Hams primary care geriatrics a case based approach 6th edition test bank

Ham’sdprimarydcaredgeriatricsd testdbankd2023




NR 601 Ham's Primary Care Geriatrics LATEST TESTB
d d d d d d d d



ANK 2023(Q&A) d




PrinciplesdofdPrimarydCaredofdOlderdAdults


Chapterd1.
MULTIPLEdCHOICE
1. Ind2010,dthedreviseddStandardsdanddScopedofdGerontologicaldNursingdPracticedwasdpublished.d
Thednursedwoulddusedthesedstandardsdto:
a. promotedthedpracticedofdgerontologicdnursingdwithindthedacutedcaredsetting.
b. definedthedconceptsdandddimensionsdofdgerontologicdnursingdpractice.
c. elevatedthedpracticedofdgerontologicdnursing.
d. incorporatedsuggesteddinterventionsdfromdothersdwhodpracticedgerontologicdnursing.

RIGHTdANSWER:
D
ThedcurrentdpublishingdofdthedStandardsdanddScopedofdGerontologicaldNursingdPracticedind2010din
corporatesdthedinputdofdgerontologicdnursesdfromdacrossdthedUniteddStates.dItdwasdnotdintendeddtodpr
omotedgerontologicdnursingdpracticedwithindacutedcaredsettings,ddefinedconceptsdorddimensionsdofd
gerontologicdnursingdpractice,dordelevatedthedpracticedofdgerontologicdnursing.
DIF:dRememberingd(Knowledge)dREF:dmsc:d2dOBJ:d1-
1dTOP:dN/AdMSC:dSafedanddEffectivedCaredEnvironment

2. Whendattemptingdtodminimizedthedeffectdofdageismdondthedpracticedofdnursingdolderdadults,dadn
ursedneedsdtodfirst:
a. recognizedthatdnursesdmustdactdasdadvocatesdfordagingdpatients.
b. acceptdthatdthisdpopulationdrepresentsdadsubstantialdportiondofdthosedrequiringdnursingdcare.
c. self-
reflectdanddformulatedonesdpersonaldviewdofdagingdanddthedolderdpatient.dd.drecog
nizedageismdasdadformdofdbigotrydshareddbydmanydAmerians.
RIGHTdANSWER:dC
Ageismdisdandever-
increasingdprejudicialdviewdofdthedeffectsdofdthedagingdprocessdanddofdthedolderdpopulationdasdadwhol
e.dWithdnursesdbeingdmembersdofdadsocietydholdingdsuchdviews,ditdisdcriticaldthatdthedindividualdnur
sedself-
reflectdondpersonaldfeelingsdandddeterminedwhetherdsuchdfeelingsdwilldaffectdthednursingdcaredthatdh
edordshedprovidesdtodthedagingdpatient.dActingdasdandadvocatedisdandimportantdnursingdroledindalldsett
ings.dSimplydacceptingdadfactddoesdnotdhelpdenddageism,dnorddoesdrecognizingdageismdasdadformdofd
bigotry.
DIF:dApplyingd(Application)dREF:dN/AdOBJ:d1-9
TOP:dTeaching-LearningdMSC:dSafedanddEffectivedCaredEnvironment

3. Whenddiscussingdfactorsdthatdhavedhelpeddtodincreasedthednumberdofdhealthy,dindependentdolderd
Americansdanswer,dthednursedincludesdthedimportancedof:
a. increaseddavailabilitydofdin-homedcaredservices.
b. governmentdsupportdofdretireddcitizens.
c. effectivedantibioticdtherapies.
d. theddevelopmentdofdlife-extendingdtherapies.
RIGHTdANSWER:dC
ThedhealthdanddultimatedautonomydofdolderdAmericansdhasdbeendpositivelydimpacteddbydtheddevel
opmentdofdantibiotics,dbetterdsanitation,danddvaccines.dThesedpublicdhealthdmeasuresdhavedbeendm
oredinstrumentaldindincreasingdthednumbersdofdhealthy,dindependentdolderdAmericansdd

,Ham’sdprimarydcaredgeriatricsd testdbankd2023
thanhavedin-homedcaredservices,dgovernmentdprograms,dordlife-
extendingdtherapies.dDIF:dRememberingd(Knowledge)dREF:dmsc:d2dOBJ:d3-3
TOP:dNursingdProcess:dImplementationdMSC:dHealthdPromotiondanddMaintenance

4. Baseddondcurrentddata,dwhendpresentingdandolderdadultsddischargedteachingdplan,dthednursedi
ncludesdthedpatients:
a. nonrelateddcaretaker.
b. paiddcaregiver.
c. familydmember.
d. intuitionaldrepresentative.
RIGHTdANSWER:dC
Lessdthand4%dofdolderdadultsdlivedindadformaldhealthdcaredenvironment.dThedmajoritydofdthedgeriatr
icdpopulationdlivesdatdhomedordwithdfamilydmembers.
DIF:dApplyingd(Application)dREF:dN/AdOBJ:d3-3
TOP:dNursingdProcess:dPlanningdMSC:dSafedanddEffectivedCaredEnvironment

