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