TESTBANK
e
,Chapter 01: Overview of Gerontologic
e e e e
eNursing Meiner: Gerontologic Nursing,
e e e
e5th Edition
e
MULTIPLE CHOICE e
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice
e e e e e e e e e e
ewas published. The nurse would use these standards to:
e e e e e e e e
a. promote the practice of gerontologic nursing within the acute care setting.
e e e e e e e e e e
b. define the concepts and dimensions of gerontologic nursing practice.
e e e e e e e e
c. elevate the practice of gerontologic nursing. e e e e e
d. incorporate suggested interventions from others who practice gerontologic nursing. e e e e e e e e
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing
e e e e e e e e e e
Practice in 2010 incorporates the input of gerontologic nurses from across the
e e e e e e e e e e e e
United States. It was not intended to promote gerontologic nursing practice
e e e e e e e e e e e
ewithin
acute care settings, define concepts or dimensions of gerontologic nursing practice, or
e e e e e e e e e e e
elevate the practice of gerontologic nursing.
e e e e e e
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1- e e
1 TOP: N/A
e MSC: Safe and Effective Care Environment e e e e
2. When attempting to minimize the effect of ageism on the practice of nursing
e e e e e e e e e e e e
eolder adults, a nurse needs to first:
e e e e e e
a. recognize that nurses must act as advocates for aging patients. e e e e e e e e e
b. accept that this population represents a substantial portion of
e e e e e e e e
those requiring nursing care.
e e e e
c. self-reflect and formulate one‟s personal view of aging and the older patient. e e e e e e e e e e e
d. recognize ageism as a form of bigotry shared by many Americans. e e e e e e e e e e
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging
e e e e e e e e e e e
process and of the older population as a whole. With nurses being members of a
e e e e e e e e e e e e e e e
society holding such views, it is critical that the individual nurse self-reflect on
e e e e e e e e e e e e e
personal feelings and determine whether such feelings will affect the nursing care
e e e e e e e e e e e e
that he or she provides to the aging patient. Acting as an advocate is an
e e e e e e e e e e e e e e e
important nursing role in all settings.
e e e e e e
Simply accepting a fact does not help end ageism, nor does recognizing ageism as
e e e e e e e e e e e e e
a form of bigotry.
e e e e
DIF: Applying (Application) e REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care e e
Environment e
3. When discussing factors that have helped to increase the number of
e e e e e e e e e e
ehealthy, independent older Americans, the nurse includes the importance
e e e e e e e e
eof:
a. increased availability of in-home care services. e e e e e
b. government support of retired citizens. e e e e
c. effective antibiotic therapies. e e
d. the development of life-extending therapies.
e e e e
ANS: C
, The health and ultimate autonomy of older Americans has been positively impacted
e e e e e e e e e e e
eby the development of antibiotics, better sanitation, and vaccines. These public
e e e e e e e e e e
ehealth measures have been more instrumental in increasing the numbers of healthy,
e e e e e e e e e e e
eindependent older Americans than have in-home care services, government
e e e e e e e e
eprograms, or life-extending therapies. e e e
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 e e
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
e e e e e e
4. Based on current data, when presenting an older adult‟s discharge teaching
e e e e e e e e e e
e plan, the nurse includes the patient‟s:
e e e e e
a. nonrelated caretaker. e
b. paid caregiver. e
c. family member. e
d. intuitional representative. e
ANS: C
Less than 4% of older adults live in a formal health care environment. The
e e e e e e e e e e e e e
emajority of the geriatric population lives at home or with family members.
e e e e e e e e e e e
DIF: Applying (Application) e REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning e e MSC: Safe and Effective Care Environment
e e e e
5. The nurse planning care for an older adult who has recently been diagnosed with
e e e e e e e e e e e e e
erheumatoid arthritis views the priority criterion for continued independence to be
e e e e e e e e e e
e the patient‟s:
e
a. age.
b. financial status. e
c. gender.
d. functional status. e
ANS: D
Maintaining the functional status of older adults may avert the onset of physical
e e e e e e e e e e e e
e frailty and cognitive impairment, two conditions that increase the likelihood of
e e e e e e e e e e
einstitutionalization.
