TEST BANK FOR Ham’s Primary Care Geriatrics: A Case-Based Approach 7th Edition by Richard J. Ham ISBN:978-0323721684 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!! NEW LATEST UPDATE!!!!!

,Chapter 1. Principles of PrimaryCare of Older Adults
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MULTIPLECHOICE
1. . The nurse would use these standards to:
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a. promote the practice of gerontologic nursing within the acute caresetting. pf db db db db db pf db db



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 nursing. db pf db pf db db db db d



bANS: D db


Thecurrent publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
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incorporatesthe input ofgerontologic nurses from across the United States. It was not intended to p ro
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motegerontologic nursing practice withinacutecaresettings, define concepts or dimensions of gero
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ntologic nursing practice, or elevate the practice of gerontologic nursing.
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DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-
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1TOP:N/A MSC:Safe andEffectiveCare Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a n
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urse needs to first:
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a. recognizethat nurses must act as advocates for agingpatients. pf pf pf db db db db



b. acceptthat this populationrepresents a substantial portionofthoserequiringnursing care.
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c. self-reflect and formulate ones personal view of aging and theolder patient.
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d. recognizeageism asaformofbigotrysharedbymanyAmericans. A N db pf db db d



S: C
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Ageism is an ever-increasing prejudicial view ofthe effects of the aging process and of the older
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populationas a whole. With nursesbeingmembers of asocietyholding such views, it is critical tha t th
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e individual nurse self-
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reflect on personal feelings and determine whethersuch feelings willaffect thenursingcarethat h eor sheprovidesto th
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eaging patient. Acting as an advocate isan importantnursing roleinallsetti ngs.Si mplyaccepting a fact doesnot help
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end ageism, nordoes recognizing ageism asaform of b igotry.
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DIF:Applying (Application) REF: N/AOBJ: 1-9 pf db db db


TOP:Teaching-Learning MSC: Safe and Effective Care Environment pf db pf db db db


3. When discussingfactorsthat have helped toincrease the number of healthy, independent older A m
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ericans, the nurse includes the importance of:
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a. increased availability of in-home care services. db db db db db



b. government support of retired citizens. db db db vdb




c. effective antibiotic therapies. db db



d. the development of life-extending therapies.
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,ANS: C db


The health and ultimate autonomy ofolderAmericans hasbeenpositively impacted by thedevelo p
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m ent of antibiotics, bettersanitation, and vaccines. These publichealth measures havebeen mor e i
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nstr umental in increasing the numbers of healthy, independent older Americans than have in-
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home care services, government programs, or life-
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extending therapies. DIF:Remembering (Knowledge) REF: msc: 2OBJ: 3-3
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TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
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4. Based on current data, when presenting anolderadults discharge teaching plan, thenurse in
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cl udes the patients:
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a. nonrelated caretaker. db



b. paid caregiver. pf




c. familymember.
d. intuitionalrepresentative. db d



ANS: C
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Lessthan 4% ofolderadultsliveinaformal healthcareenvironment. The majorityof the
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geriatricpopulationlives athomeorwith familymembers. DI F: pf vdb d b pf



Applying (Application) REF: N/A OBJ: 3-3 db db db db db


TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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5. The nurse planningcare foran olderadult who hasrecentlybeen diagnosed with rheumatoid ar th
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r itis views the priority criterion for continued independence to be the patients:
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a. age.
b. financial status. db



c. gender.
d. functionalstatus. d



ANS: D
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Maintaining the functional status of older adults mayaverttheonset of physical frailty and
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cognitiveimpairment,two conditions thatincrease the likelihood of institutionalization. DI F: Reme db db db db v db db db db


mbering (Knowledge) REF: msc: 8 OBJ: 1-6 db db db db db db


TOP: Nursing Process: Planning MSC: Physiologic Integrity
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6. Anurse working with theolderadult population is most likelyto assess a need fora financial so cial
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services referral for a(n): db db db



a. whitemale.
b. black female. db



c. Hispanic male. db



d. AsianAmericanfemale.
ANS: B
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The povertyrate among older black women is substantially higher than that seen amongmales or
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females of otherethnic groups. White males had theleast poverty. D IF
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: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Safeand Effective CareEnvironment
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, 7. Which of the following statements made by anursepreparing to completea health assessment an d
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history on an older patient reflects an understanding of thegeneral health status of this populatio n?
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a. Ill need to document well regardingthe medications the patient is currently prescribed.
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b. I would like to understand how supportive the patients familymembers are.
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c. Most older patients are being treated for a variety of chronichealth care issues.
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d. It will beinteresting to see whetherthis patient seesherself as beinghealthy. A
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N S: D db db


It is a misconception that old age is synonymous with diseaseand illness. Thenurse should
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always determinethe patients sense of wellness and independence when conducting ahealth and hi st
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o ryassessment. An assessment ofmedication useand family support is important forany patient
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. Many olderadultsdohavechronichealth conditions, but theirperception ismoreimportant than a s
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dbingle number. db


DIF:Applying (Application) REF: N/AOBJ: 1-4 pf db db db


TOP: Nursing Process: Assessment MSC: Health Promotion
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8. The nurse is caring foran olderadult whohasbeenadmittedto anacutecarehospitalfortreatm ento
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fafractured femur. Thefamily expressesconcernabout thepatients pendingtransferto a sub acute
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c are facility. What response by the nurse is best?
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a. Acute care facilities lack the long-term physical therapysupport your dad requires. pf db db db db pf db d b db db



b. Yourdad willbemuchhappierin a moreserene, private environment.
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c. Thesubacutefacilitywill focus on helping pf pf vd b yourdad maintain his independence. pf vd b pf




d. Insurance,including Medicare,willcoveronlyalimitedamount oftimehere. A N pf db pf db db



S: C
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The transfer of the patient to a subacute facilityis based on theneed to maintain the patients
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level offunction and independence, a task theacute carefacility is not prepared to address onceth e
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p atient is physiologicallystable. Thepatient mayor may not behappierin thenewsetting; then u
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rses hould not make this judgment. It is true that insurance onlypays for a limited amount of time in
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an acu te care facility, but this is not the best reason for the patient to transfer.
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DIF:Applying (Application)REF:N/AOBJ:1- v



6 TOP: Communication and Documentatio
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n MSC: Health Promotion and Maintenanc
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e
9. To best assure both the quality ofcareand the safety of theolderadult patient who requires in-
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home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
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a. evaluatesthe competencyofthe UAP staff. pf db db



b. assumes the roles of case manager and patient advocate.
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c. arranges for theneeded UAP provided services. db db db db pf




d. assessesthepatientforfunctionallimitations. pf pf




ANS: A
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Asmore caretraditionally provided by professional nurses is being transferred to UAP, the nurse
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must assumemoreresponsibilityforeducating, training, and evaluating thecompetency of UAP st
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af f to provide safe, effective care for the older adult patient.
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DIF:Applying (Application) REF: N/AOBJ: 1-2 pf db db db