Test Bank Evidence Based Geriatric Nursing Protocols for Best Practice 6th Edition Boltz All Chapters ||Complete A+ Guide

,Chapter 01: Overview of Gerontologic k j k j k j k j


Nursing Meiner: Gerontologic Nursing,
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6th Edition MULTIPLE CHOICE
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1. In 2010, the revised Standards and Scope of 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.
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b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. k j k j k j k j k j




d. incorporate suggested interventions from others who practice k j k j k j k j kj k j




gerontologic nursing. ANS: D
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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 promote
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gerontologic nursing practice within acute care settings, define concepts or dimensions of gerontologic nursing
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practice, or elevate the practice of gerontologic nursing. DIF: Remembering (Knowledge) REF: Page 2
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OBJ: 1-1
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TOP: N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs
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to first:
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a. recognize that nurses must act as advocates for aging patients. k j k j k j k j k j k j k j k j k j




b. accept that this population represents a substantial portion of those requiring nursing care.
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c. self-reflect and formulate one‟s personal view of aging and the older patient.
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d. recognize ageism as a form of bigotry shared k j k j k j k j k j k j k j




by many Americans. ANS: C
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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 will
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affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
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important nursing role in all settings. Simply accepting a fact
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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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3. 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:
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a. increased availability of in-home care services. k j k j kj kj k j




b. government support of retired citizens. k j kj k j k j




c. effective antibiotic therapies. kj kj




d. the development of life-extending
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therapies. ANS: C
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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 instrumental in 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: Page 2 OBJ: 3-3
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TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
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4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the
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patient‟s:
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a. nonrelated caretaker. k j




b. paid caregiver. k j




c. family member. k j

,d. intuitional representative.
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, ANS: C k j


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


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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5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
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k jarthritis views the priority criterion for continued independence to be the patient‟s:
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a. age.
b. financial status. k j




c. gender.

d. functional
status. ANS:
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Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
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k jimpairment, two conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: Page 8
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k jOBJ: 1-6 TOP: Nursing Process: Planning MSC:
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Physiologic Integrity
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6. A nurse working with the older adult population is most likely to assess a need for a financial
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k jsocial service‟s referral for a(n):
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a. white male. k j




b. black female. k j




c. Hispanic male. kj




d. Asian American kj




kj female. ANS: k j




k jB
The poverty rate among older black women is substantially higher than that seen among males or
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k jfemales of other ethnic groups. White males had the least poverty.
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DIF: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
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7. Which of the following statements made by a nurse preparing to complete a health assessment
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k jand history on an older patient reflects an understanding of the general health status of this
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k jpopulation?
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
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b. “I would like to understand how supportive the patient‟s family members are.”
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c. “Most older patients are being treated for a variety of chronic health care issues.”
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d. “It will be interesting to see whether this patient sees
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k jherself as being healthy.” ANS: D k j k j kj k j k j


It is a misconception that old age is synonymous with disease and illness. The nurse should always
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k jdetermine the patient‟s sense of wellness and independence when conducting a health and history
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k jassessment. An assessment of medication use and family support is important for any patient. Many
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k jolder adults do have chronic health conditions, but their perception is more important than a single
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k jnumber.
DIF: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Health Promotion
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8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
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k jtreatment of a fractured femur. The family expresses concern about the patient‟s pending transfer
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k jto a subacute care facility. What response by the nurse is best?
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a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
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b. “Your dad will be much happier in a more serene, private environment.”
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c. “The subacute facility will focus on helping your dad maintain his independence.”
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