TEST BANK FOR HAM’S PRIMARY CARE GERIATRICS: A CASE-BASED APPROACH 7TH EDITION BY RICHARD J. HAM :ISBN10; /ISBN-13; 978-0323721684

,Chapte

,1. Principles of Primary Care of Older Adults
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MULTIPLE CHOICE t


1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
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The nurse would use these standards to:
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a. promote the practice of gerontologic nursing within the acute care setting. t t t t t t t t t t



b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. t t t t t



d. incorporate suggested interventions from others who practice gerontologic nursing. t t t t t t t t



ANS: D
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The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
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incorporates the input of gerontologic nurses from across the United States. It was not intended to
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promote gerontologic nursing practice within acute care settings, define concepts or dimensions
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of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
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DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-1 TOP:
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N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
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nurse needs to first:
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a. recognize that nurses must act as advocates for aging patients. t t t t t t t t t



b. accept that this population represents a substantial portion of those requiring nursing care.
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c. self-reflect and formulate ones personal view of aging and the older patient. t t t t t t t t t t t



d. recognize ageism as a form of bigotry shared by many Americans. t t t t t t t t t t



ANS: C
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Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
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population as a whole. With nurses being members of a society holding such views, it is critical that
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the individual nurse self-reflect on personal feelings and determine whether such feelings will
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affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
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important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does
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recognizing ageism as a form of bigotry.
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DIF: Applying (Application) REF: N/A OBJ: 1-9
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TOP: Teaching-Learning MSC: Safe and Effective Care Environment
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3. When discussing factors that have helped to increase the number of healthy, independent older
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Americans, the nurse includes the importance of:
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a. increased availability of in-home care services. t t t t t



b. government support of retired citizens. t t t t



c. effective antibiotic therapies. t t



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


The health and ultimate autonomy of older Americans has been positively impacted by the
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development of antibiotics, better sanitation, and vaccines. These public health measures have
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been more instrumental in increasing the numbers of healthy, independent older Americans than
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have in-home care services, government programs, or life-extending therapies.
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DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 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 an older adults discharge teaching plan, the nurse
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includes the patients:
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a. nonrelated caretaker. t



b. paid caregiver. t



c. family member. t



d. intuitional representative. t



ANS: C
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Less than 4% of older adults live in a formal health care environment. The majority of the
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geriatric population lives at home or with family members.
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DIF: Applying (Application) REF: N/A OBJ: 3-3
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TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
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arthritis views the priority criterion for continued independence to be the patients:
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a. age.
b. financial status. t



c. gender.
d. functional status. t



ANS: D
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Maintaining the functional status of older adults may avert the onset of physical frailty and
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cognitive impairment, two conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
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TOP: Nursing Process: Planning MSC: Physiologic Integrity
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6. A nurse working with the older adult population is most likely to assess a need for a financial
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social services referral for a(n):
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a. white male. t



b. black female. t



c. Hispanic male. t



d. Asian American female. t t



ANS: B
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The poverty rate among older black women is substantially higher than that seen among males or
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females of other ethnic groups. White males had the least poverty.
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DIF: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
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