TESTkBANKkforkHAM'SkPRIMARYkCAREkGERIATRICS-
kAkCASEk
BASEDkAPPROACHk7THkEDITIONk/COMPLETEkG
UIDE
, Chapterk1.kPrincipleskofkPrimarykCarekofkOlderkAdults
MULTIPLEkCHOICE
1. Ink2010,kthekrevisedkStandardskandkScopekofkGerontologicalkNursingkPracticekwaskpublishe
d.kTheknursekwouldkusekthesekstandardskto:
a. promotekthekpracticekofkgerontologicknursingkwithinkthekacutekcareksetting.
b. definekthekconceptskandkdimensionskofkgerontologicknursingkpractice.
c. elevatekthekpracticekofkgerontologicknursing.
d. incorporateksuggestedkinterventionskfromkotherskwhokpracticekgerontologicknursin
g.kACCURATEkANSWER:-D
Reasoning:-
>>>ThekcurrentkpublishingkofkthekStandardskandkScopekofkGerontologicalkNursingkPracticekink20
incorporateskthekinputkofkgerontologicknursingkattendantskfromkacrosskthekUnitedkStates.kItkwas
knotkintendedktokpromotekgerontologicknursingkpracticekwithinkacutekcareksettings,kdefinekconce
ptskorkdimensionskofkgerontologicknursingkpractice,korkelevatekthekpracticekofkgerontologicknursi
ng.
DIFFICULT:kRememberingk(Knowledge)kREF:kmsc:k2kOB
J:k1-
1kTOPIC:N/AkMSC:kSafekandkEffectivekCarekEnvironment
2. Whenkattemptingktokminimizekthekeffectkofkageismkonkthekpracticekofknursingkolderkadult
s,kaknursingkattendantkneedsktokfirst:
a. recognizekthatknursingkattendantskmustkactkaskadvocateskforkagingkhospitalkclients.
b. acceptkthatkthiskpopulationkrepresentskaksubstantialkportionkofkthosekrequiringknursingkcare.
c. self-reflectkandkformulatekoneskpersonalkviewkofkagingkandkthekolderkhospitalkclient.
d. recognizekageismkaskakformkofkbigotryksharedkbykmanykAmerica
ns.kACCURATEkANSWER:-C
Reasoning:->>>Ageismkiskankever-
increasingkprejudicialkviewkofkthekeffectskofkthekagingkprocesskandkofkthekolder
populationkaskakwhole.kWithknursingkattendantskbeingkmemberskofkaksocietykholdingksuchkvie
ws,kitkiskcriticalkthatk thekindividualknursingkattendantkself-
reflectkonkpersonalkfeelingskandkdeterminekwhetherksuchkfeelingskwillkaffectktheknursingkcarekt
hatkhekorkshekprovidesktokthekagingkhospitalkclient.kActingkaskankadvocatekiskankimportantknurs
ingkrolekinkallksettings.kSimplykacceptingkakfactkdoesknotkhelpkendkageism,k norkdoeskrecognizi
ngkageismkaskakformkofkbigotry.
DIFFICULT:kApplyingk(Application)kREF:kN/AkOBJ:k1-9
TOPIC:kTeaching-LearningkMSC:kSafekandkEffectivekCarekEnvironment
3. Whenkdiscussingkfactorskthatkhavekhelpedktokincreasektheknumberkofkhealthy,kindependentkol
derkAmericans,ktheknursingkattendantk includeskthekimportancekof:
a. increasedkavailabilitykofkin-homekcarekservices.
b. governmentksupportkofkretiredkcitizens.
c. effectivekantibioticktherapies.
d. thekdevelopmentkofklife-extendingktherapies.
,ACCURATEkANSWER:-C
Reasoning:-
>>>ThekhealthkandkultimatekautonomykofkolderkAmericanskhaskbeenkpositivelykimpactedkbykth
ekdevelopmentkofkantibiotics,kbetterksanitation,kandkvaccines.kThesekpublickhealthkmeasureskhav
ekbeenkmorekinstrumentalkinkincreasingktheknumberskofkhealthy,kindependentkolderkAmericanskt
hankhavekin-homekcarekservices,kgovernmentkprograms,korklife-
extendingktherapies.kDIFFICULT:kRememberingk(Knowledge)kREF:k msc:k2kOBJ:k3-3
TOPIC:NursingkProcess:kImplementationkMSC:kHealthkPromotionkandkMaintenance
4. Basedkonkcurrentkdata,kwhenkpresentingkankolderkadultskdischargekteachingkplan,kt
heknursingkattendantk includeskthekhospitalkclients:
a. nonrelatedkcaretaker.
