Williams: Basic Geriatric Nursing, 7 th Edition

Williams: Basic Geriatric Nursing, 7 th Edition
Chapter 01: Trends and Issues
Study Guide
Vocabulary Review
Directions: Fill in the blank with the correct key term to complete the sentence.
1. Intentional————————— occurs when any person deliberately plans to mistreat or harm
another person.
2. The group responsible for the rapid growth in the older adult population is the group known as
the————————————–
.
3. Population size, distribution, and vital statistics would be included in the statistical study of
human populations known as —————————————–
4. —————————–is the medical specialty that deals with the physiology of aging and with
the diagnosis and treatment of diseases affecting older adults.
5. Nurses are ———————————of elder abuse, which means it is
against the law if you suspect elder abuse and do not report it.
6.——————————- is a passive form of abuse in which caregivers fail to provide for the
needs of the older person under their care.
7.——————————————— allows the primary caregiver to have time away from the demands
of caregiving, thereby decreasing stress and the risk for abuse.
Short Answer
Directions: Use your own words and write brief answers in the spaces provided.

8. Describe how you and your family are currently being affected by an aging family member.

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9. Describe two or three examples of ageism that you have witnessed during your clinical
experiences in nursing school.

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Study Guide 1-2

10. Citizens of the United States (US) have a relatively lower life expectancy (US ranks 42 nd of
223 countries, according to the Central Intelligence Agency). Higher levels of accidental and
violent deaths, obesity, relatively high infant mortality, and the high cost of health care may be
contributing factors. How can nurses intervene to decrease the impact of these factors that
adversely affect life expectancy in the US?

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11. Describe the type of older adult who would be an appropriate candidate for a skilled care
facility.

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12. Explain what happens to women in their forties and fifties who are part of the “sandwich”
generation.

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13. The home health nurse is talking to an older adult patient who is considering the option of a
reverse mortgage. What facts could the nurse discuss with the patient about this option?

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14. Identify signs of abuse that the nurse could see among older adult patients.

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15. What could the charge nurse of a long-term care facility do to decrease incidents of abuse of
patients by staff members?

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Study Guide 1-2

Review for the NCLEX ® Examination
Directions: Select the best answer(s) for each question.
16. Which personal behavior is a demonstration of gerontophobia?
1. A 17-year-old girl decides to dye her hair a darker color
2. A 63-year-old woman takes a Caribbean cruise with a friend
3. A 43-year-old woman wears her teenage daughter’s clothes
4. A 56-year-old woman buys a membership to a fitness center

17. Several nursing students are discussing career options. Which student statement demonstrates
ageism?
1. “I would work in a clinic that serves a mixture of older and younger patients”
2. “If I were to care for older patients, I would need knowledge about chronic health problems”
3. “I have always loved children. I can’t wait to get a job in a pediatric hospital”
4. “Working with older adults could be rewarding, but I couldn’t really use all of my skills”

18. An older adult widow who lives alone in her own home is having difficulty with driving,
grocery shopping, cooking, and home maintenance. What type of living arrangement would be
most suitable for her?
1. Extended care facility
2. Nursing home
3. Subacute care facility
4. Assisted living

19. An older adult patient is having an argument with her daughter. Which statement represents
the most significant issue that older adult patients and their families must face?
1. “You can’t tell me what to do. I’m your mother”
2. “I can’t afford my medication. You should lend me money”
3. “Will you drive me to the doctor? I’m afraid to go by myself”
4. “You never come and visit me except on holidays”

20. The police bring an older adult patient to the hospital because he was wandering in the street
and unable to remember his address. His clothing is soiled and he appears malnourished and
dehydrated. What would the nurse do first?
1. Attempt to locate the patient’s family or friends
2. Notify social services about potential abuse and/or neglect
3. Offer food and fluids and assist with hygiene needs
4. Assess for physical injury, abuse, and self-neglect

21. An older adult suffers a stroke and arrives in the emergency department in a comatose
state. Several days later, the patient remains in a coma with a poor prognosis. Family members
are distraught and cannot agree on how to proceed. What is the best action to help the family to
reach consensus?
1. Encourage the family to elect one person to assume durable power of attorney
2. Help the family to understand the Patient Protection and Affordable Care Act (PPACA)

Study Guide 1-2

3. Review the patient’s rights covered by the Vulnerable Elder Rights Protection Program
4. Help the family to review the patient’s living will to find out what the patient would want

Complete Answer: