Test Bank for Ham's Primary Care Geriatrics: A Case-Based Approach, 7th Edition:

TEST BANK for HAM'S PRIMARY CARE GERIATRICS- A CASE
BASED APPROACH 7TH EDITION /COMPLETE GUIDE

, Chapter 1. Principles of Primary Care of Older Adults

MULTIPLE CHOICE


1. In2010, therevised Standardsand Scopeof Gerontological Nursing Practice waspublished.Th
enurse would use these standards to:
a. promotethepracticeofgerontologicnursingwithintheacutecaresetting.
b. definetheconceptsanddimensionsofgerontologic nursingpractice.
c. elevatethepracticeofgerontologicnursing.
d. incorporatesuggestedinterventions fromotherswhopracticegerontologicnursing.A
s


CCURATEANSWER:-D
Reasoning:->>>Thecurrent publishing ofthe Standards and Scopeof Gerontological Nursing Practice in 20
s s


incorporates the input of gerontologic nursing attendants from acrossthe United States. It was not int
s s


endedto promote gerontologicnursingpractice withinacutecaresettings, defineconceptsordimensi
s


onsofgerontologic nursingpractice, orelevatethepractice ofgerontologicnursing.
DIFFICULT: Remembering(Knowledge) REF: msc: 2 OBJ: 1
-1TOPIC:N/AMSC: Safeand Effective Care Environment
2. Whenattemptingtominimizetheeffect ofageismonthepracticeofnursingolderadults, a nurs s


ing attendant needs to first:
s


a. recognizethat nursingattendantsmust act as advocatesforaging hospital clients.
s s



b. acceptthat thispopulationrepresentsasubstantial portion ofthoserequiring nursingcare.
s s s



c. self-reflect and formulate onespersonalviewofaging andtheolder hospital client.
s s



d. recognizeageismas a formofbigotrysharedbymany Americans.A
CCURATEANSWER:-C
Reasoning:->>>Ageism is an ever-increasingprejudicial viewoftheeffects ofthe aging processand oftheolder
population as a whole. With nursingattendantsbeing members of a societyholdingsuch views, it is
s s


criticalthat the individualnursingattendant self-
reflect onpersonalfeelings and determine whether suchfeelingswillaffect thenursing carethat he o
s s


rsheprovidestothe aginghospitalclient. Acting as anadvocate is an important nursingrole in all set
tings. Simplyaccepting a fact does not help end ageism, nor does recognizing ageism as a formofbi
s


gotry.
DIFFICULT: Applying (Application) REF: N/AOBJ: 1-9
s


TOPIC: Teaching-Learning MSC: Safeand Effective CareEnvironment
3. Whendiscussingfactorsthathavehelped toincreasethenumberofhealthy, independent olderAm
s s


ericans, the nursingattendant includes the importance of:s



a. increasedavailabilityofin-homecareservices.
b. government supportofretired citizens.
s



c. effectiveantibiotictherapies.
d. thedevelopmentoflife-extendingtherapies.

,ACCURATEANSWER:-C
Reasoning:-
>>>Thehealth and ultimate autonomyof older Americans has been positively impactedbythedevel
opmentofantibiotics, bettersanitation, and vaccines. Thesepublichealthmeasures have been more i
s


nstrumentalin increasing thenumbers of healthy, independent olderAmericansthan have in-
s s s


home care services, government programs, or life- s


extending therapies.DIFFICULT: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
s s


TOPIC:NursingProcess: Implementation MSC: HealthPromotionand Maintenance
4. Basedoncurrent data, whenpresenting an olderadults dischargeteachingplan, thenur
s


singattendant includes the hospital clients:
s


a. nonrelatedcaretaker.
b. paidnursingattendant.
c. familymember.
d. intuitionalrepresentative.
ACCURATEANSWER:-C
Reasoning:->>>Lessthan 4% ofolder adults live inaformalhealthcareenvironment. Themajorityofthe
s


geriatricpopulation lives at homeorwithfamilymembers.DIF
s


FICULT: Applying (Application) REF: N/AOBJ: 3-3
s


TOPIC:Nursing Process: Planning MSC: Safeand Effective Care Environment
5. Thenursing attendant planning care for an older adult who has recentlybeen diagnosed with r
s s


heumatoidarthritisviewstheprioritycriterionforcontinuedindependenceto bethehospital clies


nts:
a. age.
b. financialstatus.
c. gender.
d. functionalstatus.
ACCURATEANSWER:-D
Reasoning:->>>Maintainingthe functionalstatusofolder adultsmayavert theonset ofphysical frailtyand
cognitive impairment,twoconditionsthatincreasethelikelihood ofinstitutionalization.DIFF
s s


ICULT: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
TOPIC: Nursing Process: Planning MSC: Physiologic Integrity
s s