b. paidknursingkattendant.
c. familykmember.
d. intuitionalkrepresentative
.kACCURATEkANSWER:-C
Reasoning:-
>>>Lesskthank4%kofkolderkadultsklivekinkakformalkhealthkcarekenvironment.kThekmajoritykofkthe
geriatrickpopulationkliveskatkhomekorkwithkfamilykmembers.k
DIFFICULT:kApplyingk(Application)kREF:kN/AkOBJ:k3-3
TOPIC:NursingkProcess:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
5. Theknursingkattendantkplanningkcarekforkankolderkadultkwhokhaskrecentlykbeenkdiagnose
dkwithkrheumatoidkarthritiskviewskthekprioritykcriterionkforkcontinuedkindependencektokbekt
hekhospitalkclients:
a. age.
b. financialkstatus.
c. gender.
d. functionalkstatus
.kACCURATEkANSWER:-D
Reasoning:-
>>>Maintainingkthekfunctionalkstatuskofkolderkadultskmaykavertkthekonsetkofkphysicalkfrailtykand
cognitivekimpairment,ktwokconditionskthatkincreasektheklikelihoodkofkinstitutionalization.k
DIFFICULT:kRememberingk(Knowledge)kREF:k msc:k8kOBJ:k 1-6
TOPIC:kNursingkProcess:kPlanningkMSC:kPhysiologickIntegrity
6. Aknursingkattendantkworkingkwithkthekolderkadultk populationkiskmostklikelyktokassesska
kneedkforkakfinancialksocialkserviceskreferralkforka(n):
a. whitekmale.
b. blackkfemale.
c. Hispanickmale.
d. AsiankAmericankfemale
.kACCURATEkANSWER:-B
Reasoning:-
>>>Thekpovertykratekamongkolderkblackkwomenkisksubstantiallykhigherkthankthatkseenkamongkmakor
femaleskofkotherkethnickgroups.kWhitekmaleskhadkthekleastkpovert
y.kDIFFICULT:kApplyingk(Application)kREF:kN/AkOBJ:k 1-4
TOPIC:NursingkProcess:kAssessmentkMSC:kSafekandkEffectivekCarekEnvironment
, 7. Whichkofkthekfollowingkstatementskmadekbykaknursingkattendantkpreparingktokcompletekak
healthkassessmentkandkhistorykonkankolderkhospitalkclientkreflectskankunderstandingkofkthekge
neralkhealthkstatuskofkthiskpopulation?
a. Illkneedktokdocumentkwellkregardingkthekmedicationskthekhospitalkclientkiskcurrentlykprescribed
.
b. Ikwouldklikektokunderstandkhowksupportivekthekhospitalkclientskfamilykmemberskare.
c. Mostkolderkhospitalkclientskarekbeingktreatedkforkakvarietykofkchronickhealthkcarekissues.
d. Itkwillkbekinterestingktokseekwhetherkthiskhospitalkclientkseeskherselfkaskbei
ngkhealthy.kACCURATEkANSWER:-D
Reasoning:-
>>>Itkiskakmisconceptionkthatkoldkagekisksynonymouskwithkillnesskandkillness.kTheknursingkattendantksho
alwayskdeterminekthekhospitalkclientsksensekofkwellnesskandkindependencekwhenkconductingkakh
ealthkandkhistorykassessment.kAnkassessmentkofkmedicationkusekandkfamilyksupportkiskimportant
kforkanykhospitalkclient.kManykolderkadultskdokhavekchronickhealthkconditions,kbutktheirkpercep
tionkiskmorekimportantkthankaksinglek number.
DIFFICULT:kApplyingk(Application)kREF:kN/AkOBJ:k1-4
TOPIC:NursingkProcess:kAssessmentkMSC:kHealthkPromotion
8. Theknursingkattendantkiskcaringkforkankolderkadultkwhokhaskbeenkadmittedktokankacute
kcarekhealthkcenterkforktreatmentkofkakfracturedkfemur.kThekfamilykexpresseskconcernkab
outkthekhospitalkclientskpendingktransferktokaksubacuteksupportedkcarekfacility.k Whatkres
ponsekbyktheknursingkattendantk iskbest?
a. Acutekcarekfacilitiesklackktheklong-termkphysicalktherapyksupportkyourkdadkrequires.
