Test Bank For Gerontologic Nursing
5th Edition By Meiner
, Table Of Contents
Chapter 01: Overview Of Gerontologic Nursing ...................................................................................................................... 3
Chapter 02: Theories Of Aging ................................................................................................................................................. 9
Chapter 03: Legal And Ethical Issues ..................................................................................................................................... 15
Chapter 04: Gerontologic Assessment .................................................................................................................................... 21
Chapter 05: Cultural Influences .............................................................................................................................................. 28
Chapter 06: Family Influences ................................................................................................................................................ 34
Chapter 07: Socioeconomic And Environmental Influences .................................................................................................. 40
Chapter 08: Health Promotion And Illness/Disability Prevention........................................................................................... 48
Chapter 09: Nutrition .............................................................................................................................................................. 56
Chapter 10:Sleep And Activity ............................................................................................................................................... 61
Chapter 11: Safety................................................................................................................................................................... 63
Chapter 12: Sexuality And Aging ........................................................................................................................................... 71
Chapter 13: Pain ...................................................................................................................................................................... 79
Chapter 14: Infection And Inflammation ................................................................................................................................ 87
Chapter 15: Laboratory And Diagnostic Tests ........................................................................................................................ 95
Chapter 16: Drugs And Aging .............................................................................................................................................. 103
Chapter 17: Integumentary Function..................................................................................................................................... 112
Chapter 18: Sensory Function ............................................................................................................................................... 119
Chapter 19: Cardiovascular Function.................................................................................................................................... 127
Chapter 20: Respiratory Function ........................................................................................................................................ 135
Chapter 21: Gastrointestinal Function................................................................................................................................... 144
Chapter 22: Urinary Function ............................................................................................................................................... 152
Chapter 23: Musculoskeletal Function.................................................................................................................................. 160
Chapter 24: Cognitive And Neurologic Function ................................................................................................................. 168
Chapter 25: Endocrine Function ........................................................................................................................................... 176
Chapter 26: Health Care Delivery Settings And Older Adults .............................................................................................. 184
Chapter 28: Cancer ............................................................................................................................................................... 192
Chapter 29: Loss And End-Of-Life Issues ............................................................................................................................ 201
,Chapter 01: Overview Of Gerontologic Nursing
Meiner: Gerontologic Nursing, 5th 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 Suggested Interventions From Others Who Practice Gerontologic
Nursing. ANSWER: 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. 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 (Knowledge) Ref: Page 2 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. ANSWER: 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-
Reflect On Personal Feelings And Determine 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 (Application) Ref: N/A Obj: 1-9
Top: Teaching-Learning Msc: Safe And Effective Care Environment
3. When Discussing Factors That Have Helped To Increase The Number Of Healthy, Independent Older Americans,
The Nurse Includes The Importance Of:
a. Increased Availability Of In-Home Care Services.
b. Government Support Of Retired Citizens.
c. Effective Antibiotic Therapies.
d. The Development Of Life-Extending
Therapies. ANSWER: C
The Health And Ultimate Autonomy Of Older Americans Has Been Positively Impacted By The Development Of Antibiotics,
Better Sanitation, And Vaccines. These Public Health Measures Have Been More Instrumental In Increasing The Numbers Of
Healthy, Independent Older Americans Than Have In-Home Care Services, Government Programs, Or Life-Extending Therapies.
Dif: Remembering (Knowledge) Ref: Page 2 Obj: 3-3
Top: Nursing Process: Implementation Msc: Health Promotion And Maintenance
4. Based On Current Data, When Presenting An Older Adult’s Discharge Teaching Plan, The Nurse Includes The Patient’s:
a. Nonrelated Caretaker.
b. Paid Caregiver.
c. Family Member.
d. Intuitional Representative.
, ANSWER: C
Less Than 4% Of Older Adults Live In A Formal Health Care Environment. The Majority Of The Geriatric Population Lives
At Home Or With Family Members.
Dif: Applying (Application) Ref: N/A Obj: 3-3
Top: Nursing Process: Planning Msc: Safe And Effective Care Environment
5. 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. ANSWER:
D
Maintaining The Functional Status Of Older Adults May Avert The Onset Of Physical Frailty And Cognitive Impairment,
Two Conditions That Increase The Likelihood Of Institutionalization.
Dif: Remembering (Knowledge) Ref: Page 8 Obj: 1-6 Top:
Nursing Process: Planning Msc: Physiologic Integrity
6. A Nurse Working With The Older Adult Population Is Most Likely To Assess A Need For A Financial Social Service’s
Referral For A(N):
a. White Male.
b. Black Female.
c. Hispanic Male.
d. Asian American
Female. ANSWER: B
The Poverty Rate Among Older Black Women Is Substantially Higher Than That Seen Among Males Or Females Of Other
Ethnic Groups. White Males Had The Least Poverty.
Dif: Applying (Application) Ref: N/A Obj: 1-4
Top: Nursing Process: Assessment Msc: Safe And Effective Care Environment
7. Which Of The Following Statements Made By A Nurse Preparing To Complete A Health Assessment And History
On An Older Patient Reflects An Understanding Of The General Health Status Of This Population?
a. “I’ll Need To Document Well Regarding 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.” ANSWER: D
It Is A Misconception That Old Age Is Synonymous With Disease And Illness. 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 (Application) Ref: N/A Obj: 1-4
Top: Nursing Process: Assessment Msc: Health Promotion
8. 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 The Patient’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 Support 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 Maintain His Independence.”
