Ham’snprimaryncarengeriatricsn testnbankn2023
NR 601 Ham's Primary Care Geriatrics LATEST TESTB
n n n n n n n n
ANK 2023(Q&A) n
PrinciplesnofnPrimarynCarenofnOldernAdults
Chaptern1.
MULTIPLEnCHOICE
1. Inn2010,nthenrevisednStandardsnandnScopenofnGerontologicalnNursingnPracticenwasnpublished.n
Thennursenwouldnusenthesenstandardsnto:
a. promotenthenpracticenofngerontologicnnursingnwithinnthenacutencarensetting.
b. definenthenconceptsnandndimensionsnofngerontologicnnursingnpractice.
c. elevatenthenpracticenofngerontologicnnursing.
d. incorporatensuggestedninterventionsnfromnothersnwhonpracticengerontologicnnursing.
RIGHTnANSWER:
D
ThencurrentnpublishingnofnthenStandardsnandnScopenofnGerontologicalnNursingnPracticeninn2010nin
corporatesntheninputnofngerontologicnnursesnfromnacrossnthenUnitednStates.nItnwasnnotnintendedntonpr
omotengerontologicnnursingnpracticenwithinnacutencarensettings,ndefinenconceptsnorndimensionsnofn
gerontologicnnursingnpractice,nornelevatenthenpracticenofngerontologicnnursing.
DIF:nRememberingn(Knowledge)nREF:nmsc:n2nOBJ:n1-
1nTOP:nN/AnMSC:nSafenandnEffectivenCarenEnvironment
2. Whennattemptingntonminimizentheneffectnofnageismnonnthenpracticenofnnursingnoldernadults,nann
ursenneedsntonfirst:
a. recognizenthatnnursesnmustnactnasnadvocatesnfornagingnpatients.
b. acceptnthatnthisnpopulationnrepresentsnansubstantialnportionnofnthosenrequiringnnursingncare.
c. self-
reflectnandnformulatenonesnpersonalnviewnofnagingnandnthenoldernpatient.nd.nrecog
nizenageismnasnanformnofnbigotrynsharednbynmanynAmerians.
RIGHTnANSWER:nC
Ageismnisnannever-
increasingnprejudicialnviewnofntheneffectsnofnthenagingnprocessnandnofnthenoldernpopulationnasnanwhol
e.nWithnnursesnbeingnmembersnofnansocietynholdingnsuchnviews,nitnisncriticalnthatnthenindividualnnur
senself-
reflectnonnpersonalnfeelingsnandndeterminenwhethernsuchnfeelingsnwillnaffectnthennursingncarenthatnh
enornshenprovidesntonthenagingnpatient.nActingnasnannadvocatenisnannimportantnnursingnroleninnallnsett
ings.nSimplynacceptingnanfactndoesnnotnhelpnendnageism,nnorndoesnrecognizingnageismnasnanformnofn
bigotry.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-9
TOP:nTeaching-LearningnMSC:nSafenandnEffectivenCarenEnvironment
3. Whenndiscussingnfactorsnthatnhavenhelpedntonincreasenthennumbernofnhealthy,nindependentnoldern
Americansnanswer,nthennursenincludesnthenimportancenof:
a. increasednavailabilitynofnin-homencarenservices.
b. governmentnsupportnofnretiredncitizens.
c. effectivenantibioticntherapies.
d. thendevelopmentnofnlife-extendingntherapies.
RIGHTnANSWER:nC
ThenhealthnandnultimatenautonomynofnoldernAmericansnhasnbeennpositivelynimpactednbynthendevel
opmentnofnantibiotics,nbetternsanitation,nandnvaccines.nThesenpublicnhealthnmeasuresnhavenbeennm
oreninstrumentalninnincreasingnthennumbersnofnhealthy,nindependentnoldernAmericansnn
,Ham’snprimaryncarengeriatricsn testnbankn2023
thanhavenin-homencarenservices,ngovernmentnprograms,nornlife-
extendingntherapies.nDIF:nRememberingn(Knowledge)nREF:nmsc:n2nOBJ:n3-3
TOP:nNursingnProcess:nImplementationnMSC:nHealthnPromotionnandnMaintenance
4. Basednonncurrentndata,nwhennpresentingnannoldernadultsndischargenteachingnplan,nthennurseni
ncludesnthenpatients:
a. nonrelatedncaretaker.
b. paidncaregiver.
c. familynmember.
d. intuitionalnrepresentative.
