Tabloski Gerontological Nursing, 3e Test Bank

Tabloski Gerontological Nursing, 3/e Test Bank Copyright 2014 by Pearson Education, Inc.Tabloski Gerontological Nursing, 3/e Chapter 01 Question 1

Type: MCSA

The nurse is preparing discharge instructions for an 84-year-old patient that includes plans for smoking cessation.The nurse believes that since the patient has been smoking for years, he isn't going to stop now. Which concept does this nurse's belief reflect?

• Negative stereotyping
• Character assessment
• Reality orientation
• Senescence

Correct Answer: 1

Rationale 1: Often people characterize the elderly in a negative way, believing that after a certain age, things cannot be changed. This is the concept of stereotyping in a negative way.

Reference: Page 4

Rationale 2: Character assessment is not an identified concept of gerontology but is a process of identifying aspects of an individual's personality and character.

Reference: Page 4

Rationale 3: Reality orientation is not an identified concept of gerontology but is a strategy to assist individuals when confused or delusional.

Reference: Page 4

Rationale 4: Senescence is the process of aging.

Reference: Page 4

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 3. Identify common myths of aging and their contribution to ageism.

Question 2

Type: MCMA

(Gerontological Nursing 3e Patricia Tabloski) (Test Bank all Chapter) 1 / 4

Tabloski Gerontological Nursing, 3/e Test Bank Copyright 2014 by Pearson Education, Inc.The nurse is planning to conduct a blood pressure screening at a local senior citizen's high-rise apartment building in the inner-city impoverished location. What are characteristics of the residents living in this location?

Standard Text: Select all that apply.

• Older women
• Married men and women
• Widowed women
• Less educated women
• Residents living alone

Correct Answer: 1,3,4,5

Rationale 1: Women now comprise the majority of the older population and in the United States, women outnumber men.

Reference: Page 7

Rationale 2: In the United States, women outnumber men and the ratio of men to women over the age of 65 is 49 men to every 100 women.

Reference: Page 7

Rationale 3: Since the life expectancy of men in the United States is less than that of women, the majority of the residents will most likely be widowed.

Reference: Page 7

Rationale 4: Older women are more likely to be less educated and have fewer years of labor experience, making older women more likely to live in poverty.

Reference: Page 7

Rationale 5: Since older women are more likely to be widowed, they are more likely to live alone.

Reference: Page 7

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 1. Interpret demographic data according to race, gender, and age.

Question 3

Type: MCSA 2 / 4

Tabloski Gerontological Nursing, 3/e Test Bank Copyright 2014 by Pearson Education, Inc.While completing an admission assessment, the nurse learns that a female adult patient has smoked one pack/day for 20 years and works at a chemical plant. From this information, what is this patient at risk for developing?

• Decreased fertility
• Increased life expectancy because she is female
• No difference in risk because of social and occupational circumstances
• Environmental and occupational hazards that may affect life expectancy

Correct Answer: 4

Rationale 1: Given the limited information on the chemical exposures, it is inconclusive to consider any effect on fertility.

Reference: Page 8

Rationale 2: If women begin to approach the rates of tobacco and face the same environmental hazards as men, the gender gap in life expectancy may narrow.

Reference: Page 8

Rationale 3: If women begin to approach the rates of tobacco and face the same environmental hazards as men, the gender gap in life expectancy may narrow.

Reference: Page 8

Rationale 4: Exposure to environmental and occupational risk factors has been known to affect life expectancy in men and will have the same effect on women given similar circumstances.

Reference: Page 8

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis Learning Outcome: 2. Relate leading causes of morbidity and mortality among older adults.

Question 4

Type: MCSA

An African American male patient has a blood pressure of 180/104 mm Hg. When asked about the blood pressure, the patient states that he is not on any medication and is unsure if the blood pressure level is unsafe. What should the nurse do?

• Nothing since the blood pressure may not be accurate and does not need to be addressed 3 / 4

Tabloski Gerontological Nursing, 3/e Test Bank Copyright 2014 by Pearson Education, Inc.

• Initiate secondary prevention to prevent the progression of illness.
• Nothing since this is normal for someone in the hospital
• Reassess the blood pressure with the patient in a standing position.

Correct Answer: 2

Rationale 1: There is no way of knowing if the patient's blood pressure is inaccurate. Even if it is not, the blood pressure should be measured again and addressed.

Reference: Page 10

Rationale 2: One good strategy to control chronic illness and prevent progression and disability is to identify opportunities to diagnose and treat chronic illnesses. The nurse should initiate secondary prevention to prevent the progression of illness in the patient.

Reference: Page 10

Rationale 3: This is not a normal blood pressure even if the patient is in the hospital.

Reference: Page 10

Rationale 4: This is no evidence to support that this patient's blood pressure needs to be reassessed in the standing position.

Reference: Page 10

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4. Describe the effects of chronic disease.

Question 5

Type: MCSA

An older patient is worried about the cost of healthcare and supplies now that he has been diagnosed with type 2 diabetes mellitus. How should the nurse respond to this patient's concerns?

• "I believe that some parts of Medicare will cover preventative care, such as diabetes monitoring."
• "You only need to check your blood sugar once a day, so the cost should not be too high."
• "Don't worry. I don't think the total bill will be too much."
• "I don't know anything about insurance."

Correct Answer: 1

• / 4