TEST BANK FOR HAM'S
PRIMARY CARE
GERIATRICS: A CASE-
BASED APPROACH, 8TH
EDITION BY ELLEN
FLAHERTY , MATTHEW K.
MCNABNEY| ALL
CHAPTERS| LATEST
Unit One: Principles and Practice
Chapter 1: Principles of Primary Care of Older Adults
1. A nurse is reviewing the revised Standards and Scope of Gerontological Nursing
Practice published in 2010. The primary purpose of these standards is to:
A. Promote gerontologic nursing practice exclusively within acute care settings
B. Elevate the practice of gerontologic nursing by defining its scope and standards
C. Restrict gerontologic nursing practice to long-term care facilities
D. Replace state nurse practice acts for geriatric nurses
,Rationale: The 2010 revised Standards and Scope of Gerontological Nursing Practice
was published to define the scope and standards of gerontologic nursing, elevating the
practice and providing a framework for care delivery across all settings .
2. When attempting to minimize the effect of ageism on nursing practice, the
nurse must FIRST:
A. Recognize that nurses must act as advocates for aging patients
B. Accept that older adults represent a substantial portion of patients requiring care
C. Self-reflect and formulate one's personal view of aging and the older patient
D. Recognize ageism as a form of bigotry shared by many Americans
Rationale: Ageism is a prejudicial view of aging and older adults. Because nurses are
members of a society that holds such views, it is critical for the individual nurse to self-
reflect on personal feelings and determine whether those feelings affect the nursing
care provided .
3. Which factors have most significantly increased the number of healthy,
independent older Americans?
A. Increased availability of in-home care services
B. Government support of retired citizens
C. Effective antibiotic therapies, better sanitation, and vaccines
D. Development of life-extending therapies
Rationale: The health and autonomy of older Americans has been positively impacted
by public health measures including antibiotics, better sanitation, and vaccines more
than by in-home care services, government programs, or life-extending therapies .
4. A nurse is presenting a discharge teaching plan for an older adult. Based on
current data, the nurse should include the patient's:
A. Nonrelated caretaker
B. Paid caregiver
C. Family member
D. Institutional representative
Rationale: 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, making family
involvement in discharge planning essential .
5. For an older adult newly diagnosed with rheumatoid arthritis, the priority
criterion for continued independence is the patient's:
,A. Age
B. Financial status
C. Gender
D. Functional status
Rationale: Maintaining functional status may avert physical frailty and cognitive
impairment, two conditions that increase the likelihood of institutionalization. Functional
status is the key criterion for independence .
6. A nurse working with older adults is most likely to assess a need for financial
social services referral for a:
A. White male
B. Black female
C. Hispanic male
D. Asian American female
Rationale: The poverty rate among older Black women is substantially higher than
among males or females of other ethnic groups. White males have the least poverty.
This disparity reflects historical and systemic factors affecting economic security in later
life .
7. According to geriatric primary care principles, the "oldest old" population (age
85+) is significant because:
A. They have fewer chronic conditions than younger older adults
B. They have higher rates of functional decline, cognitive impairment, and multiple
chronic conditions
C. They require less healthcare resource utilization
D. They represent a declining proportion of the older adult population
Rationale: The oldest old (age 85+) is the fastest-growing segment of the elderly
population. This group has unique healthcare needs including higher rates of functional
decline, cognitive impairment, and multiple chronic conditions, making geriatric primary
care planning essential .
8. The concept of "compression of morbidity" refers to:
A. Increasing the number of years lived with disability
B. Delaying the onset of chronic disease and disability to near the end of life
C. Shortening overall life expectancy
D. Compressing all illnesses into a shorter time period
, Rationale: Compression of morbidity is a public health goal that involves delaying the
onset of chronic disease and disability closer to the end of life, thereby reducing the
total years of disability experienced by older adults .
9. The dependency ratio is defined as the ratio of:
A. Working-age adults to elderly dependents
B. Dependents (ages 0-14 and 65+) to the working-age population (15-64)
C. Children to elderly individuals
D. Healthcare providers to patients
Rationale: The dependency ratio reflects the number of dependents for every 100
working-age individuals. In geriatrics, the elderly dependency ratio has significant
implications for healthcare systems and social support programs .
10. Heart disease remains the leading cause of death in adults aged 65 and older.
Which of the following ranks second?
A. Stroke
B. Cancer
C. Alzheimer's disease
D. Chronic lower respiratory diseases
Rationale: Heart disease is the leading cause of death among older adults, followed by
cancer, stroke, and chronic lower respiratory diseases. Alzheimer's disease ranks fifth but
is increasing in prevalence .
Chapter 2: Interprofessional Team Care
11. In the interprofessional team care model, the primary care provider's role is
best described as:
A. Sole decision-maker for all patient care
B. Coordinator who integrates input from multiple disciplines to develop a
comprehensive care plan
C. Consultant who only addresses medical issues
D. Supervisor who directs all team activities
Rationale: In effective interprofessional team care, the primary care provider
coordinates and integrates input from various disciplines (nursing, pharmacy, social
work, rehabilitation, etc.) to create a comprehensive, patient-centered care plan .
