Test Bank For Ham's Primary Care Geriatrics: A Case-Based Approach 7Th Edition By Gregg A. Warshaw| Jane F. Potter| Verified Chapters 1-54| Newest Version

TEST BANK for HAM'S PRIMARY CARE GERIATRICS- A
n7 n7 n7 n7 n7 n7 n7




CASEBASED APPROACH 7TH EDITION /COMPLETE
n7 n
7 n7 n7 n7 n7




GUIDE
n7

, Chapter 1. Principles of Primary Care of Older Adults
n7 n7 n7 n7 n7 n7 n7 n7




MULTIPLE CHOICE n7


1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


published.The nurse would use these standards to:
n7 7
n n7 n7 n7 n7 n7 n7



a. promote the practice of gerontologic nursing within the acute care setting. n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



b. define the concepts and dimensions of gerontologic nursing practice.
n7 n7 n7 n7 n7 n7 n7 n7



c. elevate the practice of gerontologic nursing.
n7 n7 n7 n7 n7



d. incorporate suggested interventions from others who practice gerontologic n7 n7 n7 n7 n7 n7 n7



nursing.ACCURATE ANSWER:-D
n7 7
n n7


Reasoning:->>>The current publishing of the Standards and Scope of Gerontological Nursing Practice n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7

in 20
n7 n7


incorporates the input of gerontologic nursing attendants from across the United States. It
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


was not intended to promote gerontologic nursing practice within acute care settings, define
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


concepts ordimensions of gerontologic nursing practice, or elevate the practice of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


gerontologic nursing.
n7 n7


DIFFICULT: Remembering (Knowledge) REF: msc: 2 n7 n7 n7 n7 n7


OBJ: 1-1TOPIC:N/A MSC: Safe and Effective Care
n7 n7 7
n n7 n7 n7 n7 n7


Environment
n7


2. When attempting to minimize the effect of ageism on the practice of nursing older
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


adults, anursing attendant needs to first:
n7 n7 7
n n7 n7 n7 n7



a. recognize that nursing attendants must act as advocates for aging hospital clients. n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



b. accept that this population represents a substantial portion of those requiring nursing care.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



c. self-reflect and formulate ones personal view of aging and the older hospital client.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



d. recognize ageism as a form of bigotry shared by many n7 n7 n7 n7 n7 n7 n7 n7 n7



Americans.ACCURATE ANSWER:-C
n7 n7 n7


Reasoning:->>>Ageism is an ever-increasing prejudicial view of the effects of the aging process and of n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7

theolder
n7 7
n


population as a whole. With nursing attendants being members of a society holding such
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


views, it is critical that the individual nursing attendant self-reflect on personal feelings
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


and determine whether such feelings will affect the nursing care that he or she provides
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


to the aging hospital client. Acting as anadvocate is an important nursing role in all
n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7 n7 n7 n7 n7 n7


settings. Simply accepting a fact does not help end ageism, nor does recognizing ageism
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


as a form of bigotry.
n7 n7 n7 n7 n7


DIFFICULT: Applying (Application) REF: N/A OBJ: 1-9 n7 n7 n7 n7 n7 n7


TOPIC: Teaching-Learning MSC: Safe and Effective Care Environment
n7 n7 n7 n7 n7 n7 n7


3. When discussing factors that have helped to increase the number of healthy, independent
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


olderAmericans, the nursing attendant includes the importance of:
n7 7
n n7 n7 n7 n7 n7 n7 n7



a. increased availability of in-home care services. n7 n7 n7 n7 n7



b. government support of retired citizens. n7 n7 n7 n7



c. effective antibiotic therapies. n7 n7



d. the development of life-extending therapies.
n7 n7 n7 n7

,ACCURATE ANSWER:-C n7


Reasoning:->>>The health and ultimate autonomy of older Americans has been positively
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


impacted by the development of antibiotics, better sanitation, and vaccines. These public
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


healthmeasures have been more instrumental in increasing the numbers of healthy,
n7 7
n n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


independent olderAmericans than have in-home care services, government programs, or
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


life-extending therapies.DIFFICULT: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


TOPIC:Nursing Process: Implementation MSC: Health Promotion and Maintenance
n7 n7 n7 n7 n7 n7 n7


4. Based on current data, when presenting an older adults discharge teaching plan,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


thenursing attendant includes the hospital clients:
n7 7
n n7 n7 n7 n7 n7



a. nonrelated caretaker. n7



b. paid nursing attendant.
n7 n7



c. family member. n7



d. intuitional
representative.ACCURATE
n7 n7



ANSWER:-C
n7


Reasoning:->>>Less than 4% of older adults live in a formal health care environment. The majority of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7

the
n7


geriatric population lives at home or with family
n7 n7 n7 n7 n7 n7 n7


members.DIFFICULT: Applying (Application) REF: N/A
n7 7
n n7 n7 n7 n7


OBJ: 3-3
n7 n7


TOPIC:Nursing Process: Planning MSC: Safe and Effective Care Environment
n7 n7 n7 n7 n7 n7 n7 n7


