Test Bank for Gerontologic Nursing 7th Edition by Jennifer J. Yeager, Sue E. Meiner, Mary B. Winton, ISBN: 9780323875202, ISBN: 9780323937047 |All Chapter 1- 27 | LATEST

, Chapter 01: Overview of Gerontologic N
h j h j h j h j hj


ursing Meiner: Gerontologic Nursing, 6t
h j h j h j h j

h Edition MULTIPLE CHOICE
hj h j h j

1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurs
h j h j h j h j h j h j h j h j h j h j h j h j h j h j


e would use these standards to:
h j hj h j h j h j



a. promote the practice of gerontologic nursing within the acute care setting.
h j hj h j h j h j hj h j h j h j h j



b. define the concepts and dimensions of gerontologic nursing practice.
h j hj h j h j h j h j h j h j




c. elevate the practice of gerontologic nursing.
h j h j h j h j h j




d. incorporate suggested interventions from others who practice geronto
h j h j h j h j hj h j h j



logic nursing. ANS: D
hj h j h j

The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorpor
h j h j h j h j h j h j h j h j h j h j h j h j h j h j


ates the input of gerontologic nurses from across the United States. It was not intended to promote gerontologic nur
h j hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj

sing practice within acute care settings, define concepts or dimensions of gerontologic nursing practice, or elevate t
h j hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj


he practice of gerontologic nursing. DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1
hj h j h j h j h j h j h j h j h j h j h j h j


TOP: N/A MSC: Safe and Effective Care Environment
h j h j h j h j h j h j h j

2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j

: h j h j


a. recognize that nurses must act as advocates for aging patients.
h j h j h j h j h j h j h j h j h j



b. accept that this population represents a substantial portion of those requiring nursing care.
h j h j h j h j h j h j h j hj h j h j h j h j




c. self-reflect and formulate one’s personal view of aging and the older patient.
h j h j h j h j h j h j h j h j h j h j h j




d. recognize ageism as a form of bigotry shared by h j h j h j h j h j h j h j h j



many Americans. ANS: C
h j hj h j h j

Ageism is an ever- h j h j h j

increasing prejudicial view of the effects of the aging process and of the older population as a whole. W
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j hj h j

ith nurses being members of a society holding such views, it is critical that the individual nurse self-
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j

reflect on personal feelings and determine whether such feelings will affect the nursing care that he or s
hj h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j


he provides to the aging patient. Acting as an advocate is an important nursing role in all settings. Simpl
h j hj h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j

y accepting a fact does not help end ageism, nor does recognizing ageism as a form of bigotry.
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j


DIF: Applying (Application) REF: N/A OBJ: 1-9
hj h j h j h j h j h j

TOP: Teaching-Learning MSC: Safe and Effective Care Environment
hj h j h j h j h j h j h j

3. When discussing factors that have helped to increase the number of healthy, independent older Am
h j h j h j h j h j h j h j h j h j h j h j h j h j h j

ericans, the nurse includes the importance of:
hj h j h j h j h j h j



a. increased availability of in-home care services. h j h j hj hj h j



b. government support of retired citizens. h j hj h j h j




c. effective antibiotic therapies. hj hj




d. the development of life-
hj hj hj



extending therapies. ANS: C hj h j h j

The health and ultimate autonomy of older Americans has been positively impacted by the development o
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j

f antibiotics, better sanitation, and vaccines. These public health measures have been more instrumental in i
hj h j h j h j h j h j h j h j h j h j h j h j h j h j h j

ncreasing the numbers of healthy, independent older Americans than have in-
hj h j h j h j h j h j h j h j h j h j


home care services, government programs, or life-extending therapies.
h j h j h j h j h j hj h j


DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
h j h j h j h j hj h j h j

TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
hj h j h j h j hj h j h j h j