PRIMARY CARE
GERIATRICS: A CASE-
BASED APPROACH, 8TH
EDITION BY ELLEN
FLAHERTY , MATTHEW K.
MCNABNEY| ALL
CHAPTERS| LATEST
Unit One: Principles and Practice
Chapter 1: Principles of Primary Care of Older Adults
1. A nurse is reviewing the revised Standards and Scope of Gerontological Nursing
Practice published in 2010. The primary purpose of these standards is to:
A. Promote gerontologic nursing practice exclusively within acute care settings
B. Elevate the practice of gerontologic nursing by defining its scope and standards
C. Restrict gerontologic nursing practice to long-term care facilities
D. Replace state nurse practice acts for geriatric nurses
,Rationale: The 2010 revised Standards and Scope of Gerontological Nursing Practice
was published to define the scope and standards of gerontologic nursing, elevating the
practice and providing a framework for care delivery across all settings .
2. When attempting to minimize the effect of ageism on nursing practice, the
nurse must FIRST:
A. Recognize that nurses must act as advocates for aging patients
B. Accept that older adults represent a substantial portion of patients requiring care
C. Self-reflect and formulate one's personal view of aging and the older patient
D. Recognize ageism as a form of bigotry shared by many Americans
Rationale: Ageism is a prejudicial view of aging and older adults. Because nurses are
members of a society that holds such views, it is critical for the individual nurse to self-
reflect on personal feelings and determine whether those feelings affect the nursing
care provided .
3. Which factors have most significantly increased the number of healthy,
independent older Americans?
A. Increased availability of in-home care services
B. Government support of retired citizens
C. Effective antibiotic therapies, better sanitation, and vaccines
D. Development of life-extending therapies
Rationale: The health and autonomy of older Americans has been positively impacted
by public health measures including antibiotics, better sanitation, and vaccines more
than by in-home care services, government programs, or life-extending therapies .
4. A nurse is presenting a discharge teaching plan for an older adult. Based on
current data, the nurse should include the patient's:
A. Nonrelated caretaker
B. Paid caregiver
C. Family member
D. Institutional representative
Rationale: 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, making family
involvement in discharge planning essential .
5. For an older adult newly diagnosed with rheumatoid arthritis, the priority
criterion for continued independence is the patient's:
,A. Age
B. Financial status
C. Gender
D. Functional status
Rationale: Maintaining functional status may avert physical frailty and cognitive
impairment, two conditions that increase the likelihood of institutionalization. Functional
status is the key criterion for independence .
6. A nurse working with older adults is most likely to assess a need for financial
social services referral for a:
A. White male
B. Black female
C. Hispanic male
D. Asian American female
Rationale: The poverty rate among older Black women is substantially higher than
among males or females of other ethnic groups. White males have the least poverty.
This disparity reflects historical and systemic factors affecting economic security in later
life .
7. According to geriatric primary care principles, the "oldest old" population (age
85+) is significant because:
A. They have fewer chronic conditions than younger older adults
B. They have higher rates of functional decline, cognitive impairment, and multiple
chronic conditions
C. They require less healthcare resource utilization
D. They represent a declining proportion of the older adult population
Rationale: The oldest old (age 85+) is the fastest-growing segment of the elderly
population. This group has unique healthcare needs including higher rates of functional
decline, cognitive impairment, and multiple chronic conditions, making geriatric primary
care planning essential .
8. The concept of "compression of morbidity" refers to:
A. Increasing the number of years lived with disability
B. Delaying the onset of chronic disease and disability to near the end of life
C. Shortening overall life expectancy
D. Compressing all illnesses into a shorter time period
, Rationale: Compression of morbidity is a public health goal that involves delaying the
onset of chronic disease and disability closer to the end of life, thereby reducing the
total years of disability experienced by older adults .
9. The dependency ratio is defined as the ratio of:
A. Working-age adults to elderly dependents
B. Dependents (ages 0-14 and 65+) to the working-age population (15-64)
C. Children to elderly individuals
D. Healthcare providers to patients
Rationale: The dependency ratio reflects the number of dependents for every 100
working-age individuals. In geriatrics, the elderly dependency ratio has significant
implications for healthcare systems and social support programs .
10. Heart disease remains the leading cause of death in adults aged 65 and older.
Which of the following ranks second?
A. Stroke
B. Cancer
C. Alzheimer's disease
D. Chronic lower respiratory diseases
Rationale: Heart disease is the leading cause of death among older adults, followed by
cancer, stroke, and chronic lower respiratory diseases. Alzheimer's disease ranks fifth but
is increasing in prevalence .
Chapter 2: Interprofessional Team Care
11. In the interprofessional team care model, the primary care provider's role is
best described as:
A. Sole decision-maker for all patient care
B. Coordinator who integrates input from multiple disciplines to develop a
comprehensive care plan
C. Consultant who only addresses medical issues
D. Supervisor who directs all team activities
Rationale: In effective interprofessional team care, the primary care provider
coordinates and integrates input from various disciplines (nursing, pharmacy, social
work, rehabilitation, etc.) to create a comprehensive, patient-centered care plan .
