Primary Care Nursing Hain
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,Test Bank to Accompany
Textbook of
Adult-Gerontology
Primary Care
Nursing: Evidence-
Based Patient Care for
Adolescents to Older
Adults
Debra J. Hain,
PhD, APRN, AGPCNP-
BC, FAAN, FAANP, FNKF
Deb Bakerjian,
PhD, APRN, FAAN,
FAANP, FGSA
, 2
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This work is protected by U.S. copyright laws and is provided solely for the use of instructors in
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ISBN: 978-0-8261-8416-0
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, 3
Contents
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, 4
Chapter 1: Healthy Aging Across the Continuum 4
Chapter 2: Toward Person-Centered Care 8
Chapter 3: Patient Safety and Quality Improvement in Practice 13
Chapter 4: Interprofessional Collaboration and Team-Based Care 17
Chapter 5: Care Coordination 22
Chapter 6: Promoting Wellness in AGNPs 27
Chapter 7: The AGNP Role and Settings of Care 31
Chapter 8: Palliative and End-of-Life Care 36
Chapter 9: The Role of AGNPs in Disasters 41
Chapter 10: Specific Health Issues for Older Adults 46
Chapter 11: Specific Health Issues for Adolescents 50
Chapter 12: Physical Examination 54
Chapter 13: Medication Use in the Older Adult 58
Chapter 14: Approach to Billing, Coding, and Documentation for AGNPs 63
Chapter 15: Common Skin Disorders Encountered in the Primary Care Setting 67
Chapter 16: Common Eye, Ear, Nose, and Throat Disorders Encountered in the Primary Care
Setting 71
Chapter 17: Common Neurological Disorders Encountered in the Primary Care Setting 75
Chapter 18: Common Mental Health Disorders Encountered in the Primary Care Setting 79
Chapter 19: Common Pulmonary Disorders Encountered in the Primary Care Setting 84
Chapter 20: Common Cardiovascular Disorders Encountered in the Primary Care Setting 88
Chapter 21: Common Musculoskeletal Disorders Encountered in the Primary Care Setting 93
Chapter 22: Common Gastrointestinal Disorders Encountered in the Primary Care Setting 98
Chapter 23: Common Kidney Disorders Encountered in the Primary Care Setting 103
Chapter 24: Common Genitourinary Disorders Encountered in the Primary Care Setting 108
Chapter 25: Common Gynecological Disorders Encountered in the Primary Care Setting 113
Chapter 26: Common Endocrine/Metabolic Disorders Encountered in the Primary Care
Setting 118
Chapter 27: Common Hematology Disorders Encountered in the Primary Care Setting 123
Chapter 28: Aging, Immunity, and Infection 127
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, Chapter 1
Healthy Aging Across the Continuum
1. Food insecurity is a pervasive problem in the U.S with _________ disproportionately
affected.
a. Native Americans
b. White Americans
*c. Black Americans
d. Asians
Rationale: Food insecurity is a pervasive problem in the United States with black
Americans disproportionately affected compared to non-Hispanic white.
2. Which diseases are the leading causes of death in the U.S.? Select all that apply.
*a. cancer
b. sclerosis of the liver
c. kidney disease
*d. heart disease
*e. diabetes
Rationale: The leading causes of death are heart disease, cancer, and diabetes.
3. The WHO recommends that adolescents have at least an accumulation of ___ minutes
of moderate-to-vigorous intensity physical activity daily (2021).
a. 20
b. 30
*c. 60
d. 90
Rationale: The WHO recommends that adolescents have at least an accumulation of 60
minutes of moderate-to-vigorous intensity physical activity daily (2021).
4. Which older adult population is expected to see the highest increase between 2019 and
2040?
a. African Americans
*b. Hispanics
1 Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, Chapter No. 1 Healthy Aging Across the Continuum
c. Asians
d. Native Americans
Rationale: Between 2019 and 2040, the White (non-Hispanic) population will increase
by 29% compared to 115% for other racial and ethnic; Hispanic older adults will
increase by 161%, African Americans 80%, American Indian and Alaska Native 67%
and Asian American 102% (AoA, 2021).
5. According to Erikson's theory on development, individuals between the ages of _____
are in the Intimacy vs. Isolation stage of life.
a. 12 to 18
*b. 19 to 40
c. 40 to 65
d. 65 to death
Rationale: According to Ericson's theory, people between the ages of 19 to 40 are in the
Intimacy vs. Isolation stage of life.
6. ___________ are those born between 1965 and 1980?
a. Baby boomers
*b. Generation X
c. Millennials
d. Generation Z
Rationale: Individuals born between 1965 and 1980 are known as Generation X.
7. Adults should have at least ___ hours of sleep each night.
a. 5
b. 6
*c. 7
d. 8
Rationale: Adults should have at least 7 hours of sleep each night.
8. About one-third of adults ___ and older feel lonely and nearly a quarter of adults 65 and
older are socially isolated.
a. 40
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, Chapter No. 1 Healthy Aging Across the Continuum
*b. 45
c. 55
d. 60
Rationale: About one-third of adults 45 and older feel lonely and nearly a quarter of
adults 65 and older are socially isolated (National Academics of Science, Engineering
and Medicine, 2020).
9. Which leading health initiatives are important for adolescents? Select all that apply.
a. decreasing child abuse
*b. reducing major depressive episodes
*c. decreasing use of tobacco products
d. reducing the use of opioids for pain
*e. decreasing obesity
Rationale: The leading health initiatives for adolescents are focusing on reducing major
depressive episodes if they are receiving treatment, decreasing use of tobacco
products, and reducing obesity.
10. Individuals that self-identify as gay/lesbian or bisexual tend to have more loneliness
compared to their heterosexual peers.
*a. True
b. False
Rationale: This statement Is true. Individuals that self-identify as gay/lesbian or bisexual
tend to have more loneliness compared to their heterosexual peers.
11. Which Healthy People 2030 leading health initiatives are important for adults and older
adults? Select all that apply.
a. reducing paternal deaths
*b. increasing colorectal cancer screening
*c. controlling blood pressure
d. decreasing new cases of HIV
*e. increasing employment
Rationale: LHIs for adults and older adults include improving physical activity and
strength, improving colorectal cancer screening, controlling blood pressure in adults with
3 Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, Chapter No. 1 Healthy Aging Across the Continuum
hypertension, reducing maternal deaths, decreasing new cases of diabetes, reducing
cigarette smoking and binge drinking, and increasing employment.
12. Informal family caregivers are a primary source of support for the older adult population
and, in most cases, are unpaid.
*a. True
b. False
Rationale: This statement is true. Informal family caregivers are a primary source of
support for the older adult population and, in most cases, are unpaid.
13. White Americans tend to provide more care to their recipients when compared with
ethnic minority caregivers.
a. True
*b. False
Rationale: This statement is false. In general, ethnic minorities tend to provide more
care to their recipients when compared with White caregivers and suffered worse
physical health.
14. In 2026, the first baby boomers will turn ___ years old.
a. 55
b. 60
c. 75
*d. 80
Rationale: In 2026, the first baby boomers will turn 80 years old.
15. 20 percent of caregivers of older adults are over age _________.
a. 50
b. 55
c. 60
*d. 65
Rationale: Caregivers of older adults are often older themselves; 56% are over age 50
and 20% are over age 65 years.
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