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 7- Holistic Model for Gerontological Nursing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Mr. C., aged 82 years, has always lived independently in the house that he and his late wife purchased over 50 years ago. Mr. C. has experienced few health problems, and for that reason his recent falls in the home comes as a surprise to himself and his children. What should the nurse who is providing primary care for Mr. C. first do in this situation? | |
| A) | Arrange a family meeting to organize supervision for Mr. C. during high-risk times. | |
| B) | Perform a comprehensive musculoskeletal assessment of Mr. C. | |
| C) | Investigate what community resources might be appropriate and available to Mr. C. | |
| D) | Elicit from Mr. C. what he perceives to be the causes of and potential solutions to his falls. | |
| Ans: | D | |
| Feedback: | ||
| Answer D best reflects an acknowledgment that Mr. C likely has both the skills and strategies to address his problem. Answers A, B, and C are less holistic in approach and would not be the nurse’s initial response to the situation. | ||
| Origin: Chapter 7- Holistic Model for Gerontological Nursing, 2
Chapter: 7 Client Needs: C Cognitive Level: Application Difficulty: Moderate Integrated Process: Communication Objective: 1 Page and Header: 88, Holistic Gerontological Care |
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| 2. | A nurse who provides care on the palliative unit of a large teaching hospital has been working with an older adult client who is dying of lung cancer with liver metastases and has generated good rapport with both the client and his family. Which of the following statements best exemplifies a holistic approach to nursing care? | |
| A) | “Our goal is to keep you pain-free to the best of our ability, so don’t hesitate to request additional pain medications.” | |
| B) | “I will raise the possibility of palliative radiation treatment when your oncologist is next in.” | |
| C) | “I’m wondering what feelings you have around being at this stage of your life.” | |
| D) | “I’ll make sure that both the social worker and physical therapist come by in the next day or so.” | |
| Ans: | C | |
| Feedback: | ||
| Answer C encompasses concerns around the client’s presence or absence of peace at this stage in life and supersedes immediate medical or logistical concerns. Answers A, B, and D represent valid nursing actions but are less indicative of the holistic scope of nursing practice. | ||
| Origin: Chapter 7- Holistic Model for Gerontological Nursing, 3
Chapter: 7 Client Needs: D4 Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Teaching/learning Objective: 2 Page and Header: 88, Holistic Gerontological Care |
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| 3. | Mrs. D, age 77, has been recently diagnosed with type 2 diabetes mellitus. Which of the following questions by her nurse is most indicative of a holistic approach to gerontological nursing care? | |
| A) | “How do you anticipate this affecting your lifestyle and your daily routines?” | |
| B) | “Would you like me to show you a few different glucometers so that you can choose one that works for you.” | |
| C) | “Can I arrange for you to meet with a dietitian to go over some nutrition tips?” | |
| D) | “When would be a good time for me to teach you about skin care and diabetes?” | |
| Ans: | A | |
| Feedback: | ||
| Answer A addresses the impact of the diagnosis on the client’s lifestyle and quality of life, concerns that are central to holistic nursing care. Answers B, C, and D address valid components of care for the client, but are less indicative of a holistic approach. | ||
| Origin: Chapter 7- Holistic Model for Gerontological Nursing, 4
Chapter: 7 Client Needs: B Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Teaching/learning Objective: 2 Page and Header: 89, Health Promotion–Related Needs |
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| 4. | A community health nurse has been invited to speak to a group of older adults in the context of the local community center. Which of the following nursing actions best reflects an approach that emphasizes the importance of health promotion in gerontological nursing care? | |
| A) | A teaching session on the signs and symptoms of stroke, along with current treatment modalities. | |
| B) | An educational presentation on the importance of prostate screening for men and mammography for women. | |
| C) | A class that presents the beneficial effects of regular exercise and practical methods for integrated exercise into daily routines. | |
| D) | A presentation on the issue of elder abuse and ways to identify and prevent it. | |
| Ans: | C | |
| Feedback: | ||
| Exercise is one of the clearest examples of health promotion. Teaching on a particular diagnosis such as stroke, a screening program addressing prostate and breast health and psychosocial issues such as elder abuse are certainly valid, but are less clearly indicative of health promotion in nursing care. | ||
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Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.