, TESTBANK FOR
Gerontologic Nursing 7th Edition Yeager
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
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If you believe you have purchased the wrong file, don’t worry. Contact us anytime and we
will gladly replace it with the correct version.
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, Chapter 01
Q1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
published. The nurse would use these standards to
1) promote the practice of gerontologic nursing within the acute care setting.
2) define the concepts and dimensions of gerontologic nursing practice.
3) elevate the practice of gerontologic nursing.
4) incorporate the concepts of health promotion, health maintenance, disease prevention, and
self-care.
Q2. When attempting to minimize the effect of ageism on the practice of nursing older
adults, a nurse needs to first
1) recognize that nurses must act as advocates for aging patients.
2) accept that this population represents a substantial portion of those requiring nursing care.
3) self-reflect and formulate one’s personal view of aging and the older patient.
4) recognize ageism as a form of bigotry shared by many Americans.
Q3. The nurse planning care for an older adult who has recently been diagnosed with
rheumatoid arthritis views the priority criterion for continued independence to be the
patient’s
1) age.
2) financial status.
3) gender.
4) functional status.
Q4. A nurse working with the older adult population is most likely to assess a need for a
financial social service’s referral for which person?
1) White male
2) Black female
3) Hispanic male
4) Asian American female
Q5. A nurse is preparing to complete a health assessment and history on an older patient.
Which statement reflects an understanding of the general health status of this
population?
1) “I’ll need to document the medications the patient is currently prescribed.”
2) “I would like to understand how supportive the patient’s family members are.”
3) “Most older patients are being treated for a variety of chronic health care issues.”
4) “It will be interesting to see whether this patient sees herself as being healthy.”
Q6. The nurse is caring for an older adult who has been admitted to an acute care hospital
for treatment of a fractured femur. The family expresses concern about their father’s
pending transfer to a subacute care facility. What response by the nurse is best?
1) “Acute care facilities lack the long-term physical therapy your dad requires.”
2) “Your dad will be much happier in a more serene, private environment.”
3) “The subacute facility will focus on helping your dad to maintain his independence.”
4) “Insurance, including Medicare, will cover only a limited amount of time here.”
Q7. To best assure both the quality of care and the safety of the older adult patient who
requires in-home unlicensed assistive personal (UAP) assistance, which action by the
gerontologic nurse is best?
1) Evaluates the competency of the UAP staff.
2) Assumes the roles of case manager and patient advocate.
3) Arranges for the needed UAP provided services.
4) Assesses the patient for functional limitations.
,Q8. The nurse working with older adults understands what information about certification
in gerontologic nursing?
1) It is mandatory for those in long-term care settings.
2) It is voluntary and shows clinical expertise in an area.
3) It allows nurses to be paid by third-party payers.
4) It allows nurses to advance their careers in a job.
Q9. A nurse works in a gerontologic clinic. What action by the nurse takes highest
priority?
1) Serving as a patient advocate
2) Educating patients about diseases
3) Helping patients remain independent
4) Referring patients to home health care
Q10. A nurse is caring for an older patient in the emergency department. What information
about the patient will be most helpful in creating a plan of care?
1) Baseline physical and cognitive functioning
2) Living conditions and family support
3) Medications and current medical problems
4) Results of the Mini-Mental State Examination
Q11. The faculty member explains to students that many older Americans continue to
work past the “retirement age.” What best explains this trend?
1) Feeling healthier longer
2) Changing financial outlook
3) Becoming bored in retirement
4) A desire to give back
Q12. What information does the faculty member teach students about Medicare?
1) Covers anyone with end-stage renal disease
2) Part A covers some prescription costs
3) Part B covers inpatient hospital costs
4) Part D eliminates the drug “donut hole”
Q13. A nursing manager notes that many older patients are admitted to the nursing unit
for acute problems. What action can the manager take to most benefit this population?
1) Provide mandatory education on the needs of the older patient.
2) Create programs that minimize functional losses.
3) Ensure staffing numbers are adequate for dependent patients.
4) Encourage all nurses to obtain gerontologic certification.
Q14. The dean of a new nursing program wishes to ensure graduates are prepared to care
for older patients. What document should guide the dean in designing the curriculum?
1) The Nurse Practice Act for that state
2) The American Nurses Association (ANA) Code of Ethics for nurses
3) Healthy People 2020
4) The Recommended Baccalaureate Competencies and Curricular Guidelines for the Nursing Care of
Older Adults
Q15. A nurse wants to plan a community event at a retirement center. What topic would
most likely be best received?
1) Heart healthy living
2) Financial planning
3) Avoiding scams
4) Ethnic cooking classes
,Q16. The clinic nurse caring for an older diabetic patient with a sixth-grade education
anticipates that the patient may experience difficulty with which of the following? ( Select
all that apply. )
1) Recognizing the importance of keeping clinic appointments.
