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 6- The Specialty of Gerontological Nursing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Prior to the beginning of a gerontological nursing course, a nursing student questions why the course is not classified as geriatric nursing. How can the instructor best respond? | |
| A) | “Gerontological nursing implies health promotion activities that can accompany aging, not solely nursing care of the sick.” | |
| B) | “Gerontological nursing focuses on issues related to normal aging and excludes the direct care of acutely ill older adults.” | |
| C) | “The term ‘geriatric nursing’ implies that all older adults are ill, and the term is no longer in use.” | |
| D) | “There is a stigma associated with the term ‘geriatric’ so it has been replaced with the term ‘gerontological’.” | |
| Ans: | A | |
| Feedback: | ||
| The term “gerontological nursing” encompasses the direct care of older adults but supersedes this to include activities related to health promotion and wellness among this population. It does not, however, exclude direct care during illness. The term “geriatric nursing” is not obsolete nor is the change to “gerontological nursing” motivated by stigma associated with “geriatric.” | ||
| Origin: Chapter 6- The Specialty of Gerontological Nursing, 2
Chapter: 6 Client Needs: A1 Cognitive Level: Comprehension Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 73, Development of Gerontological Nursing |
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| 2. | Which of the following facts best accounts for the complexity of gerontological nursing? | |
| A) | Assessment of older adults is often complicated by the presence of cognitive deficits. | |
| B) | Multiple health conditions often coexist in older adults and symptoms are often atypical. | |
| C) | Older adults are expected to have poorer health outcomes than younger clients. | |
| D) | Evidence-based practice with older adults is more difficult due to the relative lack of research into their unique health needs. | |
| Ans: | B | |
| Feedback: | ||
| Older adults frequently experience multiple, overlapping health problems coupled with atypical symptom presentation. While cognitive deficits may exist, this phenomenon is not as pervasive as answer B, and assessment is still possible nonetheless. Expectation of poor health outcomes, a questionable assumption in itself, does not necessarily add to the complexity of care for older adults. There is a significant body of research that addresses elders’ health needs. | ||
| Origin: Chapter 6- The Specialty of Gerontological Nursing, 3
Chapter: 6 Client Needs: B Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 4 Page and Header: 77, Box 6-3 |
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| 3. | Which of the following principles that underlie a gerontological nurse’s practice is most in need of reexamination and modification? | |
| A) | Nursing older adults requires a unique data and knowledge set. | |
| B) | Aiming for wholeness in physical, social, spiritual, and psychological health is a realistic goal. | |
| C) | The aging process is a natural and unavoidable part of human life. | |
| D) | Health outcomes among older adults can be equal to those of younger populations. | |
| Ans: | D | |
| Feedback: | ||
| Answers A, B, and C are all identified principles of gerontological nursing. In light of the nature and inevitability of the aging process, however, answer D is neither accurate nor realistic. | ||
| Origin: Chapter 6- The Specialty of Gerontological Nursing, 4
Chapter: 6 Client Needs: A1 Cognitive Level: Knowledge Difficulty: Moderate Integrated Process: Nursing process Objective: 3 Page and Header: 77, Standards |
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| 4. | Nurse L works on an acute care for elders (ACE) unit of a county hospital. Which of the following sources should the nurse utilize as standards for practice? Select all that apply. | |
| A) | The American Nurses Association (ANA) standards | |
| B) | The Joint Commission | |
| C) | Hospital-specific standards of practice | |
| D) | State and federal regulations | |
| Ans: | A, B, C, D | |
| Feedback: | ||
| All of the listed sources are valid sources of standards of gerontological nursing practice. | ||
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