5th Edition By Meiner
, Table Of Contents
Chapter 01: Overview Of Gerontologic Nursing ...................................................................................................................... 3
Chapter 02: Theories Of Aging ................................................................................................................................................. 9
Chapter 03: Legal And Ethical Issues ..................................................................................................................................... 15
Chapter 04: Gerontologic Assessment .................................................................................................................................... 21
Chapter 05: Cultural Influences .............................................................................................................................................. 28
Chapter 06: Family Influences ................................................................................................................................................ 34
Chapter 07: Socioeconomic And Environmental Influences .................................................................................................. 40
Chapter 08: Health Promotion And Illness/Disability Prevention........................................................................................... 48
Chapter 09: Nutrition .............................................................................................................................................................. 56
Chapter 10:Sleep And Activity ............................................................................................................................................... 61
Chapter 11: Safety................................................................................................................................................................... 63
Chapter 12: Sexuality And Aging ........................................................................................................................................... 71
Chapter 13: Pain ...................................................................................................................................................................... 79
Chapter 14: Infection And Inflammation ................................................................................................................................ 87
Chapter 15: Laboratory And Diagnostic Tests ........................................................................................................................ 95
Chapter 16: Drugs And Aging .............................................................................................................................................. 103
Chapter 17: Integumentary Function..................................................................................................................................... 112
Chapter 18: Sensory Function ............................................................................................................................................... 119
Chapter 19: Cardiovascular Function.................................................................................................................................... 127
Chapter 20: Respiratory Function ........................................................................................................................................ 135
Chapter 21: Gastrointestinal Function................................................................................................................................... 144
Chapter 22: Urinary Function ............................................................................................................................................... 152
Chapter 23: Musculoskeletal Function.................................................................................................................................. 160
Chapter 24: Cognitive And Neurologic Function ................................................................................................................. 168
Chapter 25: Endocrine Function ........................................................................................................................................... 176
Chapter 26: Health Care Delivery Settings And Older Adults .............................................................................................. 184
Chapter 28: Cancer ............................................................................................................................................................... 192
Chapter 29: Loss And End-Of-Life Issues ............................................................................................................................ 201
,Chapter 01: Overview Of Gerontologic Nursing
Meiner: Gerontologic Nursing, 5th 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 Suggested Interventions From Others Who Practice Gerontologic
Nursing. ANSWER: 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. 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 (Knowledge) Ref: Page 2 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. ANSWER: 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-
Reflect On Personal Feelings And Determine 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 (Application) Ref: N/A Obj: 1-9
Top: Teaching-Learning Msc: Safe And Effective Care Environment
3. When Discussing Factors That Have Helped To Increase The Number Of Healthy, Independent Older Americans,
The Nurse Includes The Importance Of:
a. Increased Availability Of In-Home Care Services.
b. Government Support Of Retired Citizens.
c. Effective Antibiotic Therapies.
d. The Development Of Life-Extending
Therapies. ANSWER: C
The Health And Ultimate Autonomy Of Older Americans Has Been Positively Impacted By The Development Of Antibiotics,
Better Sanitation, And Vaccines. These Public Health Measures Have Been More Instrumental In Increasing The Numbers Of
Healthy, Independent Older Americans Than Have In-Home Care Services, Government Programs, Or Life-Extending Therapies.
Dif: Remembering (Knowledge) Ref: Page 2 Obj: 3-3
Top: Nursing Process: Implementation Msc: Health Promotion And Maintenance
4. Based On Current Data, When Presenting An Older Adult’s Discharge Teaching Plan, The Nurse Includes The Patient’s:
a. Nonrelated Caretaker.
b. Paid Caregiver.
c. Family Member.
d. Intuitional Representative.
, ANSWER: C
Less Than 4% Of Older Adults Live In A Formal Health Care Environment. The Majority Of The Geriatric Population Lives
At Home Or With Family Members.
Dif: Applying (Application) Ref: N/A Obj: 3-3
Top: Nursing Process: Planning Msc: Safe And Effective Care Environment
5. 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. ANSWER:
D
Maintaining The Functional Status Of Older Adults May Avert The Onset Of Physical Frailty And Cognitive Impairment,
Two Conditions That Increase The Likelihood Of Institutionalization.
Dif: Remembering (Knowledge) Ref: Page 8 Obj: 1-6 Top:
Nursing Process: Planning Msc: Physiologic Integrity
6. A Nurse Working With The Older Adult Population Is Most Likely To Assess A Need For A Financial Social Service’s
Referral For A(N):
a. White Male.
b. Black Female.
c. Hispanic Male.
d. Asian American
Female. ANSWER: B
The Poverty Rate Among Older Black Women Is Substantially Higher Than That Seen Among Males Or Females Of Other
Ethnic Groups. White Males Had The Least Poverty.
Dif: Applying (Application) Ref: N/A Obj: 1-4
Top: Nursing Process: Assessment Msc: Safe And Effective Care Environment
7. Which Of The Following Statements Made By A Nurse Preparing To Complete A Health Assessment And History
On An Older Patient Reflects An Understanding Of The General Health Status Of This Population?
a. “I’ll Need To Document Well Regarding 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.” ANSWER: D
It Is A Misconception That Old Age Is Synonymous With Disease And Illness. 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 (Application) Ref: N/A Obj: 1-4
Top: Nursing Process: Assessment Msc: Health Promotion
8. 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 The Patient’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 Support 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 Maintain His Independence.”
