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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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  • Ham\'s Primary Care Geriatrics

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 co...

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  • 4 de agosto de 2024
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Ham’s .primary .care .geriatrics . test .bank
.2023/29




NR .601 .Ham's .Primary .Care .Geriatrics .LATEST .TEST
BANK .2023(Questions&Answers)

,Ham’s .primary .care .geriatrics . test .bank
.2023/29
Principles .of .Primary .Care .of .Older .Adults


Chapter .1.
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.

RIGHT .ANSWER:
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 .Amerians.
RIGHT .ANSWER: .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 .answer, .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.
RIGHT .ANSWER: .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 . .

,Ham’s .primary .care .geriatrics . test .bank
thanhave .in-home .care .services, .government .programs, .or .life-extending .therapies. .DIF:
.2023/29
.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.
RIGHT .ANSWER: .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

, Ham’s .primary .care .geriatrics . test .bank
.2023/29
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..RIGHT
.ANSWER: .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..RIGHT .ANSWER:
.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. Ill .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.
RIGHT .ANSWER: .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
.trright.answerferto .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.
RIGHT .ANSWER: .C
The .trright .answerfer .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 .oncethe .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 .amountof .time .in .an .acute .care .facility, .but .this .is .not .the .best .reason .for

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