TEST BANK FOR HAM'S PRIMARY CARE GERIATRICS: A CASE-BASED APPROACH 7TH EDITION BY GREGG A. WARSHAW| JANE F. POTTER| VERIFIED CHAPTERS 1-54| NEWEST VERSION

TEST BANK for HAM'S PRIMARY CARE GERIATRICS- A CASE
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BASED APPROACH 7TH EDITION /COMPLETE GUIDE
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, Chapter 1. Principles of Primary Care of Older Adults
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MULTIPLE CHOICE u




1. In2010,therevisedStandardsandScopeof GerontologicalNursingPracticewaspublished.Th
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enurse would use these standards to:
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a. promotethepracticeofgerontologicnursingwithintheacutecaresetting.
b. definetheconceptsanddimensionsofgerontologic nursingpractice. u u




c. elevatethepracticeofgerontologicnursing.
d. incorporatesuggestedinterventions fromotherswhopracticegerontologicnursing.A s



u CCURATEANSWER:-D
Reasoning:->>>Thecurrentpublishing oftheStandardsandScopeofGerontologicalNursingPracticein 20 u s u u u u u u u s


incorporates the input of gerontologic nursing attendants from acrossthe United States. It was not int
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endedto promote gerontologicnursingpractice withinacutecaresettings, defineconceptsordimensi
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onsofgerontologic nursingpractice, orelevatethepractice ofgerontologicnursing.
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DIFFICULT:Remembering(Knowledge)REF:msc:2OBJ:1 u u u u u u




-1TOPIC:N/AMSC:SafeandEffectiveCareEnvironment u u u u




2. Whenattemptingtominimizetheeffect ofageismonthepracticeofnursingolderadults,a nurs u u s


uing attendant needs to first:
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a. recognizethat nursingattendantsmust act as advocatesforaging hospital clients. u u s u s u




b. acceptthat thispopulationrepresentsasubstantial portion ofthoserequiring nursingcare.
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c. self-reflect and formulate onespersonalviewofaging andtheolder hospital client.
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d. recognizeageismasa formofbigotrysharedbymanyAmericans.A u u u




CCURATEANSWER:-C
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Reasoning:->>>Ageism isanever-increasingprejudicial viewoftheeffects ofthe aging processand oftheolder u u u u u u u u




population asawhole.Withnursingattendantsbeing membersofasocietyholdingsuchviews,itis
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criticalthat the individualnursingattendant self-
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reflect onpersonalfeelings and determine whether suchfeelingswillaffect thenursing carethat he o
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rsheprovidestothe aginghospitalclient. Acting as anadvocate is an important nursingrole in all set
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tings.Simplyacceptingafactdoesnothelpendageism, nordoes recognizingageismasa formofbi
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gotry.
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DIFFICULT:Applying (Application)REF:N/AOBJ:1-9 u s u u u




TOPIC:Teaching-LearningMSC:SafeandEffectiveCareEnvironment
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3. Whendiscussingfactorsthathavehelped toincreasethenumberofhealthy,independent olderAm s u s


uericans, the nursingattendant includes the importance of:
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a. increasedavailabilityofin-homecareservices.
b. government supportofretired citizens. s u




c. effectiveantibiotictherapies.
d. thedevelopmentoflife-extendingtherapies.

,ACCURATEANSWER:-C
Reasoning:-
>>>Thehealth and ultimate autonomyof older Americans has been positively impactedbythedevel
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opmentofantibiotics, bettersanitation, and vaccines. Thesepublichealthmeasures have been more i
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nstrumentalin increasing thenumbers of healthy, independent olderAmericansthan have in-
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homecareservices,government programs,orlife-
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extending therapies.DIFFICULT:Remembering (Knowledge)REF:msc:2OBJ:3-3
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TOPIC:NursingProcess: ImplementationMSC:HealthPromotionandMaintenance
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4. Basedoncurrent data, whenpresentinganolderadults dischargeteachingplan,thenur
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singattendant includes thehospital clients:
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a. nonrelatedcaretaker.
b. paidnursingattendant.
c. familymember.
d. intuitionalrepresentative.
ACCURATEANSWER:-C
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Reasoning:->>>Lessthan 4%ofolderadultsliveinaformalhealthcareenvironment. Themajorityofthe s u u u u u




geriatricpopulation livesathomeorwithfamilymembers.DIF s u u




FICULT: Applying (Application) REF: N/AOBJ: 3-3
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TOPIC:NursingProcess:PlanningMSC:SafeandEffectiveCareEnvironment
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5. Thenursing attendant planning care for an older adult who has recentlybeen diagnosed with r
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heumatoidarthritisviewstheprioritycriterionforcontinuedindependenceto bethehospital clie
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nts:
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a. age.
b. financialstatus.
c. gender.
d. functionalstatus.
ACCURATEANSWER:-D
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Reasoning:->>>Maintainingthefunctionalstatusofolderadultsmayaverttheonsetofphysicalfrailtyand u u u u u