b. Yourkdadkwillkbekmuchkhappierkinkakmorekserene,kprivatekenvironment.
c. Theksubacutekfacilitykwillkfocuskonkhelpingkyourkdadkmaintainkhiskindependence.
d. Insurance,kincludingkMedicare,kwillkcoverkonlykaklimitedkamountkofktimekhe
re.kACCURATEkANSWER:-C
Reasoning:-
>>>Thektransferkofkthekhospitalkclientktokaksubacutekfacilitykiskbasedkonkthekneedktokmaintainkthekhospitalkc
lients
levelkofkfunctionkandkindependence,kaktaskkthekacuteksupportedkcarekfacilitykisknotkpreparedkto
kaddresskoncekthekhospitalkclientkiskphysiologicallykstable.kThekhospitalkclientkmaykorkmayknot
kbekhappierkinktheknewksetting;ktheknursingkattendantkshouldknotkmakekthiskjudgment.kItkisktrue
kthatkinsurancekonlykpayskforkaklimitedkamountkofktimek inkankacuteksupportedkcarekfacility,k but
kthiskisknotkthekbestk reasonkforkthekhospitalkclientk toktransfer.
DIFFICULT:kApplyingk(Application)kREF:kN/AkO
BJ:k1-6kTOPIC:CommunicationkandkDocumentation
MSC:kHealthkPromotionkandkMaintenance
9. Tokbestkassurekbothkthekqualitykofkcarekandktheksafetykofkthekolderkadultkhospitalkclientkwho
krequireskin-
khomekunlicensedkassistivekpersonalk(UAP)kassistance,kthekgeriatricknursingkattendant:
a. evaluateskthekcompetencykofkthekUAPkstaff.
b. assumeskthekroleskofkcasekmanagerkandkhospitalkclientkadvocate.
c. arrangeskforkthekneededkUAPkprovidedkservices.
d. assesseskthekhospitalkclientkforkfunctionalkli
mitations.kACCURATEkANSWER:-A
Reasoning:-
>>>AskmorekcarektraditionallykprovidedkbykprofessionalknursingkattendantskiskbeingktransferredktokUAP,knur
ingkattendant
mustkassumekmorekresponsibilitykforkeducating,ktraining,kandkevaluatingkthekcompetencykofkUA
kAkCASEk
BASEDkAPPROACHk7THkEDITIONk/COMPLETEkG
UIDE
, Chapterk1.kPrincipleskofkPrimarykCarekofkOlderkAdults
MULTIPLEkCHOICE
1. Ink2010,kthekrevisedkStandardskandkScopekofkGerontologicalkNursingkPracticekwaskpublishe
d.kTheknursekwouldkusekthesekstandardskto:
a. promotekthekpracticekofkgerontologicknursingkwithinkthekacutekcareksetting.
b. definekthekconceptskandkdimensionskofkgerontologicknursingkpractice.
c. elevatekthekpracticekofkgerontologicknursing.
d. incorporateksuggestedkinterventionskfromkotherskwhokpracticekgerontologicknursin
g.kACCURATEkANSWER:-D
Reasoning:-
>>>ThekcurrentkpublishingkofkthekStandardskandkScopekofkGerontologicalkNursingkPracticekink20
incorporateskthekinputkofkgerontologicknursingkattendantskfromkacrosskthekUnitedkStates.kItkwas
knotkintendedktokpromotekgerontologicknursingkpracticekwithinkacutekcareksettings,kdefinekconce
ptskorkdimensionskofkgerontologicknursingkpractice,korkelevatekthekpracticekofkgerontologicknursi
ng.
DIFFICULT:kRememberingk(Knowledge)kREF:kmsc:k2kOB
J:k1-
1kTOPIC:N/AkMSC:kSafekandkEffectivekCarekEnvironment
2. Whenkattemptingktokminimizekthekeffectkofkageismkonkthekpracticekofknursingkolderkadult
s,kaknursingkattendantkneedsktokfirst:
a. recognizekthatknursingkattendantskmustkactkaskadvocateskforkagingkhospitalkclients.
b. acceptkthatkthiskpopulationkrepresentskaksubstantialkportionkofkthosekrequiringknursingkcare.
c. self-reflectkandkformulatekoneskpersonalkviewkofkagingkandkthekolderkhospitalkclient.
