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The document discusses gerontological nursing. It provides 10 multiple choice questions about caring for older adults. Key points include: - Gerontological nurses care for older adults in various settings like homes, long-term care facilities, clinics, and hospitals. - When an older adult's family expresses concerns about their ability to care for themselves, the initial role of the nurse is to conduct a comprehensive geriatric assessment. - Bringing personal possessions from home can help older adults adjusting to a nursing home feel more at home. - Life experiences and current age are the main influences on people's attitudes about aging. Preventive healthcare practices increasing longevity is why healthcare shifted its focus to older adults in the late

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5K views3 pages

Sas 3

The document discusses gerontological nursing. It provides 10 multiple choice questions about caring for older adults. Key points include: - Gerontological nurses care for older adults in various settings like homes, long-term care facilities, clinics, and hospitals. - When an older adult's family expresses concerns about their ability to care for themselves, the initial role of the nurse is to conduct a comprehensive geriatric assessment. - Bringing personal possessions from home can help older adults adjusting to a nursing home feel more at home. - Life experiences and current age are the main influences on people's attitudes about aging. Preventive healthcare practices increasing longevity is why healthcare shifted its focus to older adults in the late

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SAS 3

1. The nurse is aware that the majority of older adults:


A. Live alone
B. Live in institutional settings
C. Are unable to care for themselves
D. Are actively involved in their community

RATIONALE: It is true that older adults Are actively involved in their community. Most
older adults live in non-institutional settings. Most older adults are able to care for
themselves. Most older adults live with their family

2. Which choice best explains the practice setting for the gerontological nurse?
a) In the home of the client
b) Only in acute care settings
c) Clinics and long-term care facilities
d) Home of the client, acute care facilities, long-term care settings, and clinics or
anywhere clients over the age of 65 seek health care and health education

RATIONALE: Gerontological nurses care for older adults in a variety of practice


settings including acute care hospitals, short- and long-term nursing facilities,
community-based programs, rehabilitation, assisted living facilities, retirement homes,
and the patient's home.

3. A 70-year-old presents to the clinic stating that his family thinks he is losing his mind
and they want to put him in a home. What would be the initial role of the gerontological
nurse?
a. Begin the process of finding a qualified nursing home
b. Do a complete history,physical, and assessment
c. Speak with the family about their concerns
d. Make light of the subject until the nurse can evaluate the situation

RATIONALE: Elderly patients must be subjected to a Comprehensive geriatric


assessment to confirm the diagnosis.

4. An 87-year-old man, who has been living independently, is entering a nursing home.
To help him adjust, the most effective action is to:
a. involve him in as many activities as possible so he can meet other residents.
b. move him as quickly as possible so that he does not have time to think.
c. restrict family visits for the first two weeks to give him time to adjust.
d. suggest that he bring his favorite things from home to make his room seem
familiar.

RATIONALE: The sense of home in the nursing home is a complicated and


multifactorial phenomenon, which contributes to a sense of identity and well-being of
nursing home residents, in which personal possessions can contribute to their sense of
home.

5. Members of a family are caring for their father at home. Which statement by a family
member indicates a need for teaching and caregiver instruction?
a. "Dad has gotten lazy about his bathroom habits. He blames his arthritis medication
for his toileting accidents."
b. "Dad's room is close to the bathroom and we keep a light on for him at night."
c. "It's inconvenient, but we stop other activities to remind Dad to go to the bathroom on
a regular schedule."
d. "We try to avoid coffee and tea at night, but Dad really likes a cup of coffee for
breakfast."

RATIONALE: The statement "Dad has gotten lazy about his bathroom habits. He
blames his arthritis medication for his toileting accidents." needs further teaching.

6. The nurse caring for the elderly population understands that movement slows with
aging. This is most likely due to:
a. Cognitive function
b. Changes in musculoskeletal and nervous systems
c. Laziness and a feeling that life is over
d. A recent change in medical condition

RATIONALE: Muscles may become rigid with age and may lose tone. Bones become
more brittle and may break more easily. Breakdown of the joints may lead to
inflammation, pain, stiffness, and deformity. This leads to problems with movement and
safety

7. The nurse is aware that a person’s attitude about aging is influenced mainly by his or
her __________. (Select all that apply.)
a.life experiences
b.income level
c.level of education
d.current age.
E.occupation
RATIONALE: A person’s current age and life experiences are the main influences on
his or her attitude relative to aging.

8. What fact explains the shift of health care focus toward the older adult in the late
1960s?
a.Disability was viewed as unavoidable.
b.Complications from disease increased mortality.
c.Older adults’ needs are similar to those of all adults.
d.Preventive health care practices increased longevity.

RATIONALE: Increased preventive health care practices, disease control, and focus on
wellness helped people live longer.

9. Which of the following statement is true about aging?

a. The majority of old people have Alzheimer’s disease.


b. As people grow old, their intelligence declines significantly.
c. Older adults have more trouble sleeping than younger adults.
d. Personality change with age

RATIONALE: Older adults are more prone to sleep complaints: insomnia due to
changing sleep patterns of frequent awakenings, earlier rising, emotional problems. The
quality of sleep declines with age. It becomes particularly more difficult to stay asleep.

10. In the Philippines, like other Southeastern countries, caring for the elders is part of
its tradition. The following are evident in the Philippines except:
a. Youth customarily greets them with a gesture called mano po
b. Caring for older people is the responsibility of their children.
c. The dedication to family caregiving is evident in Filipino culture.
d. Most of the elders are in nursing homes for proper caring.

RATIONALE: Older people usually live with their families. However, Metropolitan
Manila is home to many older residents who came to the city for work but now remain
there alone
.

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