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Test Bank - Ebersole and Hess' Gerontological Nursing & Healthy Aging, 5th edition (Touhy, 2018), Chapter 1-28 | All Chapters

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Test Bank - Ebersole and Hess' Gerontological Nursing & Healthy Aging, 5th edition (Touhy, 2018), Chapter 1-28 | All Chapters

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1
Gerontologicalh


Gerontological Nursing & Healthy h h h h




Aging 5th Edition Touhy Question h h h h h




With Answers h




The nurse prepares for short-
h h h h


term care by prioritizing the needs of the older adults, and this intervention helps m
h h h h h h h h h h h h h h


aintain the therapeutic plan, thereby addressing the need for physiological integrity.
h h h h h h h h h h h


Furthermore, the nurse maintains continuity of care by preparing a medication sche
h h h h h h h h h h h


dule to prevent missed doses of medication. Providing safety and security from the s
h h h h h h h h h h h h h


torm is Maslows second most basic need.
h h h h h h




In emergency conditions, the nurse provides basic care relating to safety, security, a
h h h h h h h h h h h h


nd physical well-
h h


being. Maintaining a sense of belonging is important but not in emergency condition
h h h h h h h h h h h h


s. A state of emergency is not the time to develop self-
h h h h h h h h h h h


esteem; meeting safety, security, and physical needs are more important.
h h h h h h h h h



TOUHY 4TH ED TESTBANK h h h




According to researchers, which characteristic will most centenarians share in the fu
h h h h h h h h h h h


ture?


a.Female


b.Demented


c.Malnourished




GerontologicalhNursingh&hHealthyhAgingh5thhEditionhTouhyhQuestionhWithhAnswers

, 2
Gerontologicalh

d.Wheelchair bound - Correct Answer- ANS: A h h h h h h




Researchers expect women to make up the majority of centenarians in the future.
h h h h h h h h h h h h




Gerontologists expect dementia to be common among older adults, but they are not
h h h h h h h h h h h h h


predicting most centenarians will have dementia. Malnutrition is common among ol
h h h h h h h h h h


der adults, but researchers have not predicted that most centenarians will be malno
h h h h h h h h h h h h


urished. Decreased mobility is common among older adults, but researchers have no
h h h h h h h h h h h


t predicted that most centenarians will be confined to a wheelchair.
h h h h h h h h h h



TOUHY 4TH ED TESTBANK h h h




Which statement describes aging in developing countries?
h h h h h h




a.Aged dependence is likely to improve from 1:4 to 1:2.
h h h h h h h h h




b.The biggest problem for older adults will be the lack of food.
h h h h h h h h h h h




c.Most older adults are likely to reside in these countries.
h h h h h h h h h




d.Similar to fertility, life expectancy is increasing, although at a different rate. -
h h h h h h h h h h h h


Correct Answer- ANS: C
h h h h




Currently, developing countries already contain two thirds of the worlds older adult
h h h h h h h h h h h h


population.


Aged dependence is likely to deteriorate from 1:4 to 1:2. The biggest problem of the
h h h h h h h h h h h h h h h


worlds oldest adults is most likely to be a lack of regular income. Life expectancy is i
h h h h h h h h h h h h h h h h


ncreasing, but fertility is decreasing worldwide.
h h h h h



TOUHY 4TH ED TESTBANK h h h




GerontologicalhNursingh&hHealthyhAgingh5thhEditionhTouhyhQuestionhWithhAnswers

, 3
Gerontologicalh



An older woman tells the nurse that she has experienced increasing fatigue and shor
h h h h h h h h h h h h h


tness of breath over the last 2 days. Which goal is the nurses priority?
h h h h h h h h h h h h h




a.Promote safety to prevent injury. h h h h




b.Complete nutritional assessment. h h




c.Balance exercise and rest periods. h h h h




d.Explore the womans complaints. - Correct Answer- ANS: D
h h h h h h h h




Investigating the complaint is the nurses priority; fatigue and shortness of breath ca
h h h h h h h h h h h h


n indicate cardiac disease, especially in women. Women with cardiac disease often e
h h h h h h h h h h h h


xhibit atypical symptoms, and because it tends to be treated less aggressively in wo
h h h h h h h h h h h h h


men, the nurse must be careful not to miss indicators of potential cardiac disease. In
h h h h h h h h h h h h h h h


addition, in investigating the older womans chief complaint, the nurse investigates al
h h h h h h h h h h h


l possible causes.
h h




Promoting safety and preventing injury are reasonable goals to include for this adult
h h h h h h h h h h h h


but are not as important as investigating the chief complaint; breathing and circulati
h h h h h h h h h h h h h


on are two of the three most important physical needs. Completing the nutritional as
h h h h h h h h h h h h h


sessment for this adult is reasonable because the symptoms can be related to nutriti
h h h h h h h h h h h h h


onal deficiencies; however, this assessment should be a part of the examination of th
h h h h h h h h h h h h h


e chief complaint. Balancing rest and exercise is a reasonable approach to a complai
h h h h h h h h h h h h h


nt of fatigue and shortness of breath if the adult is deconditioned; however, the nurs
h h h h h h h h h h h h h h


e must investigate the chief complaint to determine whether deconditioning is a fact
h h h h h h h h h h h h


or.
increasing, but fertility is decreasing worldwide. h h h h h



TOUHY 4TH ED TESTBANK h h h




GerontologicalhNursingh&hHealthyhAgingh5thhEditionhTouhyhQuestionhWithhAnswers

, 4
Gerontologicalh

The nurse develops a community program to promote exercise for older adults. Whi
h h h h h h h h h h h h


ch should the nurse include in the exercise program?
h h h h h h h h




a.Reinforce the ease of exercising every day. h h h h h h




b.Use exercise to relax any dietary restrictions.
h h h h h h




c.Describe ways to resume exercise after lapses.
h h h h h h




d.Participate because exercise achieves wellness. - Correct Answer- ANS: C
h h h h h h h h h




Because the path to wellness includes progression, as well as regression, the nurse s
h h h h h h h h h h h h h


hares information to help participants anticipate these events. The nurse encourage
h h h h h h h h h h


s participants by telling them to expect periods of regression; he or she emphasizes t
h h h h h h h h h h h h h h


hat progress made up to a point is not lost and explains how to approach resumption
h h h h h h h h h h h h h h h


in progress toward wellness with exercise.
h h h h h h




The nurse tells the participants that achieving wellness takes work and regular effor
h h h h h h h h h h h h


t. Rather than offering false hope, the nurse shares practical advice about how to inc
h h h h h h h h h h h h h h


orporate exercise into everyday life. The nurse avoids suggesting that adults can loo
h h h h h h h h h h h h


k forward to relaxing dietary or medical restrictions by using a single method; it is u
h h h h h h h h h h h h h h h


nethical to offer false hope, the plan can be ineffective, and the plan can have adverse
h h h h h h h h h h h h h h h


heffects. The nurse avoids instructing adults to rely on one method of achieving welln
h h h h h h h h h h h h h


ess; wellness is achieved by balancing emotional, spiritual, social, cultural, and physi
h h h h h h h h h h h


cal processes.
h



TOUHY 4TH ED TESTBANK h h h




Which describes the older man who is likely to experience the best overall health an
h h h h h h h h h h h h h h


d well-being?
h




GerontologicalhNursingh&hHealthyhAgingh5thhEditionhTouhyhQuestionhWithhAnswers

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