,
,Gerontological Nursing, 4e f f
Chapter 1 - Principles of Gerontology
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1) The nurse is preparing to discharge an older client with instructions on smoking cessation. The
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nurse states to a colleague, "This client has been smoking for years and isn't going to stop now."
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Which negative stereotype of aging does the nurse's statement most reflect?
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1. Old people are expected to be sick.
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2. Old people are set in their ways.
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3. Old people do not value health promotion education.
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4. Old people are a drain on societal resources.
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Answer: 3
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Explanation: 1. Many older adults have chronic disease but function well. f f f f f f f f f f
2. Often people characterize the elderly in a negative way, believing that after a certain age,
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things cannot be changed. Older people can learn new things and take up new hobbies they can
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enjoy and give life meaning and pleasure.
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3. Although it may not be possible to reverse all the damage, it is never too late to stop smoking
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cigarettes. People who quit smoking at an older age enjoy better health outcomes.
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4. Older people contribute greatly to society by volunteering, helping with grandchildren,
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mentoring others, and continue working.
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Page Ref: 4
f f
Cognitive Level: Applying f f
Client Need: Health Promotion and Maintenance
f f f f f
Client Need Sub: High-Risk Behaviors
f f f f f
Nurs/Integ Conc.: Nursing Process: Planning
f f f f f
Learning Outcome: 3. Identify common myths of aging and their contribution to ageism.
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2) The nurse is planning to conduct education for older adult clients regarding preventative
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health screenings. Which type of screening does the nurse anticipate educating this population
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on?
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1. Glaucoma
2. Nutrition
3. An annual mammogram
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4. Prostate-specific antigen f
Answer: 3 f
Explanation: 1. A glaucoma screening is recommended annually for those at risk for glaucoma.
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2. Nutritional assessment and counseling are encouraged for those with diabetes or renal disease.
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3. The nurse will discuss the importance of annual mammograms. Older women are the fastest
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growing population in the United States.
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4. A prostate-specific antigen is recommended yearly for men under the age of 70.
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Page Ref: 7
f f f
Cognitive Level: Analyzing f f
Client Need: Health Promotion and Maintenance
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Client Need Sub: Health Screening
f f f f f
Nurs/Integ Conc.: Nursing Process: Planning f f f f
Learning Outcome: 1. Interpret demographic data according to race, gender, and age.
f f f f f f f f f f f
Page 1 f
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, 3) While completing an admission assessment, the nurse learns that a female adult patient has
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smoked a pack of cigarettes daily for 20 years and works at a chemical plant. From this
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information, what is this patient most at risk for?
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1. Decline in muscle mass f f f
2. Nutritional deficiencies f
3. Depression and social isolation f f f
4. Occupational hazard shortening life expectancy f f f f
Answer: 4
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Explanation: 1. While muscle mass does naturally decline in older adults, there is no indication
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that she is not physically active.
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2. In older adults, adequate nutrition can be a concern, yet there is no indication that she is not
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adequately nourished.
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3. In older adults, depression and social isolation are a risk, yet there is no indication that she is
f f f f f f f f f f f f f f f f f
not socially active.
f f f
4. Exposure to occupational risk factors has been known to affect life expectancy in men and will
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have the same effect on women given similar circumstances.
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Page Ref: 8-17 f f
Cognitive Level: Analyzing f f
Client Need: Health Promotion and Maintenance
f f f f f
Client Need Sub: High-Risk Behaviors
f f f f f
Nurs/Integ Conc.: Nursing Process: Diagnosis
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Learning Outcome: 2. Relate leading causes of morbidity and mortality among older adults.
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4) The nurse is caring for an older adult with a chronic disease. Which is reflective of a tertiary
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intervention to help slow down the progression of the client's illness?
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1. Assess the client's mobility f f f
2. Integrate physical therapy f f
3. Discuss injury-prevention measures within the home
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4. Obtain a referral for occupational therapy
f f f f f
Answer: 2
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Explanation: 1. Assessment of the client's mobility is reflective of secondary prevention.
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2. The integration of physical therapy for a client with chronic disease reflects a tertiary
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intervention to promote restoration and prevent or slow down further debilitation.
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3. Discussing injury prevention is health promotion or primary prevention. f f f f f f f f
4. Obtaining a referral for an occupational therapist reflects a secondary measure of prevention in
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which there is an early diagnosis and prompt treatment.
f f f f f f f f f
Page Ref: 9 f f
Cognitive Level: Applying f f
Client Need: Physiological Integrity
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Client Need Sub: Reduction of Risk Potential
f f f f f f
Nurs/Integ Conc.: Nursing Process: Assessment
f f f f f
Learning Outcome: 4. Describe the effects of chronic disease.
f f f f f f f f
Page 2 f
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,Gerontological Nursing, 4e f f
Chapter 1 - Principles of Gerontology
f f f f f
1) The nurse is preparing to discharge an older client with instructions on smoking cessation. The
f f f f f f f f f f f f f f
nurse states to a colleague, "This client has been smoking for years and isn't going to stop now."
f f f f f f f f f f f f f f f f f f
Which negative stereotype of aging does the nurse's statement most reflect?
