TEST BANK FOR HAM'S PRIMARY CARE GERIATRICS: A CASE-BASED APPROACH
6TH EDITION BY RICHARD J. HAM| PHILIP D. SLOANE| ALL CHAPTERS (1-54)
WITH 100% VERIFIED SOLUTIONS| NEWEST UPDATE
, TABLE OF CONTENTS
UNIT ONE: PRINCIPLES AND PRACTICE ......................................................................................................... 4
CHAPTER 1. PRINCIPLES OF PRIMARY CARE OF OLDER ADULTS............................................................... 4
CHAPTER 2. INTERPROFESSIONAL TEAM CARE....................................................................................... 13
CHAPTER 3. ASSESSMENT ....................................................................................................................... 25
CHAPTER 4. WELLNESS AND PREVENTION ............................................................................................. 36
CHAPTER 5. ADVANCED CULTURAL COMPETENCY IN CARING FOR GERIATRIC PATIENTS .................... 47
CHAPTER 6. APPROPRIATE PRESCRIBING ............................................................................................... 57
CHAPTER 7. ETHICS ................................................................................................................................. 68
CHAPTER 8. FINANCING AND ORGANIZATION OF HEALTH .................................................................... 78
CHAPTER 9. BILLING AND CODING.......................................................................................................... 83
CHAPTER 10. HOSPITAL CARE ................................................................................................................. 95
CHAPTER 11. LONG-TERM CARE ........................................................................................................... 101
CHAPTER 12. HOME CARE..................................................................................................................... 116
CHAPTER 13. REHABILITATION ............................................................................................................. 129
CHAPTER 14. PALLIATIVE CARE ............................................................................................................. 139
UNIT TWO: GERIATRIC SYNDROMES AND COMMON SPECIAL PROBLEMS .............................................. 148
CHAPTER 15. EMERGENCY CARE........................................................................................................... 148
CHAPTER 16. DELIRIUM ........................................................................................................................ 161
CHAPTER 17. ALZHEIMER’S DISEASE AND OTHER DEMENTIAS ............................................................ 167
CHAPTER 18. DEPRESSION .................................................................................................................... 180
CHAPTER 19. BALANCE, GAIT AND MOBILITY ....................................................................................... 186
CHAPTER 20. FALLS ............................................................................................................................... 196
CHAPTER 21. DIZZINESS ........................................................................................................................ 205
CHAPTER 22. SYNCOPE ......................................................................................................................... 210
CHAPTER 23. URINARY INCONTINENCE ................................................................................................ 225
CHAPTER 24. CONSTIPATION AND FECAL INCONTINENCE ................................................................... 235
CHAPTER 25. HEARING IMPAIRMENT ................................................................................................... 246
CHAPTER 26. VISUAL IMPAIRMENT AND EYE PROBLEMS .................................................................... 262
CHAPTER 27. PERSISTENT PAIN ............................................................................................................ 279
CHAPTER 28. MALNUTRITION AND FEEDING PROBLEMS..................................................................... 288
CHAPTER 29. FRAILTY ............................................................................................................................ 298
CHAPTER 30. PRESSURE ULCERS ........................................................................................................... 308
, CHAPTER 31. SLEEP DISORDERS ............................................................................................................ 316
CHAPTER 32. SEXUAL HEALTH .............................................................................................................. 327
CHAPTER 33. MISTREATMENT AND NEGLECT ...................................................................................... 338