5. The nursing attendant planning care for an older adult who has recently been
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


diagnosed with rheumatoid arthritis views the priority criterion for continued
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


independence to be the hospital clients:
n7 n7 n7 n7 n7 n7



a. age.
b. financial status. n7



c. gender.
d. functional
status.ACCURATE
n7 7
n



ANSWER:-D
n7


Reasoning:->>>Maintaining the functional status of older adults may avert the onset of physical frailty n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7

and
n7


cognitive impairment, two conditions that increase the likelihood of
n7 n7 n7 n7 n7 n7 n7 n7


institutionalization.DIFFICULT: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
n7 n7 n7 n7 n7 n7 n7 n7 n7


TOPIC: Nursing Process: Planning MSC: Physiologic Integrity
n7 n7 n7 n7 n7 n7


6. A nursing attendant working with the older adult population is most likely to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


assess a need for afinancial social services referral for a(n):
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



a. white male. n7



b. black female. n7



c. Hispanic male. n7



d. Asian American n7



female.ACCURATE ANSWER:-B
n7 7
n n7


Reasoning:->>>The poverty rate among older black women is substantially higher than that seen
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7

among maor
n7 n7 7
n


females of other ethnic groups. White males had the least
n7 n7 n7 n7 n7 n7 n7 n7 n7


poverty.DIFFICULT: Applying (Application) REF: N/A OBJ:
n7 7
n n7 n7 n7 n7 n7


1-4
n7


TOPIC:Nursing Process: Assessment MSC: Safe and Effective Care Environment
n7 n7 n7 n7 n7 n7 n7 n7

, 7. Which of the following statements made by a nursing attendant preparing to complete
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


a health assessment and history on an older hospital client reflects an understanding of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


the general health statusof this population?
n7 n7 n7 n7 n7 n7 n7



a. Ill need to document well regarding the medications the hospital client is currently
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


prescribed. n7



b. I would like to understand how supportive the hospital clients family members are.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



c. Most older hospital clients are being treated for a variety of chronic health care issues.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



d. It will be interesting to see whether this hospital client sees herself as
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



being healthy.ACCURATE ANSWER:-D
n7 n7 n7 n7


Reasoning:->>>It is a misconception that old age is synonymous with illness and illness. The nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7

attendant sho
n7 n7


always determine the hospital clients sense of wellness and independence when conducting a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


health andhistory assessment. An assessment of medication use and family support is
n7 n7 7
n n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


important for any hospital client. Many older adults do have chronic health conditions, but
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


their perception is more important than a single number.
n7 n7 n7 n7 n7 n7 n7 n7 n7


DIFFICULT: Applying (Application) REF: N/A OBJ: 1-4 n7 n7 n7 n7 n7 n7


TOPIC:Nursing Process: Assessment MSC: Health Promotion n7 n7 n7 n7 n7


8. The nursing attendant is caring for an older adult who has been admitted to an
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


acute care healthcenter for treatment of a fractured femur. The family expresses
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


concern about the hospital clients pending transfer to a subacute supported care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


facility. What response by the nursing attendant is best?
n7 n7 n7 n7 n7 n7 n7 n7 n7



a. Acute care facilities lack the long-term physical therapy support your dad requires.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



b. Your dad will be much happier in a more serene, private environment.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



c. The subacute facility will focus on helping your dad maintain his independence.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



d. Insurance, including Medicare, will cover only a limited amount of time n7 n7 n7 n7 n7 n7 n7 n7 n7 n7



here.ACCURATE ANSWER:-C
n7 7
n n7


Reasoning:->>>The transfer of the hospital client to a subacute facility is based on the need to n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7

maintain the hospital clients
n7 n7 n7 n7


level of function and independence, a task the acute supported care facility is not
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


prepared to address once the hospital client is physiologically stable. The hospital client
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


may or may not be happier in the new setting; thenursing attendant should not make this
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7 n7 n7 n7


judgment. It is true that insurance only pays for a limited amount of time in an acute
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7 n7 n7


supported care facility, but this is not the best reason for the hospital client to transfer.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


DIFFICULT: Applying (Application) REF: N/A n7 n7 n7 n7


OBJ: 1-6TOPIC:Communication and
n7 n7 7
n n7


Documentation
n7


MSC: Health Promotion and Maintenance
n7 n7 n7 n7


9. To best assure both the quality of care and the safety of the older adult hospital client
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


who requires in-home unlicensed assistive personal (UAP) assistance, the geriatric nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


attendant:
n7



a. evaluates the competency of the UAP staff. n7 n7 n7 n7 n7 n7



b. assumes the roles of case manager and hospital client advocate.
n7 n7 n7 n7 n7 n7 n7 n7 n7



c. arranges for the needed UAP provided services. n7 n7 n7 n7 n7 n7



d. assesses the hospital client for functional n7 n7 n7 n7 n7



limitations.ACCURATE ANSWER:-A
n7 n7 n7


Reasoning:->>>As more care traditionally provided by professional nursing attendants is being transferre
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7

to UAP,nursing attendant
n7 n7 7
n n7


must assume more responsibility for educating, training, and evaluating the competency of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


UAPstaff to provide safe, effective care for the older adult hospital client.
n7 7
n n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7