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MEINER /COMPLETE GUIDE 2024-2025
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,Chapter01:OverviewofGerontologic tr tr tr tr
Nursing Meiner: Gerontologic
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Nursing, 6th Edition
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MULTIPLE CHOICE tr
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The
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nursing attendant would use these standards to:
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a. promotethe practice of gerontologic nursing within the acute care setting.
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b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice ofgerontologic nursing. tr tr tr tr tr
d. incorporatesuggestedinterventions fromotherswho practice tr tr tr tr tr tr
tr gerontologic nursing. tr
CORRECT CHOICE:-D tr
Reasoning:->>>The current publishing of the Standards and Scope of Gerontological Nursing Practice in tr tr tr tr tr tr tr tr tr tr tr tr
2010 incorporates the input of gerontologic nursing attendants from across the United States. It was not
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intended to promote gerontologic nursing practice within acute care settings, define concepts or
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dimensions ofgerontologic nursing practice, or elevate the practice ofgerontologic nursing. DIFFICULT:
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Remembering (Knowledge) REF: Page 2 OBJ: 1-1
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TOP: N/AMSC: Safe and Effective Care Environment
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2.Whenattempting to minimize the effect ofageism onthe practice ofnursing older adults, a nursing
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attendant needs to first:
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a. recognizethat nursing attendants must act as advocates for aging hospital patients. tr tr tr tr tr tr tr tr tr tr tr
b. accept that this population represents a substantialportion ofthose requiring nursing care.
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c. self-reflect and formulate one’s personal view ofaging and the older hospital patient. tr tr tr tr tr tr tr tr tr tr tr tr
d. recognize ageism as a formofbigotryshared by many tr tr tr tr tr tr tr tr tr
tr Americans.
CORRECT CHOICE:-C tr
Reasoning:->>>Ageism is anever-increasing prejudicial view ofthe effects ofthe aging process and of the tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr
older population as a whole. With nursing attendants being members of a society holding such views, it is
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critical that the individual nursing attendant self-reflect on personal feelings and determine whether such
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feelings will affect the nursing care that he or she provides to the aging hospital patient. Acting as an
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advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
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does recognizing ageism as a form of bigotry.
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DIFFICULT: Applying (Application) REF: N/AOBJ: 1-9 tr tr tr tr tr tr
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
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3. When discussing factors that have helpedto increase thenumber ofhealthy, independent older
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tr Americans, the nursing attendant includes the importance of: tr tr tr tr tr tr tr
,a. increased availability of in-home care services. tr tr tr tr tr
b. government support ofretired citizens. tr tr tr tr
c. effectiveantibiotic therapies. tr tr
d. thedevelopmentoflife-extending
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tr therapies.
CORRECT CHOICE:-C tr
Reasoning:->>>The health and ultimate autonomy ofolder Americans has been positively impacted by the tr tr tr tr tr tr tr tr tr tr tr tr tr
development of antibiotics, better sanitation, and vaccines. These public health measures have been more
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instrumental in increasing the numbers of healthy, independent older Americans than have in-home care
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services, government programs, or life-extending therapies.
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DIFFICULT: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 tr tr tr tr tr tr tr
TOP: Nursing Process: Implementation MSC: HealthPromotionand Maintenance
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4. Based oncurrent data, whenpresenting anolder adult’sdischarge teaching plan, thenursing attendant
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includes the hospital patient’s:
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a. nonrelated caretaker. tr
b. paid caregiver. tr
c. family member. tr
d. intuitionalrepresentative. tr
CORRECT CHOICE:-C tr
Reasoning:->>>Less than 4% ofolder adults live ina formalprimarycare environment. The majority of the tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr
geriatric population lives at home or with family members.
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DIFFICULT: Applying (Application) REF: N/AOBJ: 3-3 tr tr tr tr tr tr
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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5. The nursing attendant planning care for anolder adult who hasrecently been diagnosed with
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rheumatoid arthritis views the priority criterion for continued independence to be the hospital
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patient’s:
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a. age.
b. financialstatus. tr
c. gender.
d. functional
status.
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CORRECT
CHOICE:-D
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Reasoning:->>>Maintaining the functional status ofolder adults mayavert the onset of physical tr tr tr tr tr tr tr tr tr tr tr tr
frailtyand cognitive impairment, two conditions that increase the likelihood of institutionalization.
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DIFFICULT: Remembering (Knowledge) REF: Page 8
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OBJ: 1-6 TOP:Nursing Process: Planning MSC:
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, PhysiologicIntegrity tr
6. A nursing attendant working withtheolder adult population is most likelyto assess a need for a
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tr financial social service’s referral for a(n): tr tr tr tr tr
a. white male. tr
b. black female. tr
c. Hispanic male. tr
d. AsianAmerican tr
tr female.
ACCURATE
CHOICE:-B
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Reasoning:->>>The povertyrate among older black women is substantially higher than that seen tr tr tr tr tr tr tr tr tr tr tr tr
among males or females ofother ethnic groups. White males had the least poverty.
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DIFFICULT: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Safeand Effective Care Environment
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7. Which of the following statements made by a nursing attendant preparing to complete a health
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assessment and history on an older hospital patient reflects an understanding of the general health
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status of this population?
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a. “I’ll need to document wellregarding the medications thehospital patient iscurrently prescribed.”
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b. “I would like to understand how supportive the hospital patient’s family members are.”
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c. “Most older hospital patients are being treated for a variety of chronic primarycare issues.”
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d. “It willbe interesting to seewhether thishospital patient sees
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herselfas being healthy.”
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CORRECT CHOICE:-D tr
Reasoning:->>>It is a misconception that old age is synonymous with illness and illness. The nursing tr tr tr tr tr tr tr tr tr tr tr tr tr tr
attendant should always determine the hospital patient’s sense of wellness and independence when
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conducting a health and history assessment. An assessment of medication use and family support is
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important for any hospital patient. Manyolder adults do have chronic health conditions, but their
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perception is more important than a single number.
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DIFFICULT: Applying (Application) REF: N/AOBJ: 1-4 tr tr tr tr tr tr
TOP:Nursing Process: Assessment MSC:HealthPromotion
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8. The nursing attendant is caring for an older adult who has been admitted to an acute care hospital for
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treatment of a fractured femur. The family expresses concern about the hospital patient’s pending transfer
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to
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asubacute care facility. What response bythe nursing attendant is best?
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a. “Acute care facilities lack the long-termphysical therapy support your dad requires.”
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b. “Your dad will be much happier ina more serene, private environment.”
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c. “Thesubacute facility will focus onhelping your dad maintain his independence.”
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