RIGHTnANSWER:nC
Lessnthann4%nofnoldernadultsnliveninnanformalnhealthncarenenvironment.nThenmajoritynofnthengeriatr
icnpopulationnlivesnatnhomenornwithnfamilynmembers.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n3-3
TOP:nNursingnProcess:nPlanningnMSC:nSafenandnEffectivenCarenEnvironment
,Ham’snprimaryncarengeriatricsn testnbankn2023
5. Thennursenplanningncarenfornannoldernadultnwhonhasnrecentlynbeenndiagnosednwithnrheumatoidna
rthritisnviewsnthenpriorityncriterionnforncontinuednindependencentonbenthenpatients:
a. age.
b. financialnstatus.
c. gender.
d. functionalnstatus.n
RIGHTnANSWER:nD
Maintainingnthenfunctionalnstatusnofnoldernadultsnmaynavertnthenonsetnofnphysicalnfrailtynandncogn
itivenimpairment,ntwonconditionsnthatnincreasenthenlikelihoodnofninstitutionalization.
DIF:nRememberingn(Knowledge)nREF:nmsc:n8nOBJ:n1-
6nTOP:nNursingnProcess:nPlanningnMSC:nPhysiologicnIntegrit
y
6. Annursenworkingnwithnthenoldernadultnpopulationnisnmostnlikelyntonassessnanneednfornanfinancialns
ocialnservicesnreferralnforna(n):
a. whitenmale.
b. blacknfemale.
c. Hispanicnmale.
d. AsiannAmericannfemale.n
RIGHTnANSWER:nB
Thenpovertynratenamongnoldernblacknwomennisnsubstantiallynhighernthannthatnseennamongnmalesnornfe
malesnofnothernethnicngroups.nWhitenmalesnhadnthenleastnpoverty.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nSafenandnEffectivenCarenEnvironment
7. Whichnofnthenfollowingnstatementsnmadenbynannursenpreparingntoncompletenanhealthnassessmentna
ndnhistorynonnannoldernpatientnreflectsnannunderstandingnofnthengeneralnhealthnstatusnofnthisnpopula
tion?
a. Illnneedntondocumentnwellnregardingnthenmedicationsnthenpatientnisncurrentlynprescribed.
b. Inwouldnlikentonunderstandnhownsupportiventhenpatientsnfamilynmembersnare.
c. Mostnoldernpatientsnarenbeingntreatednfornanvarietynofnchronicnhealthncarenissues.
d. Itnwillnbeninterestingntonseenwhethernthisnpatientnseesnherselfnasnbeingnhealthy.
RIGHTnANSWER:nD
Itnisnanmisconceptionnthatnoldnagenisnsynonymousnwithndiseasenandnillness.nThennursenshouldnalway
sndeterminenthenpatientsnsensenofnwellnessnandnindependencenwhennconductingnanhealthnandnhistoryna
ssessment.nAnnassessmentnofnmedicationnusenandnfamilynsupportnisnimportantnfornanynpatient.nMan
ynoldernadultsndonhavenchronicnhealthnconditions,nbutntheirnperceptionnisnmorenimportantnthannansin
glennumber.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nHealthnPromotion
8. Thennursenisncaringnfornannoldernadultnwhonhasnbeennadmittedntonannacutencarenhospitalnforntre
atmentnofnanfracturednfemur.nThenfamilynexpressesnconcernnaboutnthenpatientsnpendingntrrightnans
werfertonansubacutencarenfacility.nWhatnresponsenbynthennursenisnbest?
a. Acutencarenfacilitiesnlacknthenlong-termnphysicalntherapynsupportnyourndadnrequires.
b. Yourndadnwillnbenmuchnhappierninnanmorenserene,nprivatenenvironment.
c. Thensubacutenfacilitynwillnfocusnonnhelpingnyourndadnmaintainnhisnindependence.n
d.nInsurance,nincludingnMedicare,nwillncovernonlynanlimitednamountnofntimenhere.
RIGHTnANSWER:nC
Thentrrightnanswerfernofnthenpatientntonansubacutenfacilitynisnbasednonnthenneedntonmaintainnthenpati
entsnlevelnofnfunctionnandnindependence,nantasknthenacutencarenfacilitynisnnotnpreparedntonaddressno
ncethenpatientnisnphysiologicallynstable.nThenpatientnmaynornmaynnotnbenhappierninnthennewnsetting
;nthennursenshouldnnotnmakenthisnjudgment.nItnisntruenthatninsurancenonlynpaysnfornanlimitednamount
ofntimeninnannacutencarenfacility,nbutnthisnisnnotnthenbestnreasonnfornthenpatientntontrrightnanswerfer.n
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-6
TOP:nCommunicationnandnDocumentation
, Ham’snprimaryncarengeriatricsn testnbankn2023
MSC:nHealthnPromotionnandnMaintenance
9. Tonbestnassurenbothnthenqualitynofncarenandnthensafetynofnthenoldernadultnpatientnwhonrequiresninnh
omenunlicensednassistivenpersonaln(UAP)nassistance,nthengeriatricnnurse:
a. evaluatesnthencompetencynofnthenUAPnstaff.
