TEST BANK for HAM'S PRIMARY CARE GERIATRICS- A CASE
BASED APPROACH 7TH EDITION /COMPLETE GUIDE
, Chapter 1. Principles of Primary Care of Older Adults
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
published.The nurse would use these standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic
nursing.ACCURATE ANSWER:-D
Reasoning:->>>The current publishing of the Standards and Scope of Gerontological Nursing Practice
in 20
incorporates the input of gerontologic nursing attendants from across the United States.
It was not intended to promote gerontologic nursing practice within acute care settings,
define concepts ordimensions of gerontologic nursing practice, or elevate the practice of
gerontologic nursing.
DIFFICULT: Remembering (Knowledge) REF: msc: 2
OBJ: 1-1TOPIC:N/A MSC: Safe and Effective Care
Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older
adults, anursing attendant needs to first:
a. recognize that nursing attendants must act as advocates for aging hospital clients.
b. accept that this population represents a substantial portion of those requiring nursing
care.
c. self-reflect and formulate ones personal view of aging and the older hospital client.
d. recognize ageism as a form of bigotry shared by many
Americans.ACCURATE ANSWER:-C
Reasoning:->>>Ageism is an ever-increasing prejudicial view of the effects of the aging process and
of theolder
population as a whole. With nursing attendants being members of a society holding
such views, it is critical that the individual nursing attendant self-reflect on personal
feelings and determine whether such feelings will affect the nursing care that he or she
provides to the aging hospital client. Acting as anadvocate is an important nursing role
in all settings. Simply accepting a fact does not help end ageism, nor does recognizing
ageism as a form of bigotry.
DIFFICULT: Applying (Application) REF: N/A OBJ: 1-9
TOPIC: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy,
independent olderAmericans, the nursing attendant includes the importance of:
a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
,d. the development of life-extending therapies.
, ACCURATE ANSWER:-C
Reasoning:->>>The health and ultimate autonomy of older Americans has been
positively impacted by the development of antibiotics, better sanitation, and vaccines.
These public healthmeasures have been more instrumental in increasing the numbers
of healthy, independent olderAmericans than have in-home care services, government
programs, or life-extending therapies.DIFFICULT: Remembering (Knowledge) REF:
msc: 2 OBJ: 3-3
TOPIC:Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adults discharge teaching
plan, thenursing attendant includes the hospital clients:
a. nonrelated caretaker.
b. paid nursing attendant.
c. family member.
d. intuitional
representative.ACCURATE
ANSWER:-C
Reasoning:->>>Less than 4% of older adults live in a formal health care environment. The majority
of the
geriatric population lives at home or with family
members.DIFFICULT: Applying (Application) REF:
N/A OBJ: 3-3
TOPIC:Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The nursing attendant planning care for an older adult who has recently been
diagnosed with rheumatoid arthritis views the priority criterion for continued
independence to be the hospital clients:
a. age.
b. financial status.
c. gender.
d. functional
status.ACCURATE
ANSWER:-D
Reasoning:->>>Maintaining the functional status of older adults may avert the onset of physical
frailty and
cognitive impairment, two conditions that increase the likelihood of
institutionalization.DIFFICULT: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
TOPIC: Nursing Process: Planning MSC: Physiologic Integrity
6. A nursing attendant working with the older adult population is most likely to
assess a need for afinancial social services referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American
BASED APPROACH 7TH EDITION /COMPLETE GUIDE
, Chapter 1. Principles of Primary Care of Older Adults
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
published.The nurse would use these standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic
nursing.ACCURATE ANSWER:-D
Reasoning:->>>The current publishing of the Standards and Scope of Gerontological Nursing Practice
in 20
incorporates the input of gerontologic nursing attendants from across the United States.
It was not intended to promote gerontologic nursing practice within acute care settings,
define concepts ordimensions of gerontologic nursing practice, or elevate the practice of
gerontologic nursing.
DIFFICULT: Remembering (Knowledge) REF: msc: 2
OBJ: 1-1TOPIC:N/A MSC: Safe and Effective Care
Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older
adults, anursing attendant needs to first:
a. recognize that nursing attendants must act as advocates for aging hospital clients.
b. accept that this population represents a substantial portion of those requiring nursing
care.
c. self-reflect and formulate ones personal view of aging and the older hospital client.
d. recognize ageism as a form of bigotry shared by many
Americans.ACCURATE ANSWER:-C
Reasoning:->>>Ageism is an ever-increasing prejudicial view of the effects of the aging process and
of theolder
population as a whole. With nursing attendants being members of a society holding
such views, it is critical that the individual nursing attendant self-reflect on personal
feelings and determine whether such feelings will affect the nursing care that he or she
provides to the aging hospital client. Acting as anadvocate is an important nursing role
in all settings. Simply accepting a fact does not help end ageism, nor does recognizing
ageism as a form of bigotry.
DIFFICULT: Applying (Application) REF: N/A OBJ: 1-9
TOPIC: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy,
independent olderAmericans, the nursing attendant includes the importance of:
a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
,d. the development of life-extending therapies.
, ACCURATE ANSWER:-C
Reasoning:->>>The health and ultimate autonomy of older Americans has been
positively impacted by the development of antibiotics, better sanitation, and vaccines.
These public healthmeasures have been more instrumental in increasing the numbers
of healthy, independent olderAmericans than have in-home care services, government
programs, or life-extending therapies.DIFFICULT: Remembering (Knowledge) REF:
msc: 2 OBJ: 3-3
TOPIC:Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adults discharge teaching
plan, thenursing attendant includes the hospital clients:
a. nonrelated caretaker.
b. paid nursing attendant.
c. family member.
d. intuitional
representative.ACCURATE
ANSWER:-C
Reasoning:->>>Less than 4% of older adults live in a formal health care environment. The majority
of the
geriatric population lives at home or with family
members.DIFFICULT: Applying (Application) REF:
N/A OBJ: 3-3
TOPIC:Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The nursing attendant planning care for an older adult who has recently been
diagnosed with rheumatoid arthritis views the priority criterion for continued
independence to be the hospital clients:
a. age.
b. financial status.
c. gender.
d. functional
status.ACCURATE
ANSWER:-D
Reasoning:->>>Maintaining the functional status of older adults may avert the onset of physical
frailty and
cognitive impairment, two conditions that increase the likelihood of
institutionalization.DIFFICULT: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
TOPIC: Nursing Process: Planning MSC: Physiologic Integrity
6. A nursing attendant working with the older adult population is most likely to
assess a need for afinancial social services referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American
