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Older Adults Through the Eyes of Wellness
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1. In2010,therevisedStandardsandScopeofGerontologicalNursingPracticewaspublished. Th e n
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urse would use these standards to:
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a. promote thepractice of gerontologic nursing within the acutecaresetting.
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b. definetheconcepts and dimensions ofgerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. vr vr vr vr xv
d. incorporatesuggested interventions fromothers who practice gerontologic n u vr vr vr vr vr xv vr
rsing.
ANS: D vr
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 inco rp
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orates the input of gerontologic nurses from across the United States. It was not intended to promo te ge
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rontologic nursing practice within acute care settings, define concepts or dimensions of geront ologic
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nursing practice, or elevate the practice of gerontologic nursing.
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DIF:Remembering(Knowledge) REF:MCS:2OBJ: 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, a nur se n
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eeds to first:
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a. recognizethat nurses must act as advocates for aging patients. vr vr vr vr vr vr vr vr vr
b. accept that this population represents a substantial portion of those requiring nu rsi
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ng care. vr
c. self-reflect and formulate ones personal view of aging and the older patient. vr vr vr vr vr vr vr vr xv vr vr
d. recognizeageism as a form of bigotry shared by many Americans. vr vr vr vr vr vr vr vr vr vr
ANS: C vr
,Ageismis anever- vr vr vr
increasing prejudicial view oftheeffects oftheagingprocess andoftheolder population as a whole. With
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nurses being members of a society holding such views, it is critical that the individual nurse sel f-
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reflect on personal feelings and determine whether such feelings will affect the nursing care that he or sh
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e provides to the aging patient. Acting as an advocate is an important nursing role in all settings
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. Simply accepting a fact does not help end ageism, nor does recognizing ageism as 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 discussingfactors thathavehelpedto increasethe numberofhealthy,independentolder A m
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ericans, the nurse includes the importance of:
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a. increased availability of in-home care services. vr vr vr vr vr
b. government support of retired citizens. vr vr vr vr
c. effective antibiotic therapies. vr xv
d. the development of life-extending therapies.
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ANS: C vr
The health and ultimate autonomy of older Americans has been positively impacted by the develop me
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nt of antibiotics, better sanitation, and vaccines. These public health measures have been morei nstru
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mentalin increasing the numbers of healthy, independent older Americans than have in-
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home care services, government programs, or life-
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extending therapies. DIF: Remembering (Knowledge) REF: MCS: 2 O
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BJ: 3-3 vr
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
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4. Basedoncurrent data,whenpresentinganolderadultsdischargeteaching plan,thenurse inc lud
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es the patients:
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a. nonrelated caretaker. xv
b. paid caregiver. vr
, c. family member. vr
d. intuitionalrepresentative. vr
ANS: C vr
Less than 4% of older adults live in a formal health care environment. Themajority of the geriatr ic p
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opulation 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 nurseplanning carefor anolderadult who has recently been diagnosed with rheumatoid art hrit
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is views the priority criterion for continued independence to be the patients:
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a. age.
b. financialstatus.
c. gender.
d. functional status. vr
ANS: D vr
Maintaining thefunctional status of older adults mayavert the onset of physical frailty and cogn itive
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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:NursingProcess:PlanningMSC:PhysiologicIntegrity
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6. Anurseworking with the olderadultpopulationis most likelyto assessaneed forafinancial soci al s
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ervices referral for a(n): vr vr vr
a. white male. vr
b. blackfemale.
c. Hispanic male. xv