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