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