NR 601 Ham's Primary Care Geriatrics LATEST TESTB
n n n n n n n n
ANK 2023(Q&A) n
PrinciplesnofnPrimarynCarenofnOldernAdults
Chaptern1.
MULTIPLEnCHOICE
1. Inn2010,nthenrevisednStandardsnandnScopenofnGerontologicalnNursingnPracticenwasnpublished.n
Thennursenwouldnusenthesenstandardsnto:
a. promotenthenpracticenofngerontologicnnursingnwithinnthenacutencarensetting.
b. definenthenconceptsnandndimensionsnofngerontologicnnursingnpractice.
c. elevatenthenpracticenofngerontologicnnursing.
d. incorporatensuggestedninterventionsnfromnothersnwhonpracticengerontologicnnursing.
RIGHTnANSWER:
D
ThencurrentnpublishingnofnthenStandardsnandnScopenofnGerontologicalnNursingnPracticeninn2010nin
corporatesntheninputnofngerontologicnnursesnfromnacrossnthenUnitednStates.nItnwasnnotnintendedntonpr
omotengerontologicnnursingnpracticenwithinnacutencarensettings,ndefinenconceptsnorndimensionsnofn
gerontologicnnursingnpractice,nornelevatenthenpracticenofngerontologicnnursing.
DIF:nRememberingn(Knowledge)nREF:nmsc:n2nOBJ:n1-
1nTOP:nN/AnMSC:nSafenandnEffectivenCarenEnvironment
2. Whennattemptingntonminimizentheneffectnofnageismnonnthenpracticenofnnursingnoldernadults,nann
ursenneedsntonfirst:
a. recognizenthatnnursesnmustnactnasnadvocatesnfornagingnpatients.
b. acceptnthatnthisnpopulationnrepresentsnansubstantialnportionnofnthosenrequiringnnursingncare.
c. self-
reflectnandnformulatenonesnpersonalnviewnofnagingnandnthenoldernpatient.nd.nrecog
nizenageismnasnanformnofnbigotrynsharednbynmanynAmerians.
RIGHTnANSWER:nC
Ageismnisnannever-
increasingnprejudicialnviewnofntheneffectsnofnthenagingnprocessnandnofnthenoldernpopulationnasnanwhol
e.nWithnnursesnbeingnmembersnofnansocietynholdingnsuchnviews,nitnisncriticalnthatnthenindividualnnur
senself-
reflectnonnpersonalnfeelingsnandndeterminenwhethernsuchnfeelingsnwillnaffectnthennursingncarenthatnh
enornshenprovidesntonthenagingnpatient.nActingnasnannadvocatenisnannimportantnnursingnroleninnallnsett
ings.nSimplynacceptingnanfactndoesnnotnhelpnendnageism,nnorndoesnrecognizingnageismnasnanformnofn
bigotry.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-9
TOP:nTeaching-LearningnMSC:nSafenandnEffectivenCarenEnvironment
3. Whenndiscussingnfactorsnthatnhavenhelpedntonincreasenthennumbernofnhealthy,nindependentnoldern
Americansnanswer,nthennursenincludesnthenimportancenof:
a. increasednavailabilitynofnin-homencarenservices.
b. governmentnsupportnofnretiredncitizens.
c. effectivenantibioticntherapies.
d. thendevelopmentnofnlife-extendingntherapies.
RIGHTnANSWER:nC
ThenhealthnandnultimatenautonomynofnoldernAmericansnhasnbeennpositivelynimpactednbynthendevel
opmentnofnantibiotics,nbetternsanitation,nandnvaccines.nThesenpublicnhealthnmeasuresnhavenbeennm
oreninstrumentalninnincreasingnthennumbersnofnhealthy,nindependentnoldernAmericansnn
,Ham’snprimaryncarengeriatricsn testnbankn2023
thanhavenin-homencarenservices,ngovernmentnprograms,nornlife-
extendingntherapies.nDIF:nRememberingn(Knowledge)nREF:nmsc:n2nOBJ:n3-3
TOP:nNursingnProcess:nImplementationnMSC:nHealthnPromotionnandnMaintenance
4. Basednonncurrentndata,nwhennpresentingnannoldernadultsndischargenteachingnplan,nthennurseni
ncludesnthenpatients:
a. nonrelatedncaretaker.
b. paidncaregiver.
c. familynmember.
d. intuitionalnrepresentative.