cognitive impairment,twoconditionsthatincreasethelikelihood ofinstitutionalization.DIFF
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uICULT: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
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TOPIC: Nursing Process:Planning MSC:PhysiologicIntegrity
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6. Anursing attendantworkingwith theolderadult population is most likelytoassessaneed f
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orafinancialsocialservicesreferralfora(n):
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a. whitemale.
b. black female. s



c. Hispanicmale.
d. AsianAmericanfemale.
ACCURATEANSWER:-B
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Reasoning:->>>Thepovertyrateamongolderblackwomenissubstantiallyhigherthanthatseenamongmaor u u u u u




femalesofotherethnicgroups.Whitemaleshadtheleastpoverty.DI u u




FFICULT: Applying(Application) REF: N/AOBJ: 1-4
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TOPIC:NursingProcess:AssessmentMSC:Safeand EffectiveCareEnvironment u u u s u

, 7. Whichof the followingstatements made bya nursingattendant preparingto complete a health
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assessmentandhistoryonanolderhospitalclientreflectsanunderstandingofthegeneralhealth st
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atusofthispopulation?
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a. Illneedtodocument wellregardingthemedicationsthehospital client iscurrentlyprescribed. u u u




b. I would liketounderstandhowsupportivethehospital clients familymembersare.
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c. Mostolderhospital clientsarebeingtreated foravarietyofchronic healthcareissues. u u s s



d. Itwillbeinteresting toseewhetherthishospital client seesherselfasbeinghea
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lthy.ACCURATEANSWER:-D
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Reasoning:-
>>>Itisamisconception that oldageis synonymouswith illnessand illness.Thenursingattendant sho
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alwaysdeterminethehospitalclientssenseofwellnessandindependencewhenconductingahealtha
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u ndhistoryassessment. An assessment of medication use and familysupport is important for anyhosp u s s u u u s u s u u




italclient.Manyolderadultsdohavechronichealthconditions,but theirperceptionismoreimporta
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nt than asingle number.
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DIFFICULT: Applying (Application) REF: N/AOBJ: 1-4 u s u u u




TOPIC:NursingProcess:AssessmentMSC:HealthPromotion
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8. Thenursing 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 familyexpresses concern aboutthe hospital
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clients pendingtransfer to a subacute supported care facility. What response bythe nursingatt
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endant isbest?
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a. Acutecarefacilities lack thelong-termphysicaltherapysupport yourdadrequires. u s u




b. Yourdad willbemuchhappierinamoreserene, private environment.s u u s



c. Thesubacutefacilitywillfocus onhelping yourdadmaintainhisindependence. s u




d. Insurance, includingMedicare,willcoveronlyalimitedamountoftimehere.AC u u u




CURATEANSWER:-C
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Reasoning:-
>>>Thetransferofthehospital client to a subacutefacilityis based ontheneedtomaintainthehospital clients u u u s s s u




uleveloffunction andindependence, ataskthe acutesupportedcarefacilityisnot prepared toaddres
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soncethe hospital client is physiologicallystable. Thehospital client mayor maynot be happier in t
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henew setting; thenursingattendantshouldnotmakethisjudgment. It is truethatinsuranceonlypay
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u s foralimitedamountoftime in an acute supported carefacility, but this is not thebest reason forthe
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hospitalclienttotransfer.
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DIFFICULT:Applying(Application)REF:N/AOBJ: u u u




1-6TOPIC:CommunicationandDocumentation u




MSC:HealthPromotion andMaintenance
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9. To bestassure boththequalityofcareandthesafetyofthe older adult hospital client whorequires in-
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homeunlicensed assistive personal(UAP) assistance, the geriatric nursing attendant: u u u u s u u




a. evaluatesthe competencyofthe UAP staff. u u u




b. assumestherolesofcase managerandhospital client advocate. u u u




c. arrangesfortheneeded UAPprovidedservices. u




d. assesses thehospitalclientforfunctionallimit s u u




ations.ACCURATEANSWER:-A
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Reasoning:-
>>>Asmore caretraditionallyprovided byprofessionalnursing attendantsis beingtransferred to UAP,nursingatt
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endant
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must assumemoreresponsibilityforeducating, training, andevaluatingthecompetencyofUAPstaff to
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provide safe, effective care forthe older adult hospitalclient.
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DIFFICULT:Applying(Application)REF:N/AOBJ:1-2 u u u u