2) Following a low-carbohydrate diet.
3) Paying for insulin and syringes.
4) Deciding on a primary health care provider.
5) Naming a health care surrogate.
Q17. The nurse studying the history of gerontologic nursing learns which information
about the specialty? ( Select all that apply. )
1) The number of older Americans is diminishing.
2) The gerontologic nursing conference group was established in 1962.
3) The gerontologic clinical nurse specialist certification was offered in 1989.
4) There were no writings about the care of older persons until World War II.
5) The first Standards of Practice for Gerontologic Nursing was written in 1969.
Q18. The student asks the gerontologic clinic nurse why so many older people are
women. What information does the nurse provide? ( Select all that apply. )
1) Reduced maternal mortality
2) Decreased deaths from infectious diseases
3) More deaths from chronic disease in men
4) The protective role of estrogen
5) Women tend to smoke and drink less than men
Q19. The gerontologic nurse plans community programming for older women, noting
what facts about this population subgroup? ( Select all that apply. )
1) More likely to live alone
2) Increased chance of living in poverty
3) Taking care of a spouse
4) Suffering many chronic diseases
5) Living with extended families
Q20. The nurse knows that the most common causes of death in the older population
result from which diseases? ( Select all that apply. )
1) Cerebrovascular disease
2) Communicable diseases
3) Heart disease
4) Cancer
5) Diabetes
, Test Bank - Chapter 02
Q1. A nurse caring for older adult patients shows an understanding of the implementation of
standards of care when
1. dialing the telephone when the patient wants to call his daughter.
2. requesting the patient’s favorite dessert on his birthday.
3. closing the patient’s door when he is praying.
4. reminding the patient to call for assistance before getting out of bed.
Q2. A nurse new to gerontologic nursing asks the nurse manager to clarify how to handle a
patient’s claim that she has been physically abused. The nurse manager responds most
appropriately when stating:
1. “I’ll show you where you can find this state’s reporting requirements.”
2. “As a nurse you are considered a ‘mandated reporter’ of elder abuse.”
3. “As long as you are reasonably sure abuse has occurred, report it.”
4. “You need to report any such claims directly to me.”
Q3. An older adult resident of a long-term care nursing facility frequently attempts to get out of bed
and is at risk of sustaining an injury. The nurse’s planned intervention to minimize the patient’s risk
for injury is guided by which of the following?
1. The patient’s right to self-determination and to be free to get out of bed.
2. An understanding that nondrug interventions must be tried before medications.
3. The knowledge that application of a vest restraint requires a physician’s order.
4. The patient’s cognitive ability to understand and follow directions.
Q4. During the state inspection of a skilled nursing facility, a surveyor notes suspicion that a
particular nurse may not be providing the proper standard of care. The nurse manager informs the
nurse to expect
1. a review of the situation by the state board of nursing.
2. termination of employment from the facility.
3. mandatory remediation related to the suspect care issues.
4. unannounced reevaluation of performance within the next 3 months.
Q5. An 87-year-old patient is unsure of the purpose of a living will. Which statement by the nurse is
the best description?
1. “It’s a legal document that Social Services can help you create.”
2. “It designates a family member to make decisions if you become incompetent.”
3. “It provides a written description of your wishes if you become incapable of saying what medical
care you would want in the event of any illness or catastrophic event.”
4. “It assures you won’t be subjected to treatments you don’t want.”
Q6. The nurse is caring for a terminally ill older patient who has a living will that excludes pulmonary
and cardiac resuscitation. The family expresses a concern that the patient may “change her mind.”
The nurse best reassures the family by stating
1. “The nursing staff will watch her very closely for any indication she has changed her mind
because she is free to change any provision of her living will at any time.”
2. “We will discuss her wishes with her regularly.”
3. “Your mother was very clear about her wishes when she signed the document.”
4. All options are correct.
Q7. A patient residing in a long-term care facility has been experiencing restlessness and has often
been found by nursing staff wandering in and out of other patients’ rooms during the night. The
,nurse views the patient’s PRN antipsychotic medication order as which of the following?
1. An appropriate intervention to help assure the resident’s safety.
2. An option to be used only when all other nondrug interventions prove ineffective.
3. Inappropriate unless the physician is notified and approves its use.
4. Not an option because it should not be used to manage behaviors of this type.
Q8. An alert but disoriented older patient lives with family members. The home health nurse, being
aware of the role of patient advocate, recognizes the obligation to report possible patient abuse
based on which of the following?
