Ham’smprimary mcaremgeriatricsm testmbank m202
3
NR 601 Ham's Primary Care Geriatrics LATEST TEST
m m m m m m m m
BANK 2023(Q&A) m
Principlesmof mPrimary mCaremof mOldermAdults
Chapterm1.
MULTIPLEmCHOICE
1. In m2010,mthemrevised mStandardsmandmScopemofmGerontologicalmNursing mPractice mwasmpublishe
d.mThemnurse mwould musemthesemstandardsmto:
a. promote mthempractice mof mgerontologic mnursingmwithin mthemacutemcaremsetting.
b. definemthemconceptsmand mdimensionsmof mgerontologic mnursingmpractice.
c. elevatemthempractice mof mgerontologic mnursing.
d. incorporate msuggested minterventionsmfrommothersmwho mpractice mgerontologic mnursing.
RIGHTmANSWER:
D
Themcurrentmpublishingmof mthemStandardsmand mScopemofmGerontologicalmNursingmPractice minm201
0 mincorporatesmtheminputmofmgerontologic mnursesmfrommacrossmthemUnited mStates.mItmwasmnotminten
ded mto mpromote mgerontologic mnursingmpractice mwithin macutemcaremsettings,mdefinemconceptsmormm
dimensionsmof mgerontologic mnursingmpractice,mormelevatemthempractice mof mgerontologic mnursing.
DIF:mRememberingm(Knowledge)mREF:mmsc:m2 mOBJ:m1-
1 mTOP:mN/AmMSC:mSafemand mEffective mCaremEnvironment
2. When mattemptingmto mminimize mthemeffectmofmageismmon mthempracticemof mnursingmoldermadult
s,mamnursemneedsmto mfirst:
a. recognize mthatmnursesmmustmactmasmadvocatesmformagingmpatients.
b. acceptmthatmthismpopulation mrepresentsmamsubstantialmportion mof mthosemrequiringmnursingmcare.
c. self-reflectmand mformulate monesmpersonalmviewmof magingmand mthemoldermpatient.
d. recognize mageismmasmamformmof mbigotry mshared mby mmany mAmeria
ns.mRIGHTmANSWER:mC
Ageismmisman mever-
increasingmprejudicialmviewmof mthemeffectsmofmthemagingmprocessmand mofmthemoldermpopulation masmam
whole.mWith mnursesmbeingmmembersmof mamsociety mholdingmsuch mviews,mitmismcriticalmmthatmthemindi
vidualmnurse mself-
reflectmon mpersonalmfeelingsmand mdeterminemwhethermsuchmfeelingsmmwillmaffectmthemnursingmcaremt
hatmhemormshemprovidesmto mthemagingmpatient.mActingmasman madvocate mismman mimportantmnursingmrol
emin mallmsettings.mSimply macceptingmamfactmdoesmnotmhelp mend mageism,mnormmdoesmrecognizingmagei
smmasmamformmof mbigotry.
DIF:mApplyingm(Application)mREF:mN/AmOBJ:m1-9
TOP:mTeaching-LearningmMSC:mSafemand mEffective mCaremEnvironment
3. When mdiscussingmfactorsmthatmhavemhelped mto mincrease mthemnumbermof mhealthy,mindependentmol
dermAmericansmanswer,mthemnursemincludesmthemimportance mof:
a. increased mavailability mof min-homemcaremservices.
b. governmentmsupportmof mretired mcitizens.
c. effective mantibioticmtherapies.
d. themdevelopmentmof mlife-
extendingmtherapies.mRIGHTmANSWER:mC
Themhealth mand multimatemautonomy mofmoldermAmericansmhasmbeen mpositively mimpacted mby mthemm
developmentmof mantibiotics,mbettermsanitation,mand mvaccines.mThesempublicmhealth mmeasuresmhav
emmbeen mmoreminstrumentalmin mincreasingmthemnumbersmof mhealthy,mindependentmoldermAmerican
sm
,Ham’smprimary mcaremgeriatricsm testmbank m202
3thanhave min-homemcaremservices,mgovernmentmprograms,mormlife-
extendingmtherapies.mDIF:mmRememberingm(Knowledge)mREF:mmsc:m2 mOBJ:m3-3
TOP:mNursingmProcess:mImplementation mMSC:mHealth mPromotion mand mMaintenance
4. Based mon mcurrentmdata,mwhen mpresentingman moldermadultsmdischarge mteachingmplan,mthemnu
rsemincludesmthempatients:
a. nonrelated mcaretaker.
