g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
MedgCg
, NursinggforgWellnessgingOldergAdultsgMillerg9thgEditiongTestgBankg
Chapterg1gSeeinggOldergAdultsgThroughgthegEyesgofgWellnessg
g
g
1.gIng2010,gthegrevisedgStandardsgandgScopegofgGerontologicalgNursinggPracticegwasgpublished.
gThegnursegwouldgusegthesegstandardsgto:g
g
a. promotegthegpracticegofggerontologicgnursinggwithingthegacutegcaregsetting.g
b. definegthegconceptsgandgdimensionsgofggerontologicgnursinggpractice.g
c. elevategthegpracticegofggerontologicgnursing.g
d. incorporategsuggestedginterventionsgfromgothersgwhogpracticeggerontologicgnursing.g
g
ANS:gDg
g
ThegcurrentgpublishinggofgthegStandardsgandgScopegofgGerontologicalgNursinggPracticeging2010g
incorporatesgtheginputgofggerontologicgnursesgfromgacrossgthegUnitedgStates.gItgwasgnotgintended
gtogpromoteggerontologicgnursinggpracticegwithingacutegcaregsettings,gdefinegconceptsgorgdimensi
onsgofggerontologicgnursinggpractice,gorgelevategthegpracticegofggerontologicgnursing.g
g
DIF:gRememberingg(Knowledge)gREF:gMCS:g2gOBJ:g1-1g
TOP:gN/AgMSC:gSafegandgEffectivegCaregEnvironmentg
2.gWhengattemptinggtogminimizegthegeffectgofgageismgongthegpracticegofgnursinggoldergadults,gag
nursegneedsgtogfirst:g
g
a. recognizegthatgnursesgmustgactgasgadvocatesgforgaginggpatients.g
b. acceptgthatgthisgpopulationgrepresentsgagsubstantialgportiongofgthosegrequiringgnursinggcare.g
c. self-reflectgandgformulategonesgpersonalgviewgofgaginggandgthegoldergpatient.g
d. recognizegageismgasgagformgofgbigotrygsharedgbygmanygAmericans.g
g
ANS:gCg
Ageismgisgangever-
increasinggprejudicialgviewgofgthegeffectsgofgthegaginggprocessgandgofgthegoldergpopulationgasgag
whole.gWithgnursesgbeinggmembersgofgagsocietygholdinggsuchgviews,gitgisgcriticalgthatgthegindivi
dualgnursegself-
reflectgongpersonalgfeelingsgandgdeterminegwhethergsuchgfeelingsgwillgaffectgthegnursinggcaregtha
tghegorgshegprovidesgtogthegaginggpatient.gActinggasgangadvocategisgangimportantgnursinggroleginga
llgsettings.gSimplygacceptinggagfactgdoesgnotghelpgendgageism,gnorgdoesgrecognizinggageismgasgag
formgofgbigotry.g
g MedgCg
,g
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g1-9g
g
TOP:gTeaching-LearninggMSC:gSafegandgEffectivegCaregEnvironmentg
g
3.gWhengdiscussinggfactorsgthatghaveghelpedgtogincreasegthegnumbergofghealthy,gindependentgold
ergAmericans,gthegnursegincludesgthegimportancegof:g
g
a. increasedgavailabilitygofgin-homegcaregservices.g
b. governmentgsupportgofgretiredgcitizens.g
c. effectivegantibioticgtherapies.g
d. thegdevelopmentgofglife-extendinggtherapies.g
g
ANS:gCg
g
TheghealthgandgultimategautonomygofgoldergAmericansghasgbeengpositivelygimpactedgbygthegdeve
lopmentgofgantibiotics,gbettergsanitation,gandgvaccines.gThesegpublicghealthgmeasuresghavegbeeng
moreginstrumentalgingincreasinggthegnumbersgofghealthy,gindependentgoldergAmericansgthanghav
egin-homegcaregservices,ggovernmentgprograms,gorglife-extendinggtherapies.g
g
DIF:gRememberingg(Knowledge)gREF:gMCS:g2gOBJ:g3-3g
g
TOP:gNursinggProcess:gImplementationgMSC:gHealthgPromotiongandgMaintenanceg
g
4.gBasedgongcurrentgdata,gwhengpresentinggangoldergadultsgdischargegteachinggplan,gthegnurseg
g
g
a. nonrelatedgcaretaker.g
b. paidgcaregiver.g
c. familygmember.g
d. intuitionalgrepresentative.g
g
ANS:gCg
g
Lessgthang4%gofgoldergadultsglivegingagformalghealthgcaregenvironment.gThegmajoritygofgtheggeria
tricgpopulationglivesgatghomegorgwithgfamilygmembers.g
g
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g3-3g
g
TOP:gNursinggProcess:gPlanninggMSC:gSafegandgEffectivegCaregEnvironmentg
g
5.gThegnursegplanninggcaregforgangoldergadultgwhoghasgrecentlygbeengdiagnosedgwithgrheumatoid
