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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; A+GRADED

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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 7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an older patient reflects an understanding of the general health status of this population? a. Ill need to document well regarding the medications the patient is currently prescribed. b. I would like to understand how supportive the patients family members are. c. Most older patients are being treated for a variety of chronic health care issues. d. It will be interesting to see whether this patient sees herself as being healthy. ANS: D It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patients sense of wellness and independence when conducting a health and history assessment. An assessment of medication use and family support is important for any patient. Many older adults do have chronic health conditions, but their perception is more important than a single number. DIF: Applying (Application) REF: N/A OBJ: 1-4 TOP: Nursing Process: Assessment MSC: Health Promotion 8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur. The family expresses concern about the patients pending transfer to a subacute care facility. What response by the nurse is best? a. Acute care facilities lack the long-term physical therapy support your dad requires. b. Your dad will be much happier in a more serene, private environment. c. The subacute facility will focus on helping your dad maintain his independence. d. Insurance, including Medicare, will cover only a limited amount of time here. ANS: C The transfer of the patient to a subacute facility is based on the need to maintain the patients level of function and independence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The patient may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance only pays for a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfer. DIF: Applying (Application) REF: N/A OBJ: 1-6 TOP: Communication and Documentation MSC: Health Promotion and Maintenance 9. To best assure both the quality of care and the safety of the older adult patient who requires inhome unlicensed assistive personal (UAP) assistance, the geriatric nurse: a. evaluates the competency of the UAP staff. b. assumes the roles of case manager and patient advocate. c. arranges for the needed UAP provided services. d. assesses the patient for functional limitations. ANS: A As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more responsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the older adult patient. DIF: Applying (Application) REF: N/A OBJ: 1-

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TEST BANK FOR HAM’S PRIMARY CARE
GERIATRICS: A CASE-BASED APPROACH 7TH
EDITION BY RICHARD J. HAM
:ISBN 10;0323721680/ISBN-13;978-0323721684
GRADED A +

,ChapterV1.VPrinciplesVofVPrimaryVCareVofVOlderVAdults

MULTIPLEVCHOICE
1. InV2010,VtheVrevisedVStandardsVandVScopeVofVGerontologicalVNursingVPracticeVwasVpublished
.VTheVnurseVwouldVuseVtheseVstandardsVto:
a. promoteVtheVpracticeVofVgerontologicVnursingVwithinVtheVacuteVcareVsetting.
b. defineVtheVconceptsVandVdimensionsVofVgerontologicVnursingVpractice.
c. elevateVtheVpracticeVofVgerontologicVnursing.
d. incorporateVsuggestedVinterventionsVfromVothersVwhoVpracticeVgerontologicVnursin
g.VANS:VD
TheVcurrentVpublishingVofVtheVStandardsVandVScopeVofVGerontologicalVNursingVPracticeVinV2010
incorporatesVtheVinputVofVgerontologicVnursesVfromVacrossVtheVUnitedVStates.V ItVwasVnotVintend
edVtoVpromoteVgerontologicVnursingVpracticeVwithinVacuteVcareVsettings,VdefineVconceptsVorVdim
ensionsVofVgerontologicVnursingVpractice,VorVelevateVtheVpracticeVofVgerontologicVnursing.
DIF:VRememberingV(Knowledge)VREF:Vmsc:V2VOBJ:V1-
1VTOP:VN/AVMSC:VSafeVandVEffectiveVCareVEnvironme
nt
2. WhenVattemptingVtoVminimizeVtheVeffectVofVageismVonVtheVpracticeVofVnursingVolderVadults,
VaVnurseVneedsVtoVfirst:
a. recognizeVthatVnursesVmustVactVasVadvocatesVforVagingVpatients.
b. acceptVthatVthisVpopulationVrepresentsVaVsubstantialVportionVofVthoseVrequiringVnursingVcare.
c. self-reflectVandVformulateVonesVpersonalVviewVofVagingVandVtheVolderVpatient.
d. recognizeVageismVasVaVformVofVbigotryVsharedVbyVmanyVAmerican
s.VANS:VC
AgeismVisVanVever-increasingVprejudicialVviewVofVtheVeffectsVofVtheVagingVprocessVandVofVtheVolder
populationVasVaVwhole.VWithVnursesVbeingVmembersVofVaVsocietyVholdingVsuchVviews,VitVisVcriti
calVthatVtheVindividualVnurseVself-
reflectVonVpersonalVfeelingsVandVdetermineVwhetherVsuchVfeelingsVwillVaffectVtheVnursingVcareVt
hatVheVorVsheVprovidesVtoVtheVagingVpatient.VActingVasVanVadvocateVisVanVimportantVnursingVroleV
inVallVsettings.VSimplyVacceptingVaVfactVdoesVnotVhelpVendVageism,VnorVdoesVrecognizingVageis
mVasVaVformVofVbigotry.
DIF:VApplyingV(Application)VREF:VN/AVOBJ:V1-9
TOP:VTeaching-LearningVMSC:VSafeVandVEffectiveVCareVEnvironment
3. WhenVdiscussingVfactorsVthatVhaveVhelpedVtoVincreaseVtheVnumberVofVhealthy,VindependentVold
erVAmericans,VtheVnurseVincludesVtheVimportanceVof:
a. increasedVavailabilityVofVin-homeVcareVservices.
b. governmentVsupportVofVretiredVcitizens.
c. effectiveVantibioticVtherapies.
d. theVdevelopmentVofVlife-extendingVtherapies.

