Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 2nd Canadian Edition

Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 2nd Canadian Edition 1. Which of the following statements best identifies gerontological nursing? a. Nurses have only recently become involved in the care of the older person. b. Gerontological care, while important, is the smallest specialty group within the Canadian Nurses Association (CNA). c. The purposes of gerontological nursing include promotion of health and support for maximal function. d. Canadian Nurses Association certification is available only for gerontological nurses in research positions. ANS: C Feedback A Incorrect. Nurses have always cared for older-person patients. B Incorrect. Gerontological care is the largest specialty group within the Canadian Nurses Association. C Correct. Promoting health and fostering independence are purposes of the practice, as reflected, for example, in the Canadian Gerontological Nursing Association’s Standards of Practice. D Incorrect. The CNA certification program includes a variety of positions, such as nurse practitioners, clinical specialists, researchers, and administra tors. DIF: Knowledge REF: 17-18 OBJ: 1 TOP: NCLEX: Health Promotion and Maintenance 2. Which one of the following Canadian Gerontological Nursing Association Standards of Practice recognizes that certain behaviours are not necessarily related to pathology, but instead may be related to the circumstances within the physical or social environment surrounding older persons? a. Physiological health b. Relationship care c. Responsive care d. Health system ANS: C Feedback A Incorrect. Physiological health assists clients to maintain homeostatic regulation through assessment and management of physiological care to minimize adverse events associated with medications, diagnostic or therapeutic procedures, health care–associated infections, or environmental stressors. B Incorrect. Relationship care occurs when gerontological nurses develop and preserve therapeutic relationship care. C Correct. The responsive care approach recognizes that certain behaviours are not necessarily related solely to pathology, but instead may be related to circumstances within the physical or social environment surrounding well older persons and those with dementia, and may be an expression of unmet need. D Incorrect. Health system focuses on the economic and political influences that provide or facilitate care that supports access to and benefit from the health care delivery system. DIF: Knowledge REF: 16 (Box 2-5) OBJ: 2 TOP: NCLEX: Health Promotion and Maintenance 3. Which of the following is an accurate statement regarding gerontological nursing education? a. Gerontological nursing content has long been integrated into the curriculum of the typical school of nursing. b. Undergraduate nursing programs cover gerontological nursing extensively in dedicated courses, comparable to the coverage of psychiatric nursing. c. Issues most lacking in gerontological nursing education include faculty not being supportive and students lacking interest in this area of nursing. d. Accreditation of a nursing program guarantees that appropriate amounts of gerontological nursing content are included in the curriculum. ANS: C Feedback A Incorrect. Only recently has gerontological nursing content begun to appear in nursing school curricula. B Incorrect. Most nursing schools still do not have courses dedicated to gerontological nursing. C Correct. The most evident issues that are most lacking in gerontological nursing education are lack of expertise in nursing faculty, nonsupportive nursing faculty, the belief that gerontological nursing content is integrated throughout the nursing program, and students’ lack of interest in this area of nursing. D Incorrect. At present, there are no minimum requirements for coverage of care of older persons. DIF: Knowledge REF: 19-20 OBJ: 6 TOP: NCLEX: Health Promotion and Maintenance 4. What was the first formal action taken by the Canadian Gerontological Nursing Association (CGNA) in relation to gerontological nursing? a. The CGNA established the first provincial gerontological nursing association. b. The CGNA established gerontological nursing standards. c. The CGNA created the Canadian Association of Older Adults. d. The CGNA formed the Canadian Association of Gerontology. ANS: B Feedback A Incorrect. In Canada, the first provincial gerontological nursing association was formed in Ontario in 1974, prior to the establishment of the CGNA in 1983. B Correct. In 1987, gerontological nursing standards were established by the CGNA. C Incorrect. The Canadian Association of Older Adults does not exist. D Incorrect. The Canadian Association of Gerontology was founded in 1971, 14 years before the Canadian Gerontological Nursing Association (CGNA) was founded. DIF: Knowledge REF: 14 OBJ: 2 TOP: NCLEX: Health Promotion and Maintenance