 1, 2024
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  • PRIMARY CARE GERIATRICS
  • PRIMARY CARE GERIATRICS
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Nursestar1
, Test Bank-Ham's Primary Care Geriatrics- r r r r




ACase-Based Approach 7th Edition Latest
r r r r r r




2024
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Chapter 1. Principles ofPrimaryCare ofOlder Adults
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MULTIPLE CHOICE gg


1. In2010, the revised Standards and Scope of Gerontological Nursing Practice
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was published. The nurse would use these standards to:
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a. promotethe practice ofgerontologic nursing within the acute care setting. gg gg gg gg gg u gg gg



b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevatethepractice ofgerontologic nursing. gg gg



d. incorporatesuggested interventions fromothers who practice gerontologic nursing. gg gg u gg r gg



ANS: D
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Thecurrent publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
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incorporatesthe input ofgerontologic nurses from acrossthe United States. It was not intended to
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promote gerontologic nursing practice within acute care settings, define concepts or
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dimensions of gerontologic nursing practice, or elevate the practice of gerontologic
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nursing. DIF: Remembering(Knowledge) REF: msc: 2 OBJ: 1-1
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TOP: N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect ofageism on the practice o fnursing older adults, a
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nurse needs to first:
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a. recognize that nurses must act as advocates for aging patients. gg u gg gg ru gg gg r gg



b. accept that this population represents a substantial portion ofthose requiring nursing care.
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c. self-reflect and formulate ones personal view ofaging and the o lder patient.
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d. recognize ageismas a formof bigotryshared bymany Americans. gg u u r gg gg



ANS: C
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Ageism is an ever-increasing prejudicial view ofthe effects ofthe aging process and ofthe older
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population as a whole. With nurses being members ofa societyholding such views, it is critical that
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the individual nurse self-reflect on personal feelings and determine whether such feelings
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will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
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important nursing role in all settings. Simply accepting a fact does not help end
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ageism, nor does recognizing ageism as a form of bigotry.
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DIF: Applying (Application) REF: N/AOBJ: 1-9
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TOP:Teaching-Learning MSC: Safeand Effective Care Environment gg gg gg gg gg


3. When discussing factorsthat have helped to increase the number ofhealthy, independent
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olderAmericans, the nurse includes the importance of:
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a. increasedavailabilityofin-homecareservices.
b. government support ofretired citizens. gg gg gg



c. effectiveantibiotic therapies. gg



d. thedevelopment of life-extendingtherapies. gg gg

,ANS: C gg


The health and ultimate autonomy of older Americans has been positively impacted by
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the development of antibiotics, better sanitation, and vaccines. These public health measures
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havebeen more instrumentalin increasingthe numbers ofhealthy, independent older
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Americans thanhave in-home care services, government programs, or life-extending therapies.
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DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
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TOP:Nursing Process: Implementation MSC: HealthPromotionand Maintenance
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4. Based on current data, whenpresenting anolder adultsdischarge teaching plan, the nurse
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includes the patients:
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a. nonrelatedcaretaker.
b. paidcaregiver.
c. familymember.
d. intuitional g



representative.ANS: C gg


Less than 4% ofolder adults live in a formal health care environment. The majorityofthe
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geriatricpopulationlivesat homeorwith familymembers.DIF: gg gg


Applying (Application) REF: N/AOBJ: 3-3 gg gg gg gg


TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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5. Thenurseplanningcare foran olderadult who has recently beendiagnosed with rheumatoid g gg gg gg u r u gg u


arthritis views the priority criterion for continued independence to be the patients:
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a. age.
b. financialstatus.
c. gender.
d. functionalstatus. r



ANS: D
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Maintaining the functional status ofolder adults mayavert theonset ofphysical frailtyand
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cognitive impairment, two conditionsthat increase the likelihoodofinstitutionalization.
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DIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
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TOP: Nursing Process: Planning MSC: Physiologic Integrity
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6. A nurse working with the older adult population is most likelyto assess a need for a
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financial social services referral for a(n):
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a. whitemale.
b. black female. gu



c. Hispanic male. u



d. Asian American female. u gg



ggANS: B gg


Thepovertyrate among older black women is substantiallyhigher than that seen among males or
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femalesofotherethnic groups. White males hadthe least gg gg gg gg gg


ggpoverty.DIF: Applying (Application) REF: N/AOBJ: gg gg gg gg


1-4
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TOP: NursingProcess: Assessment MSC: Safeand Effective CareEnvironment
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, 7. Which ofthe followingstatementsmade bya nurse preparing to completea health
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assessmentand history on an older patient reflects an understanding of the general health
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statusof this population?
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a. Illneed todocument well regardingthe medications the patient is currentlyprescribed. gg gg gg gg gg gg gg gg



b. I would like to understand how supportive the patients familymembers are.
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c. Most olderpatients are being treated fora varietyof chronic healthcare issues.
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d. It will be interesting to see whether this patient sees herself as being
gg gg gg gg gg gg gg gg gg gg gg gg



gghealthy.ANS: D g gg


It is a misconceptionthat old age is synonymous with disease and illness. The nurse should
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always determine the patients sense o fwellness and independence when conducting a health and
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gghistory assessment. An assessment of medication use and family support is important for any
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ggpatient. Manyolder adults do have chronic health conditions, but their perception is more
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ggimportant than a single number. gg gg gg gg


DIF: Applying (Application) REF: N/AOBJ: 1-4
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TOP: NursingProcess: Assessment MSC: HealthPromotion
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8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
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ggtreatment ofa fractured femur. The familyexpresses concernabout the patients
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pending transfer to a subacute care facility. What response by the nurse is best?
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a. Acutecare facilities lack the long-term physical therapy support your dad requires. gg gg gg gg r u gg gg u gg



b. Your dad will be much happier in a more serene, private environment.
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c. The subacute facilitywill focus on helping your dad maintain his independence.
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d. Insurance, including Medicare, willcover onlya limitedamount oftime here. gg gg g u u gg gg



ggANS: C gg


Thetransfer ofthe patient to a subacute facility is based on the need to maintain the patients
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level of function and independence, a task the acute care facility is not prepared to address once
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ggthe patient is physiologically stable. The patient mayor may not be happier in the new setting;
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the nurse should not make this judgment. It is true that insurance only pays for a limited amount
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of time in an acute care facility, but this is not the best reason for the patient to transfer.
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DIF: Applying(Application)REF: N/AOBJ:1-6
g g u g


TOP: Communication and Documentation
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MSC: HealthPromotion and Maintenance
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9. To best assure boththe quality of care and the safety ofthe older adult patient who requires
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in- home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
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a. evaluates the competencyofthe UAP staff. u gg gg gg



b. assumes the roles of case manager and patient advocate.
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c. arranges forthe needed UAPprovided services. gg gg gg gg



d. assesses thepatientforfunctionallimitations. u g



ANS: A
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Asmore caretraditionallyprovided byprofessional nurses is beingtransferred to UAP, the nurse
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must assume moreresponsibilityforeducating, training, and evaluating the competencyof
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UAPstaff to provide safe, effective care for the older adult patient.
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DIF: Applying (Application) REF: N/AOBJ: 1-2
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