A gerontological nurse is providing care to a large older adult population with diverse problems. To effectively care for the clinical complexities of these clients and ensure best practices, the nurse would rely on which information as the foundation?

Standards provided by nursing associations

Scientific data about theories, life adjustments, and pathophysiology of aging

Evidence-based practice

A large pool of knowledgeable colleagues in advanced practice roles

Answer and Explanation

The Correct Answer is C

A. Standards provided by nursing associations:

Nursing associations establish standards of practice to guide nurses in delivering safe and effective care. These standards outline the expectations and responsibilities of nurses in various healthcare settings. While adhering to nursing standards is important, they may not always encompass the full spectrum of clinical complexities faced by older adult populations. Nursing standards often provide general guidelines rather than specific evidence-based recommendations for complex clinical scenarios.

B. Scientific data about theories, life adjustments, and pathophysiology of aging:

Scientific data related to theories, life adjustments, and pathophysiology of aging are essential for understanding the physiological, psychological, and social aspects of aging. This knowledge helps nurses comprehend the unique healthcare needs of older adults and informs their clinical decision-making. While scientific data provides a foundational understanding of aging processes, it may not always translate directly into evidence-based practice guidelines for managing specific health conditions or complex clinical situations.

C. Evidence-based practice:

Evidence-based practice (EBP) involves integrating the best available evidence from scientific research with clinical expertise and patient preferences to inform decision-making in patient care. EBP ensures that nursing interventions are grounded in research findings and tailored to individual patient needs and preferences. By critically appraising and applying research evidence to clinical practice, nurses can provide high-quality, patient-centered care that is supported by the latest scientific knowledge.

D. A large pool of knowledgeable colleagues in advanced practice roles:

Colleagues in advanced practice roles, such as nurse practitioners or clinical nurse specialists, can serve as valuable resources for sharing expertise and knowledge in caring for older adult populations. These colleagues may offer insights, guidance, and recommendations based on their advanced clinical training and experience. While collaborating with knowledgeable colleagues is important for professional development and sharing best practices, it should complement, rather than replace, evidence-based practice as the foundation for providing high-quality care.

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Correct Answer is A

Explanation

A. "It is normal to expect a gradual loss of memory and intelligence with age." - This statement reflects a negative stereotype about older adults, suggesting that memory decline and decreased intelligence are typical aspects of aging. While some cognitive changes may occur with age, such as slower processing speed, memory decline is not an inevitable part of aging for all older adults. The nurse manager should intervene to address and correct this misconception.

B. "Older adults' motor skills get progressively slower as they age." - This statement acknowledges a common physiological change associated with aging. While motor skills may decline to some extent with age, it is not necessarily negative or inaccurate to recognize this change. However, it is essential to ensure that such statements are not presented in a demeaning or stigmatizing manner.

C. "A lot of the physical changes that accompany aging are inevitable." - This statement acknowledges the reality of physical changes that occur with aging, which is generally accurate. However, it is essential to emphasize that while some changes may be common, they are not necessarily inevitable for all older adults. Intervening to provide a balanced perspective and address any misconceptions would still be beneficial.

D. "Older people seem to have many more chronic health problems than younger people." - This statement reflects a factual observation about the prevalence of chronic health conditions in older adults compared to younger age groups. While it may seem negative, it is generally accurate and does not necessarily require intervention from the nurse manager unless it is presented in a stigmatizing or discriminatory manner.

A. "Fortunately, most people over 65 have a sufficient level of income." B. "It is reassuring older adults are receiving more concern than in decades past." C. "Most of the older clients on the unit will have come to us from nursing homes." D. "It helps that older people do not have to incur any costs for their medical care.”

Correct Answer is C

Explanation

A. "Fortunately, most people over 65 have a sufficient level of income."

This statement might not accurately reflect the reality for many older adults. While some older adults may indeed have sufficient income, there is significant variability in financial resources among older populations. Many older adults face financial challenges due to factors such as retirement savings, pensions, social security benefits, healthcare costs, and economic disparities. Therefore, this statement may not be reflective of the broader population of older adults.

B. "It is reassuring older adults are receiving more concern than in decades past."

While it is positive to recognize increased concern and attention towards the well-being of older adults, this statement does not directly address the trend of increasing admissions of older adults to subacute medical units. Moreover, without specific data or context, it is difficult to assess the accuracy of this statement in relation to current trends in healthcare utilization among older adults.

C. "Most of the older clients on the unit will have come to us from nursing homes."

This statement acknowledges a common trend observed in healthcare, where older adults are increasingly transitioning from nursing homes or long-term care facilities to subacute medical units. This reflects the evolving landscape of healthcare delivery and the need for specialized care for older adults with complex medical needs. Therefore, this statement is most reflective of current thinking about the increasing admissions of older adults to subacute medical units.

D. "It helps that older people do not have to incur any costs for their medical care.”

This statement is inaccurate. While older adults may have access to Medicare, which covers certain medical expenses, it does not cover all costs, and there may still be out-of-pocket expenses, such as copayments, deductibles, and services not covered by Medicare. Additionally, financial barriers can still exist for older adults, especially those with limited income or inadequate insurance coverage. Therefore, this statement does not accurately reflect the financial realities of older adults' healthcare costs.

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A gerontological nurse is providing care to a large older adult population with diverse problems. To effectively care for the clinical complexities of these clients and ensure best practices, the nurse would rely on which information as the foundation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager at a long-term care facility is engaged in efforts to change many staff members' inaccurate and negative views of older adults. When talking with the staff, which statement indicates the need for the nurse manager to intervene?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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