TEST BANK For Evidence-Based Geriatric Nursing Protocols for Best Practice 6th Edition by Boltz; Capezuti; Zwicker, Verified Chapters 1 - 44 Complete, Newest Version

,Chapter 01: Overview of Gerontologic
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Nursing Meiner: Gerontologic
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Nursing, 6th Edition MULTIPLE
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CHOICE
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1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice
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The nurse would use these standards to:
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a. promote the practice of gerontologic nursing within
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b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nd nd n d nd n d nursing.

d. incorporate n d suggested n d interventions n d from n d others who nd n d practice
gerontologic nursing. ANS: D
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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 intended to
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promote gerontologic nursing practice within acute care settings, define concepts or dimensions of
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gerontologic nursing practice, or elevate the practice of gerontologic nursing. DIF: Remembering
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(Knowledge) REF: Page 2 OBJ: 1-1
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TOP: N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
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needs to first:
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a. recognize that nurses nd nd n d must act as advocates
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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 one‟s personal view of aging and the older patient.
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d. recognize n d ageism n d as n d a n d form n d of n d bigotry
shared by many Americans. ANS: C
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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,
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it 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.
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n dActing as an advocate is an important nursing role in all settings. Simply accepting a fact
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n does not help end 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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3. When discussing factors that have helped to increase the number of healthy, independent
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older Americans, the nurse includes the importance of:
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a. increased availability of in-home care services.
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b. government support of retired citizens. nd nd nd nd




c. effective antibiotic therapies. nd nd




d. the development of life-
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extending therapies. ANS: C nd n d n d

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 have
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been more instrumental in increasing the numbers of healthy, independent older Americans than
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have in-home care services, government programs, or life-extending therapies.
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DIF: Remembering (Knowledge) REF: Page 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 adult‟s discharge teaching plan, the nurse includes the
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patient‟s:
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a. nonrelated caretaker. nd



b. paid caregiver. n d




c. family member. nd

,d. intuitional representative.
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, ANS: C nd

Less than 4% of older adults live in a formal health care environment. The majority of the
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nd geriatric population lives at home or with family members.
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DIF: 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 rheumatoid
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n darthritis views the priority criterion for continued independence to be the patient‟s:
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a. age.
b. financial status. n d




c. gender.

d. functional
nd status. ANS: nd



nd D
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
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n dimpairment, two conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: Page 8
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n dOBJ: 1-6 TOP: Nursing Process: Planning MSC:
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ndPhysiologic Integrity nd

6. A nurse working with the older adult population is most likely to assess a need for a
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n dfinancial social service‟s referral for a(n):
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a. white male. nd



b. black n d female.

c. Hispanic male. nd




d. Asian
nd American female. nd



n dANS: B n d

The poverty rate among older black women is substantially higher than that seen among males
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nd females of other ethnic groups. White males had the least poverty.
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DIF: 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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n dassessment and history on an older patient reflects an understanding of the general health
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n dstatus of this population?
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a. “I‟ll need to documentnd n d nd n d well regarding nd n d the medications the patient is currently prescribed.”
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b. “I would like to understand how supportive the patient‟s family members are.”
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c. “Most older nd n d patients are being treated for a variety
nd n d nd n d n d nd n d of chronic health
nd nd n d care issues.” nd




d. “It n d will n d be n d interesting n d to n d see n d whether n d this n d patient n d sees
n dherself as being healthy.” ANS: 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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n dalways determine the patient‟s sense of wellness and independence when conducting a health
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n dand history assessment. An assessment of medication use and family support is important for
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n dany patient. Many older adults do have chronic health conditions, but their perception is more
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n dimportant than a single number. n d n d n d n d

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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n dfor treatment of a fractured femur. The family expresses concern about the patient‟s pending
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n dtransfer to a 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.”
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b. “Your dad will be n d nd nd n d much n d happier in a more serene, n d n d nd nd n d private n d environment.”

c. “The subacute facility will focus on helping your dad maintain his independence.”
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