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 3- Diversity
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Which of the following projections of future demographics of older Americans is most accurate? | |
| A) | By 2020, more than 50% of older Americans will belong to a non-Hispanic white group. | |
| B) | The percentage of black older adults will decrease slightly due to lower life expectancies. | |
| C) | The number of Hispanic older adults is projected to grow dramatically. | |
| D) | Within 40 years, a minority of older Americans will be white related to immigration. | |
| Ans: | C | |
| Feedback: | ||
| Whereas in 2000, approximately 84% of older Americans were non-Hispanic white, it is projected that this population will decrease to 64% by 2050. During this same period, there will be dramatic growth among Hispanic older adults, who will represent 16% of the older population. Black individuals will grow from 8% to 12% of the older population during this time. By 2020, one-quarter of America’s older population will belong to a minority racial or ethnic group. | ||
| Origin: Chapter 3- Diversity, 2
Chapter: 3 Client Needs: C Cognitive Level: Comprehension Difficulty: Easy Integrated Process: Nursing process Objective: 2 Page and Header: 25, Hispanic Americans |
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| 2. | A nurse is providing care for an 81-year-old Hispanic woman in the context of a geriatric medicine unit of a hospital. Which of the following phenomena should the nurse anticipate? | |
| A) | The client’s family is likely to advocate for her placement in a nursing home at an early stage. | |
| B) | The client is likely to prioritize the role of spirituality in the healing process. | |
| C) | She is likely to forego medical or traditional treatment due to a fatalistic view of health and illness. | |
| D) | The woman’s family will most likely delegate responsibility for her care to the hospital care team. | |
| Ans: | B | |
| Feedback: | ||
| Hispanic elders often emphasize the role of spirituality in both the etiology and treatment of disease. Nursing home admissions are proportionately low and while health and illness are often seen as the actions of God, this does not translate into a rejection of treatment. The family is likely to play a central role in care planning and recovery. | ||
| Origin: Chapter 3- Diversity, 3
Chapter: 3 Client Needs: B Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 26, Black Americans |
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| 3. | A nurse who works in an inner-city clinic provides care for a large number of the older black clients. Which of the following health promotion activities best reflects the particular health needs of this population? | |
| A) | A blood sugar and blood pressure monitoring program. | |
| B) | An education session on the positive health effects of good nutrition. | |
| C) | A screening mammography campaign for older black women. | |
| D) | A program that teaches black men the importance of prostate health screening. | |
| Ans: | A | |
| Feedback: | ||
| Diabetes and hypertension are disproportionately prevalent among black American elders. While teaching on nutrition and breast cancer and prostate screening may be beneficial, these are not linked to the particular health needs of this population. | ||
| Origin: Chapter 3- Diversity, 4
Chapter: 3 Client Needs: D1 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 3 Page and Header: 26, Black Americans |
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| 4. | Nurse Y works in the emergency department of a large, urban hospital. When assessing the following older black adults who have recently presented to the department, which of the following assessments would the nurse want to modify for this population? | |
| A) | Assessment of the strength and gait of an 80-year-old male client with a history of failure to thrive. | |
| B) | Assessment of peripheral sensation in a 76-year-old male client with poorly controlled diabetes mellitus. | |
| C) | Assessment of cyanosis in a 78-year-old female with peripheral vascular disease and Raynaud disease. | |
| D) | Assessment of a client’s chest pain who has a history of myocardial infarction. | |
| Ans: | C | |
| Feedback: | ||
| Assessment of cyanosis can be complicated by the high melanin content of black adults’ skin. Musculoskeletal assessment, assessment of sensation, and assessment of chest pain would not necessitate modification. | ||
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