Test Bank Complete_ Ham's Primary Care Geriatrics: A Case-Based Approach 7th Edition, (2021) By Richard J. Ham, Gregg A. Warshaw, Jane F. Potter, Ellen Flaherty, Matthew K. McNabney & Mitchell T. Heflin All Chapters 1-54| Three Units| With Correct

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




MULTIPLE CHOICE g



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




b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing.
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d. incorporate suggested interventions from others who practice gerontologic g g g g g g g




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



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
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ordimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
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DIFFICULT: Remembering (Knowledge) REF: msc: 2 OBJ: g g g g g g



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,
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anursing attendant needs to first:
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a. recognize that nursing attendants must act as advocates for aging hospital clients. g g g g g g g g g g g




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 of aging and the older hospital client.
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d. recognize ageism as a form of bigotry shared by many g g g g g g g g g




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



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 g g g g g g



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
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olderAmericans, the nursing attendant includes the importance of:
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a. increased availability of in-home care services. g g g g g




b. government support of retired citizens. g g g g




c. effective antibiotic therapies. g g




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



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



impacted by the development of antibiotics, better sanitation, and vaccines. These public
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healthmeasures have been more instrumental in increasing the numbers of healthy, independent
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olderAmericans than have in-home care services, government programs, or life-extending
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therapies.DIFFICULT: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
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TOPIC:Nursing Process: Implementation MSC: Health Promotion and Maintenance
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4. Based on current data, when presenting an older adults discharge teaching plan,
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thenursing attendant includes the hospital clients:
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a. nonrelated caretaker. g




b. paid nursing attendant. g g




c. family member. g




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



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




c. gender.
d. functional
status.ACCURATE
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ANSWER:-D
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Reasoning:->>>Maintaining the functional status of older adults may avert the onset of physical frailty and g g g g g g g g g g g g g g



cognitive impairment, two conditions that increase the likelihood of
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institutionalization.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 likely to assess a need
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for afinancial social services referral for a(n):
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a. white male. g




b. black female. g




c. Hispanic male. g




d. Asian American g




female.ACCURATE ANSWER:-B
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Reasoning:->>>The poverty rate among older black women is substantially higher than that seen among maor
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females of other ethnic groups. White males had the least
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poverty.DIFFICULT: Applying (Application) REF: N/A OBJ: 1-4
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TOPIC:Nursing Process: Assessment MSC: Safe and Effective Care Environment
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, 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 currently prescribed.
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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
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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 g g g g g g g g g g g g g g g


sho
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always determine the hospital clients sense of wellness 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 g g g g g g



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



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 therapy support your dad requires. g g g g g g g g g g g




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, will cover only a limited amount of time g g g g g g g g g g




here.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 g g g g g g g g g g g g g g g g g


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/A OBJ: g g g g g



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 of the 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. g g g g g g




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




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




d. assesses the hospital client for functional g g g g g




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


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