b. paid mcaregiver.
c. family mmember.
d. intuitionalmrepresentative.
mRIGHTmANSWER:mC
Lessmthan m4% mof moldermadultsmlivemin mamformalmhealth mcaremenvironment.mThemmajority mof mthemge
riatricmpopulation mlivesmatmhomemormwith mfamily mmembers.
DIF:mApplyingm(Application)mREF:mN/AmOBJ:m3-3
TOP:mNursingmProcess:mPlanningmMSC: mSafemand mEffective mCaremEnvironment
,Ham’smprimary mcaremgeriatricsm testmbank m202
35. Themnurse mplanningmcaremformanmoldermadultmwho mhasmrecently mbeen mdiagnosed mwith mrheumat
oid marthritismviewsmthempriority mcriterion mformcontinued mindependence mto mbemthempatients:
a. age.
b. financialmstatus.
c. gender.
d. functionalmstatus.
mRIGHTmANSWER:m
D
Maintainingmthemfunctionalmstatusmof moldermadultsmmay mavertmthemonsetmof mphysicalmfrailty mand mc
ognitivemimpairment,mtwo mconditionsmthatmincrease mthemlikelihood mof minstitutionalization.
DIF:mRememberingm(Knowledge)mREF:mmsc:m8 mOBJ:m1-
6 mmTOP:mNursingmProcess:mPlanningmMSC:mPhysiologic mInte
grity
6. Amnursemworkingmwith mthemoldermadultmpopulation mismmostmlikely mto massessmamneed mformamfinan
cialmsocialmservicesmreferralmforma(n):
a. whitemmale.
b. black mfemale.
c. Hispanic mmale.
d. Asian mAmerican mfemale
.mRIGHTmANSWER:mB
Thempoverty mratemamongmoldermblack mwomen mismsubstantially mhighermthan mthatmseen mamongmmales
mormfemales mof mothermethnic mgroups. mWhite mmales mhad mthe mleastmpoverty.
DIF:mApplyingm(Application)mREF:mN/AmOBJ:m1-4
TOP:mNursingmProcess:mAssessmentmMSC:mSafemand mEffective mCaremEnvironment
7. Which mof mthemfollowingmstatementsmmade mby mamnursempreparingmto mcomplete mamhealth massessm
entmand mhistory mon man moldermpatientmreflectsman munderstandingmof mthemgeneralmhealth mstatusmofmth
ismpopulation?
a. Illmneed mto mdocumentmwellmregardingmthemmedicationsmthempatientmismcurrently mprescribed.
b. Imwould mlikemto munderstand mhowmsupportive mthempatientsmfamily mmembersmare.
c. Mostmoldermpatientsmarembeingmtreated mformamvariety mof mchronic mhealth mcaremissues.
d. Itmwillmbeminterestingmto mseemwhethermthismpatientmseesmherself masmbeingmhealt
hy.mRIGHTmANSWER:mD
Itmismammisconception mthatmold magemismsynonymousmwith mdiseasemand millness.mThemnurse mshould mm
alwaysmdetermine mthempatientsmsensemof mwellnessmandmindependence mwhen mconductingmamhealth man
d mhistory massessment. mAn massessmentmof mmedication musemand mfamily msupportmismimportantmforman
y mmpatient.mMany moldermadultsmdo mhave mchronic mhealth mconditions, mbutmtheirmperception mismmoremm
importantmthan mamsinglemnumber.
