TEST BANK FOR GERONTOLOGIC NURSING 5TH EDITION BY SUE E. MEINER

TEST BANK FOR GERONTOLOGIC NURSING 5TH EDITION BY SUE E. MEINER. Which of the following statements made by a nurse preparing to complete a health assessment and history on an older patient reflects an understanding of the general health status of this population? a. “I’ll need to document well regarding the medications the patient is currently prescribed.” b. “I would like to understand how supportive the patient’s family members are.” c. “Most older patients are being treated for a variety of chronic health care issues.” d. “It will be interesting to see whether this patient sees herself as being healthy.” ANS: D It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patient’s sense of wellness and independence when conducting a health and history assessment. An assessment of medication use and family support is important for any patient. Many older adults do have chronic health conditions, but their perception is more important than a single number. DIF: Applying (Application) REF: N/A OBJ: 1-4 TOP: Nursing Process: Assessment MSC: Health Promotion 8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur. The family expresses concern about the patient’s pending transfer to a subacute care facility. What response by the nurse is best? a. “Acute care facilities lack the long-term physical therapy support your dad requires.” b. “Your dad will be much happier in a more serene, private environment.” c. “The subacute facility will focus on helping your dad maintain his independence.” d. “Insurance, including Medicare, will cover only a limited amount of time here.” ANS: C The transfer of the patient to a subacute facility is based on the need to maintain the patient’s level of function and independence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The patient may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance only pays for a DIF: Applying (Application) REF: N/A OBJ: 1-2 TOP: Communication and Documentation MSC: Safe and Effective Care Environment 10. The nurse working with older adults understands what information about certification in gerontologic nursing? a. It is mandatory for those in long-term care settings. b. It is voluntary and shows clinical expertise in an area. c. It allows nurses to be paid by third-party payers. d. It allows nurses to advance their careers in a job.