, Test Bank-Ham's Primary Care Geriatrics- r r r r
ACase-Based Approach 7th Edition Latest
r r r r r r
2024
r
Chapter 1. Principles of Primary Care of Older Adults
r r r r r r r r
MULTIPLE CHOICE r
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
r r r r r r r r r r u r
The nurse would use these standards to:
r r r r r r
a. promote the practice of gerontologic nursing within the acute care setting. r r r r r r r u r u
b. define the concepts and dimensions of gerontologic nursing practice.
r r r r r r u u
c. elevate the practice of gerontologic nursing. r r r r r
d. incorporate suggested interventions from others who practice gerontologic nursing. r r r r u r r r
ANS: D
r r
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
r r r r r r r u r u r u r
incorporates the input of gerontologic nurses from across the United States. It was not intended to
r r r r r r u r u r r r u r r
promote gerontologic nursing practice within acute care settings, define concepts or dimensions
r r r r r r r u r u r r
of gerontologic nursing practice, or elevate the practice of gerontologic nursing. DIF:
r r r r ru r u u r r r r
Remembering (Knowledge) REF: msc: 2 OBJ: 1-1
r r r u r u r
TOP: N/A MSC: Safe and Effective Care Environment
r r r r r u r
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
r r r r r r r u u r r r r r r
nurse needs to first:
r r r r
a. recognize that nurses must act as advocates for aging patients. r u r r ru r r r r
b. accept that this population represents a substantial portion of those requiring nursing care.
r r u r r r r r r r r r
c. self-reflect and formulate ones personal view ofaging and the older patient. r u r r u r r r r r r
d. recognize ageism as a form of bigotryshared by many Americans. r r u u r r r r r r
ANS: C
r r
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
u u r u r r r r r r r r r r r r
population as a whole. With nurses being members of a society holding such views, it is critical that
r u u u r r u r r r r r r r r r r r
the individual nurse self-reflect on personal feelings and determine whether such feelings
r r u r ru r r r r r r r
will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
r u r u r u u u r r r r r r r r r r r
important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
r u u u u u r r r r r r r r r r
does recognizing ageism as a form of bigotry.
r r u r u u r r
DIF: Applying (Application) REF: N/A OBJ: 1-9
r r r r r r
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
r r r r r r r
3. When discussing factors t hat have helped to increase the number of healthy, independent older
r u r r r r r r r r r r r
Americans, the nurse includes the importance of:
r r r r r r r
a. increased availability of in-home care services. r r r r r
b. government support of retired citizens. r r r r
c. effective antibiotic therapies. r r
d. the development of life-extending therapies.
r r r r
,ANS: C r
The health and ultimate autonomy of older Americans has been positively impacted by the
r r r r r r r r r r r r r
rdevelopment of antibiotics, better sanitation, and vaccines. These public health measures have
r r r r r r r r r r r
rbeen more instrumental in increasing the numbers of healthy, independent older Americans
r r r r r r r r r r r
thanhave in-home care services, government programs, or life-extending therapies.
r r r r r r r r r r
DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
r r r r r r r
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
r r r r r r r r
4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
r r r r r r r r r r r ru r
rincludes the patients: r r
a. nonrelated caretaker. r
b. paid caregiver. r
c. family member. r
d. intuitional
representative.ANS: C
r r r
Less than 4% of older adults live in a formal health care environment. The majority of the
r r r r r r r r r r r r r r r r
geriatric population lives at home or with family members.DIF:
r r r r r r r r r
rApplying (Application) REF: N/A OBJ: 3-3 r r r r r
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
r r r r r r u u r
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
r r r r r r r r u r u r r u
rarthritis views the priority criterion for continued independence to be the patients:
r r r r r r u r r r u
a. age.
b. financial status. r
c. gender.
d. functionalstatus. r
ANS: D r
Maintaining the functional status of older adults may avert the onset of physical frailty and
r r u r r r u r u r r r r r
cognitive impairment, two conditions that increase the likelihood of institutionalization.