garthritisgviewsgthegprioritygcriteriongforgcontinuedgindependencegtogbegthegpatients:g
g
a. age.g
g MedgCg
, b. financialgstatus.g
c. gender.g
d. functionalgstatus.g
g
ANS:gDg
g
Maintaininggthegfunctionalgstatusgofgoldergadultsgmaygavertgthegonsetgofgphysicalgfrailtygandgcog
nitivegimpairment,gtwogconditionsgthatgincreasegtheglikelihoodgofginstitutionalization.g
g
DIF:gRememberingg(Knowledge)gREF:gMCS:g8gOBJ:g1-6g
TOP:gNursinggProcess:gPlanninggMSC:gPhysiologicgIntegrityg
6.gAgnursegworkinggwithgthegoldergadultgpopulationgisgmostglikelygtogassessgagneedgforgagfinancia
lgsocialgservicesgreferralgforga(n):g
g
a. whitegmale.g
b. blackgfemale.g
c. Hispanicgmale.g
d. AsiangAmericangfemale.g
g
ANS:gBg
g
Thegpovertygrategamonggoldergblackgwomengisgsubstantiallyghighergthangthatgseengamonggmalesg
orgfemalesgofgothergethnicggroups.gWhitegmalesghadgthegleastgpoverty.g
g
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g1-4g
g
TOP:gNursinggProcess:gAssessmentgMSC:gSafegandgEffectivegCaregEnvironmentg
g
7.gWhichgofgthegfollowinggstatementsgmadegbygagnursegpreparinggtogcompletegaghealthgassessme
ntgandghistorygongangoldergpatientgreflectsgangunderstandinggofgtheggeneralghealthgstatusgofgthisgp
opulation?g
g
a. Illgneedgtogdocumentgwellgregardinggthegmedicationsgthegpatientgisgcurrentlygprescribed.g
b. Igwouldglikegtogunderstandghowgsupportivegthegpatientsgfamilygmembersgare.g
c. Mostgoldergpatientsgaregbeinggtreatedgforgagvarietygofgchronicghealthgcaregissues.g
d. Itgwillgbeginterestinggtogseegwhethergthisgpatientgseesgherselfgasgbeingghealthy.g
g
ANS:gDg
g
Itgisgagmisconceptiongthatgoldgagegisgsynonymousgwithgdiseasegandgillness.gThegnursegshouldgalw
aysgdeterminegthegpatientsgsensegofgwellnessgandgindependencegwhengconductinggaghealthgandghi
g MedgCg
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
MedgCg
, NursinggforgWellnessgingOldergAdultsgMillerg9thgEditiongTestgBankg
Chapterg1gSeeinggOldergAdultsgThroughgthegEyesgofgWellnessg
g
g
1.gIng2010,gthegrevisedgStandardsgandgScopegofgGerontologicalgNursinggPracticegwasgpublished.
gThegnursegwouldgusegthesegstandardsgto:g
g
a. promotegthegpracticegofggerontologicgnursinggwithingthegacutegcaregsetting.g
b. definegthegconceptsgandgdimensionsgofggerontologicgnursinggpractice.g
c. elevategthegpracticegofggerontologicgnursing.g
d. incorporategsuggestedginterventionsgfromgothersgwhogpracticeggerontologicgnursing.g
g
ANS:gDg
g
ThegcurrentgpublishinggofgthegStandardsgandgScopegofgGerontologicalgNursinggPracticeging2010g
incorporatesgtheginputgofggerontologicgnursesgfromgacrossgthegUnitedgStates.gItgwasgnotgintended
gtogpromoteggerontologicgnursinggpracticegwithingacutegcaregsettings,gdefinegconceptsgorgdimensi
onsgofggerontologicgnursinggpractice,gorgelevategthegpracticegofggerontologicgnursing.g
g
DIF:gRememberingg(Knowledge)gREF:gMCS:g2gOBJ:g1-1g
TOP:gN/AgMSC:gSafegandgEffectivegCaregEnvironmentg
2.gWhengattemptinggtogminimizegthegeffectgofgageismgongthegpracticegofgnursinggoldergadults,gag
nursegneedsgtogfirst:g
g
a. recognizegthatgnursesgmustgactgasgadvocatesgforgaginggpatients.g
b. acceptgthatgthisgpopulationgrepresentsgagsubstantialgportiongofgthosegrequiringgnursinggcare.g
c. self-reflectgandgformulategonesgpersonalgviewgofgaginggandgthegoldergpatient.g
d. recognizegageismgasgagformgofgbigotrygsharedgbygmanygAmericans.g
g
ANS:gCg
Ageismgisgangever-
increasinggprejudicialgviewgofgthegeffectsgofgthegaginggprocessgandgofgthegoldergpopulationgasgag
whole.gWithgnursesgbeinggmembersgofgagsocietygholdinggsuchgviews,gitgisgcriticalgthatgthegindivi
dualgnursegself-
