n n n
Based Geriatric Nursing Protocols for Best Pr
n nn n n n n
actice 6th Edition Boltz-100% Top scores-
n nn n n n
2023-2024
Chaptern01:nOverviewnofnGerontologicnNursing
nMeiner:nGerontologicnNursing,n5thnEditionnM
ULTIPLEnCHOICE
1. Inn2010,nthenrevisednStandardsnandnScopenofnGerontologicalnNursingnPracticenwasnpublished.nThennursenwouldnusenthese
nstandardsnto:
a. promotenthenpracticenofngerontologicnnursingnwithinnthenacutencarensetting.
b. definenthenconceptsnandndimensionsnofngerontologicnnursingnpractice.
c. elevatenthenpracticenofngerontologicnnursing.
d. incorporatensuggestedninterventionsnfromnothersnwhonpracticengerontologicnnursing.
nANS:nD
ThencurrentnpublishingnofnthenStandardsnandnScopenofnGerontologicalnNursingnPracticeninn2010nincorporatesntheninputnofngero
ntologicnnursesnfromnacrossnthenUnitednStates.nItnwasnnotnintendedntonpromotengerontologicnnursingnpracticenwithinnacutencaren
settings,ndefinenconceptsnorndimensionsnofngerontologicnnursingnpractice,nornelevatenthenpracticenofngerontologicnnursing.nDIF:n
Rememberingn(Knowledge)nREF:nPagen2nOBJ:n1-1
TOP:nN/AnMSC:nSafenandnEffectivenCarenEnvironment
2. nWhennattemptingntonminimizentheneffectnofnageismnonnthenpracticenofnnursingnoldernadults,nannursenneedsntonfirst:
a. recognizenthatnnursesnmustnactnasnadvocatesnfornagingnpatients.
b. acceptnthatnthisnpopulationnrepresentsnansubstantialnportionnofnthosenrequiringnnursingncare.
c. self-reflectnandnformulatenone’snpersonalnviewnofnagingnandnthenoldernpatient.
d. recognizenageismnasnanformnofnbigotrynsharednbynmanynAmericans.
nANS:nC
Ageismnisnannever-
increasingnprejudicialnviewnofntheneffectsnofnthenagingnprocessnandnofnthenoldernpopulationnasnanwhole.nWithnnursesnbeingnmem
bersnofnansocietynholdingnsuchnviews,nitnisncriticalnthatnthenindividualnnursenself-
reflectnonnpersonalnfeelingsnandndeterminenwhethernsuchnfeelingsnwillnaffectnthennursingncarenthatnhenornshenprovidesntonthenagi
ngnpatient.nActingnasnannadvocatenisnannimportantnnursingnroleninnallnsettings.nSimplynacceptingnanfactndoesnnotnhelpnendnageis
m,nnorndoesnrecognizingnageismnasnanformnofnbigotry.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-9
TOP:nTeaching-LearningnMSC:nSafenandnEffectivenCarenEnvironment
3. Whenndiscussingnfactorsnthatnhavenhelpedntonincreasenthennumbernofnhealthy,nindependentnoldernAmericans,nthennurse
nincludesnthenimportancenof:
a. increasednavailabilitynofnin-homencarenservices.
b. governmentnsupportnofnretiredncitizens.
c. effectivenantibioticntherapies.
d. thendevelopmentnofnlife-
extendingntherapies.nANS:nC
ThenhealthnandnultimatenautonomynofnoldernAmericansnhasnbeennpositivelynimpactednbynthendevelopmentnofnantibiotics,nbettern
sanitation,nandnvaccines.nThesenpublicnhealthnmeasuresnhavenbeennmoreninstrumentalninnincreasingnthennumbersnofnhealthy,nin
dependentnoldernAmericansnthannhavenin-homencarenservices,ngovernmentnprograms,nornlife-extendingntherapies.
