Chapter 11- Self-Care for the Gerontological Nurse

Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.

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Chapter 11- Self-Care for the Gerontological Nurse

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Which activity done by a gerontological nurse would be considered outside the normal scope of gerontological nursing practice?
  A) Addressing the pain that accompanies clients’ aging through various sources
  B) Helping older adults explore the deeper meanings of experiences they have
  C) Providing care that facilitates integration, restoration, and balance in clients’ lives
  D) Intervening in clients’ family relationships that have become dysfunctional or estranged
  Ans: D
  Feedback:
  Intervening in clients’ family relationships that have become dysfunctional or estranged is not an identified action of practice by a gerontological nurse. Addressing pain, helping explore deeper meanings of experiences, and providing care are aspects of care provided by the gerontological nurse.

 

 

  Origin:  Chapter 11- Self-Care for the Gerontological Nurse, 2

Chapter:  11

Client Needs:  B

Cognitive Level:  Analysis

Difficulty:  Moderate

Integrated Process:  Caring

Objective:  1

Page and Header:  136, Characteristics of Nurse Healers

2. Which statement captures the ultimate goal of the gerontological nurse healer?
  A) Facilitating change
  B) Preventing and treating illness
  C) Assisting in a return to wholeness
  D) Ensuring longevity and productivity
  Ans: C
  Feedback:
  The notion of assisting the patient in a return to wholeness, which involves body, mind, and spirit, best conveys the role of the nurse healer. Facilitating change may or may not be done by the nurse healer. Preventing and treating illness is beyond the scope of the gerontological nurse healer. Ensuring longevity and productivity cannot be achieved by the gerontological nurse healer.

 

 

  Origin:  Chapter 11- Self-Care for the Gerontological Nurse, 3

Chapter:  11

Client Needs:  C

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Caring

Objective:  1

Page and Header:  136, Presence

3. The nurse wants to demonstrate presence with a patient newly diagnosed with heart disease. Which actions will the nurse perform when caring for this patient? (Select all that apply.)
  A) Use the senses
  B) Actively listen
  C) Refer to a to-do list
  D) Suggest that the patient should not worry
  E) Focus on what the patient says
  Ans: A, B, E
  Feedback:
  Presence entails being truly with patients and providing them undivided attention, regardless of the quantity of time that is available. To demonstrate presence the nurse will use the senses, actively listen, and focus on what the patient says. Referring to a to-do list and suggesting that the patient not worry do not demonstrate presence by the nurse.

 

 

  Origin:  Chapter 11- Self-Care for the Gerontological Nurse, 4

Chapter:  11

Client Needs:  C

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Caring

Objective:  1

Page and Header:  136, Availability

4. An older patient recovering from a fractured hip is concerned about the ability to care for a spouse with Alzheimer’s disease. Which nursing response would demonstrate availability?
  A) “How have you helped your spouse in the past?”
  B) “It sounds like this might be very stressful for you.”
  C) “You’ll likely find that your hip will heal quite a bit faster than you expect.”
  D) “I’m going to look into homecare options for you both that might be available.”
  Ans: B
  Feedback:
  Acknowledging the stress and difficulty of a situation conveys interest and availability. Asking the patient how the spouse has been helped in the past might place the patient on the defensive. Stating the speed in which the patient’s hip will heal does not address the patient’s concern. Looking into homecare options focuses on the patient’s and spouses potential needs but does not demonstrate availability.

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