reflectgongpersonalgfeelingsgandgdeterminegwhethergsuchgfeelingsgwillgaffectgthegnursinggcaregtha
tghegorgshegprovidesgtogthegaginggpatient.gActinggasgangadvocategisgangimportantgnursinggroleginga
llgsettings.gSimplygacceptinggagfactgdoesgnotghelpgendgageism,gnorgdoesgrecognizinggageismgasgag
formgofgbigotry.g
g MedgCg
,g
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g1-9g
g
TOP:gTeaching-LearninggMSC:gSafegandgEffectivegCaregEnvironmentg
g
3.gWhengdiscussinggfactorsgthatghaveghelpedgtogincreasegthegnumbergofghealthy,gindependentgold
ergAmericans,gthegnursegincludesgthegimportancegof:g
g
a. increasedgavailabilitygofgin-homegcaregservices.g
b. governmentgsupportgofgretiredgcitizens.g
c. effectivegantibioticgtherapies.g
d. thegdevelopmentgofglife-extendinggtherapies.g
g
ANS:gCg
g
TheghealthgandgultimategautonomygofgoldergAmericansghasgbeengpositivelygimpactedgbygthegdeve
lopmentgofgantibiotics,gbettergsanitation,gandgvaccines.gThesegpublicghealthgmeasuresghavegbeeng
moreginstrumentalgingincreasinggthegnumbersgofghealthy,gindependentgoldergAmericansgthanghav
egin-homegcaregservices,ggovernmentgprograms,gorglife-extendinggtherapies.g
g
DIF:gRememberingg(Knowledge)gREF:gMCS:g2gOBJ:g3-3g
g
TOP:gNursinggProcess:gImplementationgMSC:gHealthgPromotiongandgMaintenanceg
g
4.gBasedgongcurrentgdata,gwhengpresentinggangoldergadultsgdischargegteachinggplan,gthegnurseg
g
g
a. nonrelatedgcaretaker.g
b. paidgcaregiver.g
c. familygmember.g
d. intuitionalgrepresentative.g
g
ANS:gCg
g
Lessgthang4%gofgoldergadultsglivegingagformalghealthgcaregenvironment.gThegmajoritygofgtheggeria
tricgpopulationglivesgatghomegorgwithgfamilygmembers.g
g
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g3-3g
g
TOP:gNursinggProcess:gPlanninggMSC:gSafegandgEffectivegCaregEnvironmentg
g
5.gThegnursegplanninggcaregforgangoldergadultgwhoghasgrecentlygbeengdiagnosedgwithgrheumatoid
garthritisgviewsgthegprioritygcriteriongforgcontinuedgindependencegtogbegthegpatients:g
g
a. age.g
g MedgCg
, b. financialgstatus.g
c. gender.g
d. functionalgstatus.g
g
ANS:gDg
g
Maintaininggthegfunctionalgstatusgofgoldergadultsgmaygavertgthegonsetgofgphysicalgfrailtygandgcog
nitivegimpairment,gtwogconditionsgthatgincreasegtheglikelihoodgofginstitutionalization.g
g
DIF:gRememberingg(Knowledge)gREF:gMCS:g8gOBJ:g1-6g
TOP:gNursinggProcess:gPlanninggMSC:gPhysiologicgIntegrityg
6.gAgnursegworkinggwithgthegoldergadultgpopulationgisgmostglikelygtogassessgagneedgforgagfinancia
lgsocialgservicesgreferralgforga(n):g
g
a. whitegmale.g
b. blackgfemale.g
c. Hispanicgmale.g
d. AsiangAmericangfemale.g
g
ANS:gBg
g
Thegpovertygrategamonggoldergblackgwomengisgsubstantiallyghighergthangthatgseengamonggmalesg
orgfemalesgofgothergethnicggroups.gWhitegmalesghadgthegleastgpoverty.g
g
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g1-4g
g
TOP:gNursinggProcess:gAssessmentgMSC:gSafegandgEffectivegCaregEnvironmentg
g
7.gWhichgofgthegfollowinggstatementsgmadegbygagnursegpreparinggtogcompletegaghealthgassessme
ntgandghistorygongangoldergpatientgreflectsgangunderstandinggofgtheggeneralghealthgstatusgofgthisgp
opulation?g
g
a. Illgneedgtogdocumentgwellgregardinggthegmedicationsgthegpatientgisgcurrentlygprescribed.g
b. Igwouldglikegtogunderstandghowgsupportivegthegpatientsgfamilygmembersgare.g
c. Mostgoldergpatientsgaregbeinggtreatedgforgagvarietygofgchronicghealthgcaregissues.g
d. Itgwillgbeginterestinggtogseegwhethergthisgpatientgseesgherselfgasgbeingghealthy.g
g
ANS:gDg
g
Itgisgagmisconceptiongthatgoldgagegisgsynonymousgwithgdiseasegandgillness.gThegnursegshouldgalw
aysgdeterminegthegpatientsgsensegofgwellnessgandgindependencegwhengconductinggaghealthgandghi
g MedgCg