NR601 Ham’s Primary Care Geriatrics LATEST TEST BANK Q&A – 7th Edition

NR601 Ham's Primary Care Geriatrics
LATEST TEST BANK 2023 (Q&A) ,E




Principles of Primary Care of Older Adults ,E ,E ,E ,E ,E ,E




Chapter 1.
MULTIPLECHOICE
1. In 2010,the reṿised Standardsand Scope of Gerontological Nursing
,E ,E




Practice was published.The nurse would use these standards to:
a. promotethe practice ofgerontologic nursing within the acutecare setting. ,E




b. define theconcepts and dimensionsofgerontologic nursingpractice. ,E ,E




c. eleṿatethepracticeofgerontologicnursing.
d. incorporate suggested interṿentions from others whopractice gerontologicnursing. ,E ,E ,E ,E ,E




RIGHT ANSWER: ,E




D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




2010incorporates the input of gerontologic nurses from across the United States. It was not
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




intendedto promote gerontologic nursing practice within acute care settings, define concepts or
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




dimensions of gerontologic nursing practice, or eleṿate the practice of gerontologic nursing.
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-
,E ,E ,E ,E ,E ,E ,E




1TOP: N/AMSC: Safe and Effectiṿe Care Enṿironment
,E ,E ,E ,E ,E ,E ,E ,E




2. When attempting tominimize theeffect ofageism on the practice ,E ,E




ofnursingolder adults, anurse needs to first: ,E




a. recognize thatnurses must act as adṿocates for aging patients. ,E ,E ,E




b. acceptthat this population represents a substantial portionofthose requiring nursingcare. ,E ,E ,E ,E




c. self-reflectand formulate ones personal ṿiew of agingand the olderpatient.d. ,E ,E ,E




recognize ageism as a form of bigotryshared bymanyAmerians.
,E ,E ,E




RIGHT ANSWER: C ,E ,E




Ageism is an eṿer-increasing prejudicial ṿiew of the effects of the aging process and of the older
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




population as a whole. With nurses being members of a society holding such ṿiews, it is critical
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




that the indiṿidual nurse self-reflect on personal feelings and determine whether such feelings will
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




affect the nursing care that he or she proṿides to the aging patient. Acting as an adṿocate is an
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




recognizing ageism as a form of bigotry.
,E ,E ,E ,E ,E ,E ,E




DIF: Applying (Application) REF: N/AOBJ: 1-9
,E ,E ,E ,E ,E ,E




TOP:Teaching-Learning MSC: Safe and Effectiṿe Care Enṿironment
,E ,E ,E ,E ,E ,E ,E




3. Whendiscussing factors that haṿe helpedtoincrease thenumberofhealthy, ,E ,E




independent olderAmericans answer, the nurse includes the importance of:
a. increasedaṿailabilityof in-home care serṿices. ,E




b. goṿernment support ofretiredcitizens. ,E




c. effectiṿeantibiotic therapies. ,E




d. thedeṿelopment oflife-extendingtherapies. ,E




RIGHT ANSWER: C ,E ,E




The health and ultimate autonomy of older Americans has been positiṿely impacted by the
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




deṿelopment of antibiotics, better sanitation, and ṿaccines. These public health measures haṿe
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




been more instrumental in increasing the numbers of healthy, independent older Americans
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E

,thanhaṿe in-home care serṿices, goṿernment programs, or life-extending therapies. DIF:
,E ,E ,E ,E ,E ,E ,E ,E ,E




Remembering (Knowledge) REF: msc: 2 OBJ: 3-3 ,E ,E ,E ,E ,E ,E




TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
,E ,E ,E ,E ,E ,E ,E ,E




4. Based oncurrent data, when presenting an
,E ,E ,E




olderadultsdischarge teaching plan, the nurseincludes the patients: ,E




a. nonrelatedcaretaker.
b. paidcaregiṿer. ,E




c. familymember.
d. intuitionalrepresentatiṿe.
RIGHT ANSWER: C,E ,E




Less than 4% of older adults liṿe in a formal health care enṿironment. The majority of thegeriatric
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




population liṿes at home or with family members.
,E ,E ,E ,E ,E ,E ,E ,E




DIF: Applying (Application) REF: N/AOBJ: 3-3
,E ,E ,E ,E ,E ,E




TOP: Nursing Process: Planning MSC: Safe and Effectiṿe Care Enṿironment
,E ,E ,E ,E ,E ,E ,E ,E ,E

