Gerontological Nursing The Essential Guide To Clinical Practice 2nd Edition By Patricia A. – Test Bank

Origin: Chapter 11- Self-Care for the Gerontological Nurse, 1
Chapter: 11
Client Needs: C
Cognitive Level: Analysis
Difficulty: Easy
Integrated Process: Caring
Objective: 1
Page and Header: 135, Introduction
1. Which activity done by a gerontological nurse would be considered outside the normal scope of gerontological nursing practice?
A) Addressing the pain that accompanies clients’ aging through various sources
B) Helping older adults explore the deeper meanings of experiences they have
C) Providing care that facilitates integration, restoration, and balance in clients’ lives
D) Intervening in clients’ family relationships that have become dysfunctional or estranged
Ans: D
Feedback:
Intervening in clients’ family relationships that have become dysfunctional or estranged is not an identified action of practice by a gerontological nurse. Addressing pain, helping explore deeper meanings of experiences, and providing care are aspects of care provided by the gerontological nurse.

Origin: Chapter 11- Self-Care for the Gerontological Nurse, 2
Chapter: 11
Client Needs: B
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Caring
Objective: 1
Page and Header: 136, Characteristics of Nurse Healers
2. Which statement captures the ultimate goal of the gerontological nurse healer?
A) Facilitating change
B) Preventing and treating illness
C) Assisting in a return to wholeness
D) Ensuring longevity and productivity
Ans: C
Feedback:
The notion of assisting the patient in a return to wholeness, which involves body, mind, and spirit, best conveys the role of the nurse healer. Facilitating change may or may not be done by the nurse healer. Preventing and treating illness is beyond the scope of the gerontological nurse healer. Ensuring longevity and productivity cannot be achieved by the gerontological nurse healer.

Origin: Chapter 11- Self-Care for the Gerontological Nurse, 3
Chapter: 11
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Caring
Objective: 1
Page and Header: 136, Presence
3. The nurse wants to demonstrate presence with a patient newly diagnosed with heart disease. Which actions will the nurse perform when caring for this patient? (Select all that apply.)
A) Use the senses
B) Actively listen
C) Refer to a to-do list
D) Suggest that the patient should not worry
E) Focus on what the patient says
Ans: A, B, E
Feedback:
Presence entails being truly with patients and providing them undivided attention, regardless of the quantity of time that is available. To demonstrate presence the nurse will use the senses, actively listen, and focus on what the patient says. Referring to a to-do list and suggesting that the patient not worry do not demonstrate presence by the nurse.

Origin: Chapter 11- Self-Care for the Gerontological Nurse, 4
Chapter: 11
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Caring
Objective: 1
Page and Header: 136, Availability
4. An older patient recovering from a fractured hip is concerned about the ability to care for a spouse with Alzheimer’s disease. Which nursing response would demonstrate availability?
A) “How have you helped your spouse in the past?”
B) “It sounds like this might be very stressful for you.”
C) “You’ll likely find that your hip will heal quite a bit faster than you expect.”
D) “I’m going to look into homecare options for you both that might be available.”
Ans: B
Feedback:
Acknowledging the stress and difficulty of a situation conveys interest and availability. Asking the patient how the spouse has been helped in the past might place the patient on the defensive. Stating the speed in which the patient’s hip will heal does not address the patient’s concern. Looking into homecare options focuses on the patient’s and spouses potential needs but does not demonstrate availability.

Origin: Chapter 11- Self-Care for the Gerontological Nurse, 5
Chapter: 11
Client Needs: C
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Caring
Objective: 1
Page and Header: 138, Connections
5. Which statement best captures the nature of the connections that nurse healers strive for with their patients?
A) Connection entails identifying what makes a patient unique.
B) It is important that the connections be therapeutic rather than personal.
C) Connection involves being truly with patients and devoting undivided attention to them.
D) Nurses should prioritize the patient’s needs and experiences and avoid sharing details of their own lives.
Ans: A
Feedback:
Nurse healers commit to learning about what makes each patient unique. While differing from non-nursing relationships, it would be inaccurate to state that nurse–patient connections cannot be “personal.” Experiences from the nurse’s life may be shared when appropriate while the goal of being truly with patients and providing undivided attention is characteristic of the nurse healer’s goal of presence.

