A male elder is transferred to a hospice facility with end-stage ...

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A male elder is transferred to a hospice facility with end-stage disease. Which is a suitable nursing intervention for this elder and his family according to the ANA's Scope and Standards of Gerontological Nursing Practice?
 
  a. Decrease the analgesic dose to prevent sedation.
  b. Provide a basin and towels for morning self-care.
  c. Inform family members about strict visiting hours.
  d. Facilitate family rituals related to death and dying.

Question 2

Which was the first formal action the American Nurses Association (ANA) took in rela-tion to gerontological nursing?
 
  a. Established a national geriatric nursing group.
  b. Defined educational standards for gerontology.
  c. Created the ANA Division of Geriatric Nursing.
  d. Formed the Council of Long Term Care Nurses.

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Answer to Question 1

D

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A Incorrect. To promote comfort, the gerontological nurse administers medication as prescribed and avoids restricting analgesia to patients regardless of the setting or the nurse's personal views.
B Incorrect. Although fostering independence is within the scope of gerontological nursing practice, the nurse should assess the elder and family before assuming the elder will want or be able to perform self-care.
C Incorrect. Although hospice can have regular visiting hours, the elder may need his family at the bedside for comfort, strength, or companionship. Thus, to pro-vide comfort and promote dignity, the gerontological nurse adapts visiting hours to suit the elder's needs.
D Correct. To promote dignity, the nurse facilitates enactment of family wishes, rituals, or religious practices related to death and dying.

Answer to Question 2

A
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A Correct. The first formal act of the ANA to promote gerontological nursing was to form a national geriatric nursing group in 1962
B Incorrect. In 1973, the ANA defined educational standards for geriatric nursing.
C Incorrect. The ANA Division of Geriatric Nursing was begun in 1966
D Incorrect. In 1979, the ANA formed the Council of Long Term Care Nurses.