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