DIF: Remembering (Knowledge) e REF: Page 8 OBJ: 1- e
6 TOP: Nursing Process: Planning
e e e MSC: Physiologic Integrity e
6. A nurse working with the older adult population is most likely to assess a need
e e e e e e e e e e e e e e
e for a financial social service‟s referral for a(n):
e e e e e e e
a. white male. e
b. black female. e
c. Hispanic male. e
d. Asian American female. e e
ANS: B
The poverty rate among older black women is substantially higher than that seen
e e e e e e e e e e e e
eamong males or females of other ethnic groups. White males had the least
e e e e e e e e e e e e
e poverty.
DIF: Applying (Application) e REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment e e MSC: Safe and Effective Care Environment
e e e e
, 7. Which of the following statements made by a nurse preparing to complete a
e e e e e e e e e e e e
health assessment and history on an older patient reflects an understanding of
e e e e e e e e e e e e
the general health status of this population?
e e e e e e e
a. “I‟ll need to document well regarding the medications the patient
e e e e e e e e e
is currently prescribed.”
e e e
b. “I would like to understand how supportive the patient‟s family members are.”
e e e e e e e e e e e
c. “Most older patients are being treated for a variety of chronic health care
e e e e e e e e e e e e
issues.” e
d. “It will be interesting to see whether this patient sees herself as being healthy.”
e e e e e e e e e e e e e
ANS: D
It is a misconception that old age is synonymous with disease and illness. The
e e e e e e e e e e e e e
nurse should always determine the patient‟s sense of wellness and independence
e e e e e e e e e e e
when conducting a health and history assessment. An assessment of medication
e e e e e e e e e e e
use and family support is important for any patient. Many older adults do have
e e e e e e e e e e e e e e
chronic health conditions, but their perception is more important than a single
e e e e e e e e e e e e
number.
e
DIF: Applying (Application) REF: N/A OBJ: e 1-
4 TOP: Nursing Process: Assessment MSC: Health Promotion
e e e e
8. The nurse is caring for an older adult who has been admitted to an acute care
e e e e e e e e e e e e e e e
hospital for treatment of a fractured femur. The family expresses concern
e e e e e e e e e e e
about the patient‟s pending transfer to a subacute care facility. What response
e e e e e e e e e e e e
by the nurse is best?
e e e e e
a. “Acute care facilities lack the long-term physical therapy e e e e e e e
support your dad requires.”
e e e e
b. “Your dad will be much happier in a more serene, private environment.”
e e e e e e e e e e e
c. “The subacute facility will focus on helping your dad maintain his
e e e e e e e e e e
independence.” e
d. “Insurance, including Medicare, will cover only a limited amount of time here.” e e e e e e e e e e e
ANS: C
The transfer of the patient to a subacute facility is based on the need to
e e e e e e e e e e e e e e
maintain the patient‟s level of function and independence, a task the acute care
e e e e e e e e e e e e e
facility is not prepared to address once the patient is physiologically stable.
e e e e e e e e e e e e
The patient may or may not be happier in the new setting; the nurse
e e e e e e e e e e e e e e
should not make this judgment. It
e e e e e e
is true that insurance only pays for a limited amount of time in an acute care
e e e e e e e e e e e e e e e
facility, but this is not the best reason for the patient to transfer.
e e e e e e e e e e e e e
DIF: Applying (Application) REF: e N/A OBJ: 1-
6 TOP: Communication and
e e
eDocumentation MSC: Health Promotion and e e e
eMaintenance
9. To best assure both the quality of care and the safety of the older adult patient
e e e e e e e e e e e e e e e
who requires in- home unlicensed assistive personal (UAP) assistance, the geriatric
e e e e e e e e e e e
nurse:
e
a. evaluates the competency of the UAP staff. e e e e e e
b. assumes the roles of case manager and patient advocate. e e e e e e e e
c. arranges for the needed UAP provided services. e e e e e e
d. assesses the patient for functional limitations. e e e e e
ANS: A
As more care traditionally provided by professional nurses is being transferred to
e e e e e e e e e e e
e
,Chapter 01: Overview of Gerontologic
e e e e
eNursing Meiner: Gerontologic Nursing,
e e e
e5th Edition
e
MULTIPLE CHOICE e
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice
e e e e e e e e e e
ewas published. The nurse would use these standards to:
e e e e e e e e
a. promote the practice of gerontologic nursing within the acute care setting.