1. A family member stating, “It’s hard being a caregiver.”
2. Assessment showing bruises in the genital area.
3. Observation of mild changes in orientation.
4. Patient’s report of always being hungry.
Q9. An older adult patient has been approached to participate in a research study. The nurse best
advocates for the patient’s right to self-determination by doing which of the following?
1. Evaluating the patient’s cognitive ability to understand the risks of the study.
2. Determining what risks to the patient are involved.
3. Discussing the importance of the study with the patient and family.
4. Encouraging the patient to discuss the decision with trusted family or friends.
Q10. A nurse responsible for the care of older adult patients shows the best understanding of the
nursing standards of practice when basing nursing care on which of the following?
1. Physician’s medical orders
2. Stated requests of the individual patient
3. Care that a responsible gerontologic nurse would provide
4. Implementation of the nursing process
Q11. A graduate nurse learns about the provisions of the Health Insurance Portability and
Accountability Act (HIPAA), which include which of the following?
1. Requires employers to offer health care insurance
2. Regulates the amount employers can charge for insurance
3. Mandates that employers provide specific benefits
4. Helps maintain coverage when a person changes jobs
Q12. The nurse manager in a long-term care facility reviews resident care plans at what interval?
1. Quarterly
2. Every 60 days
3. Annually
4. When changes occur
Q13. The manager of a long-term care facility is evaluating patients’ use of drugs. The resident on
which of the following medications would be allowed to continue taking medications to control
behavior?
1. On anxiolytics; now able to participate in group activities
2. Given a benzodiazepine at night; roommate now sleeps well
3. Given sedatives; eats 100% of meals if resident is fed
4. Taking an antipsychotic; no longer wanders at night
Q14. To meet current guidelines regarding incontinence in a long-term care facility, what action by
the director of nursing is best?
1. Assess residents for the ability to participate in a bladder training program.
2. Take all residents to the toilet every 2 hours and after meals.
,3. Ensure all residents wear incontinence briefs, which are changed routinely.
4. Ask physicians and other providers to prescribe medications for bladder control.
Q15. The director of nursing at a long-term care facility is getting ready for the annual inspection.
What information guides the director?
1. Visits cannot be unannounced.
2. The director must be off site during the inspection.
3. Nurses must answer questions from the inspectors.
4. Results will be shared only through the mail.
Q16. The nursing student learns about the Patient Self-Determination Act. What is a key provision
of this act?
1. It establishes new rights for patients in medical facilities.
2. It requires facilities to educate patients on their rights.
3. It allows families to be approached for organ donation.
4. It spells out the procedures for creating an advance directive.
Q17. To best address the patient’s right to self-determination, which of the following questions does
the nurse ask at the time the patient is admitted to a nursing facility? (Select all that apply.)
1. “Do you understand what a living will and durable power of attorney are?”
2. “If you have already prepared an advance care directive, can you provide it now?”
3. “Are you prepared to discuss your end-of-life choices with the nursing staff?”
4. “Have you discussed your end-of-life choices with your family or designated surrogate?”
5. “Would you like help with preparing a living will or a durable power of attorney?”
Q18. What provisions for nursing service are part of the Omnibus Budget Reconciliation Act
(OBRA) as it pertains to long-term care facilities? (Select all that apply.)
1. Resident assessments
2. Annual screenings
3. Minimum staffing
4. Ensuring resident rights
5. Registered nurse educational requirements
Q19. The director of nursing at a certified long-term care facility overhauls the nursing assistant
training program to include which features? (Select all that apply.)
1. 12 hours of classroom content
2. Training in infection control measures
3. Instruction on resident rights
4. 6 hours of quarterly in-service education
5. Education on safety measures
Q20. The adult child of a long-term care facility resident receives a phone call from the director of
nursing stating that resident has 30 days to move out of the home. Under what conditions can a
facility require a resident to move? (Select all that apply.)
1. Nonpayment for services received
2. Needs exceeding what the facility can provide
3. Stay is no longer required based on the resident’s medical condition
4. Facility is going out of business
5. Frequent disruptive behavior during the night
, Test Bank - Chapter 03
Q1. The gerontologic nurse recognizes that which patient is at highest risk for a decline in functional
ability?
1. 79-year-old, moderate Alzheimer’s disease, requires assistance with all activities of daily living
(ADLs).
2. 73-year-old, history of chronic bronchitis, lives with family.
3. 86-year-old, lost a spouse recently, is moving into an assisted living facility.
4. 69-year-old, peripheral vascular disease, visited by home health care weekly.
Q2. To best minimize patient anxiety and help ensure a successful history assessment interview,
the gerontologic nurse does which of the following first?
