GerontologiccNursingc6thcEditioncMeinercTestcBank
Test Bank Family Influences Meiner: Gerontologic Nursing, 6th
c c c c c c c
Edition
c
MULTIPLE CHOICE c
1. Whilecchildrencvoicecconcerncaboutctheircfatherclivingcalonecafterchavingcacmildc
stroke, the patient angrily disagrees, stating that he’s always managed on his ow
c c c c c c c c c c c c
n and can do so now. What action by the nurse would be most helpful to the fami
c c c c c c c c c c c c c c c c c
ly?
a. Assure them that their father’s physical limitations should not cause a safety is
c c c c c c c c c c c c
sue.
b. Assist them in identifying how they can help their father to live in
c c c c c c c c c c c c
dependently.
c. Offer to arrange a social service consult to arbitrate the conflict.
c c c c c c c c c c
d. Suggest the patient accept a home care aide on a short-term trial basis.
c c c c c c c c c c c c
ANS: B c
Preserving a patient’s autonomy through independent living is vital to a
c c c c c c c c c c
patient’s sense of well- c c c
being and can often be preserved through cooperation between family members t
c c c c c c c c c c c
o provide the required support. If the nurse can help the family find internal or exte
c c c c c c c c c c c c c c c
rnal resources to support the patient’s desire to live independently, that is a win-
c c c c c c c c c c c c c
win for all involved. Assuring the family that safety is not an issue does not help re
c c c c c c c c c c c c c c c c
solve their anxiety and is false reassurance. The nurse can arrange a referral but ca
c c c c c c c c c c c c c c
n do more to help with this situation. A short-
c c c c c c c c c
term trial of home health services is often accepted, but it does not addressthe entir
c c c c c c c c c c c c c c
ety of the situation.
c c c
DIF: Applying OBJ: 6-6
cc c
TOP: Integrated Process: Communication and
c c c c c
DocumentationMSC: Safe and Effective CNaUreRE c c c c
SnIviNroGnT
meBn.t COM c
2. Thecphysicalcchangescthatcoccurcnaturallycascacresultcofcthecagingcprocesscof
ten create anautonomy versus safety issue and are most problematic when
c c c c c c c c c c
a. protracted reaction time increases the risk for driving accidents. c c c c c c c c
b. arthritic knee and hip joints make falls more prevalent. c c c c c c c c
c. eyesight diminishes, making following written instruction more difficult.
c c c c c c c
d. responding to warning alarms is affected because of impaired hearing acuity. c c c c c c c c c c
ANS: A c
Research has proven that normal aging affects a variety of factors that contri
c c c c c c c c c c c c
bute to the increased incidence of automobile accidents caused by older adult
c c c c c c c c c c c
drivers. Although theother options also relate to safety, older
c c c c c c c c c
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adults are more likely to be in multiple vehicle crashes, impacting the safety o
c c c c c c c c c c c c c
f others as well as their own.
c c c c c c
DIF: Rememberingc OBJ: 6- c
3TOP:
c
Integrated Process: Teaching- c c
Learning MSC: Safe and Effective Care Enviro
c c c c c c
nment
3. Whencdiscussingcstressorscwithcthecprimaryccaregivercofcanc83-year-
old patient, the nurseexplores the issue of dissolving familiar social boundari
c c c c c c c c c c
es by asking which question?
c c c c
a. “Has it been a problem taking over the role of head of the family?”
c c c c c c c c c c c c c
b. “What do you do to help relax and revitalize yourself?”
c c c c c c c c c
c. “Do you find it difficult to ask for help when you need it?”
c c c c c c c c c c c c
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d. “Arectherecanycphysicalccarectaskscthatcyoucfindcdifficultctocc
omplete?”ANS: D c
Dissolving familiar social boundaries involves caregivers and older adults sharin
c c c c c c c c c
g intimacies such as toileting, changing briefs, or catheter care, which would other
c c c c c c c c c c c c
wise not beshared.c c
DIF: Applying cOBJ: 6-5 c
TOP: Nursing Process: AssessmentMSC: c c c c
Psychosocial Integrity c
4. Thecfamilycofcanc80-year-
old patient shares with the nurse that they are concerned that thepatient is too
c c c c c c c c c c c c c c
frail to be living alone. Which initial action by the nurse is most appropriate?