r u r r r u u r r
rDIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
r r r r r ru r
TOP: Nursing Process: Planning MSC: Physiologic Integrity
r r r u r r
6. A nurse working with the older adult population is most likelyto assess a need for a financial
r r u u u r u r r r r r r r r r r
rsocial services referral for a(n):
u r u u
a. white male. r
b. black female. u
c. Hispanic male. u
d. Asian American female. u
rANS: B r
The povertyrate among older black women is substantially higher than that seen among males or
r r r r r r r r r r r r r r r
females ofother ethnic groups. White males had the least
r r r r r r r r r
rpoverty.DIF: Applying (Application) REF: N/A OBJ: 1-4
r r r r r r r
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
r r r r r r r r r
, 7. Which of the following statements made by a nurse preparing to complete a health
r r r r r r r r r r r r r
assessmentand history on an older patient reflects an understanding of the general health status
r r r r r r r r r r r r r r r
of this population?
r r r
a. Ill need to document well regarding the medications the patient is currently prescribed. r r r r r r r r r r r r
b. I would like to understand how supportive the patients family members are.
r r r r r r r r r r r
c. Most older patients are being treated for a variety of chronic health care issues.
r r r r r r r r r r r r r
d. It will be interesting to see whether this patient sees herself as being healthy. r r r r r r r r r r r r u
ANS: D
r r
It is a misconception that old age is synonymous with disease and illness. The nurse should
r r r r r r r r r r r r r r r
always determine the patients sense of wellness and independence when conducting a health and
r r r r r r r r r u u u u
history assessment. An assessment of medication use and family support is important for any
r r r r r r r r r r r u r r
patient. Many older adults do have chronic health conditions, but their perception is more
r r r r r r r r r r r ru r r
important than a single number.
r r r r r
DIF: Applying (Application) REF: N/A OBJ: 1-4
r r r r r r
TOP: Nursing Process: Assessment MSC: Health Promotion
r r r r r r
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
r r r r r r r r r r r u r r r u r
treatment of a fractured femur. The family expresses concern about the patients pending transfer
r r r r r r r r u r u u r r
to a subacute care facility. What response by the nurse is best?
r r r r r r r r r u u ru
a. Acute care facilities lack the long-term physical therapy support your dad requires. r r r r r r u u r u r
b. Your dad will be much happier in a more serene, private environment.
r r r r r u r r u ru r
c. The subacute facility will focus on helping your dad maintain his independence.
r r r u r u u r r r r
d. Insurance, including Medicare, will cover only a limited amount of time here. r r r r u r u r r r r
ANS: C
r r
The transfer of the patient to a subacute facility is based on the need to maintain the patients
r r r r u u u u r r u u r r r r r
level of function and independence, a task the acute care facility is not prepared to address once
r r r r r r u u r u r r r r r r
the patient is physiologically stable. The patient may or may not be happier in the new setting; the
r r r r u r r u r u r r r r r r r r
nurse should not make this judgment. It is true that insurance only pays for a limited amount of
r r u u r u r r r u u r r r r r r r
time in an acute care facility, but this is not the best reason for the patient to transfer.
r r r r r r ru r r r u r r r r r r r
DIF: Applying (Application) REF: N/A OBJ: 1-6
r r r u r r
TOP: Communication and Documentation
r r u u
MSC: Health Promotion and Maintenance
r u r u u
9. To best assure both the quality of care and the safety of the older adult patient who requires in-
r u r r r r u r r r r r r r r r r r
home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
r r u r u r r r r
a. evaluates the competency of the UAP staff. u r r r r r
b. assumes the roles of case manager and patient advocate. u r u r r r r r
c. arranges for the needed UAP provided services. r r r r r r
d. assesses the patient for functional limitations. u r r r r
ANS: A
r r
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse
r r r r r r r r r r r r r r
must assume more responsibility for educating, training, and evaluating the competencyof
r r r r r r r r r r r
UAPstaff to provide safe, effective care for the older adult patient.