DIF:mApplyingm(Application)mREF:mN/AmOBJ:m1-4
TOP:mNursingmProcess:mAssessmentmMSC:mHealth mPromotion
8. Themnurse mismcaringmforman moldermadultmwho mhasmbeen madmitted mto man macutemcaremhospitalmf
ormtreatmentmof mamfractured mfemur.mThemfamily mexpressesmconcern maboutmthempatientsmpendingmt
rrightmanswerferto mamsubacute mcaremfacility.mWhatmresponse mby mthemnursemismbest?
a. Acutemcaremfacilitiesmlack mthemlong-termmphysicalmtherapy msupportmyourmdad mrequires.
b. Yourmdad mwillmbemmuch mhappiermin mammoremserene,mprivate menvironment.
c. Themsubacute mfacility mwillmfocusmon mhelpingmyourmdad mmaintain mhismindependence.
d. Insurance,mincludingmMedicare,mwillmcovermonly mamlimited mamountmof mtimemhe
re.mRIGHTmANSWER:mC
Themtrrightmanswerfermof mthempatientmto mamsubacute mfacility mismbased monmthemneed mto mmaintain mth
emmpatientsmlevelmof mfunction mand mindependence, mamtask mthemacutemcaremfacility mismnotmprepared mt
o mmaddressmoncethe mpatientmismphysiologically mstable.mThempatientmmay mormmay mnotmbemhappiermi
n mthemmnewmsetting;mthemnursemshould mnotmmakemthismjudgment.mItmismtruemthatminsurance monly mpa
ysmformammlimited mamountof mtimemin man macutemcaremfacility,mbutmthismismnotmthembestmreason mformth
empatientmto mmtrrightmanswerfer. mDIF:mApplyingm(Application)mREF:mN/AmOBJ:m1-6
TOP:mCommunication mand mDocumentation
, Ham’smprimary mcaremgeriatricsm testmbank m202
3MSC:mHealth mPromotion mand mMaintenance
9. To mbestmassure mboth mthemquality mof mcaremandmthemsafety mof mthemoldermadultmpatientmwhomrequire
smin mhomemunlicensed massistive mpersonalm(UAP)massistance,mthemgeriatricmnurse:
a. evaluatesmthemcompetency mof mthemUAPmstaff.
3
NR 601 Ham's Primary Care Geriatrics LATEST TEST
m m m m m m m m
BANK 2023(Q&A) m
Principlesmof mPrimary mCaremof mOldermAdults
Chapterm1.
MULTIPLEmCHOICE
1. In m2010,mthemrevised mStandardsmandmScopemofmGerontologicalmNursing mPractice mwasmpublishe
d.mThemnurse mwould musemthesemstandardsmto:
a. promote mthempractice mof mgerontologic mnursingmwithin mthemacutemcaremsetting.
b. definemthemconceptsmand mdimensionsmof mgerontologic mnursingmpractice.
c. elevatemthempractice mof mgerontologic mnursing.
d. incorporate msuggested minterventionsmfrommothersmwho mpractice mgerontologic mnursing.
RIGHTmANSWER:
D
Themcurrentmpublishingmof mthemStandardsmand mScopemofmGerontologicalmNursingmPractice minm201
0 mincorporatesmtheminputmofmgerontologic mnursesmfrommacrossmthemUnited mStates.mItmwasmnotminten
ded mto mpromote mgerontologic mnursingmpractice mwithin macutemcaremsettings,mdefinemconceptsmormm
dimensionsmof mgerontologic mnursingmpractice,mormelevatemthempractice mof mgerontologic mnursing.
DIF:mRememberingm(Knowledge)mREF:mmsc:m2 mOBJ:m1-
1 mTOP:mN/AmMSC:mSafemand mEffective mCaremEnvironment
2. When mattemptingmto mminimize mthemeffectmofmageismmon mthempracticemof mnursingmoldermadult
s,mamnursemneedsmto mfirst:
a. recognize mthatmnursesmmustmactmasmadvocatesmformagingmpatients.
b. acceptmthatmthismpopulation mrepresentsmamsubstantialmportion mof mthosemrequiringmnursingmcare.
c. self-reflectmand mformulate monesmpersonalmviewmof magingmand mthemoldermpatient.