c c c c c c c c c c c c c
a. Help the patient express the importance of living independently to the family.
c c c c c c c c c c c
b. Assess the patient’s functional abilities related to safely living independently.
c c c c c c c c c
c. Have the family provide specific examples of behaviors that cause them c
c c c c c c c c c c c
oncern.
d. Identify ways the family can assure the patient’s safety while living in
c c c c c c c c c c c
dependently.
ANS: B c
The first nursing intervention is to determine through a health assessment an
c c c c c c c c c c c
d history thepatient’s ability to perform activities of daily living (ADLs) safel
c c c c c c c c c c c
y while living independently. All actions are appropriate, but assessment is t
c c c c c c c c c c c
he first step of the nursing process.
c c c c c c
DIF: Applying cOBJ: 6-6 c
TOP: Nursing Process: AssessmentMSC: c c c c
Safe and Effective Care Environment
c c c c
5. Ancoldercpatientcwithccognitive
NcRcIcGccimpairment
B.C ciscbeingccaredcforcbycfamilycmemb
ers. They have expressed concerns aboU
c u t pSr o v iNd i n Tg appropOriate care as his func
c c c c c c c c c c
tional level declines.c c
The nurse responds
c c
a. “I’m glad that you are interested enough in his care that you’ve ex
c c c c c c c c c c c c
pressed thisconcern.” c
b. “His abilities will certainly decline. This is the time to discuss other care op
c c c c c c c c c c c c c
tions.”
c. “You are right to be concerned. Let’s talk about issues that may co
c c c c c c c c c c c c
me up in thefuture.” c c c
d. “The condition will get worse, so think about what will happen if yo
c c c c c c c c c c c c
u can’t meethis needs.”
c c c
ANS: C c
Caregivers need realistic information regarding the possible progression of the di
c c c c c c c c c c
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Test Bank Family Influences Meiner: Gerontologic Nursing, 6th
c c c c c c c
Edition
c
MULTIPLE CHOICE c
1. Whilecchildrencvoicecconcerncaboutctheircfatherclivingcalonecafterchavingcacmildc
stroke, the patient angrily disagrees, stating that he’s always managed on his ow
c c c c c c c c c c c c
n and can do so now. What action by the nurse would be most helpful to the fami
c c c c c c c c c c c c c c c c c
ly?
a. Assure them that their father’s physical limitations should not cause a safety is
c c c c c c c c c c c c
sue.
b. Assist them in identifying how they can help their father to live in
c c c c c c c c c c c c
dependently.
c. Offer to arrange a social service consult to arbitrate the conflict.
c c c c c c c c c c
d. Suggest the patient accept a home care aide on a short-term trial basis.
c c c c c c c c c c c c
ANS: B c
Preserving a patient’s autonomy through independent living is vital to a
c c c c c c c c c c
patient’s sense of well- c c c
being and can often be preserved through cooperation between family members t
c c c c c c c c c c c
o provide the required support. If the nurse can help the family find internal or exte
c c c c c c c c c c c c c c c
rnal resources to support the patient’s desire to live independently, that is a win-
c c c c c c c c c c c c c
win for all involved. Assuring the family that safety is not an issue does not help re
c c c c c c c c c c c c c c c c
solve their anxiety and is false reassurance. The nurse can arrange a referral but ca
c c c c c c c c c c c c c c
n do more to help with this situation. A short-
c c c c c c c c c
term trial of home health services is often accepted, but it does not addressthe entir
c c c c c c c c c c c c c c
ety of the situation.