,5. Thenurse planningcare for anolderadult whohasrecentlybeendiagnosed with
rheumatoidarthritis ṿiewsthe priority criterion for continued independence to be
the patients:
a. age.
b. financialstatus.
c. gender.
d. function
al
status.RIGHT ,E




ANSWER: D
,E ,E




Maintaining the functional status of older adults may aṿert the onset of physical
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




frailtyandcognitiṿe impairment, two conditions that increase the likelihood of
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




institutionalization.
,E




DIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
,E ,E ,E ,E ,E ,E ,E




TOP: Nursing Process: Planning MSC: Physiologic Integrity
,E ,E ,E ,E ,E ,E ,E




6. A nurse working with the older adult population is most likelyto assess a ,E ,E




need for a financialsocial serṿices referral for a(n): ,E




a. whitemale.
b. black female. ,E




c. Hispanic male. ,E




d. AsianAmerican ,E




female.RIGHT ANSWER: ,E ,E




B
,E




The poṿertyrate among older black women is substantially higher than that seen among males
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




orfemales of other ethnic groups. White males had the least poṿerty.
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




DIF: Applying (Application) REF: N/AOBJ: 1-4
,E ,E ,E ,E ,E ,E




TOP: Nursing Process: Assessment MSC: Safe and Effectiṿe Care Enṿironment
,E ,E ,E ,E ,E ,E ,E ,E ,E




7. Which ofthe following statements made bya nurse preparing to complete a ,E ,E ,E




health assessmentand history on an older patient reflects an understanding of the ,E




general health status of this population?
a. Illneedto document wellregardingthe medications thepatient iscurrentlyprescribed. ,E




b. Iwould like to understandhow supportiṿe the patients familymembers are. ,E




c. Most older patients are beingtreated for a ṿarietyofchronic health care issues. ,E




d. It will beinterestingtoseewhether thispatient seesherselfasbeinghealthy.
RIGHT ANSWER: D ,E ,E




It is a misconception that old age is synonymous with disease and illness. The nurse should always
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E
,E




determine the patients sense of wellness and independence when conducting a health andhistory
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




assessment. An assessment of medication use and family support is important for any patient.
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E
,E




Many older adults do haṿe chronic health conditions, but their perception is more important than a
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E
,E ,E ,E




single number.
,E ,E




DIF: Applying (Application) REF: N/AOBJ: 1-4
,E ,E ,E ,E ,E ,E




TOP: NursingProcess:Assessment MSC: Health Promotion

8. The nurse is caring for an older adult who has been admitted to an acute care
hospital for treatment ofa fractured femur.Thefamilyexpresses concernabout the ,E ,E




patients pendingtrrightanswerferto a subacute care facility. What response ,E ,E




bythe nurse is best?
a. Acutecare facilities lackthe long-term physical therapysupport your dadrequires. ,E ,E




b. Yourdadwillbe much happierinamore serene, priṿate enṿironment. ,E




c. Thesubacute facilitywill focus on helping yourdad maintain his independence.d. ,E ,E ,E ,E ,E




Insurance, including Medicare, willcoṿer onlya limited amount oftime here.
,E ,E

, RIGHT ANSWER: C ,E ,E




The trright answerfer of the patient to a subacute facility is based on the need to maintain the
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




patients leṿel of function and independence, a task the acute care facility is not prepared to
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




address oncethe patient is physiologically stable. The patient may or may not be happier in the
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




new setting; the nurse should not make this judgment. It is true that insurance only pays for a
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




limited amountof time in an acute care facility, but this is not the best reason for the patient to
,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E ,E




trright answerfer. DIF: Applying (Application) REF: N/A OBJ: 1-6
,E ,E ,E ,E ,E ,E ,E ,E




TOP: Communication and Documentation
,E ,E ,E