d. recognizekageismkaskakformkofkbigotryksharedkbykmanykAmerica
ns.kACCURATEkANSWER:-C
Reasoning:->>>Ageismkiskankever-
increasingkprejudicialkviewkofkthekeffectskofkthekagingkprocesskandkofkthekolder
populationkaskakwhole.kWithknursingkattendantskbeingkmemberskofkaksocietykholdingksuchkvie
ws,kitkiskcriticalkthatk thekindividualknursingkattendantkself-
reflectkonkpersonalkfeelingskandkdeterminekwhetherksuchkfeelingskwillkaffectktheknursingkcarekt
hatkhekorkshekprovidesktokthekagingkhospitalkclient.kActingkaskankadvocatekiskankimportantknurs
ingkrolekinkallksettings.kSimplykacceptingkakfactkdoesknotkhelpkendkageism,k norkdoeskrecognizi
ngkageismkaskakformkofkbigotry.
DIFFICULT:kApplyingk(Application)kREF:kN/AkOBJ:k1-9
TOPIC:kTeaching-LearningkMSC:kSafekandkEffectivekCarekEnvironment
3. Whenkdiscussingkfactorskthatkhavekhelpedktokincreasektheknumberkofkhealthy,kindependentkol
derkAmericans,ktheknursingkattendantk includeskthekimportancekof:
a. increasedkavailabilitykofkin-homekcarekservices.
b. governmentksupportkofkretiredkcitizens.
c. effectivekantibioticktherapies.
d. thekdevelopmentkofklife-extendingktherapies.
,ACCURATEkANSWER:-C
Reasoning:-
>>>ThekhealthkandkultimatekautonomykofkolderkAmericanskhaskbeenkpositivelykimpactedkbykth
ekdevelopmentkofkantibiotics,kbetterksanitation,kandkvaccines.kThesekpublickhealthkmeasureskhav
ekbeenkmorekinstrumentalkinkincreasingktheknumberskofkhealthy,kindependentkolderkAmericanskt
hankhavekin-homekcarekservices,kgovernmentkprograms,korklife-
extendingktherapies.kDIFFICULT:kRememberingk(Knowledge)kREF:k msc:k2kOBJ:k3-3
TOPIC:NursingkProcess:kImplementationkMSC:kHealthkPromotionkandkMaintenance
4. Basedkonkcurrentkdata,kwhenkpresentingkankolderkadultskdischargekteachingkplan,kt
heknursingkattendantk includeskthekhospitalkclients:
a. nonrelatedkcaretaker.
b. paidknursingkattendant.
c. familykmember.
d. intuitionalkrepresentative
.kACCURATEkANSWER:-C
Reasoning:-
>>>Lesskthank4%kofkolderkadultsklivekinkakformalkhealthkcarekenvironment.kThekmajoritykofkthe
geriatrickpopulationkliveskatkhomekorkwithkfamilykmembers.k
DIFFICULT:kApplyingk(Application)kREF:kN/AkOBJ:k3-3
TOPIC:NursingkProcess:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
5. Theknursingkattendantkplanningkcarekforkankolderkadultkwhokhaskrecentlykbeenkdiagnose
dkwithkrheumatoidkarthritiskviewskthekprioritykcriterionkforkcontinuedkindependencektokbekt
hekhospitalkclients:
a. age.
b. financialkstatus.
c. gender.
d. functionalkstatus
.kACCURATEkANSWER:-D
Reasoning:-
>>>Maintainingkthekfunctionalkstatuskofkolderkadultskmaykavertkthekonsetkofkphysicalkfrailtykand
cognitivekimpairment,ktwokconditionskthatkincreasektheklikelihoodkofkinstitutionalization.k
DIFFICULT:kRememberingk(Knowledge)kREF:k msc:k8kOBJ:k 1-6
TOPIC:kNursingkProcess:kPlanningkMSC:kPhysiologickIntegrity
6. Aknursingkattendantkworkingkwithkthekolderkadultk populationkiskmostklikelyktokassesska
kneedkforkakfinancialksocialkserviceskreferralkforka(n):
a. whitekmale.
b. blackkfemale.
c. Hispanickmale.
d. AsiankAmericankfemale
.kACCURATEkANSWER:-B
Reasoning:-
>>>Thekpovertykratekamongkolderkblackkwomenkisksubstantiallykhigherkthankthatkseenkamongkmakor
femaleskofkotherkethnickgroups.kWhitekmaleskhadkthekleastkpovert
y.kDIFFICULT:kApplyingk(Application)kREF:kN/AkOBJ:k 1-4
TOPIC:NursingkProcess:kAssessmentkMSC:kSafekandkEffectivekCarekEnvironment
, 7. Whichkofkthekfollowingkstatementskmadekbykaknursingkattendantkpreparingktokcompletekak
healthkassessmentkandkhistorykonkankolderkhospitalkclientkreflectskankunderstandingkofkthekge
neralkhealthkstatuskofkthiskpopulation?