e e e e e e e e e e
b. define the concepts and dimensions of gerontologic nursing practice.
e e e e e e e e
c. elevate the practice of gerontologic nursing. e e e e e
d. incorporate suggested interventions from others who practice gerontologic nursing. e e e e e e e e
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing
e e e e e e e e e e
Practice in 2010 incorporates the input of gerontologic nurses from across the
e e e e e e e e e e e e
United States. It was not intended to promote gerontologic nursing practice
e e e e e e e e e e e
ewithin
acute care settings, define concepts or dimensions of gerontologic nursing practice, or
e e e e e e e e e e e
elevate the practice of gerontologic nursing.
e e e e e e
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1- e e
1 TOP: N/A
e MSC: Safe and Effective Care Environment e e e e
2. When attempting to minimize the effect of ageism on the practice of nursing
e e e e e e e e e e e e
eolder adults, a nurse needs to first:
e e e e e e
a. recognize that nurses must act as advocates for aging patients. e e e e e e e e e
b. accept that this population represents a substantial portion of
e e e e e e e e
those requiring nursing care.
e e e e
c. self-reflect and formulate one‟s personal view of aging and the older patient. e e e e e e e e e e e
d. recognize ageism as a form of bigotry shared by many Americans. e e e e e e e e e e
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging
e e e e e e e e e e e
process and of the older population as a whole. With nurses being members of a
e e e e e e e e e e e e e e e
society holding such views, it is critical that the individual nurse self-reflect on
e e e e e e e e e e e e e
personal feelings and determine whether such feelings will affect the nursing care
e e e e e e e e e e e e
that he or she provides to the aging patient. Acting as an advocate is an
e e e e e e e e e e e e e e e
important nursing role in all settings.
e e e e e e
Simply accepting a fact does not help end ageism, nor does recognizing ageism as
e e e e e e e e e e e e e
a form of bigotry.
e e e e
DIF: Applying (Application) e REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care e e
Environment e
3. When discussing factors that have helped to increase the number of
e e e e e e e e e e
ehealthy, independent older Americans, the nurse includes the importance
e e e e e e e e
eof:
a. increased availability of in-home care services. e e e e e
b. government support of retired citizens. e e e e
c. effective antibiotic therapies. e e
d. the development of life-extending therapies.
e e e e
ANS: C
, The health and ultimate autonomy of older Americans has been positively impacted
e e e e e e e e e e e
eby the development of antibiotics, better sanitation, and vaccines. These public
e e e e e e e e e e
ehealth measures have been more instrumental in increasing the numbers of healthy,
e e e e e e e e e e e
eindependent older Americans than have in-home care services, government
e e e e e e e e
eprograms, or life-extending therapies. e e e
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 e e
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
e e e e e e
4. Based on current data, when presenting an older adult‟s discharge teaching
e e e e e e e e e e
e plan, the nurse includes the patient‟s:
e e e e e
a. nonrelated caretaker. e
b. paid caregiver. e
c. family member. e
d. intuitional representative. e
ANS: C
Less than 4% of older adults live in a formal health care environment. The
e e e e e e e e e e e e e
emajority of the geriatric population lives at home or with family members.
e e e e e e e e e e e
DIF: Applying (Application) e REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning e e MSC: Safe and Effective Care Environment
e e e e
5. The nurse planning care for an older adult who has recently been diagnosed with
e e e e e e e e e e e e e
erheumatoid arthritis views the priority criterion for continued independence to be
e e e e e e e e e e
e the patient‟s:
e
a. age.
b. financial status. e
c. gender.
d. functional status. e
ANS: D
Maintaining the functional status of older adults may avert the onset of physical
e e e e e e e e e e e e
e frailty and cognitive impairment, two conditions that increase the likelihood of
e e e e e e e e e e
einstitutionalization.
