basic geriatric nursing 6th edition test bank

Correct Answer: A, C, D

Rationale: Step-by-step rationale: 1. Reduced sense of self: Ageist language can contribute to older adults feeling devalued and less confident. 2. Lowered sense of self-competence: Negative language can impact self-esteem and belief in one's abilities. 3. Decreased memory performance: Ageist language can reinforce negative stereotypes, leading to self-doubt and cognitive decline. Summary of incorrect choices: B: Poor nutritional intake - Not directly related to consequences of ageism in language. Incorrect choices do not address the psychological and emotional impacts of ageist language on older adults.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Ageism is defined as prejudice or discrimination against individuals based on their age. 2. Choice A accurately defines ageism by highlighting the prejudicial nature and stereotyping of older adults. 3. Choices B and C are incorrect as ageism can occur against any age group, not just those over 65 or younger people in healthcare. 4. Choice D is incorrect as ageism involves negative stereotypes, not positive ones like assuming all older adults are wise.

Correct Answer: D

Rationale: The correct answer is D: Facilitate family rituals related to death and dying. In end-of-life care, it is essential to support the older adult and their family in their cultural and spiritual practices to promote comfort and closure. This intervention aligns with the goals of long-term care by addressing the psychological and emotional needs of the patient and family. Providing a basin and towels (B) focuses on physical self-care, which may not be a priority in end-stage disease. Decreasing analgesic dose (A) can compromise pain management and quality of life. Informing family members about strict visiting hours (C) can hinder emotional support and connection during this critical time.

Correct Answer: D

Rationale: The correct answer is D: Help each person with individual activities. This intervention aligns with promoting gerotranscendence, as it focuses on supporting older adults in engaging in personal growth and reflection. By assisting individuals with meaningful activities tailored to their preferences and abilities, the nurse encourages self-discovery and personal fulfillment. A: Giving a daily tea party for the group may foster social interaction but does not necessarily address individual growth or self-reflection. B: Calling each family to encourage visiting may help reduce isolation but does not directly promote gerotranscendence. C: Assisting them to resume midlife patterns may not be suitable as older adults may benefit more from exploring new activities and perspectives in their later years.

Correct Answer: C

Rationale: The correct answer is C: Home health care support. This is because having access to home health care support can provide ongoing monitoring, medication management, and assistance with activities of daily living, which can help prevent complications and reduce the need for hospital readmissions. Minimizing polypharmacy (A) is important but may not have as significant an impact as continuous home health care support. Frequent medication adjustments (B) may lead to confusion and potential adverse effects in older adults. Specialized geriatric assessments (D) are beneficial but may not directly address the day-to-day support needed to prevent hospital readmissions.