,ANS:VC
TheVhealthVandVultimateVautonomyVofVolderVAmericansVhasVbeenVpositivelyVimpactedVbyVtheVde
velopmentVofVantibiotics,VbetterVsanitation,VandVvaccines.VTheseVpublicVhealthVmeasuresVhaveVb
eenVmoreVinstrumentalVinVincreasingVtheVnumbersVofVhealthy,VindependentVolderVAmericansVtha
nVhaveVin-homeVcareVservices,VgovernmentVprograms,VorVlife-extendingVtherapies.
DIF:VRememberingV(Knowledge)VREF:Vmsc:V2VOBJ:V3-3
TOP:VNursingVProcess:VImplementationVMSC:VHealthVPromotionVandVMaintenance
4. BasedVonVcurrentVdata,VwhenVpresentingVanVolderVadultsVdischargeVteachingVplan,VtheVnur
seVincludesVtheVpatients:
a. nonrelatedVcaretaker.
b. paidVcaregiver.
c. familyVmember.
d. intuitionalVrepresentative
.VANS:VC
LessVthanV4%VofVolderVadultsVliveVinVaVformalVhealthVcareVenvironment.VTheVmajorityVofVthe
geriatricVpopulationVlivesVatVhomeVorVwithVfamilyVmember
s.VDIF:VApplyingV(Application)VREF:VN/AVOBJ:V3-3
TOP:VNursingVProcess:VPlanningVMSC:VSafeVandVEffectiveVCareVEnvironment
5. TheVnurseVplanningVcareVforVanVolderVadultVwhoVhasVrecentlyVbeenVdiagnosedVwithVrheumato
idVarthritisVviewsVtheVpriorityVcriterionVforVcontinuedVindependenceVtoVbeVtheVpatients:
a. age.
b. financialVstatus.
c. gender.
d. functionalVstatus
.VANS:VD
MaintainingVtheVfunctionalVstatusVofVolderVadultsVmayVavertVtheVonsetVofVphysicalVfrailtyVand
cognitiveVimpairment,VtwoVconditionsVthatVincreaseVtheVlikelihoodVofVinstitutionalizatio
n.VDIF:VRememberingV(Knowledge)VREF:Vmsc:V8VOBJ:V1-6
TOP:VNursingVProcess:VPlanningVMSC:VPhysiologicVIntegrity
6. AVnurseVworkingVwithVtheVolderVadultVpopulationVisVmostVlikelyVtoVassessVaVneedVforVaVfinanc
ialVsocialVservicesVreferralVforVa(n):
a. whiteVmale.
b. blackVfemale.
c. HispanicVmale.
d. AsianVAmericanVfemale
.VANS:VB
TheVpovertyVrateVamongVolderVblackVwomenVisVsubstantiallyVhigherVthanVthatVseenVamongVmalesVor
femalesVofVotherVethnicVgroups.VWhiteVmalesVhadVtheVleastVpovert
y.VDIF:VApplyingV(Application)VREF:VN/AVOBJ:V1-4
TOP:VNursingVProcess:VAssessmentVMSC:VSafeVandVEffectiveVCareVEnvironment