DIF: Remembering (Knowledge) e REF: Page 8 OBJ: 1- e
6 TOP: Nursing Process: Planning
e e e MSC: Physiologic Integrity e
6. A nurse working with the older adult population is most likely to assess a need
e e e e e e e e e e e e e e
e for a financial social service‟s referral for a(n):
e e e e e e e
a. white male. e
b. black female. e
c. Hispanic male. e
d. Asian American female. e e
ANS: B
The poverty rate among older black women is substantially higher than that seen
e e e e e e e e e e e e
eamong males or females of other ethnic groups. White males had the least
e e e e e e e e e e e e
e poverty.
DIF: Applying (Application) e REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment e e MSC: Safe and Effective Care Environment
e e e e
, 7. Which of the following statements made by a nurse preparing to complete a
e e e e e e e e e e e e
health assessment and history on an older patient reflects an understanding of
e e e e e e e e e e e e
the general health status of this population?
e e e e e e e
a. “I‟ll need to document well regarding the medications the patient
e e e e e e e e e
is currently prescribed.”
e e e
b. “I would like to understand how supportive the patient‟s family members are.”
e e e e e e e e e e e
c. “Most older patients are being treated for a variety of chronic health care
e e e e e e e e e e e e
issues.” e
d. “It will be interesting to see whether this patient sees herself as being healthy.”
e e e e e e e e e e e e e
ANS: D
It is a misconception that old age is synonymous with disease and illness. The
e e e e e e e e e e e e e
nurse should always determine the patient‟s sense of wellness and independence
e e e e e e e e e e e
when conducting a health and history assessment. An assessment of medication
e e e e e e e e e e e
use and family support is important for any patient. Many older adults do have
e e e e e e e e e e e e e e
chronic health conditions, but their perception is more important than a single
e e e e e e e e e e e e
number.
e
DIF: Applying (Application) REF: N/A OBJ: e 1-
4 TOP: Nursing Process: Assessment MSC: Health Promotion
e e e e
8. The nurse is caring for an older adult who has been admitted to an acute care
e e e e e e e e e e e e e e e
hospital for treatment of a fractured femur. The family expresses concern
e e e e e e e e e e e
about the patient‟s pending transfer to a subacute care facility. What response
e e e e e e e e e e e e
by the nurse is best?
e e e e e
a. “Acute care facilities lack the long-term physical therapy e e e e e e e
support your dad requires.”
e e e e
b. “Your dad will be much happier in a more serene, private environment.”
e e e e e e e e e e e
c. “The subacute facility will focus on helping your dad maintain his
e e e e e e e e e e
independence.” e
d. “Insurance, including Medicare, will cover only a limited amount of time here.” e e e e e e e e e e e
ANS: C
The transfer of the patient to a subacute facility is based on the need to
e e e e e e e e e e e e e e
maintain the patient‟s level of function and independence, a task the acute care
e e e e e e e e e e e e e
facility is not prepared to address once the patient is physiologically stable.
e e e e e e e e e e e e
The patient may or may not be happier in the new setting; the nurse
e e e e e e e e e e e e e e
should not make this judgment. It
e e e e e e
is true that insurance only pays for a limited amount of time in an acute care
e e e e e e e e e e e e e e e
facility, but this is not the best reason for the patient to transfer.
e e e e e e e e e e e e e
DIF: Applying (Application) REF: e N/A OBJ: 1-
6 TOP: Communication and
e e
eDocumentation MSC: Health Promotion and e e e
eMaintenance
9. To best assure both the quality of care and the safety of the older adult patient
e e e e e e e e e e e e e e e
who requires in- home unlicensed assistive personal (UAP) assistance, the geriatric
e e e e e e e e e e e
nurse:
e
a. evaluates the competency of the UAP staff. e e e e e e
b. assumes the roles of case manager and patient advocate. e e e e e e e e
c. arranges for the needed UAP provided services. e e e e e e
d. assesses the patient for functional limitations. e e e e e
ANS: A
As more care traditionally provided by professional nurses is being transferred to
e e e e e e e e e e e