f f f f f f f f f f f
1. Old people are expected to be sick.
f f f f f f
2. Old people are set in their ways.
f f f f f f
3. Old people do not value health promotion education.
f f f f f f f
4. Old people are a drain on societal resources.
f f f f f f f
Answer: 3
f f
Explanation: 1. Many older adults have chronic disease but function well. f f f f f f f f f f
2. Often people characterize the elderly in a negative way, believing that after a certain age,
f f f f f f f f f f f f f f
things cannot be changed. Older people can learn new things and take up new hobbies they can
f f f f f f f f f f f f f f f f f
enjoy and give life meaning and pleasure.
f f f f f f f
3. Although it may not be possible to reverse all the damage, it is never too late to stop smoking
f f f f f f f f f f f f f f f f f f
cigarettes. People who quit smoking at an older age enjoy better health outcomes.
f f f f f f f f f f f f f
4. Older people contribute greatly to society by volunteering, helping with grandchildren,
f f f f f f f f f f
mentoring others, and continue working.
f f f f f
Page Ref: 4
f f
Cognitive Level: Applying f f
Client Need: Health Promotion and Maintenance
f f f f f
Client Need Sub: High-Risk Behaviors
f f f f f
Nurs/Integ Conc.: Nursing Process: Planning
f f f f f
Learning Outcome: 3. Identify common myths of aging and their contribution to ageism.
f f f f f f f f f f f f
2) The nurse is planning to conduct education for older adult clients regarding preventative
f f f f f f f f f f f f
health screenings. Which type of screening does the nurse anticipate educating this population
f f f f f f f f f f f f f
on?
f
1. Glaucoma
2. Nutrition
3. An annual mammogram
f f
4. Prostate-specific antigen f
Answer: 3 f
Explanation: 1. A glaucoma screening is recommended annually for those at risk for glaucoma.
f f f f f f f f f f f f f
2. Nutritional assessment and counseling are encouraged for those with diabetes or renal disease.
f f f f f f f f f f f f
3. The nurse will discuss the importance of annual mammograms. Older women are the fastest
f f f f f f f f f f f f f
growing population in the United States.
f f f f f f
4. A prostate-specific antigen is recommended yearly for men under the age of 70.
f f f f f f f f f f f f
Page Ref: 7
f f f
Cognitive Level: Analyzing f f
Client Need: Health Promotion and Maintenance
f f f f f
Client Need Sub: Health Screening
f f f f f
Nurs/Integ Conc.: Nursing Process: Planning f f f f
Learning Outcome: 1. Interpret demographic data according to race, gender, and age.
f f f f f f f f f f f
Page 1 f
PlusBay.Plus
, 3) While completing an admission assessment, the nurse learns that a female adult patient has
f f f f f f f f f f f f f
smoked a pack of cigarettes daily for 20 years and works at a chemical plant. From this
f f f f f f f f f f f f f f f f f
information, what is this patient most at risk for?
f f f f f f f f f
1. Decline in muscle mass f f f
2. Nutritional deficiencies f
3. Depression and social isolation f f f
4. Occupational hazard shortening life expectancy f f f f
Answer: 4
f f
Explanation: 1. While muscle mass does naturally decline in older adults, there is no indication
f f f f f f f f f f f f f f
that she is not physically active.
f f f f f f
2. In older adults, adequate nutrition can be a concern, yet there is no indication that she is not
f f f f f f f f f f f f f f f f f
adequately nourished.
f f
3. In older adults, depression and social isolation are a risk, yet there is no indication that she is
f f f f f f f f f f f f f f f f f
not socially active.
f f f
4. Exposure to occupational risk factors has been known to affect life expectancy in men and will
f f f f f f f f f f f f f f f
have the same effect on women given similar circumstances.
f f f f f f f f f
Page Ref: 8-17 f f
Cognitive Level: Analyzing f f
Client Need: Health Promotion and Maintenance
f f f f f
Client Need Sub: High-Risk Behaviors
f f f f f
Nurs/Integ Conc.: Nursing Process: Diagnosis
f f f f f
Learning Outcome: 2. Relate leading causes of morbidity and mortality among older adults.
f f f f f f f f f f f f
4) The nurse is caring for an older adult with a chronic disease. Which is reflective of a tertiary
f f f f f f f f f f f f f f f f f
intervention to help slow down the progression of the client's illness?
f f f f f f f f f f f
1. Assess the client's mobility f f f
2. Integrate physical therapy f f
3. Discuss injury-prevention measures within the home
f f f f f
4. Obtain a referral for occupational therapy
f f f f f
Answer: 2
f f
Explanation: 1. Assessment of the client's mobility is reflective of secondary prevention.
f f f f f f f f f f f
2. The integration of physical therapy for a client with chronic disease reflects a tertiary
f f f f f f f f f f f f f
intervention to promote restoration and prevent or slow down further debilitation.
f f f f f f f f f f f
3. Discussing injury prevention is health promotion or primary prevention. f f f f f f f f
4. Obtaining a referral for an occupational therapist reflects a secondary measure of prevention in
f f f f f f f f f f f f f
which there is an early diagnosis and prompt treatment.
f f f f f f f f f
Page Ref: 9 f f
Cognitive Level: Applying f f
Client Need: Physiological Integrity
f f f
Client Need Sub: Reduction of Risk Potential
f f f f f f
Nurs/Integ Conc.: Nursing Process: Assessment
f f f f f
Learning Outcome: 4. Describe the effects of chronic disease.
f f f f f f f f
Page 2 f
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