1. Asks whether the patient has any questions about the interview.
2. Makes sure the interview area is comfortable and private.
3. Explains the reason for asking the questions.
4. Assures the patient that all answers will be kept confidential.
Q3. An older patient is admitted for bacterial pneumonia. The only abnormal assessment values
include a heart rate of 102 beats per minute, slight cyanosis of the nail beds, and mild confusion.
The patient’s daughter questions the possibility of pneumonia stating, “He isn’t coughing or having
any difficulty breathing.” The nurse responds most appropriately with which comment?
1. “We are lucky to determine the problem in its early stage.”
2. “Respiratory problems develop only after the infection is well established.”
3. “People your dad’s age often lack the muscular strength to cough.”
4. “Older adults frequently lack the typical signs of a respiratory infection.”
Q4. A nurse aide working in the gerontologic unit’s dining room tells the nurse that a patient who
was oriented to time and place this morning is now confused about what day it is and why she’s
“here.” The nurse appropriately directs the nurse aide to do which of the following?
1. Take the patient back to her room and put her safely in bed.
2. Place a falls risk identification bracelet on the patient and add the status care plan.
3. Immediately take the patient’s vital signs and report them to her.
4. Reorient the patient to time and place and document the patient’s response.
Q5. Which action by the nurse most effectively implements guided reminiscence during a patient
interview?
1. Reminding the patient to share important memories of the past.
2. Scheduling several short interviews rather than one long one.
3. Controlling the interview by selecting the memories to be discussed.
4. Encouraging the patient to relive his or her memories while maintaining focus.
Q6. To establish a mutually respectful relationship with an older adult patient being admitted to a
skilled nursing unit, the nurse first introduces himself and then asks the older adult which of the
following?
1. How the patient would like to be addressed.
2. If the patient has any specific requests to make of the staff.
3. If the patient will share a little about his or her likes and dislikes.
4. If the patient understood the orientation materials to the facility.
Q7. The gerontologic unit nursing manager evaluates that which nurse shows the best
understanding of how personal attitude affects the interview process during a health assessment of
an older adult patient?
, 1. Proceeds with the interview as if the patient were not an older adult.
2. Incorporates therapeutic communication into the assessment process.
3. Treats all patients with respect regardless of age.
4. Has self-reflected on his or her own feelings regarding aging.
Q8. An older patient is being admitted to a long-term care facility. The nurse recognizes that the
primary purpose of the initial gerontologic health assessment is to
1. identify the patient’s physiologic baselines.
2. ultimately create a plan of care that prevents disability and dependence.
3. initiate the therapeutic nurse–patient relationship.
4. document self-care deficiencies that the patient exhibits.
Q9. A 76-year-old postsurgical diabetic patient has reported feeling dizzy and clammy. The daily
serum glucose level shows the patient’s levels to be within normal limits. The gerontologic nurse
shows an understanding of established health norms for the older adult when stating
1. “This patient’s normal may not be within the typical lab norms.”
2. “I’ll ask the lab to rerun the test so we can double-check the results.”
3. “There must be another reason for the symptoms.”
4. “I’ll compare the patient’s baseline lab work with today’s results.”
Q10. A patient is being admitted after a fall that has caused a painful leg injury. In preparing to
interview the patient for a health history, the nurse is initially concerned about which of the
following?
1. Having the family present to help answer questions.
2. Establishing a therapeutic nurse–patient relationship.
3. Ensuring the patient is free of hearing and vision barriers.
4. Effectively managing the patient’s pain.
Q11. An older patient is reluctant to report multiple vague signs and symptoms, including lethargy,
incontinence, and weight loss that have persisted for 6 weeks. The nurse recognizes that such
symptoms place the patient at great risk for
1. viral infection.
2. disorientation.
3. malnutrition.
4. physical frailty.
Q12. An older patient is hospitalized after a fall that resulted in a fractured left ankle. By day 4 of the
hospitalization, which included reduction of the fracture and analgesic drug therapy, the patient has
become mildly disoriented and is incontinent of urine. The nurse explains to the family that these
symptoms reflect the
1. relationship between aging and both physical and psychosocial responses to trauma.
2. response exhibited by many older adults who are hospitalized.
3. effects of stress-induced perceptual deficits often seen in the hospitalized older adult.
4. results of the pharmacologic pain control therapy.
Q13. A nurse is working with an older patient in the gerontology clinic. The patient reports a vague
decline in function and says, “I guess I’m just getting older.” What action by the nurse is best?
1. Help the patient find ways to cope with the changes.
2. Assess the patient for an undetected illness.
3. Ask if the patient needs any home health services.
4. Find out what the patient thinks of these changes.
Q14. The nurse admitting a debilitated patient to a long-term care facility initially assesses the
patient using the Katz Index. The student asks why the nurse chose that tool. What answer by the
Gerontologic Nursing 7th Edition Yeager
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
Purchase Guarantee
If you believe you have purchased the wrong file, don’t worry. Contact us anytime and we
will gladly replace it with the correct version.
