TEST BANK for HAM'S PRIMARY CARE GERIATRICS- A CASE BASED APPROACH 7TH EDITION COMPLETE GUIDE 2025 UPDATE GRADED A+

TEST BANK for HAM'S PRIMARY CARE GERIATRICS- A CASE
BASED APPROACH 7TH EDITION /COMPLETE GUIDE

, Chapter 1. Principles of Primary Care of Older Adults

MULTIPLE CHOICE


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



b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing.
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d. incorporate suggested interventions from others who practice gerontologic nursing.A s s s s s s s s s



CCURATE ANSWER:-D s


Reasoning:->>>The current publishing of the Standards and Scope of Gerontological Nursing Practice in 20 s s s s s s s s s s s s s


incorporates the input of gerontologic nursing attendants from across the United States. It was not int
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ended to promote gerontologic nursing practice within acute care settings, define concepts ordimensi
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ons of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
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DIFFICULT: Remembering (Knowledge) REF: msc: 2 OBJ: 1 s s s s s s s


-1TOPIC: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, anurs
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ing attendant needs to first:
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a. recognize that nursing attendants must act as advocates for aging hospital clients. s s s s s s s s s s s



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 hospital client.
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d. recognize ageism as a form of bigotry shared by many Americans.A s s s s s s s s s s s



CCURATE ANSWER:-C s


Reasoning:->>>Ageism is an ever-increasing prejudicial view of the effects of the aging process and of theolder s s s s s s s s s s s s s s s s


population as a whole. With nursing attendants being members of a society holding such views, it is
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critical that the individual nursing attendant self-
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reflect on personal feelings and determine whether such feelings will affect the nursing care that he o
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r she provides to the aging hospital client. Acting as anadvocate is an important nursing role in all set
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tings. Simply accepting a fact does not help end ageism, nor does recognizing ageism as a form of bi
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gotry.
DIFFICULT: Applying (Application) REF: N/A OBJ: 1-9 s s s s s s


TOPIC: 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 olderAm
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ericans, the nursing attendant includes the importance of:
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a. increased availability of in-home care services. s s s s s



b. government support of retired citizens. s s s s



c. effective antibiotic therapies. s s



d. the development of life-extending therapies.
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,ACCURATE ANSWER:-C s


Reasoning:-
>>>The health and ultimate autonomy of older Americans has been positively impacted by the devel
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opment of antibiotics, better sanitation, and vaccines. These public healthmeasures have been more i
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nstrumental in increasing the numbers of healthy, independent olderAmericans than have in-
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home care services, government programs, or life-
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extending therapies.DIFFICULT: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
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TOPIC:Nursing Process: Implementation MSC: Health Promotion and Maintenances s s s s s s


4. Based on current data, when presenting an older adults discharge teaching plan, thenur
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sing attendant includes the hospital clients:
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a. nonrelated caretaker. s



b. paid nursing attendant. s s



c. family member. s



d. intuitional representative. s s



ACCURATE ANSWER:-C s


Reasoning:->>>Less than 4% of older adults live in a formal health care environment. The majority of the s s s s s s s s s s s s s s s s


geriatric population lives at home or with family members.DIF
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FICULT: Applying (Application) REF: N/A OBJ: 3-3
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TOPIC:Nursing Process: Planning MSC: Safe and Effective Care Environment s s s s s s s s


5. The nursing attendant planning care for an older adult who has recently been diagnosed with r
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heumatoid arthritis views the priority criterion for continued independence to be the hospital clie
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nts:
a. age.
b. financial status. s



c. gender.
d. functional status. s s



ACCURATE ANSWER:-D s


Reasoning:->>>Maintaining the functional status of older adults may avert the onset of physical frailty and s s s s s s s s s s s s s s


cognitive impairment, two conditions that increase the likelihood of institutionalization.DIFF
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ICULT: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
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TOPIC: Nursing Process: Planning MSC: Physiologic Integrity
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6. A nursing attendant working with the older adult population is most likely to assess a need f
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or afinancial social services referral for a(n):
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a. white male. s



b. black female. s



c. Hispanic male. s



d. Asian American female. s s s



ACCURATE ANSWER:-B s


Reasoning:->>>The poverty rate among older black women is substantially higher than that seen among maor
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females of other ethnic groups. White males had the least poverty.DI
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FFICULT: Applying (Application) REF: N/A OBJ: 1-4
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TOPIC:Nursing Process: Assessment MSC: Safe and Effective Care Environment s s s s s s s s

, 7. Which of the following statements made by a nursing attendant preparing to complete a health
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assessment and history on an older hospital client reflects an understanding of the general health st
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atusof this population?
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a. Ill need to document well regarding the medications the hospital client is currently prescribed. s s s s s s s s s s s s s



b. I would like to understand how supportive the hospital clients family members are.
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c. Most older hospital clients are being treated for a variety of chronic health care issues.
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d. It will be interesting to see whether this hospital client sees herself as being hea s s s s s s s s s s s s s s



lthy.ACCURATE ANSWER:-D s s


Reasoning:-
>>>It is a misconception that old age is synonymous with illness and illness. The nursing attendant sho
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always determine the hospital clients sense of wellness and independence when conducting a health a
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ndhistory assessment. An assessment of medication use and family support is important for any hosp
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ital client. Many older adults do have chronic health conditions, but their perception is more importa
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nt than a single number.
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DIFFICULT: Applying (Application) REF: N/A OBJ: 1-4 s s s s s s


TOPIC:Nursing Process: Assessment MSC: Health Promotion s s s s s


8. The nursing attendant is caring for an older adult who has been admitted to an acute care he
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althcenter for treatment of a fractured femur. The family expresses concern about the hospital
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clients pending transfer to a subacute supported care facility. What response by the nursing att
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endant is best? s s



a. Acute care facilities lack the long-term physical therapy support your dad requires. s s s s s s s s s s s



b. Your dad will be much happier in a more serene, private environment.
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c. The subacute facility will focus on helping your dad maintain his independence.
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d. Insurance, including Medicare, will cover only a limited amount of time here.AC s s s s s s s s s s s s



CURATE ANSWER:-C s


Reasoning:-
>>>The transfer of the hospital client to a subacute facility is based on the need to maintain the hospital clients
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level of function and independence, a task the acute supported care facility is not prepared to addres
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s oncethe hospital client is physiologically stable. The hospital client may or may not be happier in t
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he new setting; thenursing attendant should not make this judgment. It is true that insurance only pay
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s for a limited amountof time in an acute supported care facility, but this is not the best reason for the
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hospital client to transfer. s s s


DIFFICULT: Applying (Application) REF: N/A OBJ: s s s s s s


1-6TOPIC:Communication and Documentation
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MSC: Health Promotion and Maintenance s s s s


9. To best assure both the quality of care and the safety of the older adult hospital client who requires
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in-home unlicensed assistive personal (UAP) assistance, the geriatric nursing attendant:
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a. evaluates the competency of the UAP staff. s s s s s s



b. assumes the roles of case manager and hospital client advocate. s s s s s s s s s



c. arranges for the needed UAP provided services. s s s s s s



d. assesses the hospital client for functional limit s s s s s s



ations.ACCURATE ANSWER:-A s s


Reasoning:-
>>>As more care traditionally provided by professional nursing attendants is being transferred to UAP,nursing att
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endant
must assume more responsibility for educating, training, and evaluating the competency of UAPstaff
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to provide safe, effective care for the older adult hospital client.
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DIFFICULT: Applying (Application) REF: N/A OBJ: 1-2 s s s s s s