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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 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 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

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PRIMARY CARE GERIATRICS

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PRIMARY CARE GERIATRICS

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Test Bank-Ham's Primary Care Geriatrics- A Case-Base
Approach 6th Edition -latest-2024-2025.

Chapteri1.iPrinciplesiofiPrimaryiCareiofiOlderiAdults

MULTIPLEiCHOICE
1. Ini2010,itheirevisediStandardsiandiScopeiofiGerontologicaliNursingiPracticeiwasipublished.
Theinurseiwouldiuseitheseistandardsito:
a. promoteitheipracticeiofigerontologicinursingiwithinitheiacuteicareisetting.
b. defineitheiconceptsiandidimensionsiofigerontologicinursingipractice.
c. elevateitheipracticeiofigerontologicinursing.
d. incorporateisuggestediinterventionsifromiothersiwhoipracticeigerontologicinursing
.iANS:iD
TheicurrentipublishingiofitheiStandardsiandiScopeiofiGerontologicaliNursingiPracticeiini2010
incorporatesitheiinputiofigerontologicinursesifromiacrossitheiUnitediStates.iItiwasinotiintende
ditoipromoteigerontologicinursingipracticeiwithiniacuteicareisettings,idefineiconceptsioridime
nsionsiofigerontologicinursingipractice,iorielevateitheipracticeiofigerontologicinursing.
DIF:iRememberingi(Knowledge)iREF:imsc:i2iOBJ:i1-
1iTOP:iN/AiMSC:iSafeiandiEffectiveiCareiEnvironmen
t
2. Wheniattemptingitoiminimizeitheieffectiofiageismionitheipracticeiofinursingiolderiadults,i
ainurseineedsitoifirst:
a. recognizeithatinursesimustiactiasiadvocatesiforiagingipatients.
b. acceptithatithisipopulationirepresentsiaisubstantialiportioniofithoseirequiringinursingicare.
c. self-reflectiandiformulateionesipersonaliviewiofiagingianditheiolderipatient.
d. recognizeiageismiasiaiformiofibigotryisharedibyimanyiAmerican
s.iANS:iC
Ageismiisianiever-increasingiprejudicialiviewiofitheieffectsiofitheiagingiprocessiandiofitheiolder
populationiasiaiwhole.iWithinursesibeingimembersiofiaisocietyiholdingisuchiviews,iitiisicritic
alithatitheiindividualinurseiself-
reflectionipersonalifeelingsiandidetermineiwhetherisuchifeelingsiwilliaffectitheinursingicareith
atiheiorisheiprovidesitoitheiagingipatient.iActingiasianiadvocateiisianiimportantinursingiroleiin
iallisettings.iSimplyiacceptingiaifactidoesinotihelpiendiageism,inoridoesirecognizingiageismia
siaiformiofibigotry.
DIF:iApplyingi(Application)iREF:iN/AiOBJ:i1-9
TOP:iTeaching-LearningiMSC:iSafeiandiEffectiveiCareiEnvironment
3. Whenidiscussingifactorsithatihaveihelpeditoiincreaseitheinumberiofihealthy,iindependentiolder
Americans,itheinurseiincludesitheiimportanceiof:
a. increasediavailabilityiofiin-homeicareiservices.
b. governmentisupportiofiretiredicitizens.

,c. effectiveiantibioticitherapies.
d. theidevelopmentiofilife-extendingitherapies.

,ANS:iC
TheihealthiandiultimateiautonomyiofiolderiAmericansihasibeenipositivelyiimpactedibyitheidev
elopmentiofiantibiotics,ibetterisanitation,iandivaccines.iTheseipublicihealthimeasuresihaveibee
nimoreiinstrumentaliiniincreasingitheinumbersiofihealthy,iindependentiolderiAmericansithaniha
veiin-homeicareiservices,igovernmentiprograms,iorilife-extendingitherapies.
DIF:iRememberingi(Knowledge)iREF:imsc:i2iOBJ:i3-3
TOP:iNursingiProcess:iImplementationiMSC:iHealthiPromotioniandiMaintenance
4. Basedionicurrentidata,iwhenipresentingianiolderiadultsidischargeiteachingiplan,itheinurs
eiincludesitheipatients:
a. nonrelatedicaretaker.
b. paidicaregiver.
c. familyimember.
d. intuitionalirepresentative.
iANS:iC
Lessithani4%iofiolderiadultsiliveiiniaiformalihealthicareienvironment.iTheimajorityiofithe
geriatricipopulationilivesiatihomeioriwithifamilyimembers
.iDIF:iApplyingi(Application)iREF:iN/AiOBJ:i3-3
TOP:iNursingiProcess:iPlanningiMSC:iSafeiandiEffectiveiCareiEnvironment
5. Theinurseiplanningicareiforianiolderiadultiwhoihasirecentlyibeenidiagnosediwithirheumatoi
diarthritisiviewsitheipriorityicriterioniforicontinuediindependenceitoibeitheipatients:
a. age.
b. financialistatus.
c. gender.
d. functionalistatus
.iANS:iD
Maintainingitheifunctionalistatusiofiolderiadultsimayiavertitheionsetiofiphysicalifrailtyiand
cognitiveiimpairment,itwoiconditionsithatiincreaseitheilikelihoodiofiinstitutionalization
.iDIF:iRememberingi(Knowledge)iREF:imsc:i8iOBJ:i1-6
TOP:iNursingiProcess:iPlanningiMSC:iPhysiologiciIntegrity
6. Ainurseiworkingiwithitheiolderiadultipopulationiisimostilikelyitoiassessiaineediforiaifinanci
alisocialiservicesireferraliforia(n):
a. whiteimale.
b. blackifemale.
c. Hispanicimale.
d. AsianiAmericanifemale
.iANS:iB
Theipovertyirateiamongiolderiblackiwomeniisisubstantiallyihigherithanithatiseeniamongimalesior
femalesiofiotheriethnicigroups.iWhiteimalesihaditheileastipoverty
.iDIF:iApplyingi(Application)iREF:iN/AiOBJ:i1-4
TOP:iNursingiProcess:iAssessmentiMSC:iSafeiandiEffectiveiCareiEnvironment

