Test Bank - Gerontological Nursing, 4th Edition (Tabloski, 2019), Chapter 1-24 | All Chapters

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,Gerontological Nursing, 4e 2p 2p


Chapter 1 - Principles of Gerontology 2p 2p 2 p 2p 2p




1) The nurse is preparing to discharge an older client with instructions on smoking cessation. T
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he nurse states to a colleague, "This client has been smoking for years and isn't going to stop
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now." 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 resource
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s. Answer: 3
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Explanation: 1. Many older adults have chronic disease but function well.
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2. Often people characterize the elderly in a negative way, believing that after a certain age,
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pthings cannot be changed. Older people can learn new things and take up new hobbies they
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can 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 smok
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ing 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 grandchildre
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n, mentoring others, and continue working.
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Page Ref: 4 2p 2p


Cognitive Level: Applying 2p 2 p


Client Need: Health Promotion and Maintenanc
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e Client Need Sub: High-
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Risk Behaviors Nurs/Integ Conc.: Nursing Proc
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ess: Planning 2p


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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phealth screenings. Which type of screening does the nurse anticipate educating this populati
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on on? 2p


1. Glaucoma
2. Nutrition
3. An annual mammogram 2p 2p


4. Prostate-specific antigen 2p


Answer: 3 2 p


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 fast
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est growing population in the United States.
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4. A prostate- 2p


specific antigen is recommended yearly for men under the age of 70. Page Ref:
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7
Cognitive Level: Analyzing 2p 2 p


Client Need: Health Promotion and Maintenanc
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e Client Need Sub: Health Screening
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Nurs/Integ Conc.: Nursing Process: Planning 2p 2 p 2p 2p


Learning Outcome: 1. Interpret demographic data according to race, gender, and age.
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Page 1 2p

, 3) While completing an admission assessment, the nurse learns that a female adult patient h
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as 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 2p 2p 2p


2. Nutritional deficiencies 2p


3. Depression and social isolation 2p 2p 2p


4. Occupational hazard shortening life expectanc 2p 2p 2p 2p


y Answer: 4
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Explanation: 1. While muscle mass does naturally decline in older adults, there is no indicatio
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n 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
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not adequately nourished.
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3. In older adults, depression and social isolation are a risk, yet there is no indication that sh
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e is not socially active.
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4. Exposure to occupational risk factors has been known to affect life expectancy in men and w
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ill have the same effect on women given similar circumstances.
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Page Ref: 8-17 2p 2p


Cognitive Level: Analyzing 2p 2 p


Client Need: Health Promotion and Maintenanc
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e Client Need Sub: High-
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Risk Behaviors Nurs/Integ Conc.: Nursing Proc
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ess: Diagnosis 2p


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 terti
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ary intervention to help slow down the progression of the client's illness?
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1. Assess the client's mobility 2p 2p 2p


2. Integrate physical therapy 2p 2p


3. Discuss injury-prevention measures within the home
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4. Obtain a referral for occupational therap
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y 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 tertia
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ry 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.
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4. Obtaining a referral for an occupational therapist reflects a secondary measure of prevention
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in which there is an early diagnosis and prompt treatment.
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Page Ref: 9 2p 2p


Cognitive Level: Applying 2p 2 p


Client Need: Physiological Integrity
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Client Need Sub: Reduction of Risk Potential
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Nurs/Integ Conc.: Nursing Process: Assessment 2p 2 p 2p 2p


Learning Outcome: 4. Describe the effects of chronic disease.
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