, 7. WhichVofVtheVfollowingVstatementsVmadeVbyVaVnurseVpreparingVtoVcompleteVaVhealthVassessme
ntVandVhistoryVonVanVolderVpatientVreflectsVanVunderstandingVofVtheVgeneralVhealthVstatusVofVthisVp
opulation?
a. IllVneedVtoVdocumentVwellVregardingVtheVmedicationsVtheVpatientVisVcurrentlyVprescribed.
b. IVwouldVlikeVtoVunderstandVhowVsupportiveVtheVpatientsVfamilyVmembersVare.
c. MostVolderVpatientsVareVbeingVtreatedVforVaVvarietyVofVchronicVhealthVcareVissues.
d. ItVwillVbeVinterestingVtoVseeVwhetherVthisVpatientVseesVherselfVasVbeingVhealth
y.VANS:VD
ItVisVaVmisconceptionVthatVoldVageVisVsynonymousVwithVdiseaseVandVillness.VTheVnurseVshould
alwaysVdetermineVtheVpatientsVsenseVofVwellnessVandVindependenceVwhenVconductingVaVhealthVa
ndVhistoryVassessment.VAnVassessmentVofVmedicationVuseVandVfamilyVsupportVisVimportantVforVan
yVpatient.VManyVolderVadultsVdoVhaveVchronicVhealthVconditions,VbutVtheirVperceptionVisVmoreVim
portantVthanVaVsingleVnumber.
DIF:VApplyingV(Application)VREF:VN/AVOBJ:V1-4
TOP:VNursingVProcess:VAssessmentVMSC:VHealthVPromotion
8. TheVnurseVisVcaringVforVanVolderVadultVwhoVhasVbeenVadmittedVtoVanVacuteVcareVhospitalVforVtr
eatmentVofVaVfracturedVfemur.VTheVfamilyVexpressesVconcernVaboutVtheVpatientsVpendingVtransfer
toVaVsubacuteVcareVfacility.VWhatVresponseVbyVtheVnurseVisVbest?
V


a. AcuteVcareVfacilitiesVlackVtheVlong-termVphysicalVtherapyVsupportV yourVdadVrequires.
b. YourVdadVwillVbeVmuchVhappierVinVaVmoreVserene,VprivateVenvironment.
c. TheVsubacuteVfacilityVwillVfocusVonVhelpingV yourVdadVmaintainVhisVindependence.
d. Insurance,VincludingVMedicare,VwillVcoverVonlyVaVlimitedVamountVofVtimeVher
e.VANS:VC
TheVtransferVofVtheVpatientVtoVaVsubacuteVfacilityVisVbasedVonVtheVneedVtoVmaintainVtheVpatients
levelVofVfunctionVandVindependence,VaVtaskVtheVacuteVcareVfacilityVisVnotVpreparedVtoVaddressVon
ceVtheVpatientVisVphysiologicallyVstable.VTheVpatientVmayVorVmayVnotVbeVhappierVinVtheVnewVsetti
ng;VtheVnurseVshouldVnotVmakeVthisVjudgment.VItVisVtrueVthatVinsuranceVonlyVpaysVforVaVlimitedVa
mountVofVtimeVinVanVacuteVcareVfacility,VbutVthisVisVnotVtheVbestVreasonVforVtheVpatientVtoVtransfer.
DIF:VApplyingV(Application)VREF:VN/AVOBJ:V1-
6VTOP:VCommunicationVandVDocumentation
MSC:VHealthVPromotionVandVMaintenance
9. ToVbestVassureVbothVtheVqualityVofVcareVandVtheVsafetyVofVtheVolderVadultVpatientVwhoVrequiresV
in-VhomeVunlicensedVassistiveVpersonalV(UAP)Vassistance,VtheVgeriatricVnurse:
a. evaluatesVtheVcompetencyVofVtheVUAPVstaff.
b. assumesVtheVrolesVofVcaseVmanagerVandVpatientVadvocate.
c. arrangesVforVtheVneededVUAPVprovidedVservices.
d. assessesVtheVpatientVforVfunctionalVlimitations
.VANS:VA
AsVmoreVcareVtraditionallyVprovidedVbyVprofessionalVnursesVisVbeingVtransferredVtoVUAP,VtheVnurse
mustVassumeVmoreVresponsibilityVforVeducating,Vtraining,VandVevaluatingVtheVcompetencyVofVUA
PVstaffVtoVprovideVsafe,VeffectiveVcareVforVtheVolderVadultVpatient.
DIF:VApplyingV(Application)VREF:VN/AVOBJ:V1-2
Connected book
image
Gregg A. Warshaw, MD, Jane F. Potter, MD, Ellen Flaherty, PhD, APRN, AGSF, Matthew K. McNabney, Mitchell T. Heflin, Richard J. Ham, MD Ham\'s Primary Care Geriatrics
Publisher: Unknown ISBN: 9780323721684 Edition: Unknown

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