,Ham’sdprimarydcaredgeriatricsd testdbankd2023
5. Thednursedplanningdcaredfordandolderdadultdwhodhasdrecentlydbeenddiagnoseddwithdrheumatoidda
rthritisdviewsdthedprioritydcriteriondfordcontinueddindependencedtodbedthedpatients:
a. age.
b. financialdstatus.
c. gender.
d. functionaldstatus.d
RIGHTdANSWER:dD
Maintainingdthedfunctionaldstatusdofdolderdadultsdmaydavertdthedonsetdofdphysicaldfrailtydanddcogn
itivedimpairment,dtwodconditionsdthatdincreasedthedlikelihooddofdinstitutionalization.
DIF:dRememberingd(Knowledge)dREF:dmsc:d8dOBJ:d1-
6dTOP:dNursingdProcess:dPlanningdMSC:dPhysiologicdIntegrit
y

6. Adnursedworkingdwithdthedolderdadultdpopulationdisdmostdlikelydtodassessdadneeddfordadfinancialds
ocialdservicesdreferraldforda(n):
a. whitedmale.
b. blackdfemale.
c. Hispanicdmale.
d. AsiandAmericandfemale.d
RIGHTdANSWER:dB
Thedpovertydratedamongdolderdblackdwomendisdsubstantiallydhigherdthandthatdseendamongdmalesdordfe
malesdofdotherdethnicdgroups.dWhitedmalesdhaddthedleastdpoverty.
DIF:dApplyingd(Application)dREF:dN/AdOBJ:d1-4
TOP:dNursingdProcess:dAssessmentdMSC:dSafedanddEffectivedCaredEnvironment

7. Whichdofdthedfollowingdstatementsdmadedbydadnursedpreparingdtodcompletedadhealthdassessmentda
nddhistorydondandolderdpatientdreflectsdandunderstandingdofdthedgeneraldhealthdstatusdofdthisdpopula
tion?
a. Illdneeddtoddocumentdwelldregardingdthedmedicationsdthedpatientdisdcurrentlydprescribed.
b. Idwoulddlikedtodunderstanddhowdsupportivedthedpatientsdfamilydmembersdare.
c. Mostdolderdpatientsdaredbeingdtreateddfordadvarietydofdchronicdhealthdcaredissues.
d. Itdwilldbedinterestingdtodseedwhetherdthisdpatientdseesdherselfdasdbeingdhealthy.
RIGHTdANSWER:dD
Itdisdadmisconceptiondthatdolddagedisdsynonymousdwithddiseasedanddillness.dThednursedshoulddalway
sddeterminedthedpatientsdsensedofdwellnessdanddindependencedwhendconductingdadhealthdanddhistoryda
ssessment.dAndassessmentdofdmedicationdusedanddfamilydsupportdisdimportantdfordanydpatient.dMan
ydolderdadultsddodhavedchronicdhealthdconditions,dbutdtheirdperceptiondisdmoredimportantdthandadsin
glednumber.
DIF:dApplyingd(Application)dREF:dN/AdOBJ:d1-4
TOP:dNursingdProcess:dAssessmentdMSC:dHealthdPromotion

8. Thednursedisdcaringdfordandolderdadultdwhodhasdbeendadmitteddtodandacutedcaredhospitaldfordtre
atmentdofdadfractureddfemur.dThedfamilydexpressesdconcerndaboutdthedpatientsdpendingdtrrightdans
werfertodadsubacutedcaredfacility.dWhatdresponsedbydthednursedisdbest?
a. Acutedcaredfacilitiesdlackdthedlong-termdphysicaldtherapydsupportdyourddaddrequires.
b. Yourddaddwilldbedmuchdhappierdindadmoredserene,dprivatedenvironment.
c. Thedsubacutedfacilitydwilldfocusdondhelpingdyourddaddmaintaindhisdindependence.d
d.dInsurance,dincludingdMedicare,dwilldcoverdonlydadlimiteddamountdofdtimedhere.
RIGHTdANSWER:dC
Thedtrrightdanswerferdofdthedpatientdtodadsubacutedfacilitydisdbaseddondthedneeddtodmaintaindthedpati
entsdleveldofdfunctiondanddindependence,dadtaskdthedacutedcaredfacilitydisdnotdprepareddtodaddressdo
ncethedpatientdisdphysiologicallydstable.dThedpatientdmaydordmaydnotdbedhappierdindthednewdsetting
;dthednursedshoulddnotdmakedthisdjudgment.dItdisdtruedthatdinsurancedonlydpaysdfordadlimiteddamount
ofdtimedindandacutedcaredfacility,dbutdthisdisdnotdthedbestdreasondfordthedpatientdtodtrrightdanswerfer.d
DIF:dApplyingd(Application)dREF:dN/AdOBJ:d1-6
TOP:dCommunicationdanddDocumentation

, Ham’sdprimarydcaredgeriatricsd testdbankd2023
MSC:dHealthdPromotiondanddMaintenance

9. Todbestdassuredbothdthedqualitydofdcaredanddthedsafetydofdthedolderdadultdpatientdwhodrequiresdindh
omedunlicenseddassistivedpersonald(UAP)dassistance,dthedgeriatricdnurse:
a. evaluatesdthedcompetencydofdthedUAPdstaff.