d. recognize mageismmasmamformmof mbigotry mshared mby mmany mAmeria
ns.mRIGHTmANSWER:mC
Ageismmisman mever-
increasingmprejudicialmviewmof mthemeffectsmofmthemagingmprocessmand mofmthemoldermpopulation masmam
whole.mWith mnursesmbeingmmembersmof mamsociety mholdingmsuch mviews,mitmismcriticalmmthatmthemindi
vidualmnurse mself-
reflectmon mpersonalmfeelingsmand mdeterminemwhethermsuchmfeelingsmmwillmaffectmthemnursingmcaremt
hatmhemormshemprovidesmto mthemagingmpatient.mActingmasman madvocate mismman mimportantmnursingmrol
emin mallmsettings.mSimply macceptingmamfactmdoesmnotmhelp mend mageism,mnormmdoesmrecognizingmagei
smmasmamformmof mbigotry.
DIF:mApplyingm(Application)mREF:mN/AmOBJ:m1-9
TOP:mTeaching-LearningmMSC:mSafemand mEffective mCaremEnvironment
3. When mdiscussingmfactorsmthatmhavemhelped mto mincrease mthemnumbermof mhealthy,mindependentmol
dermAmericansmanswer,mthemnursemincludesmthemimportance mof:
a. increased mavailability mof min-homemcaremservices.
b. governmentmsupportmof mretired mcitizens.
c. effective mantibioticmtherapies.
d. themdevelopmentmof mlife-
extendingmtherapies.mRIGHTmANSWER:mC
Themhealth mand multimatemautonomy mofmoldermAmericansmhasmbeen mpositively mimpacted mby mthemm
developmentmof mantibiotics,mbettermsanitation,mand mvaccines.mThesempublicmhealth mmeasuresmhav
emmbeen mmoreminstrumentalmin mincreasingmthemnumbersmof mhealthy,mindependentmoldermAmerican
sm
,Ham’smprimary mcaremgeriatricsm testmbank m202
3thanhave min-homemcaremservices,mgovernmentmprograms,mormlife-
extendingmtherapies.mDIF:mmRememberingm(Knowledge)mREF:mmsc:m2 mOBJ:m3-3
TOP:mNursingmProcess:mImplementation mMSC:mHealth mPromotion mand mMaintenance
4. Based mon mcurrentmdata,mwhen mpresentingman moldermadultsmdischarge mteachingmplan,mthemnu
rsemincludesmthempatients:
a. nonrelated mcaretaker.
b. paid mcaregiver.
c. family mmember.
d. intuitionalmrepresentative.
mRIGHTmANSWER:mC
Lessmthan m4% mof moldermadultsmlivemin mamformalmhealth mcaremenvironment.mThemmajority mof mthemge
riatricmpopulation mlivesmatmhomemormwith mfamily mmembers.
DIF:mApplyingm(Application)mREF:mN/AmOBJ:m3-3
TOP:mNursingmProcess:mPlanningmMSC: mSafemand mEffective mCaremEnvironment
,Ham’smprimary mcaremgeriatricsm testmbank m202
35. Themnurse mplanningmcaremformanmoldermadultmwho mhasmrecently mbeen mdiagnosed mwith mrheumat
oid marthritismviewsmthempriority mcriterion mformcontinued mindependence mto mbemthempatients:
a. age.
b. financialmstatus.
c. gender.
d. functionalmstatus.
mRIGHTmANSWER:m
D
Maintainingmthemfunctionalmstatusmof moldermadultsmmay mavertmthemonsetmof mphysicalmfrailty mand mc
ognitivemimpairment,mtwo mconditionsmthatmincrease mthemlikelihood mof minstitutionalization.
DIF:mRememberingm(Knowledge)mREF:mmsc:m8 mOBJ:m1-
6 mmTOP:mNursingmProcess:mPlanningmMSC:mPhysiologic mInte
grity
6. Amnursemworkingmwith mthemoldermadultmpopulation mismmostmlikely mto massessmamneed mformamfinan
cialmsocialmservicesmreferralmforma(n):
a. whitemmale.
b. black mfemale.
c. Hispanic mmale.
d. Asian mAmerican mfemale
.mRIGHTmANSWER:mB
Thempoverty mratemamongmoldermblack mwomen mismsubstantially mhighermthan mthatmseen mamongmmales
mormfemales mof mothermethnic mgroups. mWhite mmales mhad mthe mleastmpoverty.