Origin: Chapter 11- Self-Care for the Gerontological Nurse, 6
Chapter: 11
Client Needs: B
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Caring
Objective: 2
Page and Header: 137, “Models of Holism”; 137, “Self-Care and Nurturing”
6. The nurse consciously integrates activities into a daily routine that facilitates self-care. What benefits can the nurse expect to gain from this habit? (Select all that apply.)
A) Enriched interactions with patients
B) Improved ability to demonstrate integrity
C) Increased knowledge base of nursing practice
D) Reprioritization of his or her patients’ needs over his or her own
E) Higher quality relationships with his friends and family
Ans: A, B, E
Feedback:
The benefits of self-care for gerontological nurses can be realized in higher quality interactions and relationships both with patients and the nurse’s friends and family and the improved ability to demonstrate integrity. The goal and outcomes of self-care do directly address the knowledge base related to nursing practice and it is simplistic to state that self-care involves minimizing one’s own needs in order to meet patients’ needs.

Origin: Chapter 11- Self-Care for the Gerontological Nurse, 7
Chapter: 11
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Caring
Objective: 2
Page and Header: 138, Relationships
7. Increased patient acuity at the long-term care facility and recent staff resignations have increased the nurse’s workload over the last few months. Which actions would increase the nurse’s self-care?
A) Resolving to work no more than one overtime shift per pay period.
B) Consciously setting limits on the amount of time spent with any given patient.
C) Documenting any lapses in care that result from the low staff ratio at the facility.
D) Asking the nurse manager to temporarily assign more unlicensed care providers to the facility.
Ans: A
Feedback:
Putting limits on workload when possible can nurture relationships and self-care. Setting limits on patient interaction is contrary to the role of a nurse healer, and asking for assistance and documenting consequences of inadequate staffing may be appropriate responses to the situation at the facility but they do not directly foster the nurse’s self-care.

Origin: Chapter 11- Self-Care for the Gerontological Nurse, 8
Chapter: 11
Client Needs: C
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Caring
Objective: 2
Page and Header: 138, Spirituality
8. The nurse who works in the intensive care unit reads the Bible and attends church every week. Which statement best captures the role of spirituality in nursing practice?
A) Spirituality nurtures strong relationships with the nurse’s family.
B) Being spiritually active has been shown to increase stamina and immunity.
C) Spiritual depth allows the nurse to be immune from the stresses of high-paced work environment.
D) Being spiritually active allows the nurse to better understand and meet patients’ and families’ spiritual needs.
Ans: D
Feedback:
Connection with God or one’s higher power is noted to better enable nurses to meet the spiritual needs of patients and families. It does not confer immunity from stress and it is not noted to specifically enhance relationships or increase stamina and physical immunity.

Origin: Chapter 11- Self-Care for the Gerontological Nurse, 9
Chapter: 11
Client Needs: C
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Caring
Objective: 2
Page and Header: 139, Taking Retreats
9. The nurse manager has received funding for a staff retreat and is organizing the event. Which goal should the nurse manager identify as the priority for staff participants?
A) An opportunity for staff to experience luxurious surroundings and treatments that foster their self-care
B) An opportunity for staff to “be” rather than “do” and experience respite from normal responsibilities
C) A chance to refocus on the professional standards of nursing and rekindle their passion for nursing practice
D) A chance to reflect on challenges facing the unit and brainstorm solutions in surroundings very different from the work environment
Ans: B
Feedback:
A retreat is an opportunity for busy nurses to cease “doing” for a time and focus on “being,” and to experience freedom from responsibilities and distractions. Luxury is not a necessity while problem-solving and focusing on professional standards are likely contrary to the spirit of retreat.

Origin: Chapter 11- Self-Care for the Gerontological Nurse, 10
Chapter: 11
Client Needs: C
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Teaching/learning
Objective: 2
Page and Header: 139, Meditating
10. The nurse is discussing the benefits of meditation to a colleague. Which of the nurse’s statements warrants correction?
A) “When you meditate, you try to ‘be’ rather than ‘do.’”
B) “Meditation can actually lower your blood pressure and keep you healthier.”
C) “When you meditate sometimes stressful and confusing issues become clearer.”
D) “Meditation is a useful activity for people who adhere to Easter religious traditions.”
Ans: D
Feedback:
The utility of meditation as a self-care activity is not noted to be limited to individuals from particular religious traditions. Physiological benefits and increased clarity of thought have been noted and the overarching focus of meditation is to emphasize being over doing.

Origin: Chapter 11- Self-Care for the Gerontological Nurse, 11
Chapter: 11
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Caring
Objective: 1
Page and Header: 136, Presence