CHAPTER 34. ALCOHOLISM ................................................................................................................... 349
CHAPTER 35. DRIVING........................................................................................................................... 355
UNIT THREE: SELECTED CLINICAL PROBLEMS OF THE ORGAN SYSTEMS.................................................. 359
CHAPTER 36. HYPERTENSION ............................................................................................................... 359
CHAPTER 37. CORONARY ARTERY DISEASE AND ATRIAL FIBRILLATION ............................................... 379
CHAPTER 38. CONGESTIVE HEART FAILURE.......................................................................................... 389
CHAPTER 39. PERIPHERAL VASCULAR DISEASE .................................................................................... 406
CHAPTER 40. TRANSIENT ISCHEMIC ATTACKS AND STROKE ................................................................ 426
CHAPTER 41. DIABETES MELLITUS ........................................................................................................ 442
CHAPTER 42. THYROID DISORDERS....................................................................................................... 460
CHAPTER 43. OSTEOPOROSIS ............................................................................................................... 471
CHAPTER 44. ARTHRITIS AND RELATED DISORDERS ............................................................................. 492
CHAPTER 45. FOOT PROBLEMS ............................................................................................................. 502
CHAPTER 46. CANCER ........................................................................................................................... 512
CHAPTER 47. ANEMIA ........................................................................................................................... 523
CHAPTER 48. PULMONARY DISEASE ..................................................................................................... 544
CHAPTER 49. INFECTIOUS DISEASES ..................................................................................................... 555
CHAPTER 50. THE ACUTE ABDOMEN .................................................................................................... 566
CHAPTER 51. BENIGN PROSTATE DISEASE ............................................................................................ 585
CHAPTER 52. PARKINSON’S DISEASE .................................................................................................... 597
CHAPTER 53. ORAL DISORDERS ............................................................................................................ 605
CHAPTER 54. SKIN PROBLEMS .............................................................................................................. 608
, UNIT ONE: PRINCIPLES AND PRACTICE
CHAPTER 1. PRINCIPLES OF PRIMARY CARE OF OLDER ADULTS
MULTIPLE CHOICE
1. IN 2010, THE REVISED STANDARDS AND SCOPE OF GERONTOLOGICAL NURSING PRACTICE WAS
PUBLISHED.
THE NURSE WOULD USE THESE STANDARDS TO:
A. PROMOTE THE PRACTICE OF GERONTOLOGIC NURSING WITHIN THE ACUTE CARE SETTING.
B. DEFINE THE CONCEPTS AND DIMENSIONS OF GERONTOLOGIC NURSING PRACTICE.
C. ELEVATE THE PRACTICE OF GERONTOLOGIC NURSING.
D. INCORPORATE SUGGESTED INTERVENTIONS FROM OTHERS WHO PRACTICE GERONTOLOGIC
NURSING.
CORRECT ANS>> D
THE CURRENT PUBLISHING OF THE STANDARDS AND SCOPE OF GERONTOLOGICAL NURSING PRACTICE
IN 2010 INCORPORATES THE INPUT OF GERONTOLOGIC NURSES FROM ACROSS THE UNITED STATES. IT
WAS NOT INTENDED TO PROMOTE GERONTOLOGIC NURSING PRACTICE WITHIN ACUTE CARE SETTINGS,
DEFINE CONCEPTS OR DIMENSIONS OF GERONTOLOGIC NURSING PRACTICE, OR ELEVATE THE PRACTICE
OF GERONTOLOGIC NURSING.
DIF: REMEMBERING (KNOWLEDGE) REF: MSC: 2 OBJ: 1-1 TOP: N/A MSC: SAFE AND EFFECTIVE CARE
ENVIRONMENT
2. WHEN ATTEMPTING TO MINIMIZE THE EFFECT OF AGEISM ON THE PRACTICE OF NURSING
OLDER ADULTS, A NURSE NEEDS TO FIRST:
A. RECOGNIZE THAT NURSES MUST ACT AS ADVOCATES FOR AGING PATIENTS.
B. ACCEPT THAT THIS POPULATION REPRESENTS A SUBSTANTIAL PORTION OF THOSE REQUIRING
NURSING CARE.
C. SELF-REFLECT AND FORMULATE ONES PERSONAL VIEW OF AGING AND THE OLDER PATIENT.
D. RECOGNIZE AGEISM AS A FORM OF BIGOTRY SHARED BY MANY AMERICANS.
CORRECT ANS>> C
AGEISM IS AN EVER-INCREASING PREJUDICIAL VIEW OF THE EFFECTS OF THE AGING PROCESS AND OF
THE OLDER POPULATION AS A WHOLE. WITH NURSES BEING MEMBERS OF A SOCIETY HOLDING SUCH
VIEWS, IT IS CRITICAL THAT THE INDIVIDUAL NURSE SELF-REFLECT ON PERSONAL FEELINGS AND
DETERMINE WHETHER SUCH FEELINGS WILL AFFECT THE NURSING CARE THAT HE OR SHE PROVIDES TO
THE AGING PATIENT. ACTING AS AN ADVOCATE IS AN IMPORTANT NURSING ROLE IN ALL SETTINGS.
