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