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$$$$$$$$$$$$$$$$$$$$$$$@#complete Test Bank for Gerontologic Nursing by Sue Meiner and Jennifer Yeager.
This latest updated test bank includes comprehensive gerontologic nursing exam questions with verified correct
answers for all chapters.
complete Test Bank for Gerontologic Nursing
by Sue Meiner and Jennifer Yeager. This latest
updated test bank includes comprehensive
gerontologic nursing exam questions with
verified correct answers for all chapters.
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1) In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
published. The nurse would use these standards to
A. promote the practice of gerontologic nursing within the acute care setting.
B. define the concepts and dimensions of gerontologic nursing practice.
C. elevate the practice of gerontologic nursing.
D. incorporate the concepts of health promotion, health maintenance,
disease prevention, and self-care
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
2010 incorporates the input of gerontologic nurses from across the United States and
includes comprehensive concepts and dimensions important to those practicing
gerontologic nursing. It was not intended to promote gerontologic nursing practice
within acute care settings, define concepts or dimensions of gerontologic nursing
practice, or elevate the practice of gerontologic nursing.
DIF: Remembering OBJ: 1-1 TOP: N/A
MSC: Safe and Effective Care Environment
2) When attempting to minimize the effect of ageism on the practice of nursing older
adults, a nurse needs to first
A. recognize that nurses must act as advocates for aging patients.
B. accept that this population represents a substantial portion of those
requiring nursing care.
C. self-reflect and formulate one’s personal view of aging and the older patient.
D. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of
the older population as a whole. With nurses being members of a society holding such
views, it is critical that the individual nurse self-reflects on personal feelings and
determines whether such feelings will affect the nursing care that he or she provides to
the aging patient. Acting as an advocate is an important nursing role in all settings.
Simply accepting a fact does not help end ageism, nor does recognizing ageism as a form
of bigotry.
DIF: Applying OBJ: 1-6 TOP: Integrated Process: Teaching-
Learning MSC: Safe and Effective Care Environment
3) 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
A. age.
B. financial status.
C. gender.
D. functional status.
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ANS: D
Maintaining the functional status of older adults (especially those with chronic health
conditions) may avert the onset of physical frailty and cognitive impairment, two
conditions that increase the likelihood of institutionalization.
DIF: Remembering OBJ: 1-4
TOP: Nursing Process: Planning MSC: Physiologic Integrity
4) 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?
A. White male
B. Black female
C. Hispanic male
D. Asian American female
ANS: B
The poverty rate among older women is substantially higher than that seen among men. The
poverty rates for people of color is higher than that of whites.
DIF: Remembering OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
5) 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?
A. “I’ll need to document the medications the patient is currently prescribed.”
B. “I would like to understand how supportive the patient’s family members are.”
C. “Most older patients areNbUeR g ItrN
inS eaG dB
teT fo.r aCvOa r i et y of chronic health care issues.”
D. “It will be interesting to see whether this patient sees herself as being healthy.”
ANS: D
It is a misconception that old age is synonymous with disease and illness. In fact, older
adults already tend to view their personal health positively despite the presence of
chronic illness, disease, and impairment. The nurse should always determine the
patient’s sense of wellness and independence when conducting a health and history
assessment. An assessment of medication use and family support is important for any
patient. Many older adults do have chronic health conditions, but their perception is
more important than a single number.
DIF: Applying OBJ: 1-4 TOP: Nursing Process:
Assessment MSC: Health Promotion and Maintenance
6) 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?
A. “Acute care facilities lack the long-term physical therapy your dad requires.”
B. “Your dad will be much happier in a more serene, private environment.”
C. “The subacute facility will focus on helping your dad to maintain
his independence.”
D. “Insurance, including Medicare, will cover only a limited amount of time here.”
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ANS: C
The transfer of the patient to a subacute facility is based on the need to maintain the
patient’s level of function and independence, a task the acute care facility is not
prepared to address once the patient is physiologically stable. The acute care facility
may or may not be able to provide long-term therapy. The patient may or may not be
happier in the new setting; the nurse should not make this judgment. It is true that
insurance only pays for a limited amount of time in an acute care facility, but this is not
the best reason for the patient to transfer.
DIF: Applying OBJ: 1-4
TOP: Integrated Process: Communication and
Documentation MSC: Health Promotion and Maintenance
7) 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?
A. Evaluates the competency of the UAP staff.
B. Assumes the roles of case manager and patient advocate.
C. Arranges for the needed UAP provided services.
D. Assesses the patient for functional limitations.
ANS: A
As more care traditionally provided by professional nurses is being transferred to UAP,
the nurse must assume more responsibility for educating, training, and evaluating the
competency of UAP staff to provide safe, effective care for the older adult patient.
DIF: Applying OBJ:N1R
U -5SI GNB.CTM O
TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment
8) The nurse working with older adults understands what information about
certification in gerontologic nursing?
A. It is mandatory for those in long-term care settings.
B. It is voluntary and shows clinical expertise in an area.
C. It allows nurses to be paid by third-party payers.
D. It allows nurses to advance their careers in a job.
ANS: B
Certification is voluntary and shows that a nurse has additional knowledge and expertise
in a certain area of practice. It is not mandatory in specific care settings. It does not
allow for third-party reimbursement. It may be part of a career ladder program, but
that is not true of all work settings.
DIF: Remembering OBJ: 1-2
TOP: Integrated Process: Teaching-Learning
MSC: Safe and Effective Care Environment
9) A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
A. Serving as a patient advocate
B. Educating patients about diseases
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