gChapter 1 Seeing Older Adults Through the Eyes of Wellness
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1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
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g published. The nurse would use these standards to: g g g g g g g
a. promote the practice of gerontologic nursing within the acute care setting. g g g g g g g g g g
b. define the concepts and dimensions of gerontologic nursing practice.
g g g g g g g g
c. elevate the practice of gerontologic nursing. g g g g g
d. incorporatesuggested interventions fromothers who practice g g g g
gerontologic nursing. g g
ANS: D g
The current publishing of the Standards and Scope of Gerontological Nursing Practice
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gin 2010 incorporates the input of gerontologic nurses from across the United States. It
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gwas not intended to promote gerontologic nursing practice within acute care settings,
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gdefine concepts or dimensions of gerontologic nursing practice, or elevate the practice
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gof gerontologic nursing.
g g
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-1 TOP: N/A
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g MSC: Safe and Effective Care Environmentg g g g g
2. When attempting to minimize the effect of ageism on the practice of nursing
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g older adults, a nurse needs to first:
g g g g g g
a. recognize that nurses must act as advocates for aging patients. g g g g g g g g g
b. accept that this population represents a substantial portion of those
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requiring nursing care. g g g
c. self-reflect and formulate ones personal view of aging and the older patient. g g g g g g g g g g g
d. recognize ageism as a form of bigotry shared by many Americans. g g g g g g g g g g
ANS: C g
,Ageism is an ever-increasing prejudicial view of the effects of the aging
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g process and of the olderpopulation as a whole. With nurses being members of
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g a society holding such views, it is critical that the individual nurse self-reflect
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g on personal feelings and determine whether such feelings will affect the nursing
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g care that he or she provides to the aging patient. Acting as an advocate is
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g an important nursing role in all settings. Simply accepting a fact does not help
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g end ageism, nor 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,
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gindependent older Americans, the nurse includes the importance of: g g g g g g g g
a. increased availability of in-home care services. g g g g g
b. government support of retired citizens. g g g g
c. effective antibiotic therapies. g g
d. the development of life-extending therapies.g g g g
ANS: C g
The health and ultimate autonomy of older Americans has been positively
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g impacted by the development of antibiotics, better sanitation, and vaccines. These
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g public health measures have been more instrumental in increasing the numbers of
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g healthy, independent older Americans than have in-home care services, government
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g programs, or life-extending therapies. g g g
DIF: Remembering (Knowledge) REF: MCS: 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 adults discharge teaching plan,
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g the nurse includes the patients:
g g g g
a. nonrelated caretaker. g
b. paid caregiver. g
, c. family member. g
d. intuitional representative. g
ANS: C g
Less than 4% of older adults live in a formal health care environment. The
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gmajority of thegeriatric population lives at home or with family members.
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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
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g rheumatoid arthritis views the priority criterion for continued independence to be
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g the patients: g
a. age.
b. financial status. g
c. gender.
d. functional status. g
ANS: D g
Maintaining the functional status of older adults may avert the onset of physical frailty and
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gcognitive impairment, two conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: MCS: 8 OBJ:
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g 1-6 TOP: Nursing Process: Planning MSC:
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Physiologic Integrity g
6. A nurse working with the older adult population is most likely to assess a need
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g for a financial social services referral for a(n):
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a. white male. g
b. black female. g
c. Hispanic male. g