Test Bank For Ham's Primary Care Geriatrics- A Case Based Approach 7Th Edition /Complete Guide

TEST BANK for HAM'S PRIMARY CARE GERIATRICS- A CASE
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BASED APPROACH 7TH EDITION /COMPLETE GUIDE
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, Chapter 1. Principles of Primary Care of Older Adults dr dr dr dr dr dr dr dr




MULTIPLE CHOICE dr




1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
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The nurse would use these standards to:
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a. promote the practice of gerontologic nursing within the acute care setting. dr dr dr dr dr dr dr dr dr dr




b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. dr dr dr dr dr




d. incorporate suggested interventions fromothers who practice gerontologic nursing. dr dr dr dr dr dr dr dr




ACCURATE ANSWER:-D
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Reasoning:->>>The current publishing of the Standards and Scope of Gerontological Nursing Practice in 20 dr dr dr dr dr dr dr dr dr dr dr dr dr




incorporates the input of gerontologic nursing attendants from across the United States. It was not
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intended to promote gerontologic nursing practice within acute care settings, define concepts or
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dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
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DIFFICULT: Remembering (Knowledge) REF: msc: 2 OBJ: dr dr dr dr dr dr




1-1TOPIC:N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
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nursing attendant needs to first:
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a. recognize that nursing attendants must act as advocates for aging hospital clients. dr dr dr dr dr dr dr dr dr dr dr




b. accept that this population represents a substantial portion of those requiring nursing care.
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c. self-reflect and formulate ones personal view ofaging and the older hospital client. dr dr dr dr dr dr dr dr dr dr dr dr




d. recognize ageism as a form of bigotry shared by many Americans. dr dr dr dr dr dr dr dr dr dr




ACCURATE ANSWER:-C
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Reasoning:->>>Ageism is an ever-increasing prejudicial view ofthe effects of the aging process and of theolder dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr




population as a whole. With nursing attendants being members of a society holding such views, it
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is critical that the individual nursing attendant self-reflect on personal feelings and determine
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whether such feelings will affect the nursing care that he or she provides to the aging hospital
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client. Acting as anadvocate is an important nursing role in all settings. Simply accepting a fact
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does not help end ageism, nor does recognizing ageism as a form of bigotry.
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DIFFICULT: Applying (Application) REF: N/A OBJ: 1-9 dr dr dr dr dr dr




TOPIC: 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, independent older
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Americans, the nursing attendant includes the importance of:
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a. increased availabilityof in-home care services. dr dr dr dr dr




b. government support ofretired citizens. dr dr dr dr




c. effectiveantibiotic therapies. dr dr




d. the development of life-extending therapies.
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,ACCURATE ANSWER:-C dr




Reasoning:->>>The health and ultimate autonomy of older Americans has been positively dr dr dr dr dr dr dr dr dr dr




impacted by the development of antibiotics, better sanitation, and vaccines. These public health
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measures have been more instrumental in increasing the numbers of healthy, independent older
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Americans than have in-home care services, government programs, or life-extending therapies.
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DIFFICULT: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
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TOPIC:Nursing Process: Implementation MSC: Health Promotion and Maintenance dr dr dr dr dr dr dr




4. Based on current data, when presenting an older adults discharge teaching plan, the
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nursing attendant includes the hospital clients:
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a. nonrelated caretaker. dr




b. paid nursing attendant. dr dr




c. family member. dr




d. intuitional representative. dr




ACCURATE ANSWER:-C
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Reasoning:->>>Less than 4% of older adults live in a formal health care environment. The majority of the dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr




geriatric population lives at home or with family members.
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DIFFICULT: Applying (Application) REF: N/A OBJ: 3-3
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TOPIC:Nursing Process: Planning MSC: Safe and Effective Care Environment dr dr dr dr dr dr dr dr




