l
,Chapterl1lSeeinglOlderlAdultslThroughlthelEyesloflWellness
1. Inl2010,lthelrevisedlStandardslandlScopeloflGerontologicallNursinglPracticelwaslpublished.lT
helnurselwouldluseltheselstandardslto:
a. promotelthelpracticeloflgerontologiclnursinglwithinlthelacutelcarelsetting.
b. definelthelconceptslandldimensionsloflgerontologiclnursinglpractice.
c. elevatelthelpracticeloflgerontologiclnursing.
d. incorporatelsuggestedlinterventionslfromlotherslwholpracticelgerontologicl
nursing.
ANS:lD
ThelcurrentlpublishingloflthelStandardslandlScopeloflGerontologicallNursinglPracticelinl2010linc
orporateslthelinputloflgerontologiclnurseslfromlacrosslthelUnitedlStates.lItlwaslnotlintendedltolpro
motelgerontologiclnursinglpracticelwithinlacutelcarelsettings,ldefinelconceptslorldimensionsloflge
rontologiclnursinglpractice,lorlelevatelthelpracticeloflgerontologiclnursing.
DIF:lRememberingl(Knowledge)lREF:lMCS:l2lOBJ:l1-
1lTOP:lN/AlMSC:lSafelandlEffectivelCarelEnvironment
2. Thelnurselplanninglcarelforlanlolderladultlwholhaslrecentlylbeenldiagnosedlwithlrheumatoidlar
thritislviewslthelprioritylcriterionlforlcontinuedlindependenceltolbelthelpatients:
a. age.
b. financiallstatus.
c. gender.
d. functionallstatus.
ANS:lD
Maintaininglthelfunctionallstatusloflolderladultslmaylavertlthelonsetloflphysicallfrailtylandlcognitiv
elimpairment,ltwolconditionslthatlincreaselthellikelihoodloflinstitutionalization.
DIF:lRememberingl(Knowledge)lREF:lMCS:l8lOBJ:l1-6
,TOP:lNursinglProcess:lPlanninglMSC:lPhysiologiclIntegrity
3. Whenlattemptingltolminimizeltheleffectloflageismlonlthelpracticeloflnursinglolderladults,laln
urselneedsltolfirst:
a. recognizelthatlnurseslmustlactlasladvocateslforlaginglpatients.
b. acceptlthatlthislpopulationlrepresentslalsubstantiallportionloflthoselrequiringln
ursinglcare.
c. self-reflectlandlformulateloneslpersonallviewloflaginglandlthelolderlpatient.
d. recognizelageismlaslalformloflbigotrylsharedlbylmanylAmericans.
ANS:lC
Ageismlislanlever-
increasinglprejudiciallviewlofltheleffectsloflthelaginglprocesslandloflthelolderlpopulationlaslalwhol
e.lWithlnurseslbeinglmembersloflalsocietylholdinglsuchlviews,litlislcriticallthatlthelindividuallnurs
elself-
reflectlonlpersonallfeelingslandldeterminelwhetherlsuchlfeelingslwilllaffectlthelnursinglcarelthatlh
elorlshelprovidesltolthelaginglpatient.lActinglaslanladvocatelislanlimportantlnursinglrolelinlalllsetti
ngs.lSimplylacceptinglalfactldoeslnotlhelplendlageism,lnorldoeslrecognizinglageismlaslalformloflbi
gotry.
DIF:lApplyingl(Application)lREF:lN/AlOBJ:l1-9
TOP:lTeaching-LearninglMSC:lSafelandlEffectivelCarelEnvironment
4. Whenldiscussinglfactorslthatlhavelhelpedltolincreaselthelnumberloflhealthy,lindependentlolderlA
mericans,lthelnurselincludeslthelimportancelof:
a. increasedlavailabilityloflin-homelcarelservices.
b. governmentlsupportloflretiredlcitizens.
c. effectivelantibioticltherapies.
d. theldevelopmentlofllife-extendingltherapies.
ANS:lC
ThelhealthlandlultimatelautonomyloflolderlAmericanslhaslbeenlpositivelylimpactedlbyltheldevelo
pmentloflantibiotics,lbetterlsanitation,landlvaccines.lTheselpubliclhealthlmeasureslhavelbeenlmore
linstrumentallinlincreasinglthelnumbersloflhealthy,lindependentlolderlAmericanslthanlhavelin-
, homelcarelservices,lgovernmentlprograms,lorllife-extendingltherapies.