, 7. Whichiofitheifollowingistatementsimadeibyiainurseipreparingitoicompleteiaihealthiassessme
ntiandihistoryionianiolderipatientireflectsianiunderstandingiofitheigeneralihealthistatusiofithisip
opulation?
a. Illineeditoidocumentiwelliregardingitheimedicationsitheipatientiisicurrentlyiprescribed.
b. Iiwouldilikeitoiunderstandihowisupportiveitheipatientsifamilyimembersiare.
c. Mostiolderipatientsiareibeingitreatediforiaivarietyiofichronicihealthicareiissues.
d. Itiwillibeiinterestingitoiseeiwhetherithisipatientiseesiherselfiasibeingihealth
y.iANS:iD
Itiisiaimisconceptionithatioldiageiisisynonymousiwithidiseaseiandiillness.iTheinurseishould
alwaysidetermineitheipatientsisenseiofiwellnessiandiindependenceiwheniconductingiaihealthian
dihistoryiassessment.iAniassessmentiofimedicationiuseiandifamilyisupportiisiimportantiforianyi
patient.iManyiolderiadultsidoihaveichronicihealthiconditions,ibutitheiriperceptioniisimoreiimpor
tantithaniaisingleinumber.
DIF:iApplyingi(Application)iREF:iN/AiOBJ:i1-4
TOP:iNursingiProcess:iAssessmentiMSC:iHealthiPromotion
8. Theinurseiisicaringiforianiolderiadultiwhoihasibeeniadmitteditoianiacuteicareihospitaliforitre
atmentiofiaifracturedifemur.iTheifamilyiexpressesiconcerniaboutitheipatientsipendingitransferit
oiaisubacuteicareifacility.iWhatiresponseibyitheinurseiisibest?
a. Acuteicareifacilitiesilackitheilong-termiphysicalitherapyisupportiyouridadirequires.
b. Youridadiwillibeimuchihappieriiniaimoreiserene,iprivateienvironment.
c. Theisubacuteifacilityiwillifocusionihelpingiyouridadimaintainihisiindependence.
d. Insurance,iincludingiMedicare,iwillicoverionlyiailimitediamountiofitimeiher
e.iANS:iC
Theitransferiofitheipatientitoiaisubacuteifacilityiisibasedionitheineeditoimaintainitheipatients
leveliofifunctioniandiindependence,iaitaskitheiacuteicareifacilityiisinotiprepareditoiaddressionc
eitheipatientiisiphysiologicallyistable.iTheipatientimayiorimayinotibeihappieriinitheinewisetting
;itheinurseishouldinotimakeithisijudgment.iItiisitrueithatiinsuranceionlyipaysiforiailimitediamo
untiofitimeiinianiacuteicareifacility,ibutithisiisinotitheibestireasoniforitheipatientitoitransfer.
DIF:iApplyingi(Application)iREF:iN/AiOBJ:i1-
6iTOP:iCommunicationiandiDocumentation
MSC:iHealthiPromotioniandiMaintenance
9. Toibestiassureibothitheiqualityioficareianditheisafetyiofitheiolderiadultipatientiwhoirequiresii
n-ihomeiunlicensediassistiveipersonali(UAP)iassistance,itheigeriatricinurse:
a. evaluatesitheicompetencyiofitheiUAPistaff.
b. assumesitheirolesioficaseimanageriandipatientiadvocate.
c. arrangesiforitheineedediUAPiprovidediservices.
d. assessesitheipatientiforifunctionalilimitations
.iANS:iA
AsimoreicareitraditionallyiprovidedibyiprofessionalinursesiisibeingitransferreditoiUAP,itheinurse
mustiassumeimoreiresponsibilityiforieducating,itraining,iandievaluatingitheicompetencyiofiUA
Pistaffitoiprovideisafe,ieffectiveicareiforitheiolderiadultipatient.
DIF:iApplyingi(Application)iREF:iN/AiOBJ:i1-2

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Instelling: PRIMARY CARE GERIATRICS
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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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