5. The nursing attendant planning care for an older adult who has recently been diagnosed
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with rheumatoid arthritis views the priority criterion for continued independence to be the
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hospital clients:
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a. age.
b. financial status. dr




c. gender.
d. functional status. dr




ACCURATE ANSWER:-D
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Reasoning:->>>Maintaining the functional status of older adults may avert the onset of physical frailty and dr dr dr dr dr dr dr dr dr dr dr dr dr dr




cognitive impairment,two conditions that increase the likelihood of institutionalization.
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DIFFICULT: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
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TOPIC: Nursing Process: Planning MSC: Physiologic Integrity
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6. A nursing attendant working with the older adult population is most likelyto assess a need
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for afinancial social services referral for a(n):
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a. white male. dr




b. black female. dr




c. Hispanic male. dr




d. AsianAmerican female. dr dr




ACCURATE ANSWER:-B
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Reasoning:->>>The poverty rate among older black women is substantially higher than that seen among maor dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr




females ofother ethnic groups. White males had the least poverty.
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DIFFICULT: Applying (Application) REF: N/A OBJ: 1-4
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TOPIC:Nursing Process: Assessment MSC: Safe and Effective Care Environment dr dr dr dr dr dr dr dr

, 7. Which of the following statements made by a nursing attendant preparing to complete a
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health assessment and history on an older hospital client reflects an understanding of the general
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health statusof this population?
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a. Ill need to document well regarding the medications the hospital client is currentlyprescribed. dr dr dr dr dr dr dr dr dr dr dr dr dr




b. I would like to understand how supportive the hospital clients family members are.
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c. Most older hospital clients are being treated for a variety of chronic health care issues.
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d. It will be interesting to see whether this hospital client sees herself as being dr dr dr dr dr dr dr dr dr dr dr dr dr




healthy.ACCURATE ANSWER:-D
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Reasoning:->>>It is a misconception that old age is synonymous with illness and illness. The nursing attendant dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr




sho
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always determine the hospital clients sense ofwellness and independence when conducting a health
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andhistory assessment. An assessment of medication use and family support is important for any
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hospital client. Many older adults do have chronic health conditions, but their perception is more
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important than a single number.
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DIFFICULT: Applying (Application) REF: N/A OBJ: 1-4 dr dr dr dr dr dr




TOPIC:Nursing Process: Assessment MSC: Health Promotion dr dr dr dr dr




8. The nursing attendant is caring for an older adult who has been admitted to an acute care
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healthcenter for treatment of a fractured femur. The family expresses concern about the
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hospital clients pending transfer to a subacute supported care facility. What response by the
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nursing attendant is best?
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a. Acute care facilities lack the long-term physical therapysupport your dad requires. dr dr dr dr dr dr dr dr dr dr dr




b. Your dad will be much happier in a more serene, private environment.
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c. The subacute facility will focus on helping your dad maintain his independence.
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d. Insurance, including Medicare, willcover onlya limited amount oftime here. dr dr dr dr dr dr dr dr dr dr dr




ACCURATE ANSWER:-C
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Reasoning:->>>The transfer of the hospital client to a subacute facility is based on the need to maintain the dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr




hospital clients
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level of function and independence, a task the acute supported care facility is not prepared to
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address once the hospital client is physiologically stable. The hospital client may or may not be
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happier in the new setting; the nursing attendant should not make this judgment. It is true that
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insurance only pays for a limited amount of time in an acute supported care facility, but this is not
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the best reason for the hospital client to transfer.
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DIFFICULT: Applying (Application) REF: N/AOBJ: dr dr dr dr dr




1-6TOPIC:Communication and Documentation
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MSC: Health Promotion and Maintenance
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9. To best assure both the quality of care and the safety ofthe older adult hospital client who
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requires in-home unlicensed assistive personal (UAP) assistance, the geriatric nursing attendant:
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a. evaluates the competency of the UAP staff. dr dr dr dr dr dr




b. assumes the roles of case manager and hospital client advocate. dr dr dr dr dr dr dr dr dr




c. arranges for the needed UAP provided services. dr dr dr dr dr dr




d. assessesthe hospital client for functional dr dr dr dr dr




limitations.ACCURATE ANSWER:-A
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Reasoning:->>>As more care traditionally provided byprofessional nursing attendants is being transferred to dr dr dr dr dr dr dr dr dr dr dr dr




UAP,nursing attendant
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must assume more responsibility for educating, training, and evaluating the competencyof UAPstaff
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to provide safe, effective care for the older adult hospital client.
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DIFFICULT: Applying (Application) REF: N/A OBJ: 1-2 dr dr dr dr dr dr