1l 1l 1l 1l 1l 1l 1l
Test Bank - for Toward Healthy Aging: Human Needs and Nursing
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
Response 11th Edition Theris A. Touhy Chapter 1-36 | All
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
Chapters.
1l
,Chapter 01: Gerontological Nursing Across the Continuum of Care
1l 1l 1l 1l 1l 1l 1l 1l
Touhy: Toward Healthy Aging, 11th Edition
1l 1l 1l 1l 1l 1l
MULTIPLE CHOICE 1l
1. When did serious and well-controlled research studies on aging first become available?
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
a. Only in the past 60 years. 1l 1l 1l 1l 1l
b. Since the turn of the 20th century. 1l 1l 1l 1l 1l 1l
c. Following the Great Depression. 1l 1l 1l
d. Since the year 2000. 1l 1l 1l
ACCURATE ANSWER:- 1l
A
REASONING:->>>Only in the past 60 years have serious and carefully controlled research 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
studies flourished. Before that, anecdotal evidence was used to illustrate issues assumed to be
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
universal, making all the remaining options incorrect.
1l 1l 1l 1l 1l 1l 1l
DIF: Cognitive Level: Remembering TOPIC: Integrated Process: 1l 1l 1 l 1l
Teaching/Learning MSC: Patient Needs: Health Promotion and Maintenance
1l 1l 1 l 1l 1l 1l 1l 1l
2. The son of a nursing home resident asks a nursing attendant: ―What is the significance of
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
being certified in gerontology? I see that you are, but not all of the nursing attendants are.‖
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
What response best answers the family member‘s question?
1l 1l 1l 1l 1l 1l 1l 1l
a. ―National certification as a gerontological nursing attendant is a way to 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
demonstrate special knowledge in caring for older adults.‖
1l 1l 1l 1l 1l 1l 1l 1l
b. ―National certification in gerontology is required for all nursing attendants who 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
have worked in this setting for 2 or more years.‖
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
c. ―National certification is only available to nursing attendants who have a 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
Baccalaureate degree in nursing.‖
1l 1l 1l 1l
d. ―Only advanced practice nursing attendants, like nursing attendant
1l 1l 1l 1l 1l 1l 1l
practitioners, are certified in gerontology.‖
1l 1l 1l 1l 1l
ACCURATE ANSWER:- 1l
A
REASONING:->>>National certification is a way to demonstrate special expertise in caring 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
for older adults. It is not required for practice in any setting across the continuum of care, and
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
it is not exclusive to nursing attendants with Baccalaureate degrees. There is both a generalist
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
and a specialist gerontological nursing certification. The generalist functions in a variety of
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
settings providing care to older adults and their families. The specialist has advanced
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
gerontological education at a master‘s level.
1l 1l 1l 1l 1l 1l
DIF: Cognitive Level: Understanding 1l 1l
TOPIC: Integrated Process: Communication and Documentation
1 l 1l 1l 1l 1l
MSC: Patient Needs: Management of Care
1l 1 l 1l 1l 1l 1l
3. The major goal of the NICHE (Nursing attendants Improving Care for Healthsystem
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
Elders) program includes which of the following?
1l 1l 1l 1l 1l 1l 1l
a. Improve outcomes for hospitalized older adults. 1l 1l 1l 1l 1l
b. Increase the number of older adults cared for in hospitals. 1l 1l 1l 1l 1l 1l 1l 1l 1l
, c. Increase the number of iatrogenic complications that occur in hospitalized older
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
adults. 1l
d. Decrease 30-day readmission rates for hospitalized older adults. 1l 1l 1l 1l 1l 1l 1l
ACCURATE ANSWER:-A 1l
REASONING:->>>The goal of NICHE is to improve outcomes for hospitalized older adults. 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
Although option D is a good outcome for hospitalized older adults, it is not one of the major
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
goals of NICHE, which are broader. Options B and C are not goals that would improve care
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
for older adults but would be negative outcomes themselves.
