TESTgBANKgFORgHAM’SgPRIMARYgCAREggGERIATRICS:gAgCASE-BASEDgAPPROACHgg7THgEDITIONgBYgRICHARDgJ.gHAMg:ISBN-

TEST BANK FOR HAM’S PRIMARY CARE G
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ERIATRICS: A CASE- g g



BASED APPROACH 7TH EDITION BY RICH
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ARD J. HAM :ISBN-
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,10;0323721680/ISBN-13;978-0323721684
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,Chapterg1.gPrinciplesgofgPrimarygCaregofgOldergAdults

MULTIPLEgCHOICE
1. Ing2010,gthegrevisedgStandardsgandgScopegofgGerontologicalgNursinggPracticegwasgpublished.
gThegnursegwouldgusegthesegstandardsgto:

a. promotegthegpracticegofggerontologicgnursinggwithingthegacutegcaregsetting.
b. definegthegconceptsgandgdimensionsgofggerontologicgnursinggpractice.
c. elevategthegpracticegofggerontologicgnursing.
d. incorporategsuggestedginterventionsgfromgothersgwhogpracticeggerontologicgnursing.
gANS:gD

ThegcurrentgpublishinggofgthegStandardsgandgScopegofgGerontologicalgNursinggPracticeging2010
incorporatesgtheginputgofggerontologicgnursesgfromgacrossgthegUnitedgStates.gItgwasgnotgintendedgt
ogpromoteggerontologicgnursinggpracticegwithingacutegcaregsettings,gdefinegconceptsgorgdimensio
nsgofggerontologicgnursinggpractice,gorgelevategthegpracticegofggerontologicgnursing.
DIF:gRememberingg(Knowledge)gREF:gmsc:g2gOBJ:g1-
1gTOP:gN/AgMSC:gSafegandgEffectivegCaregEnvironment
2. Whengattemptinggtogminimizegthegeffectgofgageismgongthegpracticegofgnursinggoldergadults,ga
gnursegneedsgtogfirst:

a. recognizegthatgnursesgmustgactgasgadvocatesgforgaginggpatients.
b. acceptgthatgthisgpopulationgrepresentsgagsubstantialgportiongofgthosegrequiringgnursinggcare.
c. self-reflectgandgformulategonesgpersonalgviewgofgaginggandgthegoldergpatient.
d. recognizegageismgasgagformgofgbigotrygsharedgbygmanygAmericans.
gANS:gC

Ageismgisgangever-increasinggprejudicialgviewgofgthegeffectsgofgthegaginggprocessgandgofgthegolder
populationgasgagwhole.gWithgnursesgbeinggmembersgofgagsocietygholdinggsuchgviews,gitgisgcriticalg
thatgthegindividualgnursegself-
reflectgongpersonalgfeelingsgandgdeterminegwhethergsuchgfeelingsgwillgaffectgthegnursinggcaregtha
tghegorgshegprovidesgtogthegaginggpatient.gActinggasgangadvocategisgangimportantgnursinggrolegingal
lgsettings.gSimplygacceptinggagfactgdoesgnotghelpgendgageism,gnorgdoesgrecognizinggageismgasgagf
ormgofgbigotry.
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g1-9
TOP:gTeaching-LearninggMSC:gSafegandgEffectivegCaregEnvironment
3. Whengdiscussinggfactorsgthatghaveghelpedgtogincreasegthegnumbergofghealthy,gindependentgolder
gAmericans,gthegnursegincludesgthegimportancegof:

a. increasedgavailabilitygofgin-homegcaregservices.
b. governmentgsupportgofgretiredgcitizens.
c. effectivegantibioticgtherapies.
d. thegdevelopmentgofglife-extendinggtherapies.

, ANS:gC
TheghealthgandgultimategautonomygofgoldergAmericansghasgbeengpositivelygimpactedgbygthegdevel
opmentgofgantibiotics,gbettergsanitation,gandgvaccines.gThesegpublicghealthgmeasuresghavegbeengm
oreginstrumentalgingincreasinggthegnumbersgofghealthy,gindependentgoldergAmericansgthanghavegin
-homegcaregservices,ggovernmentgprograms,gorglife-extendinggtherapies.
DIF:gRememberingg(Knowledge)gREF:gmsc:g2gOBJ:g3-3
TOP:gNursinggProcess:gImplementationgMSC:gHealthgPromotiongandgMaintenance
4. Basedgongcurrentgdata,gwhengpresentinggangoldergadultsgdischargegteachinggplan,gthegnurse
gincludesgthegpatients:

a. nonrelatedgcaretaker.
b. paidgcaregiver.
c. familygmember.
d. intuitionalgrepresentative.
gANS:gC

Lessgthang4%gofgoldergadultsglivegingagformalghealthgcaregenvironment.gThegmajoritygofgthe
geriatricgpopulationglivesgatghomegorgwithgfamilygmembers.g
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g3-3
TOP:gNursinggProcess:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
5. Thegnursegplanninggcaregforgangoldergadultgwhoghasgrecentlygbeengdiagnosedgwithgrheumatoid
garthritisgviewsgthegprioritygcriteriongforgcontinuedgindependencegtogbegthegpatients:

a. age.
b. financialgstatus.
c. gender.
d. functionalgstatus.
gANS:gD

Maintaininggthegfunctionalgstatusgofgoldergadultsgmaygavertgthegonsetgofgphysicalgfrailtygand
cognitivegimpairment,gtwogconditionsgthatgincreasegtheglikelihoodgofginstitutionalization.gD
IF:gRememberingg(Knowledge)gREF:gmsc:g8gOBJ:g1-6
TOP:gNursinggProcess:gPlanninggMSC:gPhysiologicgIntegrity
6. Agnursegworkinggwithgthegoldergadultgpopulationgisgmostglikelygtogassessgagneedgforgagfinancial
gsocialgservicesgreferralgforga(n):

a. whitegmale.
b. blackgfemale.
c. Hispanicgmale.
d. AsiangAmericangfemale.
gANS:gB

Thegpovertygrategamonggoldergblackgwomengisgsubstantiallyghighergthangthatgseengamonggmalesgor
femalesgofgothergethnicggroups.gWhitegmalesghadgthegleastgpoverty.g
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g1-4
TOP:gNursinggProcess:gAssessmentgMSC:gSafegandgEffectivegCaregEnvironment