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ter 1 Seeing Older Adults Through the Eyes of Wellness
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1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was publishe
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d. The nurse would use these standards to:
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a. promote the practice of gerontologic nursing within the acute care setting.
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b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. am am am am am
d. incorporate suggested interventions from others who practice gerontologi am am am am am am am
c nursing. am
ANS: D am
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
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m incorporates the input of gerontologic nurses from across the United States. It was not intende
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d to promote gerontologic nursing practice within acute care settings, define concepts or dime
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nsions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
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DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-
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1 TOP: N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
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a nurse needs to first:
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a. recognize that nurses must act as advocates for aging patients.am am am am am am am am am
b. accept that this population represents a substantial portion of those requirin
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g nursing care. am am
c. self-reflect and formulate ones personal view of aging and the older patient.
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d. recognize ageism as a form of bigotry shared by many Americans.am am am am am am am am am am
ANS: C am
,Ageism is an ever- am am am
increasing prejudicial view of the effects of the aging process and of the older population as a
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whole. With nurses being members of a society holding such views, it is critical that the indivi
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dual nurse self- am am
reflect on personal feelings and determine whether such feelings will affect the nursing care th
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at he or she provides to the aging patient. Acting as an advocate is an important nursing role in
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am all settings. Simply accepting a fact does not help end ageism, nor does recognizing ageism as
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m a form of bigotry.
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DIF: Applying (Application) REF: N/A OBJ: 1-9
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TOP: Teaching-Learning MSC: Safe and Effective Care Environment
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3. When discussing factors that have helped to increase the number of healthy, independent olde
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r Americans, the nurse includes the importance of:
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a. increased availability of in-home care services. am am am am am
b. government support of retired citizens. am am am am
c. effective antibiotic therapies. am am
d. the development of life-extending therapies.
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ANS: C am
The health and ultimate autonomy of older Americans has been positively impacted by the de
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velopment of antibiotics, better sanitation, and vaccines. These public health measures have b
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een more instrumental in increasing the numbers of healthy, independent older Americans than
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have in-home care services, government programs, or life-extending therapies.
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DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
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TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
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4. Based on current data, when presenting an older adults discharge teaching plan, the nurs
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e includes the patients:
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a. nonrelated caretaker. am
b. paid caregiver. am
, c. family member. am
d. intuitional representative. am
ANS: C am
Less than 4% of older adults live in a formal health care environment. The majority of the
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geriatric population lives at home or with family members.
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DIF: Applying (Application) REF: N/A OBJ: 3-3
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TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoi
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d arthritis views the priority criterion for continued independence to be the patients:
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a. age.
b. financial status. am
c. gender.
d. functional status. am
ANS: D am
Maintaining the functional status of older adults may avert the onset of physical frailty and
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cognitive impairment, two conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-
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6 TOP: Nursing Process: Planning MSC: Physiologic Integrit
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y
6. A nurse working with the older adult population is most likely to assess a need for a financi
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al social services referral for a(n):
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a. white male. am
b. black female. am
c. Hispanic male. am