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,Chapter 1 Seeing Older Adults Through the Eyes of Wellness
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The nurse would use these standards to: J J
a. promotethe practice of gerontologic nursing within the acute care setting.
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b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice ofgerontologic nursing.
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d. incorporatesuggested interventions fromotherswho practice gerontologic J J J J J J J J
nursing.
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The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
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incorporates the input of gerontologic nurses from across the United States. It was not intended to
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promote gerontologic nursing practice within acute care settings, define concepts or dimensions of
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gerontologic nursing practice, or elevate the practice of gerontologic nursing.
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DIF:Remembering(Knowledge) REF:MCS:2 OBJ:1-1 TOP:
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N/A MSC: Safe and Effective Care Environment
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2. The nurse planning care for an older adult who has recentlybeen diagnosed with rheumatoid
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arthritis views the priority criterion for continued independence to be the patients:
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a. age.
b. financial status. J
c. gender.
d. functional status. J
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Maintainingthe functional status ofolder adults may avert the onset ofphysical frailty and cognitive
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impairment, two conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-6
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,TOP:Nursing Process: Planning MSC: Physiologic Integrity
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3. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse
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needs to first: J J
a. recognize that nurses must act as advocates for aging patients. J J J J J J J J J
b. accept that this population represents a substantial portion ofthose requiring
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nursing care. J
c. self-reflect and formulate ones personal view ofaging and the older patient. J J J J J J J J J J J
d. recognize ageism as a form ofbigotry shared bymany Americans. J J J J J J J J J J
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Ageism is an ever-increasing prejudicial view ofthe effects ofthe agingprocess and of the older
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population as a whole. With nurses being members of a society holding such views, it is critical that
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the individual nurse self-reflect on personal feelings and determine whether such feelings will affect
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the nursing care that he or she provides to the aging patient. Acting as an advocate is an important
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nursing role in all settings. Simply accepting a fact does not help end ageism, nor does recognizing
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ageism as a form of bigotry.
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DIF: Applying (Application) REF: N/A OBJ: 1-9
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TOP:Teaching-Learning MSC:Safe and Effective Care Environment
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4. When discussing factors that have helpedto increase the number ofhealthy, independent older
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Americans, the nurse includes the importance of: J J J J J J
a. increased availabilityof in-home care services. J J J J J
b. government support ofretired citizens. J J J J
c. effective antibiotic therapies. J J
d. the development of life-extending therapies.
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The health and ultimate autonomy of older Americans has been positively impacted by the
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development of antibiotics, better sanitation, and vaccines. These public health measures have been
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more instrumentalin increasing the numbers of healthy, independent older Americans than have in-
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home care services, government programs, or life-extending therapies.
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, DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
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TOP:Nursing Process: Implementation MSC: Health Promotion and Maintenance
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5. Based on current data, when presenting an older adults discharge teaching plan, the nurse
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includes the patients: J J
a. nonrelated caretaker. J
b. paid caregiver. J
c. familymember. J
d. intuitionalrepresentative. J
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Less than 4% of older adults live in a formal health care environment. The majorityof the geriatric
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population lives at home or with family members.
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DIF: Applying (Application) REF: N/A OBJ: 3-3
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TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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6. A nurse working with the older adult population is most likelyto assess a need for a financial social
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services referral for a(n):
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a. white male. J
b. black female. J
c. Hispanic male. J