DIF:mApplyingm(Application)mREF:mN/AmOBJ:m1-4
TOP:mNursingmProcess:mAssessmentmMSC:mSafemand mEffective mCaremEnvironment
7. Which mof mthemfollowingmstatementsmmade mby mamnursempreparingmto mcomplete mamhealth massessm
entmand mhistory mon man moldermpatientmreflectsman munderstandingmof mthemgeneralmhealth mstatusmofmth
ismpopulation?
a. Illmneed mto mdocumentmwellmregardingmthemmedicationsmthempatientmismcurrently mprescribed.
b. Imwould mlikemto munderstand mhowmsupportive mthempatientsmfamily mmembersmare.
c. Mostmoldermpatientsmarembeingmtreated mformamvariety mof mchronic mhealth mcaremissues.
d. Itmwillmbeminterestingmto mseemwhethermthismpatientmseesmherself masmbeingmhealt
hy.mRIGHTmANSWER:mD
Itmismammisconception mthatmold magemismsynonymousmwith mdiseasemand millness.mThemnurse mshould mm
alwaysmdetermine mthempatientsmsensemof mwellnessmandmindependence mwhen mconductingmamhealth man
d mhistory massessment. mAn massessmentmof mmedication musemand mfamily msupportmismimportantmforman
y mmpatient.mMany moldermadultsmdo mhave mchronic mhealth mconditions, mbutmtheirmperception mismmoremm
importantmthan mamsinglemnumber.
DIF:mApplyingm(Application)mREF:mN/AmOBJ:m1-4
TOP:mNursingmProcess:mAssessmentmMSC:mHealth mPromotion
8. Themnurse mismcaringmforman moldermadultmwho mhasmbeen madmitted mto man macutemcaremhospitalmf
ormtreatmentmof mamfractured mfemur.mThemfamily mexpressesmconcern maboutmthempatientsmpendingmt
rrightmanswerferto mamsubacute mcaremfacility.mWhatmresponse mby mthemnursemismbest?
a. Acutemcaremfacilitiesmlack mthemlong-termmphysicalmtherapy msupportmyourmdad mrequires.
b. Yourmdad mwillmbemmuch mhappiermin mammoremserene,mprivate menvironment.
c. Themsubacute mfacility mwillmfocusmon mhelpingmyourmdad mmaintain mhismindependence.
d. Insurance,mincludingmMedicare,mwillmcovermonly mamlimited mamountmof mtimemhe
re.mRIGHTmANSWER:mC
Themtrrightmanswerfermof mthempatientmto mamsubacute mfacility mismbased monmthemneed mto mmaintain mth
emmpatientsmlevelmof mfunction mand mindependence, mamtask mthemacutemcaremfacility mismnotmprepared mt
o mmaddressmoncethe mpatientmismphysiologically mstable.mThempatientmmay mormmay mnotmbemhappiermi
n mthemmnewmsetting;mthemnursemshould mnotmmakemthismjudgment.mItmismtruemthatminsurance monly mpa
ysmformammlimited mamountof mtimemin man macutemcaremfacility,mbutmthismismnotmthembestmreason mformth
empatientmto mmtrrightmanswerfer. mDIF:mApplyingm(Application)mREF:mN/AmOBJ:m1-6
TOP:mCommunication mand mDocumentation
, Ham’smprimary mcaremgeriatricsm testmbank m202
3MSC:mHealth mPromotion mand mMaintenance
9. To mbestmassure mboth mthemquality mof mcaremandmthemsafety mof mthemoldermadultmpatientmwhomrequire
smin mhomemunlicensed massistive mpersonalm(UAP)massistance,mthemgeriatricmnurse:
a. evaluatesmthemcompetency mof mthemUAPmstaff.
