ADULTS MILLER9TH EDITION
Chapter 1 Seeing Older Adults Through the Eyes of Wellness
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1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
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uj published.The nurse would use these standards to: uj uj uj uj uj uj uj
a. promote the practice of gerontologic nursing within the acute care setting.
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b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. uj uj uj uj uj
d. incorporate suggested interventions from others who practice uj uj uj uj uj uj
gerontologicnursing.
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ANS: D uj
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
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uj 2010incorporates the input of gerontologic nurses from across the United States. It was not
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uj intendedto promote gerontologic nursing practice within acute care settings, define concepts
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uj or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
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DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-
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1TOP: N/A MSC: Safe and Effective Care Environment
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2. The nurse planning care for an older adult who has recently been diagnosed with
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rheumatoidarthritis views the priority criterion for continued independence to be the patients:
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a. age.
b. financial status. uj
c. gender.
d. functional status. uj
ANS: D uj
Maintaining the functional status of older adults may avert the onset of physical frailty
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uj andcognitive impairment, two conditions that increase the likelihood of institutionalization.
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,DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-6
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, TOP: Nursing Process: Planning MSC: Physiologic Integrity
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3. When attempting to minimize the effect of ageism on the practice of nursing older adults,
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anurse needs to first:
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a. recognize that nurses must act as advocates for aging patients. uj uj uj uj uj uj uj uj uj
b. accept that this population represents a substantial portion of those
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requiringnursing care.
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c. self-reflect and formulate ones personal view of aging and the older patient. uj uj uj uj uj uj uj uj uj uj uj
d. recognize ageism as a form of bigotry shared by many Americans. uj uj uj uj uj uj uj uj uj uj
ANS: C uj
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
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olderpopulation as a whole. With nurses being members of a society holding such views, it is
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uj critical that the individual nurse self-reflect on personal feelings and determine whether such
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uj feelings will affect the nursing care that he or she provides to the aging patient. Acting as an
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uj advocate is an important nursing role in all settings. Simply accepting a fact does not help end
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uj ageism, nor does recognizing ageism as a form of bigotry.
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DIF: Applying (Application) REF: N/A OBJ: 1-9
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TOP: Teaching-Learning MSC: Safe and Effective Care Environment
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4. When discussing factors that have helped to increase the number of healthy, independent
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uj olderAmericans, the nurse includes the importance of:
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a. increased availability of in-home care services. uj uj uj uj uj
b. government support of retired citizens. uj uj uj uj
c. effective antibiotic therapies. uj uj
d. the development of life-extending therapies.
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ANS: C uj
The health and ultimate autonomy of older Americans has been positively impacted by the
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uj development of antibiotics, better sanitation, and vaccines. These public health measures have
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uj been more instrumental in increasing the numbers of healthy, independent older Americans
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uj thanhave in-home care services, government programs, or life-extending therapies.
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