1l 1l 1l 1l 1l 1l 1l 1l 1l
DIF: Cognitive Level: Understanding TOPIC: Integrated Process: 1l 1l 1 l 1l
Teaching/Learning MSC: Patient Needs: Health Promotion and Maintenance
1l 1l 1 l 1l 1l 1l 1l 1l
MULTIPLE RESPONSE 1l
1. What is the impact of the Hospital Readmission Reduction Program (HRRP) on avoidable
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
readmissions? (Choose all that apply.)
1l 1l 1l 1l 1l
a. Readmission rates for the selected conditions have dropped nationwide. 1l 1l 1l 1l 1l 1l 1l 1l
b. Many hospitals have instituted system-wide interventions to prevent readmissions.
1l 1l 1l 1l 1l 1l 1l 1l
c. Hospitals are keeping hospital patients longer to avoid readmissions. 1l 1l 1l 1l 1l 1l 1l 1l
d. Potentially avoidable hospitalizations among nursing home residents is increasing. 1l 1l 1l 1l 1l 1l 1l 1l
e. Hospitals have a financial incentive to develop programs to reduce readmissions.
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
ACCURATE ANSWER:-A, B, E 1l 1l 1l
REASONING:->>>The Hospital Readmission Reduction Program (HRRP) was established 1l 1l 1l 1l 1l 1l 1l
as a provision in the Affordable Care Act (ACA) requiring Medicare to reduce payments to
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
hospitals with relatively high readmission rates for selected conditions for hospital patients in
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
traditional Medicare. Since the HRRP, readmission rates for the selected conditions have
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
dropped nationwide but estimates are that in 2018, about 80% of hospitals evaluated by CMS
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
will face penalties totaling $564 million (Advisory Board, 2017). Additionally, the HRRP
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
has been the impetus for many hospitals to institute system-wide interventions to prevent
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
readmissions that have also contributed to the decline in readmission rates. The rate of
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
potentially avoidable hospitalizations among SNF residents has fallen by nearly a third in
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
recent years as a result of many quality improvement initiatives.
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
DIF: Cognitive Level: Understanding TOPIC: Integrated Process: 1l 1l 1 l 1l
Teaching/Learning MSC: Patient Needs: Health Promotion and Maintenance
1l 1l 1 l 1l 1l 1l 1l 1l
2. Which of the following are true statements about the current health care workforce? (Choose
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
1l all that apply.)
1l 1l
a. Approximately 10% of registered nursing attendants (RNs) are certified in 1l 1l 1l 1l 1l 1l 1l 1l 1l
1l gerontological nursing. 1l
b. The number of geriatricians is expected to increase about 50% over the next 25
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
1l years.
c. The professions of social work, physical therapy, and psychiatry are demonstrating
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
the same trends as nursing.
1l 1l 1l 1l 1l
d. The world‘s older population is expected to grow to at least 1.3 billion in the next
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
20 years.1l 1l
e. It is anticipated that there will be a need for approximately 3million additional
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
direct care and professional health care workers by the year 2030.
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
ACCURATE ANSWER:-C, D, E 1l 1l 1l
, REASONING:->>>Less than 1% of RNs are certified in gerontological nursing. Geriatric 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
medicine faces similar challenges with about 7000 prepared geriatricians, 1 for every 2546
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
older Americans; and this number is falling with the trend predicted to be less than 5000 by
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
2040 (IOM, 2008). By 2040 the number of older adults in the world will be at least 1.3
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
billion. Other professions such as social work, physical therapy, and psychiatry have similar
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
shortages. It is estimated that by 2030 nearly 3 million additional health care professionals
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
and direct care workers will be needed to meet the care needs of a growing older adult
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
population. Healthy People 2030 has addressed this concern..
1l 1l 1l 1l 1l 1l 1l 1l
DIF: Cognitive Level: Understanding TOPIC: Integrated Process: 1l 1l 1 l 1l
Teaching/Learning MSC: Patient Needs: Health Promotion and Maintenance
1l 1l 1 l 1l 1l 1l 1l 1l
3. Best practice recommendations for nursing education in relation to gerontology include which
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
1l of the following? (Choose all that apply.)