Contact Email:
, Chapter 01
Q1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
published. The nurse would use these standards to
1) promote the practice of gerontologic nursing within the acute care setting.
2) define the concepts and dimensions of gerontologic nursing practice.
3) elevate the practice of gerontologic nursing.
4) incorporate the concepts of health promotion, health maintenance, disease prevention, and
self-care.
Q2. When attempting to minimize the effect of ageism on the practice of nursing older
adults, a nurse needs to first
1) recognize that nurses must act as advocates for aging patients.
2) accept that this population represents a substantial portion of those requiring nursing care.
3) self-reflect and formulate one’s personal view of aging and the older patient.
4) recognize ageism as a form of bigotry shared by many Americans.
Q3. The nurse planning care for an older adult who has recently been diagnosed with
rheumatoid arthritis views the priority criterion for continued independence to be the
patient’s
1) age.
2) financial status.
3) gender.
4) functional status.
Q4. A nurse working with the older adult population is most likely to assess a need for a
financial social service’s referral for which person?
1) White male
2) Black female
3) Hispanic male
4) Asian American female
Q5. A nurse is preparing to complete a health assessment and history on an older patient.
Which statement reflects an understanding of the general health status of this
population?
1) “I’ll need to document the medications the patient is currently prescribed.”
2) “I would like to understand how supportive the patient’s family members are.”
3) “Most older patients are being treated for a variety of chronic health care issues.”
4) “It will be interesting to see whether this patient sees herself as being healthy.”
Q6. The nurse is caring for an older adult who has been admitted to an acute care hospital
for treatment of a fractured femur. The family expresses concern about their father’s
pending transfer to a subacute care facility. What response by the nurse is best?
1) “Acute care facilities lack the long-term physical therapy your dad requires.”
2) “Your dad will be much happier in a more serene, private environment.”
3) “The subacute facility will focus on helping your dad to maintain his independence.”
4) “Insurance, including Medicare, will cover only a limited amount of time here.”
Q7. To best assure both the quality of care and the safety of the older adult patient who
requires in-home unlicensed assistive personal (UAP) assistance, which action by the
gerontologic nurse is best?
1) Evaluates the competency of the UAP staff.
2) Assumes the roles of case manager and patient advocate.
3) Arranges for the needed UAP provided services.
4) Assesses the patient for functional limitations.
,Q8. The nurse working with older adults understands what information about certification
in gerontologic nursing?
1) It is mandatory for those in long-term care settings.
2) It is voluntary and shows clinical expertise in an area.
3) It allows nurses to be paid by third-party payers.
4) It allows nurses to advance their careers in a job.
Q9. A nurse works in a gerontologic clinic. What action by the nurse takes highest
priority?
1) Serving as a patient advocate
2) Educating patients about diseases
3) Helping patients remain independent
4) Referring patients to home health care
Q10. A nurse is caring for an older patient in the emergency department. What information
about the patient will be most helpful in creating a plan of care?
1) Baseline physical and cognitive functioning
2) Living conditions and family support
3) Medications and current medical problems
4) Results of the Mini-Mental State Examination
Q11. The faculty member explains to students that many older Americans continue to
work past the “retirement age.” What best explains this trend?
1) Feeling healthier longer
2) Changing financial outlook
3) Becoming bored in retirement
4) A desire to give back
Q12. What information does the faculty member teach students about Medicare?
1) Covers anyone with end-stage renal disease
2) Part A covers some prescription costs
3) Part B covers inpatient hospital costs
4) Part D eliminates the drug “donut hole”
Q13. A nursing manager notes that many older patients are admitted to the nursing unit
for acute problems. What action can the manager take to most benefit this population?
1) Provide mandatory education on the needs of the older patient.
2) Create programs that minimize functional losses.
3) Ensure staffing numbers are adequate for dependent patients.
4) Encourage all nurses to obtain gerontologic certification.
Q14. The dean of a new nursing program wishes to ensure graduates are prepared to care
for older patients. What document should guide the dean in designing the curriculum?
1) The Nurse Practice Act for that state
2) The American Nurses Association (ANA) Code of Ethics for nurses
3) Healthy People 2020
4) The Recommended Baccalaureate Competencies and Curricular Guidelines for the Nursing Care of
Older Adults
Q15. A nurse wants to plan a community event at a retirement center. What topic would
most likely be best received?
1) Heart healthy living
2) Financial planning
3) Avoiding scams
4) Ethnic cooking classes
,Q16. The clinic nurse caring for an older diabetic patient with a sixth-grade education
anticipates that the patient may experience difficulty with which of the following? ( Select
all that apply. )
1) Recognizing the importance of keeping clinic appointments.