6TH EDITION BY RICHARD J. HAM| PHILIP D. SLOANE| ALL CHAPTERS (1-54)
WITH 100% VERIFIED SOLUTIONS| NEWEST UPDATE
, TABLE OF CONTENTS
UNIT ONE: PRINCIPLES AND PRACTICE ......................................................................................................... 4
CHAPTER 1. PRINCIPLES OF PRIMARY CARE OF OLDER ADULTS............................................................... 4
CHAPTER 2. INTERPROFESSIONAL TEAM CARE....................................................................................... 13
CHAPTER 3. ASSESSMENT ....................................................................................................................... 25
CHAPTER 4. WELLNESS AND PREVENTION ............................................................................................. 36
CHAPTER 5. ADVANCED CULTURAL COMPETENCY IN CARING FOR GERIATRIC PATIENTS .................... 47
CHAPTER 6. APPROPRIATE PRESCRIBING ............................................................................................... 57
CHAPTER 7. ETHICS ................................................................................................................................. 68
CHAPTER 8. FINANCING AND ORGANIZATION OF HEALTH .................................................................... 78
CHAPTER 9. BILLING AND CODING.......................................................................................................... 83
CHAPTER 10. HOSPITAL CARE ................................................................................................................. 95
CHAPTER 11. LONG-TERM CARE ........................................................................................................... 101
CHAPTER 12. HOME CARE..................................................................................................................... 116
CHAPTER 13. REHABILITATION ............................................................................................................. 129
CHAPTER 14. PALLIATIVE CARE ............................................................................................................. 139
UNIT TWO: GERIATRIC SYNDROMES AND COMMON SPECIAL PROBLEMS .............................................. 148
CHAPTER 15. EMERGENCY CARE........................................................................................................... 148
CHAPTER 16. DELIRIUM ........................................................................................................................ 161
CHAPTER 17. ALZHEIMER’S DISEASE AND OTHER DEMENTIAS ............................................................ 167
CHAPTER 18. DEPRESSION .................................................................................................................... 180
CHAPTER 19. BALANCE, GAIT AND MOBILITY ....................................................................................... 186
CHAPTER 20. FALLS ............................................................................................................................... 196
CHAPTER 21. DIZZINESS ........................................................................................................................ 205
CHAPTER 22. SYNCOPE ......................................................................................................................... 210
CHAPTER 23. URINARY INCONTINENCE ................................................................................................ 225
CHAPTER 24. CONSTIPATION AND FECAL INCONTINENCE ................................................................... 235
CHAPTER 25. HEARING IMPAIRMENT ................................................................................................... 246
CHAPTER 26. VISUAL IMPAIRMENT AND EYE PROBLEMS .................................................................... 262
CHAPTER 27. PERSISTENT PAIN ............................................................................................................ 279
CHAPTER 28. MALNUTRITION AND FEEDING PROBLEMS..................................................................... 288
CHAPTER 29. FRAILTY ............................................................................................................................ 298
CHAPTER 30. PRESSURE ULCERS ........................................................................................................... 308
, CHAPTER 31. SLEEP DISORDERS ............................................................................................................ 316
CHAPTER 32. SEXUAL HEALTH .............................................................................................................. 327
CHAPTER 33. MISTREATMENT AND NEGLECT ...................................................................................... 338