c c c
DIF: Applying OBJ: 6-6
cc c
TOP: Integrated Process: Communication and
c c c c c
DocumentationMSC: Safe and Effective CNaUreRE c c c c
SnIviNroGnT
meBn.t COM c
2. Thecphysicalcchangescthatcoccurcnaturallycascacresultcofcthecagingcprocesscof
ten create anautonomy versus safety issue and are most problematic when
c c c c c c c c c c
a. protracted reaction time increases the risk for driving accidents. c c c c c c c c
b. arthritic knee and hip joints make falls more prevalent. c c c c c c c c
c. eyesight diminishes, making following written instruction more difficult.
c c c c c c c
d. responding to warning alarms is affected because of impaired hearing acuity. c c c c c c c c c c
ANS: A c
Research has proven that normal aging affects a variety of factors that contri
c c c c c c c c c c c c
bute to the increased incidence of automobile accidents caused by older adult
c c c c c c c c c c c
drivers. Although theother options also relate to safety, older
c c c c c c c c c
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adults are more likely to be in multiple vehicle crashes, impacting the safety o
c c c c c c c c c c c c c
f others as well as their own.
c c c c c c
DIF: Rememberingc OBJ: 6- c
3TOP:
c
Integrated Process: Teaching- c c
Learning MSC: Safe and Effective Care Enviro
c c c c c c
nment
3. Whencdiscussingcstressorscwithcthecprimaryccaregivercofcanc83-year-
old patient, the nurseexplores the issue of dissolving familiar social boundari
c c c c c c c c c c
es by asking which question?
c c c c
a. “Has it been a problem taking over the role of head of the family?”
c c c c c c c c c c c c c
b. “What do you do to help relax and revitalize yourself?”
c c c c c c c c c
c. “Do you find it difficult to ask for help when you need it?”
c c c c c c c c c c c c
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d. “Arectherecanycphysicalccarectaskscthatcyoucfindcdifficultctocc
omplete?”ANS: D c
Dissolving familiar social boundaries involves caregivers and older adults sharin
c c c c c c c c c
g intimacies such as toileting, changing briefs, or catheter care, which would other
c c c c c c c c c c c c
wise not beshared.c c
DIF: Applying cOBJ: 6-5 c
TOP: Nursing Process: AssessmentMSC: c c c c
Psychosocial Integrity c
4. Thecfamilycofcanc80-year-
old patient shares with the nurse that they are concerned that thepatient is too
c c c c c c c c c c c c c c
frail to be living alone. Which initial action by the nurse is most appropriate?
c c c c c c c c c c c c c
a. Help the patient express the importance of living independently to the family.
c c c c c c c c c c c
b. Assess the patient’s functional abilities related to safely living independently.
c c c c c c c c c
c. Have the family provide specific examples of behaviors that cause them c
c c c c c c c c c c c
oncern.
d. Identify ways the family can assure the patient’s safety while living in
c c c c c c c c c c c
dependently.
ANS: B c
The first nursing intervention is to determine through a health assessment an
c c c c c c c c c c c
d history thepatient’s ability to perform activities of daily living (ADLs) safel
c c c c c c c c c c c
y while living independently. All actions are appropriate, but assessment is t
c c c c c c c c c c c
he first step of the nursing process.
c c c c c c
DIF: Applying cOBJ: 6-6 c
TOP: Nursing Process: AssessmentMSC: c c c c
Safe and Effective Care Environment
c c c c
5. Ancoldercpatientcwithccognitive
NcRcIcGccimpairment
B.C ciscbeingccaredcforcbycfamilycmemb
ers. They have expressed concerns aboU
c u t pSr o v iNd i n Tg appropOriate care as his func
c c c c c c c c c c
tional level declines.c c
The nurse responds
c c
a. “I’m glad that you are interested enough in his care that you’ve ex
c c c c c c c c c c c c
pressed thisconcern.” c
b. “His abilities will certainly decline. This is the time to discuss other care op
c c c c c c c c c c c c c
tions.”
c. “You are right to be concerned. Let’s talk about issues that may co
c c c c c c c c c c c c
me up in thefuture.” c c c
d. “The condition will get worse, so think about what will happen if yo
c c c c c c c c c c c c
u can’t meethis needs.”
c c c
ANS: C c
Caregivers need realistic information regarding the possible progression of the di
c c c c c c c c c c
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