2) Following a low-carbohydrate diet.
3) Paying for insulin and syringes.
4) Deciding on a primary health care provider.
5) Naming a health care surrogate.
Q17. The nurse studying the history of gerontologic nursing learns which information
about the specialty? ( Select all that apply. )
1) The number of older Americans is diminishing.
2) The gerontologic nursing conference group was established in 1962.
3) The gerontologic clinical nurse specialist certification was offered in 1989.
4) There were no writings about the care of older persons until World War II.
5) The first Standards of Practice for Gerontologic Nursing was written in 1969.
Q18. The student asks the gerontologic clinic nurse why so many older people are
women. What information does the nurse provide? ( Select all that apply. )
1) Reduced maternal mortality
2) Decreased deaths from infectious diseases
3) More deaths from chronic disease in men
4) The protective role of estrogen
5) Women tend to smoke and drink less than men
Q19. The gerontologic nurse plans community programming for older women, noting
what facts about this population subgroup? ( Select all that apply. )
1) More likely to live alone
2) Increased chance of living in poverty
3) Taking care of a spouse
4) Suffering many chronic diseases
5) Living with extended families
Q20. The nurse knows that the most common causes of death in the older population
result from which diseases? ( Select all that apply. )
1) Cerebrovascular disease
2) Communicable diseases
3) Heart disease
4) Cancer
5) Diabetes
, Test Bank - Chapter 02
Q1. A nurse caring for older adult patients shows an understanding of the implementation of
standards of care when
1. dialing the telephone when the patient wants to call his daughter.
2. requesting the patient’s favorite dessert on his birthday.
3. closing the patient’s door when he is praying.
4. reminding the patient to call for assistance before getting out of bed.
Q2. A nurse new to gerontologic nursing asks the nurse manager to clarify how to handle a
patient’s claim that she has been physically abused. The nurse manager responds most
appropriately when stating:
1. “I’ll show you where you can find this state’s reporting requirements.”
2. “As a nurse you are considered a ‘mandated reporter’ of elder abuse.”
3. “As long as you are reasonably sure abuse has occurred, report it.”
4. “You need to report any such claims directly to me.”
Q3. An older adult resident of a long-term care nursing facility frequently attempts to get out of bed
and is at risk of sustaining an injury. The nurse’s planned intervention to minimize the patient’s risk
for injury is guided by which of the following?
1. The patient’s right to self-determination and to be free to get out of bed.
2. An understanding that nondrug interventions must be tried before medications.
3. The knowledge that application of a vest restraint requires a physician’s order.
4. The patient’s cognitive ability to understand and follow directions.
Q4. During the state inspection of a skilled nursing facility, a surveyor notes suspicion that a
particular nurse may not be providing the proper standard of care. The nurse manager informs the
nurse to expect
1. a review of the situation by the state board of nursing.
2. termination of employment from the facility.
3. mandatory remediation related to the suspect care issues.
4. unannounced reevaluation of performance within the next 3 months.
Q5. An 87-year-old patient is unsure of the purpose of a living will. Which statement by the nurse is
the best description?
1. “It’s a legal document that Social Services can help you create.”
2. “It designates a family member to make decisions if you become incompetent.”
3. “It provides a written description of your wishes if you become incapable of saying what medical
care you would want in the event of any illness or catastrophic event.”
4. “It assures you won’t be subjected to treatments you don’t want.”
Q6. The nurse is caring for a terminally ill older patient who has a living will that excludes pulmonary
and cardiac resuscitation. The family expresses a concern that the patient may “change her mind.”
The nurse best reassures the family by stating
1. “The nursing staff will watch her very closely for any indication she has changed her mind
because she is free to change any provision of her living will at any time.”
2. “We will discuss her wishes with her regularly.”
3. “Your mother was very clear about her wishes when she signed the document.”
4. All options are correct.
Q7. A patient residing in a long-term care facility has been experiencing restlessness and has often
been found by nursing staff wandering in and out of other patients’ rooms during the night. The
,nurse views the patient’s PRN antipsychotic medication order as which of the following?
1. An appropriate intervention to help assure the resident’s safety.
2. An option to be used only when all other nondrug interventions prove ineffective.
3. Inappropriate unless the physician is notified and approves its use.
4. Not an option because it should not be used to manage behaviors of this type.
Q8. An alert but disoriented older patient lives with family members. The home health nurse, being
aware of the role of patient advocate, recognizes the obligation to report possible patient abuse
based on which of the following?