a. Illkneedktokdocumentkwellkregardingkthekmedicationskthekhospitalkclientkiskcurrentlykprescribed
.
b. Ikwouldklikektokunderstandkhowksupportivekthekhospitalkclientskfamilykmemberskare.
c. Mostkolderkhospitalkclientskarekbeingktreatedkforkakvarietykofkchronickhealthkcarekissues.
d. Itkwillkbekinterestingktokseekwhetherkthiskhospitalkclientkseeskherselfkaskbei
ngkhealthy.kACCURATEkANSWER:-D
Reasoning:-
>>>Itkiskakmisconceptionkthatkoldkagekisksynonymouskwithkillnesskandkillness.kTheknursingkattendantksho
alwayskdeterminekthekhospitalkclientsksensekofkwellnesskandkindependencekwhenkconductingkakh
ealthkandkhistorykassessment.kAnkassessmentkofkmedicationkusekandkfamilyksupportkiskimportant
kforkanykhospitalkclient.kManykolderkadultskdokhavekchronickhealthkconditions,kbutktheirkpercep
tionkiskmorekimportantkthankaksinglek number.
DIFFICULT:kApplyingk(Application)kREF:kN/AkOBJ:k1-4
TOPIC:NursingkProcess:kAssessmentkMSC:kHealthkPromotion
8. Theknursingkattendantkiskcaringkforkankolderkadultkwhokhaskbeenkadmittedktokankacute
kcarekhealthkcenterkforktreatmentkofkakfracturedkfemur.kThekfamilykexpresseskconcernkab
outkthekhospitalkclientskpendingktransferktokaksubacuteksupportedkcarekfacility.k Whatkres
ponsekbyktheknursingkattendantk iskbest?
a. Acutekcarekfacilitiesklackktheklong-termkphysicalktherapyksupportkyourkdadkrequires.
b. Yourkdadkwillkbekmuchkhappierkinkakmorekserene,kprivatekenvironment.
c. Theksubacutekfacilitykwillkfocuskonkhelpingkyourkdadkmaintainkhiskindependence.
d. Insurance,kincludingkMedicare,kwillkcoverkonlykaklimitedkamountkofktimekhe
re.kACCURATEkANSWER:-C
Reasoning:-
>>>Thektransferkofkthekhospitalkclientktokaksubacutekfacilitykiskbasedkonkthekneedktokmaintainkthekhospitalkc
lients
levelkofkfunctionkandkindependence,kaktaskkthekacuteksupportedkcarekfacilitykisknotkpreparedkto
kaddresskoncekthekhospitalkclientkiskphysiologicallykstable.kThekhospitalkclientkmaykorkmayknot
kbekhappierkinktheknewksetting;ktheknursingkattendantkshouldknotkmakekthiskjudgment.kItkisktrue
kthatkinsurancekonlykpayskforkaklimitedkamountkofktimek inkankacuteksupportedkcarekfacility,k but
kthiskisknotkthekbestk reasonkforkthekhospitalkclientk toktransfer.
DIFFICULT:kApplyingk(Application)kREF:kN/AkO
BJ:k1-6kTOPIC:CommunicationkandkDocumentation
MSC:kHealthkPromotionkandkMaintenance
9. Tokbestkassurekbothkthekqualitykofkcarekandktheksafetykofkthekolderkadultkhospitalkclientkwho
krequireskin-
khomekunlicensedkassistivekpersonalk(UAP)kassistance,kthekgeriatricknursingkattendant:
a. evaluateskthekcompetencykofkthekUAPkstaff.
b. assumeskthekroleskofkcasekmanagerkandkhospitalkclientkadvocate.
c. arrangeskforkthekneededkUAPkprovidedkservices.
d. assesseskthekhospitalkclientkforkfunctionalkli
mitations.kACCURATEkANSWER:-A
Reasoning:-
>>>AskmorekcarektraditionallykprovidedkbykprofessionalknursingkattendantskiskbeingktransferredktokUAP,knur
ingkattendant
mustkassumekmorekresponsibilitykforkeducating,ktraining,kandkevaluatingkthekcompetencykofkUA