CHAPTER 34. ALCOHOLISM ................................................................................................................... 349
CHAPTER 35. DRIVING........................................................................................................................... 355
UNIT THREE: SELECTED CLINICAL PROBLEMS OF THE ORGAN SYSTEMS.................................................. 359
CHAPTER 36. HYPERTENSION ............................................................................................................... 359
CHAPTER 37. CORONARY ARTERY DISEASE AND ATRIAL FIBRILLATION ............................................... 379
CHAPTER 38. CONGESTIVE HEART FAILURE.......................................................................................... 389
CHAPTER 39. PERIPHERAL VASCULAR DISEASE .................................................................................... 406
CHAPTER 40. TRANSIENT ISCHEMIC ATTACKS AND STROKE ................................................................ 426
CHAPTER 41. DIABETES MELLITUS ........................................................................................................ 442
CHAPTER 42. THYROID DISORDERS....................................................................................................... 460
CHAPTER 43. OSTEOPOROSIS ............................................................................................................... 471
CHAPTER 44. ARTHRITIS AND RELATED DISORDERS ............................................................................. 492
CHAPTER 45. FOOT PROBLEMS ............................................................................................................. 502
CHAPTER 46. CANCER ........................................................................................................................... 512
CHAPTER 47. ANEMIA ........................................................................................................................... 523
CHAPTER 48. PULMONARY DISEASE ..................................................................................................... 544
CHAPTER 49. INFECTIOUS DISEASES ..................................................................................................... 555
CHAPTER 50. THE ACUTE ABDOMEN .................................................................................................... 566
CHAPTER 51. BENIGN PROSTATE DISEASE ............................................................................................ 585
CHAPTER 52. PARKINSON’S DISEASE .................................................................................................... 597
CHAPTER 53. ORAL DISORDERS ............................................................................................................ 605
CHAPTER 54. SKIN PROBLEMS .............................................................................................................. 608
, UNIT ONE: PRINCIPLES AND PRACTICE
CHAPTER 1. PRINCIPLES OF PRIMARY CARE OF OLDER ADULTS
MULTIPLE CHOICE
1. IN 2010, THE REVISED STANDARDS AND SCOPE OF GERONTOLOGICAL NURSING PRACTICE WAS
PUBLISHED.
THE NURSE WOULD USE THESE STANDARDS TO:
A. PROMOTE THE PRACTICE OF GERONTOLOGIC NURSING WITHIN THE ACUTE CARE SETTING.
B. DEFINE THE CONCEPTS AND DIMENSIONS OF GERONTOLOGIC NURSING PRACTICE.
C. ELEVATE THE PRACTICE OF GERONTOLOGIC NURSING.
D. INCORPORATE SUGGESTED INTERVENTIONS FROM OTHERS WHO PRACTICE GERONTOLOGIC
NURSING.
CORRECT ANS>> D
THE CURRENT PUBLISHING OF THE STANDARDS AND SCOPE OF GERONTOLOGICAL NURSING PRACTICE
IN 2010 INCORPORATES THE INPUT OF GERONTOLOGIC NURSES FROM ACROSS THE UNITED STATES. IT
WAS NOT INTENDED TO PROMOTE GERONTOLOGIC NURSING PRACTICE WITHIN ACUTE CARE SETTINGS,
DEFINE CONCEPTS OR DIMENSIONS OF GERONTOLOGIC NURSING PRACTICE, OR ELEVATE THE PRACTICE
OF GERONTOLOGIC NURSING.
DIF: REMEMBERING (KNOWLEDGE) REF: MSC: 2 OBJ: 1-1 TOP: N/A MSC: SAFE AND EFFECTIVE CARE
ENVIRONMENT
2. WHEN ATTEMPTING TO MINIMIZE THE EFFECT OF AGEISM ON THE PRACTICE OF NURSING
OLDER ADULTS, A NURSE NEEDS TO FIRST:
A. RECOGNIZE THAT NURSES MUST ACT AS ADVOCATES FOR AGING PATIENTS.
B. ACCEPT THAT THIS POPULATION REPRESENTS A SUBSTANTIAL PORTION OF THOSE REQUIRING
NURSING CARE.
C. SELF-REFLECT AND FORMULATE ONES PERSONAL VIEW OF AGING AND THE OLDER PATIENT.
D. RECOGNIZE AGEISM AS A FORM OF BIGOTRY SHARED BY MANY AMERICANS.
CORRECT ANS>> C
AGEISM IS AN EVER-INCREASING PREJUDICIAL VIEW OF THE EFFECTS OF THE AGING PROCESS AND OF
THE OLDER POPULATION AS A WHOLE. WITH NURSES BEING MEMBERS OF A SOCIETY HOLDING SUCH
VIEWS, IT IS CRITICAL THAT THE INDIVIDUAL NURSE SELF-REFLECT ON PERSONAL FEELINGS AND
DETERMINE WHETHER SUCH FEELINGS WILL AFFECT THE NURSING CARE THAT HE OR SHE PROVIDES TO
THE AGING PATIENT. ACTING AS AN ADVOCATE IS AN IMPORTANT NURSING ROLE IN ALL SETTINGS.