6. Anursing attendantworkingwith the olderadult population is most likelyto assessaneed f
s s s


orafinancialsocialservices referralfor a(n):
a. whitemale.
b. black female.
s



c. Hispanicmale.
d. AsianAmericanfemale.
ACCURATEANSWER:-B
Reasoning:->>>Thepovertyrate amongolder blackwomen issubstantiallyhigher thanthat seenamongmaor
femalesofotherethnicgroups. Whitemaleshadtheleast poverty.DI
FFICULT: Applying(Application) REF: N/AOBJ: 1-4
TOPIC:NursingProcess: Assessment MSC: Safeand Effective CareEnvironment
s

, 7. Whichof ssthe ssfollowingstatements ssmade ssbya ssnursingattendant preparingto sscomplete s


ssa health ss assessment ssandsshistoryonsansoldersshospitalssclient ssreflectssansunderstandingofthessgeneral
s


sshealth st ssatusofthisspopulation?
s



a. Illneedtodocument sswellregardingthemedicationsthehospital ssclient ssiscurrentlyprescribed.
b. I would ssliketounderstandhowsupportivethehospital ssclients familymembersare.
s s



c. Mostolderhospital ss ss clientsarebeingtreated foravarietyofchronic healthcareissues.
s s



d. It sswillbeinteresting toseewhetherthishospital ssclient ssseesherself ssas ssbeinghea
s


sslthy.ACCURATE sANSWER:-D

Reasoning:-
>>>It ssisamisconception that old ssageis synonymous sswith illness ssand ssillness. ssThenursingattendant sho
s s s s s


ssalwaysdeterminethehospitalsclientssenseofwellnessandindependencewhenconductingahealtha

s s ndhistoryassessment. ssAn assessment of ssmedication ssuse ssand familysupport ssis important ssfor ssanyhosp
s s s s


italssclient. ssManyolder ssadults ssdohave sschronic sshealth ssconditions, ssbut their ssperceptionismore ssimporta s


ssnt than assingle number.
s s s


DIFFICULT: ssApplying (Application) ssREF: ssN/AOBJ: ss1-4
s


ssTOPIC:NursingProcess:sAssessmentssMSC:sHealthsPromotion

8. Thenursing ssattendant ssis sscaring ssfor ssan ssolder ssadult sswho has ssbeen ssadmitted ssto ssan ssacute s


sscare sshe ssalthcenter ssfor sstreatment ssof ssa ssfractured ssfemur. ssThe ssfamilyexpresses ssconcern

ssaboutthe sshospital ssclients sspendingtransfer ssto a subacute sssupported sscare ssfacility. ssWhat
s s


ssresponse ssbythe ssnursingatt ssendant ssisbest?


a. Acutecarefacilities s s lack thelong-termphysicaltherapysupport s s yourdadrequires.
s



b. Yourdad willbesmuchhappierinamoreserene, sprivate environment.
s s



c. Thesubacutefacilitywillfocus onhelping ssyourdadmaintainhisindependence. s



d. Insurance, ssincludingssMedicare, sswillcoveronlyalimitedamountoftimehere.AC
ssCURATEANSWER:-C

Reasoning:-
>>>Thetransferofthehospital ssclient ssto ssa subacutefacilityis based ontheneedtomaintainthehospital ssclients
s s s


s s levelof ssfunction and ssindependence, ssa sstask ssthe ssacute sssupported sscare ssfacility ssis ssnot prepared ssto ssaddres
s s


soncethe sshospital ssclient is ssphysiologicallystable. ssThehospital ssclient ssmayor ssmaynot ssbe sshappier
s


ssin ts sshenew ss setting; ssthenursingattendantshouldnotmakethisjudgment. ssIt

ssis truethatinsuranceonlypay
s s s s ssforalimitedamountoftime ssin ssan ssacute sssupported carefacility, s


ssbut ssthis ssis ssnot thebest ssreason forthe sshospitalclientsstotransfer.
s s


DIFFICULT:sApplying(Application)sREF:sN/AOBJ:
1-6TOPIC:CommunicationandsDocumentation
ssMSC:sHealthPromotion andsMaintenance s


9. To ssbestassure boththequalityofcareandthesafetyofthe older ssadult sshospital ssclient
s s


sswhorequires ssin-homeunlicensed ssassistive sspersonal(UAP) ssassistance, ssthe geriatric ssnursing s


ssattendant:


a. evaluatesthe sscompetencyofthe ssUAP ssstaff.
b. assumestherolesofcase ssmanagerandhospital ssclient ssadvocate.
c. arrangesfortheneeded ssUAPprovidedservices.
d. assesses thehospitalsclientsforfunctionallimit
s


ssations.ACCURATEANSWER:-A

Reasoning:-
>>>As ssmore sscaretraditionallyprovided ssbyprofessionalnursing attendantsis ssbeingtransferred to s s

ssUAP,nursingatt ssendant

must ssassumemoreresponsibilityforeducating, sstraining, ssandevaluatingthecompetencyofsUAPstaff
ssto ssprovide sssafe, sseffective sscare ssforthe ssolder ssadult sshospitalclient.

DIFFICULT:ssApplying(Application) ssREF: ssN/AOBJ:ss1-2