4. Based on current data, when presenting an older adult’s discharge teaching plan, the nurse includes the patient’s:
hj h j h j h j h j h j h j h j h j h j h j h j h j h j h j hj


a. nonrelated caretaker. h j



b. paid caregiver. h j




c. family member. h j

,d. intuitional representative.
hj

, ANS: C h j


Less than 4% of older adults live in a formal health care environment. The majority of the geriatric populat
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j


ion lives at home or with family members.
h j hj h j h j h j h j h j

DIF: Applying (Application) REF: N/A OBJ: 3-3
hj h j h j h j h j h j

TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
hj hj h j h j h j h j h j h j h j

5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis v
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j

iews the priority criterion for continued independence to be the patient’s:
h j hj h j h j h j h j h j h j h j h j



a. age.
b. financial status. h j




c. gender.

d. functional st hj



atus. ANS: D h j hj

Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, t
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j


wo conditions that increase the likelihood of institutionalization.
hj h j h j h j h j h j h j

DIF: Remembering (Knowledge) REF: Page 8 OBJ:
h j h j h j h j h j h j h j

1-
6 TOP: Nursing Process: Planning MSC: Physiologic Inte
hj hj hj hj hj hj hj

grity
6. A nurse working with the older adult population is most likely to assess a need for a financial social
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j

h jservice’s referral for a(n): hj h j h j


a. white male. h j



b. black female. h j




c. Hispanic male. h j




d. Asian American hj



hjfemale. ANS: B h j h j

The poverty rate among older black women is substantially higher than that seen among males or females of
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j


h jother ethnic groups. White males had the least poverty.
hj h j h j h j h j h j h j h j

DIF: Applying (Application) REF: N/A OBJ: 1-4
hj h j h j h j h j h j

TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
hj h j h j hj h j hj h j h j h j

7. Which of the following statements made by a nurse preparing to complete a health assessment and hi
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j


story on an older patient reflects an understanding of the general health status of this population?
h j hj h j h j h j h j h j h j h j h j h j h j h j h j h j


a. “I’ll need to document well regarding the medications the patient is currently prescribed.”
hj h j h j h j hj h j hj h j h j h j h j h j



b. “I would like to understand how supportive the patient’s family members are.”
hj h j h j h j h j h j h j h j h j h j h j




c. “Most older patients are being treated for a variety of chronic health care issues.”
hj h j h j h j h j h j h j h j h j h j h j h j h j




d. “It will be interesting to see whether this patient sees herself
h j h j h j h j h j h j h j h j h j h j h j



as being healthy.” ANS: D
h j hj h j h j

It is a misconception that old age is synonymous with disease and illness. The nurse should always deter
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j

mine the patient’s sense of wellness and independence when conducting a health and history assessment. A
h j hj h j h j h j h j h j h j h j h j h j h j h j h j h j


n assessment of medication use and family support is important for any patient. Many older adults do have
h j h j hj h j h j h j h j h j h j h j h j h j h j h j h j h j h j h

j chronic health conditions, but their perception is more important than a single number.
h j h j hj h j h j h j h j h j h j h j h j h j

DIF: Applying (Application) REF: N/A OBJ: 1-4
hj h j h j h j h j h j

TOP: Nursing Process: Assessment MSC: Health Promotion
hj h j h j hj hj h j

8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment
h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h j h

j of a fractured femur. The family expresses concern about the patient’s pending transfer to a subacute car
h j hj h j h j h j h j h j h j h j h j h j h j h j h j h j h j


e facility. What response by the nurse is best?
h j h j h j h j h j h j h j h j


a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
hj h j h j h j hj h j h j h j h j hj h j



b. “Your dad will be much happier in a more serene, private environment.”
h j h j h j h j h j h j h j h j h j h j h j




c. “The subacute facility will focus on helping your dad maintain his independence.”
h j h j h j h j h j h j h j h j h j h j h j




Do
DD
woon
ww
lo
nnlaold
oae
addeed
bdyb:byS
y::uAaprliearsh
Aia||lcab
| biaeilek
ecasliya
n1l@
c2@
gm
agom
ali.lac.ciol.om
cm
omh j Distrib