DIF:nRememberingn(Knowledge)nREF:nPagen2nOBJ:n3-3
TOP:nNursingnProcess:nImplementationnMSC:nHealthnPromotionnandnMaintenance
4. Basednonncurrentndata,nwhennpresentingnannoldernadult’sndischargenteachingnplan,nthennursenincludesnthenpatient’s:
a. nonrelatedncaretaker.
b. paidncaregiver.
,c. familynmember.
,d. intuitionalnrepresentative.
, ANS:nC
Lessnthann4%nofnoldernadultsnliveninnanformalnhealthncarenenvironment.nThenmajoritynofnthengeriatricnpopulationnlivesnatnhomen
ornwithnfamilynmembers.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n3-3
TOP:nNursingnProcess:nPlanningnMSC:nSafenandnEffectivenCarenEnvironment
5. Thennursenplanningncarenfornannoldernadultnwhonhasnrecentlynbeenndiagnosednwithnrheumatoidnarthritisnviewsnthenpriority
ncriterionnforncontinuednindependencentonbenthenpatient’s:
a. age.
b. financialnstatus.
c. gender.
d. functionalnstatus.
nANS:nD
Maintainingnthenfunctionalnstatusnofnoldernadultsnmaynavertnthenonsetnofnphysicalnfrailtynandncognitivenimpairment,ntwonconditi
onsnthatnincreasenthenlikelihoodnofninstitutionalization.
DIF:nRememberingn(Knowledge)nREF:nPagen8nOBJ:n1-
6nTOP:nNursingnProcess:nPlanningnMSC:nPhysiologicnIntegrit
y
6. Annursenworkingnwithnthenoldernadultnpopulationnisnmostnlikelyntonassessnanneednfornanfinancialnsocialnservice’snreferralnforn
a(n):
a. whitenmale.
b. blacknfemale.
c. Hispanicnmale.
d. AsiannAmericannfemale.
nANS:nB
Thenpovertynratenamongnoldernblacknwomennisnsubstantiallynhighernthannthatnseennamongnmalesnornfemalesnofnothernethnicngro
ups.nWhitenmalesnhadnthenleastnpoverty.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nSafenandnEffectivenCarenEnvironment
7. Whichnofnthenfollowingnstatementsnmadenbynannursenpreparingntoncompletenanhealthnassessmentnandnhistorynonnannolder
npatientnreflectsnannunderstandingnofnthengeneralnhealthnstatusnofnthisnpopulation?
a. “I’llnneedntondocumentnwellnregardingnthenmedicationsnthenpatientnisncurrentlynprescribed.”
b. “Inwouldnlikentonunderstandnhownsupportiventhenpatient’snfamilynmembersnare.”
c. “Mostnoldernpatientsnarenbeingntreatednfornanvarietynofnchronicnhealthncarenissues.”
d. “Itnwillnbeninterestingntonseenwhethernthisnpatientnseesnherselfnasnbeingnhealthy.”n
ANS:nD
Itnisnanmisconceptionnthatnoldnagenisnsynonymousnwithndiseasenandnillness.nThennursenshouldnalwaysndeterminenthenpatient’snse
nsenofnwellnessnandnindependencenwhennconductingnanhealthnandnhistorynassessment.nAnnassessmentnofnmedicationnusenandnfa
milynsupportnisnimportantnfornanynpatient.nManynoldernadultsndonhavenchronicnhealthnconditions,nbutntheirnperceptionnisnmoreni
mportantnthannansinglennumber.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nHealthnPromotion
8. Thennursenisncaringnfornannoldernadultnwhonhasnbeennadmittedntonannacutencarenhospitalnforntreatmentnofnanfracturednfemur.
nThenfamilynexpressesnconcernnaboutnthenpatient’snpendingntransferntonansubacutencarenfacility.nWhatnresponsenbynthennursenis
nbest?
a. “Acutencarenfacilitiesnlacknthenlong-termnphysicalntherapynsupportnyourndadnrequires.”
b. “Yourndadnwillnbenmuchnhappierninnanmorenserene,nprivatenenvironment.”
c. “Thensubacutenfacilitynwillnfocusnonnhelpingnyourndadnmaintainnhisnindependence.”
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