1l 1l 1l 1l 1l 1l
a. Provision of a ―stand-alone‖ course in gerontological nursing 1l 1l 1l 1l 1l 1l 1l
b. Integration of gerontological content throughout the curriculum 1l 1l 1l 1l 1l 1l
c. Replacement of acute care pediatric clinical experiences with gerontological 1l 1l 1l 1l 1l 1l 1l 1l
1l clinical experiences 1l
d. Recruitment of nursing attendants with Master and Doctoral degrees and a 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
1l specialty in gerontology to faculty roles 1l 1l 1l 1l 1l
e. Requiring all undergraduate nursing students to obtain gerontological certification
1l 1l 1l 1l 1l 1l 1l 1l
1l as a requirement for graduation
1l 1l 1l 1l
ACCURATE ANSWER:-A, B, D 1l 1l 1l
REASONING:->>>Best practices include providing a stand-alone gerontological nursing 1l 1l 1l 1l 1l 1l 1l
course as well as integrating gerontology throughout the curriculum. Recruitment of nursing
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
attendants with a specialty in gerontology and a Master or Doctoral degree to faculty roles is a
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
critical step in making sure that the next generation of nursing attendants is prepared to care
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
for older adults. Best practices do not recommend removing pediatric clinical experiences
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
and replacing them with gerontological experiences. Nursing certification is only available to
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
practicing nursing attendants who meet specific education and practice requirements. It is not
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
applicable to nursing students.
1l 1l 1l 1l
DIF: Cognitive Level: Understanding TOPIC: Integrated Process: 1l 1l 1 l 1l
Teaching/Learning MSC: Patient Needs: Health Promotion and Maintenance
1l 1l 1 l 1l 1l 1l 1l 1l
4. What are the current initiatives being implemented to enhance the specialty of gerontological
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
1l nursing? (Choose all that apply.) 1l 1l 1l 1l
a. Mandating of a minimum of a Baccalaureate degree in nursing in order to care for 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
older adults
1l 1l
b. Geriatric Nursing Leadership Academy (GNLA) project 1l 1l 1l 1l 1l
c. Promotion of geriatric nursing to excellence to the nursing community1l 1l 1l 1l 1l 1l 1l 1l 1l
d. Requiring a nursing certification specifically required to long-term care
1l 1l 1l 1l 1l 1l 1l 1l
e. Offering scholarships for study and research in geriatric nursing
1l 1l 1l 1l 1l 1l 1l 1l
ACCURATE ANSWER:-B, C, E 1l 1l 1l
Test Bank - for Toward Healthy Aging: Human Needs and Nursing
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
Response 11th Edition Theris A. Touhy Chapter 1-36 | All
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
Chapters.
1l
,Chapter 01: Gerontological Nursing Across the Continuum of Care
1l 1l 1l 1l 1l 1l 1l 1l
Touhy: Toward Healthy Aging, 11th Edition
1l 1l 1l 1l 1l 1l
MULTIPLE CHOICE 1l
1. When did serious and well-controlled research studies on aging first become available?
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
a. Only in the past 60 years. 1l 1l 1l 1l 1l
b. Since the turn of the 20th century. 1l 1l 1l 1l 1l 1l
c. Following the Great Depression. 1l 1l 1l
d. Since the year 2000. 1l 1l 1l
ACCURATE ANSWER:- 1l
A
REASONING:->>>Only in the past 60 years have serious and carefully controlled research 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
studies flourished. Before that, anecdotal evidence was used to illustrate issues assumed to be
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
universal, making all the remaining options incorrect.
1l 1l 1l 1l 1l 1l 1l
DIF: Cognitive Level: Remembering TOPIC: Integrated Process: 1l 1l 1 l 1l
Teaching/Learning MSC: Patient Needs: Health Promotion and Maintenance
1l 1l 1 l 1l 1l 1l 1l 1l
2. The son of a nursing home resident asks a nursing attendant: ―What is the significance of
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
being certified in gerontology? I see that you are, but not all of the nursing attendants are.‖
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
What response best answers the family member‘s question?
