,Chapter 01: Overview of Gerontologic
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Nursing Meiner: Gerontologic
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Nursing, 5th Edition
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MULTIPLE / f CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing
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Practice
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was published. The nurse would use these standards to:
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a. promote the practice of gerontologic nursing within the acute care
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setting. / f
b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. / f / f / f / f / f
d. incorporate suggested interventions from others who practice gerontologic / f / f / f / f / f / f / f
nursing. / f
ANS: D
The current publishing of the Standards and Scope of
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Gerontological Nursing Practice in 2010 incorporates the input of
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gerontologic nurses from across the United States. It was not
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intended to promote gerontologic nursing practice within
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acute care settings, define concepts or dimensions of gerontologic
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nursing practice, or elevate the practice of gerontologic nursing.
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DIF: Remembering (Knowledge) REF: Page 2 /f /f / f / f OBJ: 1-
1 TOP: N/A MSC: Safe and Effective Care /f / f / f / f / f / f / f Environment
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2. When attempting to minimize the effect of ageism on the
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/ f practice of nursing older adults, a nurse needs to first:
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a. recognize that nurses must act as advocates for aging patients.
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b. accept that this population represents a substantial portion
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of those requiring nursing care.
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c. self-reflect and formulate one‟s personal view of aging and the / f / f / f / f / f / f / f / f / f
older patient.
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d. recognize ageism as a form of bigotry shared by many Americans.
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ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging
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process and of the older population as a whole. With nurses being
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members of a society holding such views, it is critical that the
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individual nurse self-reflect on personal feelings and determine
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whether such feelings will affect the nursing care that he or she
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provides to the
/ f aging patient. Acting as an advocate is an
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important nursing role in all settings.
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Simply accepting a fact does not help end ageism, nor does
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recognizing ageism as a form of bigotry.
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DIF: Applying (Application) / f REF: N/A OBJ: 1-9
TOP: Teaching-Learning
/f MSC: Safe
/f / f and Effective /f
Care
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Environment
3. When discussing factors that have helped to increase
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/ fnumber of healthy, independent older Americans, the nurse
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/ f includes the importance of: / f / f / f
,a. increased availability of in-home care services.
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b. government support of retired citizens.
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c. effective antibiotic therapies.
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d. the development of life-extending therapies.
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ANS: C
, The health and ultimate autonomy of older Americans has been
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positively impacted by the development of antibiotics, better
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sanitation, and vaccines. These public health measures have been more
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instrumental in increasing the numbers of healthy, independent older
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Americans than
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programs, or life-extending therapies.
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DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 / f /f /f
TOP: Nursing Process: Implementation MSC: Health Promotion / f / f /f / f / f /f /f and /f /f Maintenance
4. Based on current data, when presenting an older adult‟s
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/ f discharge teaching plan, the nurse includes the patient‟s: / f /f /f / f / f / f / f
a. nonrelated caretaker. / f
b. paid caregiver. /f /f
c. family member. / f
d. intuitional representative. / f
ANS: C
Less than 4% of older adults live in a formal health care
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environment. The majority of the geriatric population
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or with / f / f family members. / f
DIF: Applying / f (Application) REF: N/A OBJ: 3-3
TOP: Nursing / f Process: / f MSC: Safe Effective Care /f
Planning
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/ f Environment /f
5. The nurse planning care for an older adult who
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/ f been diagnosed with rheumatoid arthritis views the
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/ f for continued independence to be the patient‟s:
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a. age.
b. financial status. / f
c. gender.
d. functional status. / f
ANS: D
Maintaining the functional status of older adults may avert the / f / f / f / f / f / f / f / f / f
onset of physical frailty and cognitive impairment, two conditions
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that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1- /f /f / f / f
6 TOP: Nursing Process:
/ f Planning MSC: Physiologic Integrity
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6. A nurse / f working with the older adult population is most likely
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/ f to / f assess a need for a financial social service‟s referral for
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/ f a(n):
a. white male. / f
b. black female. / f
c. Hispanic male. / f
d. Asian American / f / f female.
ANS: B
The poverty rate among older black women is substantially higher
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than that seen among males or females of other ethnic
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groups. White males had the least poverty.
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DIF: Applying / f (Application) REF: N/A OBJ: 1-4