hams primary care geriatrics a case based approach 6th edition test

Ham’s primary care geriatrics
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NR.601.Ham's.Primary.Care.Geriatrics.LATEST.TEST
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BANK.2023(Questions&Answers)

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Principles.of.Primary.Care.of.Older.Adults q, ,
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Chapter 1. q,




MULTIPLE CHOICE q,




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




b. define the concepts and dimensions of gerontologic nursing practice. q, q, q, q, q, q, q, q,




c. elevate the practice of gerontologic nursing. q, q, q, q, q,




d. incorporate suggested interventions from others who practice gerontologic nursing. q, q, q, q, q, q, q, q,




RIGHT.ANSWER: q,




D
The.current.publishing.of.the.Standards.and.Scope.of.Gerontological.Nursing.Practice .in
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.2010.incorporates.the.input.of.gerontologic.nurses.from.across.the.United.States..It.was.not ,
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.intended.to.promote .gerontologic .nursing.practice .within.acute .care .settings, .define .concepts
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.or dimensions.of.gerontologic.nursing.practice,.or.elevate.the.practice.of.gerontologic
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.nursing.
DIF:.Remembering.(Knowledge).REF:.msc:.2.OBJ:.1-
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1.TOP:.N/A.MSC:.Safe.and.Effective.Care q, ,
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.Environment


2. When attempting to minimize the.effect of ageism on the practice of nursing older
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adults, anurse needs to first:
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a. recognize that nurses must.act.as advocates for aging patients. q, q, q, ,
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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 q, q, ,
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patient..d..recognize.ageism.asa form of bigotry shared by manyAmerians.
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RIGHT.ANSWER: .C q, q,




Ageism.is.an.ever-increasing.prejudicial.view.of.the.effects.of.the.aging.process.and.of.the
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.older population.as .a .whole. .With .nurses .being .members .of.a .society.holding.such .views, .it
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.is.critical that .the .individual .nurse .self-reflect .on .personal .feelings .and .determine .whether
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.such.feelings .will .affect .the .nursing.care .that .he .or .she .provides .to .the .aging .patient. .Acting
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.as .an .advocate .is .an.important .nursing.role .in .all .settings. .Simply.accepting .a .fact .does .not
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.help.end .ageism, .nor .does.recognizing.ageism .as.a .form .of.bigotry. DIF:
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.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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3. When discussing factors that have helped to increase the number of healthy, independent
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olderAmericans answer, the nurse includes the importance of:
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a. increased availability of in-home care services. q, q, q, q, q,




b. government support of retired citizens. q, q, q, q,




c. effective antibiotic therapies. q, q,




d. the development oflife-extending therapies. q, q, q, q,




RIGHT .ANSWER: .C
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The.health.and.ultimate.autonomy.of.older.Americans.has.been.positively.impacted.by.the
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development .of .antibiotics, .better .sanitation, .and .vaccines. .These .public .health .measures
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.have been.more.instrumental.in.increasing.the.numbers.of.healthy, .independent.older
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.Americans. . q, q,

,Ham’s primary care geriatrics test
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thanhave .in-home .care .services, .government .programs, .or .life-extending .therapies. .DIF:
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Remembering .(Knowledge) .REF: .msc: .2 .OBJ: .3-3
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TOP:.Nursing.Process:.Implementation.MSC:.Health.Promotion.and.Maintenance
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4. Based on current data, when presenting an older adults discharge teaching plan, the
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nurseincludes the patients:
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a. nonrelated caretaker. q,




b. paid caregiver. q,




c. familymember. q,




d. intuitionalrepresentative. q,




RIGHT .ANSWER: .C
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Less.than.4%.of.older.adults.live.in.a.formal.health.care.environment..The.majority.of
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.the.geriatric.population.lives.at.home.or.with.family.members. DIF:
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.Applying .(Application) .REF: .N/A.OBJ: .3-3
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TOP:.Nursing.Process:.Planning.MSC:.Safe.and.Effective.Care.Environment
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5. 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
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patients:
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a. age.
b. financial status. q,




c. gender.
d. functional
status..RIGHT
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.ANSWER: .D q,




Maintaining.the.functional.status.of.older.adults.may.avert.the.onset.of.physical.frailty q, ,
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.and.cognitive.impairment,.two.conditions.that.increase.the.likelihood.of.institutionalization. DIF: ,
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.Remembering .(Knowledge) .REF: .msc: .8 .OBJ: .1-6
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.TOP: .Nursing.Process: .Planning.MSC: .Physiologic q, q, q,




.Integrity


6. A nurse working with the older adult population is most likely to assess a need for a
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financialsocial services referral for a(n):
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a. white male. q,




b. black female. q,




c. Hispanic male. q,




d. Asian American q,




female..RIGHT.ANSWER:
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.B
The.poverty.rate .among.older.black.women.is.substantially.higher.than.that.seen.among.males
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.or.females.of.other.ethnic.groups..White.males.had.the.least.poverty. DIF: q, ,
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.Applying .(Application) .REF: .N/A.OBJ: .1-4
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TOP:.Nursing.Process:.Assessment.MSC:.Safe.and.Effective.Care.Environment
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7. Which of the following statements made by a.nurse.preparing to complete a health
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assessmentand history on an older patient reflects an.understanding of the general health
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status of this population?
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a. Ill need to document well regarding the.medications the patient is currently prescribed.
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b. I would like to understand how supportive.the patients family members are.
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c. Most older patients are being.treated for a variety of chronic health care issues. q, q, q, q, ,
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d. It will be interesting to see whether this patient sees herself as being healthy.
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RIGHT .ANSWER: .D
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It .is .a .misconception .that.old .age .is .synonymous .with .disease .and .illness. .The .nurse .should
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always.determine.the.patients.sense.of.wellness.and.independence.when.conducting.a.health
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.and.history.assessment. .An .assessment .of.medication .use .and .family.support .is.important .for q, q, q, q, q, q, q, q, q, q, q, q, q ,




.any.patient. .Many.older .adults .do .have .chronic .health .conditions, .but .their .perception .is
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.more important.than.a.single.number. q, ,
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DIF:.Applying.(Application).REF: .N/A.OBJ:.1-4
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TOP: Nursing.Process:.Assessment MSC: Health Promotion
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8. The nurse.is caring for an older adult who has been admitted to an acute care hospital
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.for.treatment.of a fractured femur. The family expresses concern about the patients pending trright.answerferto a
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subacute care facility. What response by the nurse is best?
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a. Acute care facilities lack the long-term physical therapy support your dad requires. q, q, q, q, q, q, q, q, q, q, q,




b. Your dad will be much happier in a more serene, private environment. q, q, q, q, q, q, q, q, q, q, q,




c. The subacute facility will focus on helping your dad maintain his q, q, q, q, q, q, q, q, q, q,




independence..d..Insurance, including Medicare, will cover onlya limited
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amount of time here.
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RIGHT.ANSWER: .C q, q,




The.trright .answerfer .of.the .patient.to .a .subacute .facility.is.based .on .the.need .to .maintain
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.the .patients.level .of .function .and .independence, .a .task .the .acute .care .facility.is .not .prepared
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.to.address .oncethe .patient .is.physiologically.stable. .The .patient .may.or .may.not .be .happier
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.in.the .new.setting; .the .nurse .should.not .make .this.judgment. .It .is .true .that .insurance .only
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.pays .for .a limited.amountof .time .in.an.acute .care .facility, .but .this.is.not .the .best .reason .for
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