Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 10- Continuum of Care in Gerontological Nursing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Mrs. J, age 68, needs to deal with the financial and legal ramifications of her husband’s recent death. To which of the following sources should the nurse first direct Mrs. J? | |
| A) | Her bank or financial institution | |
| B) | Her immediate family | |
| C) | Veterans Affairs | |
| D) | The Social Security Administration | |
| Ans: | D | |
| Feedback: | ||
| The most likely source of information for Mrs. J. is the district office of the Social Security Administration. The other sources may or may not be helpful or relevant in her situation, but the major institution involved in most older Americans’ retirement income is the Social Security Administration. | ||
| Origin: Chapter 10- Continuum of Care in Gerontological Nursing, 2
Chapter: 10 Client Needs: A1 Cognitive Level: Application Difficulty: Easy Integrated Process: Teaching/learning Objective: 1 Page and Header: 123, Financial Services |
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| 2. | The nurse is providing home care for a 69-year-old female client who is experiencing significant financial challenges in light of her high monthly costs for medication and care. The client is eager to remain in her house that she owns, but she is faced with the possibility of downsizing to an apartment to free up money for her monthly needs. Which of the following options might the nurse want to present to the client as a potential solution to her situation? | |
| A) | Consult with a bank officer regarding a reverse annuity mortgage | |
| B) | An assisted living arrangement | |
| C) | A life-care community | |
| D) | Meals on wheels | |
| Ans: | A | |
| Feedback: | ||
| A reverse annuity mortgage may allow the client to obtain an income based on the equity in her home. This would allow her to remain in her home for a longer period of time, and avoid having to move to a smaller home, an assisted living facility, or any other arrangement. Meals on wheels is not relevant to her situation. | ||
| Origin: Chapter 10- Continuum of Care in Gerontological Nursing, 3
Chapter: 10 Client Needs: D1 Cognitive Level: Knowledge Difficulty: Moderate Integrated Process: Nursing process Objective: 1 Page and Header: 131, Settings and Roles for Gerontological Nurses |
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| 3. | A recent nursing graduate is being oriented to the public health unit in an area with a large number of residents over age 65. Which of the following statements by the nurse best demonstrates a sound understanding of the older adult population? | |
| A) | “Most hospital beds are occupied by older adults.” | |
| B) | “Older adults are often resistant to preventative health and wellness programs, which did not exist in decades past.” | |
| C) | “A large majority of older adults will spend at least some time in a nursing home.” | |
| D) | “Physical ailments become more prevalent with age but mental illnesses are less common in the elderly.” | |
| Ans: | A | |
| Feedback: | ||
| Most acute care hospital beds are occupied by older adults. There is an increasing interest in wellness programs among older adults and around 40% will spend at least some time in a nursing home. The prevalence of mental health problems increases with age. | ||
| Origin: Chapter 10- Continuum of Care in Gerontological Nursing, 4
Chapter: 10 Client Needs: A2 Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 1 Page and Header: 126, Home Monitoring |
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| 4. | A 78-year-old man who lives alone in his apartment has enjoyed good health until recently. In the last 2 months, however, he has fallen twice and required assistance, most recently having to wait several hours until his daughter found him in his bathroom. Which of the following possible solutions should the nurse who provides primary care for the client first suggest? | |
| A) | Relocation to an assisted living facility | |
| B) | Use of a remote medical alarm | |
| C) | A live-in home health care provider | |
| D) | Spending the day at adult day care | |
| Ans: | B | |
| Feedback: | ||
| The use of a medical alarm would allow the client to signal for help remotely in the event of a subsequent fall. This would likely be preferable at this stage to relocating the client or utilizing day care. Home health care will not necessarily prevent future falls or allow the client to communicate in the event of a fall. | ||
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