,
,Gerontological Nursing, 4e nw nw
Chapter 1 - Principles of Gerontology
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1) The nurse is preparing to discharge an older client with instructions on smoking cessation.
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wThe nurse states to a colleague, "This client has been smoking for years and isn't going to
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stop now." Which negative stereotype of aging does the nurse's statement most reflect?
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1. Old people are expected to be sick.
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2. Old people are set in their ways.
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3. Old people do not value health promotion education.
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4. Old people are a drain on societal resourc
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es. Answer: 3
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Explanation: 1. Many older adults have chronic disease but function well.
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2. Often people characterize the elderly in a negative way, believing that after a certain a
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ge, things cannot be changed. Older people can learn new things and take up new hobbies
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they can enjoy and give life meaning and pleasure.
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3. Although it may not be possible to reverse all the damage, it is never too late to stop s
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moking cigarettes. People who quit smoking at an older age enjoy better health outcomes.
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4. Older people contribute greatly to society by volunteering, helping with grandchild
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ren, mentoring others, and continue working.
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Page Ref: 4 nw nw
Cognitive Level: Applying nw n w
Client Need: Health Promotion and Maintenan
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ce Client Need Sub: High-
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Risk Behaviors Nurs/Integ Conc.: Nursing Pro
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cess: Planning nw
Learning Outcome: 3. Identify common myths of aging and their contribution to ageism.
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2) The nurse is planning to conduct education for older adult clients regarding preventati
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ve health screenings. Which type of screening does the nurse anticipate educating this po
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pulation on? nw
1. Glaucoma
2. Nutrition
3. An annual mammogram
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4. Prostate-specific antigen nw
Answer: 3 n w
Explanation: 1. A glaucoma screening is recommended annually for those at risk for glauco
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ma.
2. Nutritional assessment and counseling are encouraged for those with diabetes or renal disea
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se.
3. The nurse will discuss the importance of annual mammograms. Older women are the fa
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stest growing population in the United States.
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4. A prostate- nw
specific antigen is recommended yearly for men under the age of 70. Page Re
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f: 7 nw
Cognitive Level: Analyzing nw n w
Client Need: Health Promotion and Maintenan
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ce Client Need Sub: Health Screening
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Nurs/Integ Conc.: Nursing Process: Planning
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Learning Outcome: 1. Interpret demographic data according to race, gender, and age.
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Page 1 nw
, 3) While completing an admission assessment, the nurse learns that a female adult patient
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has smoked a pack of cigarettes daily for 20 years and works at a chemical plant. Fro
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m this information, what is this patient most at risk for?
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1. Decline in muscle mass nw nw nw
2. Nutritional deficiencies nw
3. Depression and social isolation nw nw nw
4. Occupational hazard shortening life expectanc nw nw nw nw
y Answer: 4
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Explanation: 1. While muscle mass does naturally decline in older adults, there is no indica
n w nw nw nw nw nw nw nw nw nw nw nw nw nw
tion that she is not physically active.
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2. In older adults, adequate nutrition can be a concern, yet there is no indication that she
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is not adequately nourished.
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3. In older adults, depression and social isolation are a risk, yet there is no indication that
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she is not socially active.
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4. Exposure to occupational risk factors has been known to affect life expectancy in men and
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
will have the same effect on women given similar circumstances.
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Page Ref: 8-17 nw nw
Cognitive Level: Analyzing nw n w
Client Need: Health Promotion and Maintenan
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ce Client Need Sub: High-
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Risk Behaviors Nurs/Integ Conc.: Nursing Pro
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cess: Diagnosis nw
Learning Outcome: 2. Relate leading causes of morbidity and mortality among older adults.
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4) The nurse is caring for an older adult with a chronic disease. Which is reflective of a t
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ertiary intervention to help slow down the progression of the client's illness?
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1. Assess the client's mobility
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2. Integrate physical therapy nw nw
3. Discuss injury-prevention measures within the home
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4. Obtain a referral for occupational therap
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y Answer: 2
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Explanation: 1. Assessment of the client's mobility is reflective of secondary prevention.
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2. The integration of physical therapy for a client with chronic disease reflects a ter
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tiary intervention to promote restoration and prevent or slow down further debilitat
nw nw nw nw nw nw nw nw nw nw nw
ion.
3. Discussing injury prevention is health promotion or primary prevention.
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4. Obtaining a referral for an occupational therapist reflects a secondary measure of preventio
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n in which there is an early diagnosis and prompt treatment.
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Page Ref: 9 nw nw
Cognitive Level: Applying nw n w
Client Need: Physiological Integrity
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Client Need Sub: Reduction of Risk Potential
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Nurs/Integ Conc.: Nursing Process: Assessmen
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t
Learning Outcome: 4. Describe the effects of chronic disease.
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Page 2 nw
,Gerontological Nursing, 4e nw nw
Chapter 1 - Principles of Gerontology
nw nw n w nw nw
1) The nurse is preparing to discharge an older client with instructions on smoking cessation.
nw nw nw nw nw nw nw nw nw nw nw nw nw n
wThe nurse states to a colleague, "This client has been smoking for years and isn't going to
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
stop now." Which negative stereotype of aging does the nurse's statement most reflect?
nw nw nw nw nw nw nw nw nw nw nw nw
1. Old people are expected to be sick.
nw nw nw nw nw nw
2. Old people are set in their ways.
nw nw nw nw nw nw
3. Old people do not value health promotion education.
nw nw nw nw nw nw nw
4. Old people are a drain on societal resourc
nw nw nw nw nw nw nw
es. Answer: 3
nw n w
Explanation: 1. Many older adults have chronic disease but function well.