r r r r r r r r r r r r
DIF: Applying (Application) REF: N/A OBJ: 1-2
r r r r r r
ACase-Based Approach 7th Edition Latest
r r r r r r
2024
r
Chapter 1. Principles of Primary Care of Older Adults
r r r r r r r r
MULTIPLE CHOICE r
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
r r r r r r r r r r u r
The nurse would use these standards to:
r r r r r r
a. promote the practice of gerontologic nursing within the acute care setting. r r r r r r r u r u
b. define the concepts and dimensions of gerontologic nursing practice.
r r r r r r u u
c. elevate the practice of gerontologic nursing. r r r r r
d. incorporate suggested interventions from others who practice gerontologic nursing. r r r r u r r r
ANS: D
r r
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
r r r r r r r u r u r u r
incorporates the input of gerontologic nurses from across the United States. It was not intended to
r r r r r r u r u r r r u r r
promote gerontologic nursing practice within acute care settings, define concepts or dimensions
r r r r r r r u r u r r
of gerontologic nursing practice, or elevate the practice of gerontologic nursing. DIF:
r r r r ru r u u r r r r
Remembering (Knowledge) REF: msc: 2 OBJ: 1-1
r r r u r u r
TOP: N/A MSC: Safe and Effective Care Environment
r r r r r u r
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
r r r r r r r u u r r r r r r
nurse needs to first:
r r r r
a. recognize that nurses must act as advocates for aging patients. r u r r ru r r r r
b. accept that this population represents a substantial portion of those requiring nursing care.
r r u r r r r r r r r r
c. self-reflect and formulate ones personal view ofaging and the older patient. r u r r u r r r r r r
d. recognize ageism as a form of bigotryshared by many Americans. r r u u r r r r r r
ANS: C
r r
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
u u r u r r r r r r r r r r r r
population as a whole. With nurses being members of a society holding such views, it is critical that
r u u u r r u r r r r r r r r r r r
the individual nurse self-reflect on personal feelings and determine whether such feelings
r r u r ru r r r r r r r
will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
r u r u r u u u r r r r r r r r r r r
important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
r u u u u u r r r r r r r r r r
does recognizing ageism as a form of bigotry.
r r u r u u r r
DIF: Applying (Application) REF: N/A OBJ: 1-9
r r r r r r
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
r r r r r r r
3. When discussing factors t hat have helped to increase the number of healthy, independent older
r u r r r r r r r r r r r
Americans, the nurse includes the importance of:
r r r r r r r
a. increased availability of in-home care services. r r r r r
b. government support of retired citizens. r r r r
c. effective antibiotic therapies. r r
d. the development of life-extending therapies.
r r r r
,ANS: C r
The health and ultimate autonomy of older Americans has been positively impacted by the
r r r r r r r r r r r r r
rdevelopment of antibiotics, better sanitation, and vaccines. These public health measures have
r r r r r r r r r r r
rbeen more instrumental in increasing the numbers of healthy, independent older Americans
r r r r r r r r r r r
thanhave in-home care services, government programs, or life-extending therapies.
r r r r r r r r r r
DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
r r r r r r r
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
r r r r r r r r
4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
r r r r r r r r r r r ru r
rincludes the patients: r r
a. nonrelated caretaker. r
b. paid caregiver. r
c. family member. r
d. intuitional
representative.ANS: C
r r r
Less than 4% of older adults live in a formal health care environment. The majority of the
r r r r r r r r r r r r r r r r
geriatric population lives at home or with family members.DIF:
r r r r r r r r r
rApplying (Application) REF: N/A OBJ: 3-3 r r r r r
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
r r r r r r u u r
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
r r r r r r r r u r u r r u
rarthritis views the priority criterion for continued independence to be the patients:
r r r r r r u r r r u
a. age.
b. financial status. r
c. gender.
d. functionalstatus. r
ANS: D r
Maintaining the functional status of older adults may avert the onset of physical frailty and
r r u r r r u r u r r r r r
cognitive impairment, two conditions that increase the likelihood of institutionalization.
