Test Bank - Gerontological Nursing, 4th Edition (Tabloski, 2019), Chapter 1-24 | All Chapters

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,Gerontological Nursing, 4e sx sx


Chapter 1 - Principles of Gerontology
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1) The nurse is preparing to discharge an older client with instructions on smoking cessation. Th
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e nurse states to a colleague, "This client has been smoking for years and isn't going to stop no
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w." 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 resources
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. 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 age, t
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hings cannot be changed. Older people can learn new things and take up new hobbies they ca
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n 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 smokin
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g 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 grandchildren
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, mentoring others, and continue working.
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Page Ref: 4 sx sx


Cognitive Level: Applying sx s x


Client Need: Health Promotion and Maintenanc
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e Client Need Sub: High-
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Risk Behaviors Nurs/Integ Conc.: Nursing Proc
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ess: Planning
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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 preventative
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health screenings. Which type of screening does the nurse anticipate educating this populatio
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n on?
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1. Glaucoma
2. Nutrition
3. An annual mammogram
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4. Prostate-specific antigen sx


Answer: 3 s x


Explanation: 1. A glaucoma screening is recommended annually for those at risk for glaucoma.
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2. Nutritional assessment and counseling are encouraged for those with diabetes or renal disease.
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3. The nurse will discuss the importance of annual mammograms. Older women are the fastes
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t growing population in the United States.
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4. A prostate-
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specific antigen is recommended yearly for men under the age of 70. Page Ref: 7
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Cognitive Level: Analyzing sx s x


Client Need: Health Promotion and Maintenanc
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e Client Need Sub: Health Screening
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Nurs/Integ Conc.: Nursing Process: Planning sx s x sx sx


Learning Outcome: 1. Interpret demographic data according to race, gender, and age.
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, 3) While completing an admission assessment, the nurse learns that a female adult patient ha
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s smoked a pack of cigarettes daily for 20 years and works at a chemical plant. From this in
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formation, what is this patient most at risk for?
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1. Decline in muscle mass sx sx sx


2. Nutritional deficiencies sx


3. Depression and social isolation sx sx sx


4. Occupational hazard shortening life expectancy sx sx sx sx s


xAnswer: 4 s x


Explanation: 1. While muscle mass does naturally decline in older adults, there is no indication
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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 is n
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ot adequately nourished.
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3. In older adults, depression and social isolation are a risk, yet there is no indication that she
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is not socially active.
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4. Exposure to occupational risk factors has been known to affect life expectancy in men and wil
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l have the same effect on women given similar circumstances.
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Page Ref: 8-17 sx sx


Cognitive Level: Analyzing sx s x


Client Need: Health Promotion and Maintenanc
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e Client Need Sub: High-
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Risk Behaviors Nurs/Integ Conc.: Nursing Proc
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ess: Diagnosis sx


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 tertiar
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y intervention to help slow down the progression of the client's illness?
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1. Assess the client's mobility sx sx sx


2. Integrate physical therapy sx sx


3. Discuss injury-prevention measures within the home
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4. Obtain a referral for occupational therapy
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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 tertiar
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y intervention to promote restoration and prevent or slow down further debilitation.
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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 prevention i
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n which there is an early diagnosis and prompt treatment.
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Page Ref: 9 sx sx


Cognitive Level: Applying sx s x


Client Need: Physiological Integrity
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Client Need Sub: Reduction of Risk Potential N
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urs/Integ Conc.: Nursing Process: Assessment
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Learning Outcome: 4. Describe the effects of chronic disease.
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