Author Question: Despite the fact that older adults are proportionately the highest users of health care services, ... (Read 39 times)

ishan · **on:** Jul 11, 2018

Despite the fact that older adults are proportionately the highest users of health care services, many nurses harbor misconceptions and deficits in practice related to gerontological nursing. What is the most likely solution to this problem?

A) A shift from the treatment of older adults in institutional settings to home care
B) Increased nursing education and clinical experience specific to working with older adults
C) A focus on early discharge planning for older adults in hospital settings
D) Increased use of aggressive pharmacologic interventions in the treatment of acute illnesses in older adults

Question 2

A 69-year-old cigarette smoker asks the nurse questions about the potential benefits of quitting smoking, a subject avoided in past interactions. The nurse asks the client, Would you like to quit smoking?, to which the client replies,

I will give it some serious thought. What stage of the Stages of Change model is the client demonstrating?

A) Precontemplation
B) Preparation
C) Contemplation
D) Action

zogaridan · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: B
Individual gerontological nurses as well as national nursing bodies have joined in a call for increased education to better enable nurses to meet the diverse health needs of older adults. Early discharge planning, increased home care, and aggressive drug treatment are measures that may be appropriate in certain contexts, but none is likely to improve nursing care of older adults at a broad level.

Answer to Question 2

Ans: C
The second stage of the Stages of Change model, contemplation, is characterized by an intention to change in the foreseeable future, based on some acknowledgment of the negative consequences of current behaviors and positive consequences of different behaviors. The person is likely to ask questions and to seek information about the short- and long-term risks and benefits of various behaviors. Precontemplation involves a lack of acknowledgment that there is a problem, and preparation involves specific measure to achieve change. Action is characterized by the actual execution of change.