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, Gerontological Nursing
Fourth Edition
Patricia A. Tabloski
4TH EDITION · PEARSON
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TABLE OF CONTENTS
PART 1 — FOUNDATIONS OF NURSING PRACTICE
Ch. 01 Principles of Gerontology
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Ch. 02 Contemporary Gerontological Nursing
Ch. 03 Principles of Geriatrics
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PART 2 — CHALLENGES OF AGING AND THE CORNERSTONES OF EXCELLENCE IN NURSING CARE
Ch. 04 Cultural Diversity
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Ch. 05 Nutrition and Aging
Ch. 06 Pharmacology and Older Adults
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Ch. 07 Psychological and Cognitive Function
Ch. 08 Sleep and the Older Adult
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Ch. 09 Pain Management
Ch. 10 Violence and Elder Mistreatment
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Ch. 11 Care at the End of Life
PART 3 — PHYSIOLOGICAL BASIS OF PRACTICE
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Ch. 12 The Integument
Ch. 13 The Mouth and Oral Cavity
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Ch. 14 Sensation: Hearing, Vision, Taste, Touch, and Smell
Ch. 15 The Cardiovascular System
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Ch. 16 The Respiratory System
Ch. 17 The Genitourinary and Renal Systems
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Ch. 18 The Musculoskeletal System
, Ch. 19 The Endocrine System
Ch. 20 The Gastrointestinal System
Ch. 21 The Hematologic System
Ch. 22 The Neurologic System
Ch. 23 The Immune System
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Ch. 24 Multisystem Problems: Caring for Frail Elders with Comorbidities
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, Gerontological Nursing, 4e
Chapter 1 - Principles of Gerontology
1) The nurse is preparing to discharge an older client with instructions on smoking cessation. The
nurse states to a colleague, "This client has been smoking for years and isn't going to stop now."
Which negative stereotype of aging does the nurse's statement most reflect?
1. Old people are expected to be sick.
2. Old people are set in their ways.
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3. Old people do not value health promotion education.
4. Old people are a drain on societal resources.
Answer: 3
Explanation: 1. Many older adults have chronic disease but function well.
2. Often people characterize the elderly in a negative way, believing that after a certain age,
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things cannot be changed. Older people can learn new things and take up new hobbies they can
enjoy and give life meaning and pleasure.
3. Although it may not be possible to reverse all the damage, it is never too late to stop smoking
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 grandchildren,
mentoring others, and continue working.
Page Ref: 4
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Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub: High-Risk Behaviors
Nurs/Integ Conc.: Nursing Process: Planning
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 preventative
health screenings. Which type of screening does the nurse anticipate educating this population
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on?
1. Glaucoma
2. Nutrition
3. An annual mammogram
4. Prostate-specific antigen
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Answer: 3
Explanation: 1. A glaucoma screening is recommended annually for those at risk for glaucoma.
2. Nutritional assessment and counseling are encouraged for those with diabetes or renal disease.
3. The nurse will discuss the importance of annual mammograms. Older women are the fastest
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growing population in the United States.
4. A prostate-specific antigen is recommended yearly for men under the age of 70.
Page Ref: 7
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
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Client Need Sub: Health Screening
Nurs/Integ Conc.: Nursing Process: Planning
Learning Outcome: 1. Interpret demographic data according to race, gender, and age.
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