1l 1l 1l 1l 1l 1l 1l 1l
a. ―National certification as a gerontological nursing attendant is a way to 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
demonstrate special knowledge in caring for older adults.‖
1l 1l 1l 1l 1l 1l 1l 1l
b. ―National certification in gerontology is required for all nursing attendants who 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
have worked in this setting for 2 or more years.‖
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
c. ―National certification is only available to nursing attendants who have a 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
Baccalaureate degree in nursing.‖
1l 1l 1l 1l
d. ―Only advanced practice nursing attendants, like nursing attendant
1l 1l 1l 1l 1l 1l 1l
practitioners, are certified in gerontology.‖
1l 1l 1l 1l 1l
ACCURATE ANSWER:- 1l
A
REASONING:->>>National certification is a way to demonstrate special expertise in caring 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
for older adults. It is not required for practice in any setting across the continuum of care, and
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
it is not exclusive to nursing attendants with Baccalaureate degrees. There is both a generalist
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
and a specialist gerontological nursing certification. The generalist functions in a variety of
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
settings providing care to older adults and their families. The specialist has advanced
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
gerontological education at a master‘s level.
1l 1l 1l 1l 1l 1l
DIF: Cognitive Level: Understanding 1l 1l
TOPIC: Integrated Process: Communication and Documentation
1 l 1l 1l 1l 1l
MSC: Patient Needs: Management of Care
1l 1 l 1l 1l 1l 1l
3. The major goal of the NICHE (Nursing attendants Improving Care for Healthsystem
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
Elders) program includes which of the following?
1l 1l 1l 1l 1l 1l 1l
a. Improve outcomes for hospitalized older adults. 1l 1l 1l 1l 1l
b. Increase the number of older adults cared for in hospitals. 1l 1l 1l 1l 1l 1l 1l 1l 1l
, c. Increase the number of iatrogenic complications that occur in hospitalized older
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
adults. 1l
d. Decrease 30-day readmission rates for hospitalized older adults. 1l 1l 1l 1l 1l 1l 1l
ACCURATE ANSWER:-A 1l
REASONING:->>>The goal of NICHE is to improve outcomes for hospitalized older adults. 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
Although option D is a good outcome for hospitalized older adults, it is not one of the major
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
goals of NICHE, which are broader. Options B and C are not goals that would improve care
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
for older adults but would be negative outcomes themselves.
1l 1l 1l 1l 1l 1l 1l 1l 1l
DIF: Cognitive Level: Understanding TOPIC: Integrated Process: 1l 1l 1 l 1l
Teaching/Learning MSC: Patient Needs: Health Promotion and Maintenance
1l 1l 1 l 1l 1l 1l 1l 1l
MULTIPLE RESPONSE 1l
1. What is the impact of the Hospital Readmission Reduction Program (HRRP) on avoidable
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
readmissions? (Choose all that apply.)
1l 1l 1l 1l 1l
a. Readmission rates for the selected conditions have dropped nationwide. 1l 1l 1l 1l 1l 1l 1l 1l
b. Many hospitals have instituted system-wide interventions to prevent readmissions.
1l 1l 1l 1l 1l 1l 1l 1l
c. Hospitals are keeping hospital patients longer to avoid readmissions. 1l 1l 1l 1l 1l 1l 1l 1l
d. Potentially avoidable hospitalizations among nursing home residents is increasing. 1l 1l 1l 1l 1l 1l 1l 1l
e. Hospitals have a financial incentive to develop programs to reduce readmissions.
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
ACCURATE ANSWER:-A, B, E 1l 1l 1l
REASONING:->>>The Hospital Readmission Reduction Program (HRRP) was established 1l 1l 1l 1l 1l 1l 1l
as a provision in the Affordable Care Act (ACA) requiring Medicare to reduce payments to
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
hospitals with relatively high readmission rates for selected conditions for hospital patients in
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
traditional Medicare. Since the HRRP, readmission rates for the selected conditions have
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
dropped nationwide but estimates are that in 2018, about 80% of hospitals evaluated by CMS
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
will face penalties totaling $564 million (Advisory Board, 2017). Additionally, the HRRP
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
has been the impetus for many hospitals to institute system-wide interventions to prevent
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
readmissions that have also contributed to the decline in readmission rates. The rate of
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
potentially avoidable hospitalizations among SNF residents has fallen by nearly a third in
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
recent years as a result of many quality improvement initiatives.
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
DIF: Cognitive Level: Understanding TOPIC: Integrated Process: 1l 1l 1 l 1l
Teaching/Learning MSC: Patient Needs: Health Promotion and Maintenance
1l 1l 1 l 1l 1l 1l 1l 1l
2. Which of the following are true statements about the current health care workforce? (Choose
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
1l all that apply.)
