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 C

Explanation

A. Ensure that medical treatments comply with cultural expectations:

- This choice suggests the importance of aligning medical treatments with the cultural expectations of patients. While it's crucial to consider cultural factors when providing healthcare, the primary goal is not just to comply with cultural expectations, but rather to ensure that care is effective, respectful, and aligned with the individual's values and preferences within their cultural context.

B. Increase compliance among minority clients:

- This choice implies a focus on increasing adherence or compliance with medical recommendations among minority clients. While improving compliance is an important aspect of healthcare delivery, it should not be the sole focus when considering cultural factors. Instead, understanding culture should aim to provide culturally competent care that respects the beliefs, values, and preferences of minority clients, thereby fostering trust, engagement, and better health outcomes.

C. Provide individualized and culturally sensitive care:

- This choice accurately reflects the essence of understanding culture in healthcare. Providing individualized and culturally sensitive care involves recognizing and respecting the unique cultural backgrounds, beliefs, values, and preferences of each patient. It emphasizes the importance of tailoring care to meet the specific needs and preferences of diverse older adults within their cultural context, thereby promoting effective communication, engagement, and trust in the healthcare provider.

D. Ensure that clients get the respect customary in their own ethnic group:

- While ensuring respect for clients is indeed important, focusing solely on the respect customary in their own ethnic group may overlook the diversity of cultural backgrounds and preferences within that group. Understanding culture in healthcare goes beyond adherence to specific customs or norms and involves recognizing and respecting the individuality and diversity of each patient's cultural background and preferences. Therefore, while respect is important, the broader goal is to provide individualized and culturally sensitive care that respects the unique cultural perspectives and preferences of each patient.

A. The bathroom organization is modified to accommodate physical disabilities. B. A program where each client checks up on a designated neighbor once per day. C. Twenty-four hour, on-site nursing care is provided at the facility D. The facility prioritizes self-care over medical treatment.

Correct Answer is C

Explanation

A. The bathroom organization is modified to accommodate physical disabilities: This characteristic is typical for assisted living facilities, as they often provide accommodations for residents with physical disabilities to enhance accessibility and promote independence in activities of daily living, including bathing and toileting.

B. A program where each client checks up on a designated neighbor once per day: This characteristic is somewhat typical for assisted living facilities that promote a sense of community and social support among residents. Such programs encourage social interaction, mutual assistance, and a sense of belonging among residents, contributing to their overall well-being.

C. Twenty-four hour, on-site nursing care is provided at the facility: This characteristic is atypical for most assisted living facilities, as they typically provide assistance with activities of daily living and medication management but do not offer round-the-clock skilled nursing care. Assisted living facilities are designed for individuals who need some assistance with daily tasks but do not require the level of medical care provided in skilled nursing facilities.

D. The facility prioritizes self-care over medical treatment: This characteristic is somewhat typical for assisted living facilities, as they generally focus on promoting independence, autonomy, and self-care among residents while also providing assistance with activities of daily living as needed. However, this does not mean that medical treatment is entirely disregarded; rather, assisted living facilities aim to strike a balance between supporting residents' self-care abilities and addressing their healthcare needs through appropriate services and resources.

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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

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Correct Answer is C

Explanation

Following a recent exacerbation of heart failure, an 80-year-old widow is investigating several assisted living facilities. Which characteristic about a facility under consideration would most likely be considered atypical?

Correct Answer is C

Explanation

A gerontological nurse is teaching a client about safe ambulation because the client is at an increased risk for falls after being prescribed an orthotic boot. Which will the nurse teach the client?

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?

A nurse is determining ways to address ethnic diversity among clients being provided care. Which action would be the most direct way for the nurse to do this?

A nurse working at a long-term care facility encourages older adult clients to engage in spiritual beliefs and practices that they are familiar with. The nurse encourages this activity to promote which effect? (Select All that Apply.)

A nurse is caring for a newly admitted 76-year-old client. When applying the family-centered care model, which intervention by the nurse would reflect a focus on this type of care?