n w nw nw nw nw nw nw nw nw nw
2. Often people characterize the elderly in a negative way, believing that after a certain a
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
ge, things cannot be changed. Older people can learn new things and take up new hobbies
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
they can enjoy and give life meaning and pleasure.
nw nw nw nw nw nw nw nw nw
3. Although it may not be possible to reverse all the damage, it is never too late to stop s
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
moking cigarettes. People who quit smoking at an older age enjoy better health outcomes.
nw nw nw nw nw nw nw nw nw nw nw nw nw
4. Older people contribute greatly to society by volunteering, helping with grandchild
nw nw nw nw nw nw nw nw nw nw
ren, mentoring others, and continue working.
nw nw nw nw nw
Page Ref: 4 nw nw
Cognitive Level: Applying nw n w
Client Need: Health Promotion and Maintenan
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ce Client Need Sub: High-
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Risk Behaviors Nurs/Integ Conc.: Nursing Pro
nw nw nw n w nw
cess: Planning nw
Learning Outcome: 3. Identify common myths of aging and their contribution to ageism.
nw n w nw nw nw nw nw nw nw nw nw nw
2) The nurse is planning to conduct education for older adult clients regarding preventati
nw nw nw nw nw nw nw nw nw nw nw nw
ve health screenings. Which type of screening does the nurse anticipate educating this po
nw nw nw nw nw nw nw nw nw nw nw nw nw
pulation on? nw
1. Glaucoma
2. Nutrition
3. An annual mammogram
nw nw
4. Prostate-specific antigen nw
Answer: 3 n w
Explanation: 1. A glaucoma screening is recommended annually for those at risk for glauco
n w nw nw nw nw nw nw nw nw nw nw nw nw
ma.
2. Nutritional assessment and counseling are encouraged for those with diabetes or renal disea
nw nw nw nw nw nw nw nw nw nw nw nw
se.
3. The nurse will discuss the importance of annual mammograms. Older women are the fa
nw nw nw nw nw nw nw nw nw nw nw nw nw
stest growing population in the United States.
nw nw nw nw nw nw
4. A prostate- nw
specific antigen is recommended yearly for men under the age of 70. Page Re
nw nw nw nw nw nw nw nw nw nw nw nw nw
f: 7 nw
Cognitive Level: Analyzing nw n w
Client Need: Health Promotion and Maintenan
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ce Client Need Sub: Health Screening
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Nurs/Integ Conc.: Nursing Process: Planning
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Learning Outcome: 1. Interpret demographic data according to race, gender, and age.
nw n w nw nw nw nw nw nw nw nw nw
Page 1 nw
, 3) While completing an admission assessment, the nurse learns that a female adult patient
nw nw nw nw nw nw nw nw nw nw nw nw
has smoked a pack of cigarettes daily for 20 years and works at a chemical plant. Fro
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
m this information, what is this patient most at risk for?
nw nw nw nw nw nw nw nw nw nw
1. Decline in muscle mass nw nw nw
2. Nutritional deficiencies nw
3. Depression and social isolation nw nw nw
4. Occupational hazard shortening life expectanc nw nw nw nw
y Answer: 4
nw n w
Explanation: 1. While muscle mass does naturally decline in older adults, there is no indica
n w nw nw nw nw nw nw nw nw nw nw nw nw nw
tion that she is not physically active.
nw nw nw nw nw nw
2. In older adults, adequate nutrition can be a concern, yet there is no indication that she
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
is not adequately nourished.
nw nw nw
3. In older adults, depression and social isolation are a risk, yet there is no indication that
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
she is not socially active.
nw nw nw nw
4. Exposure to occupational risk factors has been known to affect life expectancy in men and
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
will have the same effect on women given similar circumstances.
nw nw nw nw nw nw nw nw nw nw
Page Ref: 8-17 nw nw
Cognitive Level: Analyzing nw n w
Client Need: Health Promotion and Maintenan
nw n w nw nw nw
ce Client Need Sub: High-
nw nw nw n w
Risk Behaviors Nurs/Integ Conc.: Nursing Pro
nw nw nw n w nw
cess: Diagnosis nw
Learning Outcome: 2. Relate leading causes of morbidity and mortality among older adults.
nw n w nw nw nw nw nw nw nw nw nw nw
4) The nurse is caring for an older adult with a chronic disease. Which is reflective of a t
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
ertiary intervention to help slow down the progression of the client's illness?
nw nw nw nw nw nw nw nw nw nw nw
1. Assess the client's mobility
nw nw nw
2. Integrate physical therapy nw nw
3. Discuss injury-prevention measures within the home
nw nw nw nw nw
4. Obtain a referral for occupational therap
nw nw nw nw nw
y Answer: 2
nw n w
Explanation: 1. Assessment of the client's mobility is reflective of secondary prevention.
n w nw nw nw nw nw nw nw nw nw nw
2. The integration of physical therapy for a client with chronic disease reflects a ter
nw nw nw nw nw nw nw nw nw nw nw nw nw
tiary intervention to promote restoration and prevent or slow down further debilitat
nw nw nw nw nw nw nw nw nw nw nw
ion.
3. Discussing injury prevention is health promotion or primary prevention.
nw nw nw nw nw nw nw nw
4. Obtaining a referral for an occupational therapist reflects a secondary measure of preventio
nw nw nw nw nw nw nw nw nw nw nw nw
n in which there is an early diagnosis and prompt treatment.
nw nw nw nw nw nw nw nw nw nw
Page Ref: 9 nw nw
Cognitive Level: Applying nw n w
Client Need: Physiological Integrity
nw n w nw
Client Need Sub: Reduction of Risk Potential
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Nurs/Integ Conc.: Nursing Process: Assessmen
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t
Learning Outcome: 4. Describe the effects of chronic disease.
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Page 2 nw