1l 1l
a. Approximately 10% of registered nursing attendants (RNs) are certified in 1l 1l 1l 1l 1l 1l 1l 1l 1l
1l gerontological nursing. 1l
b. The number of geriatricians is expected to increase about 50% over the next 25
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
1l years.
c. The professions of social work, physical therapy, and psychiatry are demonstrating
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
the same trends as nursing.
1l 1l 1l 1l 1l
d. The world‘s older population is expected to grow to at least 1.3 billion in the next
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
20 years.1l 1l
e. It is anticipated that there will be a need for approximately 3million additional
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
direct care and professional health care workers by the year 2030.
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
ACCURATE ANSWER:-C, D, E 1l 1l 1l
, REASONING:->>>Less than 1% of RNs are certified in gerontological nursing. Geriatric 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
medicine faces similar challenges with about 7000 prepared geriatricians, 1 for every 2546
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
older Americans; and this number is falling with the trend predicted to be less than 5000 by
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
2040 (IOM, 2008). By 2040 the number of older adults in the world will be at least 1.3
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
billion. Other professions such as social work, physical therapy, and psychiatry have similar
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
shortages. It is estimated that by 2030 nearly 3 million additional health care professionals
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
and direct care workers will be needed to meet the care needs of a growing older adult
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
population. Healthy People 2030 has addressed this concern..
1l 1l 1l 1l 1l 1l 1l 1l
DIF: Cognitive Level: Understanding TOPIC: Integrated Process: 1l 1l 1 l 1l
Teaching/Learning MSC: Patient Needs: Health Promotion and Maintenance
1l 1l 1 l 1l 1l 1l 1l 1l
3. Best practice recommendations for nursing education in relation to gerontology include which
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
1l of the following? (Choose all that apply.)
1l 1l 1l 1l 1l 1l
a. Provision of a ―stand-alone‖ course in gerontological nursing 1l 1l 1l 1l 1l 1l 1l
b. Integration of gerontological content throughout the curriculum 1l 1l 1l 1l 1l 1l
c. Replacement of acute care pediatric clinical experiences with gerontological 1l 1l 1l 1l 1l 1l 1l 1l
1l clinical experiences 1l
d. Recruitment of nursing attendants with Master and Doctoral degrees and a 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
1l specialty in gerontology to faculty roles 1l 1l 1l 1l 1l
e. Requiring all undergraduate nursing students to obtain gerontological certification
1l 1l 1l 1l 1l 1l 1l 1l
1l as a requirement for graduation
1l 1l 1l 1l
ACCURATE ANSWER:-A, B, D 1l 1l 1l
REASONING:->>>Best practices include providing a stand-alone gerontological nursing 1l 1l 1l 1l 1l 1l 1l
course as well as integrating gerontology throughout the curriculum. Recruitment of nursing
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
attendants with a specialty in gerontology and a Master or Doctoral degree to faculty roles is a
1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
critical step in making sure that the next generation of nursing attendants is prepared to care
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for older adults. Best practices do not recommend removing pediatric clinical experiences
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and replacing them with gerontological experiences. Nursing certification is only available to
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practicing nursing attendants who meet specific education and practice requirements. It is not
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applicable to nursing students.
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DIF: Cognitive Level: Understanding TOPIC: Integrated Process: 1l 1l 1 l 1l
Teaching/Learning MSC: Patient Needs: Health Promotion and Maintenance
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4. What are the current initiatives being implemented to enhance the specialty of gerontological
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1l nursing? (Choose all that apply.) 1l 1l 1l 1l
a. Mandating of a minimum of a Baccalaureate degree in nursing in order to care for 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l 1l
older adults
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b. Geriatric Nursing Leadership Academy (GNLA) project 1l 1l 1l 1l 1l
c. Promotion of geriatric nursing to excellence to the nursing community1l 1l 1l 1l 1l 1l 1l 1l 1l
d. Requiring a nursing certification specifically required to long-term care
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e. Offering scholarships for study and research in geriatric nursing
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ACCURATE ANSWER:-B, C, E 1l 1l 1l