r u r r r u u r r
rDIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
r r r r r ru r
TOP: Nursing Process: Planning MSC: Physiologic Integrity
r r r u r r
6. A nurse working with the older adult population is most likelyto assess a need for a financial
r r u u u r u r r r r r r r r r r
rsocial services referral for a(n):
u r u u
a. white male. r
b. black female. u
c. Hispanic male. u
d. Asian American female. u
rANS: B r
The povertyrate among older black women is substantially higher than that seen among males or
r r r r r r r r r r r r r r r
females ofother ethnic groups. White males had the least
r r r r r r r r r
rpoverty.DIF: Applying (Application) REF: N/A OBJ: 1-4
r r r r r r r
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
r r r r r r r r r
, 7. Which of the following statements made by a nurse preparing to complete a health
r r r r r r r r r r r r r
assessmentand history on an older patient reflects an understanding of the general health status
r r r r r r r r r r r r r r r
of this population?
r r r
a. Ill need to document well regarding the medications the patient is currently prescribed. r r r r r r r r r r r r
b. I would like to understand how supportive the patients family members are.
r r r r r r r r r r r
c. Most older patients are being treated for a variety of chronic health care issues.
r r r r r r r r r r r r r
d. It will be interesting to see whether this patient sees herself as being healthy. r r r r r r r r r r r r u
ANS: D
r r
It is a misconception that old age is synonymous with disease and illness. The nurse should
r r r r r r r r r r r r r r r
always determine the patients sense of wellness and independence when conducting a health and
r r r r r r r r r u u u u
history assessment. An assessment of medication use and family support is important for any
r r r r r r r r r r r u r r
patient. Many older adults do have chronic health conditions, but their perception is more
r r r r r r r r r r r ru r r
important than a single number.
r r r r r
DIF: Applying (Application) REF: N/A OBJ: 1-4
r r r r r r
TOP: Nursing Process: Assessment MSC: Health Promotion
r r r r r r
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
r r r r r r r r r r r u r r r u r
treatment of a fractured femur. The family expresses concern about the patients pending transfer
r r r r r r r r u r u u r r
to a subacute care facility. What response by the nurse is best?
r r r r r r r r r u u ru
a. Acute care facilities lack the long-term physical therapy support your dad requires. r r r r r r u u r u r
b. Your dad will be much happier in a more serene, private environment.
r r r r r u r r u ru r
c. The subacute facility will focus on helping your dad maintain his independence.
r r r u r u u r r r r
d. Insurance, including Medicare, will cover only a limited amount of time here. r r r r u r u r r r r
ANS: C
r r
The transfer of the patient to a subacute facility is based on the need to maintain the patients
r r r r u u u u r r u u r r r r r
level of function and independence, a task the acute care facility is not prepared to address once
r r r r r r u u r u r r r r r r
the patient is physiologically stable. The patient may or may not be happier in the new setting; the
r r r r u r r u r u r r r r r r r r
nurse should not make this judgment. It is true that insurance only pays for a limited amount of
r r u u r u r r r u u r r r r r r r
time in an acute care facility, but this is not the best reason for the patient to transfer.
r r r r r r ru r r r u r r r r r r r
DIF: Applying (Application) REF: N/A OBJ: 1-6
r r r u r r
TOP: Communication and Documentation
r r u u
MSC: Health Promotion and Maintenance
r u r u u
9. To best assure both the quality of care and the safety of the older adult patient who requires in-
r u r r r r u r r r r r r r r r r r
home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
r r u r u r r r r
a. evaluates the competency of the UAP staff. u r r r r r
b. assumes the roles of case manager and patient advocate. u r u r r r r r
c. arranges for the needed UAP provided services. r r r r r r
d. assesses the patient for functional limitations. u r r r r
ANS: A
r r
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse
r r r r r r r r r r r r r r
must assume more responsibility for educating, training, and evaluating the competencyof
r r r r r r r r r r r
UAPstaff to provide safe, effective care for the older adult patient.
r r r r r r r r r r r r
DIF: Applying (Application) REF: N/A OBJ: 1-2
r r r r r r
