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,Contents
Chapter 1 The Aging Population ......................................................................................... 3
Chapter 2 Theories of Aging ............................................................................................. 17
Chapter 3 Diversity........................................................................................................... 25
Chapter 4 Life Transitions and Story ................................................................................. 37
Chapter 5 Common Aging Changes ................................................................................... 49
Chapter 6 The Specialty of Gerontological Nursing............................................................ 64
Chapter 7 Holistic Assessment and Care Planning ............................................................. 75
Chapter 8 Legal Aspects of Gerontological Nursing ........................................................... 88
Chapter 9 Ethical Aspects of Gerontological Nursing ....................................................... 101
Chapter 10 Continuum of Care in Gerontological Nursing ............................................... 110
Chapter 11 Nutrition and Hydration ............................................................................... 123
Chapter 12 Sleep and Rest .............................................................................................. 137
Chapter 13 Comfort and Pain Management .................................................................... 149
Chapter 14 Safety........................................................................................................... 161
Chapter 15 Spirituality ................................................................................................... 173
Chapter 16 Sexuality and Intimacy ................................................................................. 180
Chapter 17 Safe Medication Use..................................................................................... 193
Chapter 18 Respiration................................................................................................... 204
Chapter 19 Circulations .................................................................................................. 216
Chapter 20 Digestion and Bowel Elimination .................................................................. 228
Chapter 21 Urinary Elimination ...................................................................................... 240
Chapter 22 Reproductive System Health ......................................................................... 253
Chapter 23 Mobility ....................................................................................................... 285
Chapter 24 Neurologic Function ..................................................................................... 297
Chapter 25 Vision and Hearing ....................................................................................... 308
Chapter 26 Endocrine Function....................................................................................... 316
Chapter 27 Skin Health ................................................................................................... 327
Chapter 28 Cancer .......................................................................................................... 341
Chapter 29 Mental Health Disorders............................................................................... 353
Chapter 30 Delirium and Dementia ................................................................................ 368
, Chapter 31 Living in Harmony With Chronic Conditions .................................................. 381
Chapter 32 Rehabilitative and Restorative Care Cha MULTIPLE CHOICE ........................... 393
Chapter 34 Long-Term Care ............................................................................................ 406
Chapter 35 Family Caregiving ......................................................................................... 419
Chapter 36 End-of-Life Care ............................................................................................ 429
Chapter 1 The Aging Population
Test Bank MULTIPLE CHOICE
1. The nurse explains that in the late 1960s, health care focus was aimed at the older adult
because:
a. disability was viewed as unavoidable.
b. complications from disease increased mortality.
c. older adults needs are similar to those of all adults.
d. preventive health care practices increased longevity.
ANS:D
Increased preventive health care practices, disease control, and focus on wellness helped people live
longer.
DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2
TOP: Aging Trends KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The nurse clarifies that in the terminology defining specific age groups, the term aged refers to
persons who are:
a. 55 to 64 years of age.
, b. 65 to 74 years of age.
c. 75 to 84 years of age.
d. 85 and older.
ANS:C
The term aged refers to persons who are 75 to 84 years of age. DIF: Cognitive Level: Comprehension
REF: 2, Table 1-1 OBJ: 1 TOP: Age Categories KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse cautions that ageism is a mindset that influences persons to:
a. discriminate against persons solely on the basis of age.
b. fear aging.
c. be culturally sensitive to concerns of aging.
d. focus on resources for the older adult.
ANS:A
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the
basis of age and can lead to destructive behaviors toward the older adult.
DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3 TOP: Ageism KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. The nurse points out that the most beneficial legislation that has influenced health care for the
older adult is:
a. Medicare and Medicaid.
b. elimination of the mandatory retirement age.
c. the Americans with Disabilities Act.