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