1. A family member stating, “It’s hard being a caregiver.”
2. Assessment showing bruises in the genital area.
3. Observation of mild changes in orientation.
4. Patient’s report of always being hungry.
Q9. An older adult patient has been approached to participate in a research study. The nurse best
advocates for the patient’s right to self-determination by doing which of the following?
1. Evaluating the patient’s cognitive ability to understand the risks of the study.
2. Determining what risks to the patient are involved.
3. Discussing the importance of the study with the patient and family.
4. Encouraging the patient to discuss the decision with trusted family or friends.
Q10. A nurse responsible for the care of older adult patients shows the best understanding of the
nursing standards of practice when basing nursing care on which of the following?
1. Physician’s medical orders
2. Stated requests of the individual patient
3. Care that a responsible gerontologic nurse would provide
4. Implementation of the nursing process
Q11. A graduate nurse learns about the provisions of the Health Insurance Portability and
Accountability Act (HIPAA), which include which of the following?
1. Requires employers to offer health care insurance
2. Regulates the amount employers can charge for insurance
3. Mandates that employers provide specific benefits
4. Helps maintain coverage when a person changes jobs
Q12. The nurse manager in a long-term care facility reviews resident care plans at what interval?
1. Quarterly
2. Every 60 days
3. Annually
4. When changes occur
Q13. The manager of a long-term care facility is evaluating patients’ use of drugs. The resident on
which of the following medications would be allowed to continue taking medications to control
behavior?
1. On anxiolytics; now able to participate in group activities
2. Given a benzodiazepine at night; roommate now sleeps well
3. Given sedatives; eats 100% of meals if resident is fed
4. Taking an antipsychotic; no longer wanders at night
Q14. To meet current guidelines regarding incontinence in a long-term care facility, what action by
the director of nursing is best?
1. Assess residents for the ability to participate in a bladder training program.
2. Take all residents to the toilet every 2 hours and after meals.
,3. Ensure all residents wear incontinence briefs, which are changed routinely.
4. Ask physicians and other providers to prescribe medications for bladder control.
Q15. The director of nursing at a long-term care facility is getting ready for the annual inspection.
What information guides the director?
1. Visits cannot be unannounced.
2. The director must be off site during the inspection.
3. Nurses must answer questions from the inspectors.
4. Results will be shared only through the mail.
Q16. The nursing student learns about the Patient Self-Determination Act. What is a key provision
of this act?
1. It establishes new rights for patients in medical facilities.
2. It requires facilities to educate patients on their rights.
3. It allows families to be approached for organ donation.
4. It spells out the procedures for creating an advance directive.
Q17. To best address the patient’s right to self-determination, which of the following questions does
the nurse ask at the time the patient is admitted to a nursing facility? (Select all that apply.)
1. “Do you understand what a living will and durable power of attorney are?”
2. “If you have already prepared an advance care directive, can you provide it now?”
3. “Are you prepared to discuss your end-of-life choices with the nursing staff?”
4. “Have you discussed your end-of-life choices with your family or designated surrogate?”
5. “Would you like help with preparing a living will or a durable power of attorney?”
Q18. What provisions for nursing service are part of the Omnibus Budget Reconciliation Act
(OBRA) as it pertains to long-term care facilities? (Select all that apply.)
1. Resident assessments
2. Annual screenings
3. Minimum staffing
4. Ensuring resident rights
5. Registered nurse educational requirements
Q19. The director of nursing at a certified long-term care facility overhauls the nursing assistant
training program to include which features? (Select all that apply.)
1. 12 hours of classroom content
2. Training in infection control measures
3. Instruction on resident rights
4. 6 hours of quarterly in-service education
5. Education on safety measures
Q20. The adult child of a long-term care facility resident receives a phone call from the director of
nursing stating that resident has 30 days to move out of the home. Under what conditions can a
facility require a resident to move? (Select all that apply.)
1. Nonpayment for services received
2. Needs exceeding what the facility can provide
3. Stay is no longer required based on the resident’s medical condition
4. Facility is going out of business
5. Frequent disruptive behavior during the night
, Test Bank - Chapter 03
Q1. The gerontologic nurse recognizes that which patient is at highest risk for a decline in functional
ability?
1. 79-year-old, moderate Alzheimer’s disease, requires assistance with all activities of daily living
(ADLs).
2. 73-year-old, history of chronic bronchitis, lives with family.
3. 86-year-old, lost a spouse recently, is moving into an assisted living facility.
4. 69-year-old, peripheral vascular disease, visited by home health care weekly.
Q2. To best minimize patient anxiety and help ensure a successful history assessment interview,
the gerontologic nurse does which of the following first?