RIGHTnANSWER:nC
Lessnthann4%nofnoldernadultsnliveninnanformalnhealthncarenenvironment.nThenmajoritynofnthengeriatr
icnpopulationnlivesnatnhomenornwithnfamilynmembers.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n3-3
TOP:nNursingnProcess:nPlanningnMSC:nSafenandnEffectivenCarenEnvironment
,Ham’snprimaryncarengeriatricsn testnbankn2023
5. Thennursenplanningncarenfornannoldernadultnwhonhasnrecentlynbeenndiagnosednwithnrheumatoidna
rthritisnviewsnthenpriorityncriterionnforncontinuednindependencentonbenthenpatients:
a. age.
b. financialnstatus.
c. gender.
d. functionalnstatus.n
RIGHTnANSWER:nD
Maintainingnthenfunctionalnstatusnofnoldernadultsnmaynavertnthenonsetnofnphysicalnfrailtynandncogn
itivenimpairment,ntwonconditionsnthatnincreasenthenlikelihoodnofninstitutionalization.
DIF:nRememberingn(Knowledge)nREF:nmsc:n8nOBJ:n1-
6nTOP:nNursingnProcess:nPlanningnMSC:nPhysiologicnIntegrit
y
6. Annursenworkingnwithnthenoldernadultnpopulationnisnmostnlikelyntonassessnanneednfornanfinancialns
ocialnservicesnreferralnforna(n):
a. whitenmale.
b. blacknfemale.
c. Hispanicnmale.
d. AsiannAmericannfemale.n
RIGHTnANSWER:nB
Thenpovertynratenamongnoldernblacknwomennisnsubstantiallynhighernthannthatnseennamongnmalesnornfe
malesnofnothernethnicngroups.nWhitenmalesnhadnthenleastnpoverty.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nSafenandnEffectivenCarenEnvironment
7. Whichnofnthenfollowingnstatementsnmadenbynannursenpreparingntoncompletenanhealthnassessmentna
ndnhistorynonnannoldernpatientnreflectsnannunderstandingnofnthengeneralnhealthnstatusnofnthisnpopula
tion?
a. Illnneedntondocumentnwellnregardingnthenmedicationsnthenpatientnisncurrentlynprescribed.
b. Inwouldnlikentonunderstandnhownsupportiventhenpatientsnfamilynmembersnare.
c. Mostnoldernpatientsnarenbeingntreatednfornanvarietynofnchronicnhealthncarenissues.
d. Itnwillnbeninterestingntonseenwhethernthisnpatientnseesnherselfnasnbeingnhealthy.
RIGHTnANSWER:nD
Itnisnanmisconceptionnthatnoldnagenisnsynonymousnwithndiseasenandnillness.nThennursenshouldnalway
sndeterminenthenpatientsnsensenofnwellnessnandnindependencenwhennconductingnanhealthnandnhistoryna
ssessment.nAnnassessmentnofnmedicationnusenandnfamilynsupportnisnimportantnfornanynpatient.nMan
ynoldernadultsndonhavenchronicnhealthnconditions,nbutntheirnperceptionnisnmorenimportantnthannansin
glennumber.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nHealthnPromotion
8. Thennursenisncaringnfornannoldernadultnwhonhasnbeennadmittedntonannacutencarenhospitalnforntre
atmentnofnanfracturednfemur.nThenfamilynexpressesnconcernnaboutnthenpatientsnpendingntrrightnans
werfertonansubacutencarenfacility.nWhatnresponsenbynthennursenisnbest?
a. Acutencarenfacilitiesnlacknthenlong-termnphysicalntherapynsupportnyourndadnrequires.
b. Yourndadnwillnbenmuchnhappierninnanmorenserene,nprivatenenvironment.
c. Thensubacutenfacilitynwillnfocusnonnhelpingnyourndadnmaintainnhisnindependence.n
d.nInsurance,nincludingnMedicare,nwillncovernonlynanlimitednamountnofntimenhere.
RIGHTnANSWER:nC
Thentrrightnanswerfernofnthenpatientntonansubacutenfacilitynisnbasednonnthenneedntonmaintainnthenpati
entsnlevelnofnfunctionnandnindependence,nantasknthenacutencarenfacilitynisnnotnpreparedntonaddressno
ncethenpatientnisnphysiologicallynstable.nThenpatientnmaynornmaynnotnbenhappierninnthennewnsetting
;nthennursenshouldnnotnmakenthisnjudgment.nItnisntruenthatninsurancenonlynpaysnfornanlimitednamount
ofntimeninnannacutencarenfacility,nbutnthisnisnnotnthenbestnreasonnfornthenpatientntontrrightnanswerfer.n
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-6
TOP:nCommunicationnandnDocumentation
, Ham’snprimaryncarengeriatricsn testnbankn2023
MSC:nHealthnPromotionnandnMaintenance
9. Tonbestnassurenbothnthenqualitynofncarenandnthensafetynofnthenoldernadultnpatientnwhonrequiresninnh
omenunlicensednassistivenpersonaln(UAP)nassistance,nthengeriatricnnurse:
a. evaluatesnthencompetencynofnthenUAPnstaff.
