Test Bank for Gerontologic Nursing 6E Meiner.pdf

Test Bank for Gerontologic Nursing 6E M Chapter 01: Overview of Gerontologic Nursing Meiner: Gerontologic Nursing, 6th Edition MULTIPLE CHOICE 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. 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 are being treated for a variety 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