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,Chapter l1 lSeeing lOlder lAdults lThrough lthe lEyes lof lWellness
1. In l2010, lthe lrevised lStandards land lScope lof lGerontological lNursing lPractice lwas
published. lThe lnurse lwould luse lthese lstandards lto:
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a. promote lthe lpractice lof lgerontologic lnursing lwithin lthe lacute lcare lsetting.
b. define lthe lconcepts land ldimensions lof lgerontologic lnursing lpractice.
c. elevate lthe lpractice lof lgerontologic lnursing.
d. incorporate lsuggested linterventions lfrom lothers lwho lpractice lgerontologic
lnursing.
ANS: lD
The lcurrent lpublishing lof lthe lStandards land lScope lof lGerontological lNursing lPractice lin
2010 lincorporates lthe linput lof lgerontologic lnurses lfrom lacross lthe lUnited lStates. lIt lwas lnot
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intended lto lpromote lgerontologic lnursing lpractice lwithin lacute lcare lsettings, ldefine lconcepts
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l or ldimensions lof lgerontologic lnursing lpractice, lor lelevate lthe lpractice lof lgerontologic
l nursing.
DIF: lRemembering l(Knowledge) lREF: lMCS: l2 lOBJ: l1-1
l TOP: lN/A lMSC: lSafe land lEffective lCare lEnvironment
2. The lnurse lplanning lcare lfor lan lolder ladult lwho lhas lrecently lbeen ldiagnosed lwith
rheumatoid larthritis lviews lthe lpriority lcriterion lfor lcontinued lindependence lto lbe lthe
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l patients:
a. age.
b. financial lstatus.
c. gender.
d. functional lstatus.
ANS: lD
Maintaining lthe lfunctional lstatus lof lolder ladults lmay lavert lthe lonset lof lphysical lfrailty land
l cognitive limpairment, ltwo lconditions lthat lincrease lthe llikelihood lof linstitutionalization.
DIF: lRemembering l(Knowledge) lREF: lMCS: l8 lOBJ: l1-6
,TOP: lNursing lProcess: lPlanning lMSC: lPhysiologic lIntegrity
3. When lattempting lto lminimize lthe leffect lof lageism lon lthe lpractice lof lnursing lolder ladults,
a lnurse lneeds lto lfirst:
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a. recognize lthat lnurses lmust lact las ladvocates lfor laging lpatients.
b. accept lthat lthis lpopulation lrepresents la lsubstantial lportion lof lthose
lrequiring lnursing lcare.
c. self-reflect land lformulate lones lpersonal lview lof laging land lthe lolder lpatient.
d. recognize lageism las la lform lof lbigotry lshared lby lmany lAmericans.
ANS: lC
Ageism lis lan lever-increasing lprejudicial lview lof lthe leffects lof lthe laging lprocess land lof lthe
older lpopulation las la lwhole. lWith lnurses lbeing lmembers lof la lsociety lholding lsuch lviews, lit
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l is lcritical lthat lthe lindividual lnurse lself-reflect lon lpersonal lfeelings land ldetermine lwhether
l such lfeelings lwill laffect lthe lnursing lcare lthat lhe lor lshe lprovides lto lthe laging lpatient. lActing
l as lan ladvocate lis lan limportant lnursing lrole lin lall lsettings. lSimply laccepting la lfact ldoes lnot
l help lend lageism, lnor ldoes lrecognizing lageism las la lform lof lbigotry.
DIF: lApplying l(Application) lREF: lN/A lOBJ: l1-9
TOP: lTeaching-Learning lMSC: lSafe land lEffective lCare lEnvironment
4. When ldiscussing lfactors lthat lhave lhelped lto lincrease lthe lnumber lof lhealthy, lindependent
l older lAmericans, lthe lnurse lincludes lthe limportance lof:
a. increased lavailability lof lin-home lcare lservices.
b. government lsupport lof lretired lcitizens.
c. effective lantibiotic ltherapies.
d. the ldevelopment lof llife-extending ltherapies.
ANS: lC
The lhealth land lultimate lautonomy lof lolder lAmericans lhas lbeen lpositively limpacted lby lthe
l development lof lantibiotics, lbetter lsanitation, land lvaccines. lThese lpublic lhealth lmeasures lhave
l been lmore linstrumental lin lincreasing lthe lnumbers lof lhealthy, lindependent lolder lAmericans lthan
l have lin-home lcare lservices, lgovernment lprograms, lor llife-extending ltherapies.
, DIF: lRemembering l(Knowledge) lREF: lMCS: l2 lOBJ: l3-3
TOP: lNursing lProcess: lImplementation lMSC: lHealth lPromotion land lMaintenance
5. Based lon lcurrent ldata, lwhen lpresenting lan lolder ladults ldischarge lteaching lplan, lthe
nurse lincludes lthe lpatients:
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a. nonrelated lcaretaker.
b. paid lcaregiver.
c. family lmember.
d. intuitional lrepresentative.
ANS: lC
Less lthan l4% lof lolder ladults llive lin la lformal lhealth lcare lenvironment. lThe lmajority lof lthe
l geriatric lpopulation llives lat lhome lor lwith lfamily lmembers.
DIF: lApplying l(Application) lREF: lN/A lOBJ: l3-3
TOP: lNursing lProcess: lPlanning lMSC: lSafe land lEffective lCare lEnvironment
6. A lnurse lworking lwith lthe lolder ladult lpopulation lis lmost llikely lto lassess la lneed lfor la
financial lsocial lservices lreferral lfor la(n):
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a. white lmale.
b. black lfemale.
c. Hispanic lmale.