1. Asks whether the patient has any questions about the interview.
2. Makes sure the interview area is comfortable and private.
3. Explains the reason for asking the questions.
4. Assures the patient that all answers will be kept confidential.
Q3. An older patient is admitted for bacterial pneumonia. The only abnormal assessment values
include a heart rate of 102 beats per minute, slight cyanosis of the nail beds, and mild confusion.
The patient’s daughter questions the possibility of pneumonia stating, “He isn’t coughing or having
any difficulty breathing.” The nurse responds most appropriately with which comment?
1. “We are lucky to determine the problem in its early stage.”
2. “Respiratory problems develop only after the infection is well established.”
3. “People your dad’s age often lack the muscular strength to cough.”
4. “Older adults frequently lack the typical signs of a respiratory infection.”
Q4. A nurse aide working in the gerontologic unit’s dining room tells the nurse that a patient who
was oriented to time and place this morning is now confused about what day it is and why she’s
“here.” The nurse appropriately directs the nurse aide to do which of the following?
1. Take the patient back to her room and put her safely in bed.
2. Place a falls risk identification bracelet on the patient and add the status care plan.
3. Immediately take the patient’s vital signs and report them to her.
4. Reorient the patient to time and place and document the patient’s response.
Q5. Which action by the nurse most effectively implements guided reminiscence during a patient
interview?
1. Reminding the patient to share important memories of the past.
2. Scheduling several short interviews rather than one long one.
3. Controlling the interview by selecting the memories to be discussed.
4. Encouraging the patient to relive his or her memories while maintaining focus.
Q6. To establish a mutually respectful relationship with an older adult patient being admitted to a
skilled nursing unit, the nurse first introduces himself and then asks the older adult which of the
following?
1. How the patient would like to be addressed.
2. If the patient has any specific requests to make of the staff.
3. If the patient will share a little about his or her likes and dislikes.
4. If the patient understood the orientation materials to the facility.
Q7. The gerontologic unit nursing manager evaluates that which nurse shows the best
understanding of how personal attitude affects the interview process during a health assessment of
an older adult patient?
, 1. Proceeds with the interview as if the patient were not an older adult.
2. Incorporates therapeutic communication into the assessment process.
3. Treats all patients with respect regardless of age.
4. Has self-reflected on his or her own feelings regarding aging.
Q8. An older patient is being admitted to a long-term care facility. The nurse recognizes that the
primary purpose of the initial gerontologic health assessment is to
1. identify the patient’s physiologic baselines.
2. ultimately create a plan of care that prevents disability and dependence.
3. initiate the therapeutic nurse–patient relationship.
4. document self-care deficiencies that the patient exhibits.
Q9. A 76-year-old postsurgical diabetic patient has reported feeling dizzy and clammy. The daily
serum glucose level shows the patient’s levels to be within normal limits. The gerontologic nurse
shows an understanding of established health norms for the older adult when stating
1. “This patient’s normal may not be within the typical lab norms.”
2. “I’ll ask the lab to rerun the test so we can double-check the results.”
3. “There must be another reason for the symptoms.”
4. “I’ll compare the patient’s baseline lab work with today’s results.”
Q10. A patient is being admitted after a fall that has caused a painful leg injury. In preparing to
interview the patient for a health history, the nurse is initially concerned about which of the
following?
1. Having the family present to help answer questions.
2. Establishing a therapeutic nurse–patient relationship.
3. Ensuring the patient is free of hearing and vision barriers.
4. Effectively managing the patient’s pain.
Q11. An older patient is reluctant to report multiple vague signs and symptoms, including lethargy,
incontinence, and weight loss that have persisted for 6 weeks. The nurse recognizes that such
symptoms place the patient at great risk for
1. viral infection.
2. disorientation.
3. malnutrition.
4. physical frailty.
Q12. An older patient is hospitalized after a fall that resulted in a fractured left ankle. By day 4 of the
hospitalization, which included reduction of the fracture and analgesic drug therapy, the patient has
become mildly disoriented and is incontinent of urine. The nurse explains to the family that these
symptoms reflect the
1. relationship between aging and both physical and psychosocial responses to trauma.
2. response exhibited by many older adults who are hospitalized.
3. effects of stress-induced perceptual deficits often seen in the hospitalized older adult.
4. results of the pharmacologic pain control therapy.
Q13. A nurse is working with an older patient in the gerontology clinic. The patient reports a vague
decline in function and says, “I guess I’m just getting older.” What action by the nurse is best?
1. Help the patient find ways to cope with the changes.
2. Assess the patient for an undetected illness.
3. Ask if the patient needs any home health services.
4. Find out what the patient thinks of these changes.
Q14. The nurse admitting a debilitated patient to a long-term care facility initially assesses the
patient using the Katz Index. The student asks why the nurse chose that tool. What answer by the
