Gerontological Nursing 8th Edition by Charlotte-Test Bank

Question Bank For Elderly Care Biological Science 8th Edition by Charlotte

Chapter 1

Basic Principles of Gerontology

1.1   A nurse is examining the release strategies for an 84-year-old man who is set to depart the next day. Part of the plan is to cease smoking. When discussing this with a colleague, the nurse remarks, “I am unclear on the necessity for this, he has been smoking for decades, and he won’t quit now.” This utterance by the nurse portrays the notion of

2. realistic perspective.
3. unfavorable categorization.
4. personality appraisal.

Answer: 3

Rationale: Elderly individuals are often negatively stereotyped, assuming that after reaching a certain age, alterations are unattainable. This represents stereotyping in a disparaging form. Senescence denotes the aging process, reality orientation is a method to aid individuals when perplexed or deluded, and personality appraisal is the procedure of recognizing facets of an individual’s behavior and demeanor.

Execution

Emotional Integrity

Breakdown

1.2 Preparations are being made to conduct a blood pressure screening at a local apartment block predominantly housing senior citizens in an impoverished district. In foreseeing the clients one will encounter, what are the most probable characteristics of the residents in this locality. (Choose all that apply.)

1. elderly women.
2. married couples.
3. widowed females.
4. less educated females.
5. residents living independently.
6. elderly men.

Answer: 1, 3, 4, 5

Rationale: Statistics indicate that women make up the majority of individuals (55%) in all countries and 58% in developing nations. Unlike men, women are more likely to be widowed, reside alone, have lower education levels, and possess lesser years of work experience, leading to poverty.

Arrangement

Enhancing Health and Wellness

Breakdown

1.2  During an admission evaluation for a female adult client, it is discovered that the client is a smoker (one pack/day for 20 years) and has been employed at a chemical facility operating a chemical packaging machine. Reviewing this assessment, the nurse would view this client as being at risk for

1. environmental and work-related hazards impacting life expectancy.
2. enhanced life expectancy due to being female.
3. no variance in risk owing to social and professional circumstances.
4. reduced fertility.

Answer: 1

Rationale: Exposure to environmental and work-related risks has been shown to influence life expectancy in males and will exhibit the same influence on females under analogous conditions. Given the limited details on the chemical exposures, it is inconclusive to anticipate any impact on fertility or to deduce there is no impact.

Evaluation

Enhancing Health and Wellness

Breakdown

1.4  A triage nurse is measuring the vital signs of a 59-year-old African American male who has presented with a laceration in his right hand. His blood pressure indicates 180/104. After dressing his hand and considering the continuity of care for the laceration, upon inquiring about his blood pressure, the client mentions he is unaware if this is normal for him and that he is not on any medication. Evaluating the blood pressure, the nurse concludes

1. this is typical for someone in pain from a wound.
2. this discovery is atypical and provides an opportunity to initiate secondary prevention to impede illness progression.
3. the blood pressure may be inaccurate, thus does not require attention.
4. this patient should have his pressure taken while standing.

Answer: 2

Rationale: Although some individuals may exhibit variation in vital signs due to pain, this blood pressure reading is outside the expected range. A beneficial approach to manage chronic ailments and avert progression and impairment is to identify chances for diagnosing and treating chronic ailments. This situation presents the nurse with the opportunity to devise and execute a care plan for addressing the blood pressure issue. The other alternatives do not align with this strategy.

Evaluation

Physical Integrity

Breakdown

1.5 A client visits his physician’s office to seek advice from the nurse. He is a retired educator recently diagnosed with diabetes and seeks guidance on managing his health. While discussing glucose testing, he raises concerns about the escalating costs of his medications and healthcare. The nurse can offer the best support by remarking

1. “Don’t fret, I doubt the total expense will be exorbitant.”
2. “My knowledge on insurance is limited.”
3. “You only need to perform this once daily, so the supplies should last a considerable duration.”
4. “I believe certain aspects of Medicare cover preventive measures, such as monitoring diabetes.”

Answer: 4

Rationale: Despite Medicare not covering routine checkups, Medicare Part B encompasses preventive services including diabetes monitoring. The client expresses worries, so reassuring him or presuming even a day’s costs are affordable is inappropriate. Mentioning a lack of insurance awareness does not provide any assistance to the client.

Execution

Emotional Integrity

Application

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