Nursing for Wellness in Older Adults 9th Edition by Miller Test Bank Nursing Questions and Answers Study Guide for Gerontological Nursing Older Adult Care and Exam Preparation

TES BANK
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,Chapter 1 Seeing Older Adults Through the Eyes of Wellness
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1. In 2010, the revised Standards and Scopeof Gerontological Nursing Practice was published. The
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nurse would use these standards to:
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a. promote the practice of gerontologic nursing within the acute care setting. JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. JY1 JY1 JY1 JY1 JY1




d. incorporatesuggested interventionsfrom others who practice gerontologic JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




nursing.


ANS: D JY1




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
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dimensions of 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 recently been 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. JY1




c. gender.
d. functional status. JY1




ANS: D JY1




Maintainingthe functional status of older adults may avert the onset of physical 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
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nurse needs to first: JY1 JY1 JY1




a. recognize that nurses must act as advocates for aging patients. JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




b. accept that this population represents a substantial portion of those requiring
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nursing care. JY1




c. self-reflect and formulate ones personal view of aging and the older patient. JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




d. recognize ageism as a form of bigotry shared by many Americans. JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




ANS: C JY1




Ageism is an ever-increasing prejudicial view of the effects of the aging process 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
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that 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
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an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
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does recognizing 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 helped to increase the number of healthy, independent older
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Americans, the nurse includes the importance of: JY1 JY1 JY1 JY1 JY1 JY1




a. increased availability of in-home care services. JY1 JY1 JY1 JY1 JY1




b. government support of retired citizens. JY1 JY1 JY1 JY1




c. effective antibiotic therapies. JY1 JY1




d. the development of life-extending therapies.
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ANS: C JY1




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
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been more instrumental in increasing the numbers of healthy, independent older Americans than
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have in-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: JY1 JY1




a. nonrelated caretaker. JY1




b. paid caregiver. JY1




c. familymember. JY1




d. intuitional representative. JY1




ANS: C JY1




Less than 4% of older adults live in a formal health care environment. The majority of the geriatric
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population lives at home or with family members. JY1 JY1 JY1 JY1 JY1 JY1 JY1




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
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social services referral for a(n):
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a. white male. JY1




b. black female. JY1




c. Hispanic male. JY1