TEST BANK
g.
,Chapter 01: Overview of Gerontologic Nursing Mein
g. g. g. g. g. g.
er: Gerontologic Nursing, 5th Edition
g. g. g. g.
MULTIPLEg.CHOICE
1. Ing.2010,g.theg.revisedg.Standardsg.andg.Scopeg.ofg.Gerontologicalg.Nursingg.Practiceg.wasg.publishe
d.g.Theg.nurseg.wouldg.useg.theseg.standardsg.to:
a. promoteg.theg.practiceg.ofg.gerontologicg.nursingg.withing.theg.acuteg.careg.setting.
b. defineg.theg.conceptsg.andg.dimensionsg.ofg.gerontologicg.nursingg.practice.
c. elevateg.theg.practiceg.ofg.gerontologicg.nursing.
d. incorporateg.suggestedg.interventionsg.fromg.othersg.whog.practiceg.gerontologicg.nursing.
ANS:g . D
Theg.currentg.publishingg.ofg.theg.Standardsg.andg.Scopeg.ofg.Gerontologicalg.Nursingg.Practiceg.ing.2
010g.incorporatesg.theg.inputg.ofg.gerontologicg.nursesg.fromg.acrossg.theg.Unitedg.States.g.Itg.wasg.notg.
intendedg.tog.promoteg.gerontologicg.nursingg.practiceg.withing.acuteg.careg.settings,g.defineg.concepts
g.org.dimensionsg.ofg.gerontologicg.nursingg.practice,g.org.elevateg.theg.practiceg.ofg.gerontologicg.nurs
ing.
DIF: Rememberingg.(Knowledge) REF:g . Pageg.2 OBJ:g . 1-
1g.TOP:g . N/A MSC:g . Safeg.andg.Effectiveg.Careg.Environment
2. Wheng.attemptingg.tog.minimizeg.theg.effectg.ofg.ageismg.ong.theg.practiceg.ofg.nursingg.olderg.adults,g
ag.nurseg.needsg.tog.first:
.
a. recognizeg.thatg.nursesg.mustg.actg.asg.advocatesg.forg.agingg.patients.
b. acceptg.thatg.thisg.populationg.representsg.ag.substantialg.portiong.ofg.thoseg.requirin
gg.nursingg.care.
c. self-reflectg.andg.formulateg.one‟sg.personalg.viewg.ofg.agingg.andg.theg.olderg.patient.
d. recognizeg.ageismg.asg.ag.formg.ofg.bigotryg.sharedg.byg.manyg.Americans.
ANS:g . C
Ageismg.isg.ang.ever-
increasingg.prejudicialg.viewg.ofg.theg.effectsg.ofg.theg.agingg.processg.andg.ofg.theg.olderg.populationg.asg.
ag.whole.g.Withg.nursesg.beingg.membersg.ofg.ag.societyg.holdingg.suchg.views,g.itg.isg.criticalg.thatg.theg.in
dividualg.nurseg.self-
reflectg.ong.personalg.feelingsg.andg.determineg.whetherg.suchg.feelingsg.willg.affectg.theg.nursingg.careg.t
hatg.heg.org.sheg.providesg.tog.theg.agingg.patient.g.Actingg.asg.ang.advocateg.isg.ang.importantg.nursingg.role
g.ing.allg.settings.g.Simplyg.acceptingg.ag.factg.doesg.notg.helpg.endg.ageism,g.norg.doesg.recognizingg.ageis
mg.asg.ag.formg.ofg.bigotry.
DIF: Applyingg.(Application) REF:g . g . N/A OBJ:g . g . 1-9
TOP:g . Teaching-Learning MSC:g . Safeg.andg.Effectiveg.Careg.Environment
3. Wheng.discussingg.factorsg.thatg.haveg.helpedg.tog.increaseg.theg.numberg.ofg.healthy,g.independentg.olde
rg.Americans,g.theg.nurseg.includesg.theg.importanceg.of:
a. increasedg.availabilityg.ofg.in-homeg.careg.services.
b. governmentg.supportg.ofg.retiredg.citizens.
c. effectiveg.antibioticg.therapies.
d. theg.developmentg.ofg.life-extendingg.therapies.
ANS:g . C
, Theg.healthg.andg.ultimateg.autonomyg.ofg.olderg.Americansg.hasg.beeng.positivelyg.impactedg.byg.theg.
developmentg.ofg.antibiotics,g.betterg.sanitation,g.andg.vaccines.g.Theseg.publicg.healthg.measuresg.hav
eg.beeng.moreg.instrumentalg.ing.increasingg.theg.numbersg.ofg.healthy,g.independentg.olderg.American
sg.thang.haveg.in-homeg.careg.services,g.governmentg.programs,g.org.life-extendingg.therapies.
DIF: Rememberingg.(Knowledge) REF:g . g . Pageg.2 OBJ:g . g . 3-3
TOP:g . Nursingg.Process:g.Implementation MSC:g . Healthg.Promotiong.andg.Maintenance
4. Basedg.ong.currentg.data,g.wheng.presentingg.ang.olderg.adult‟sg.dischargeg.teachingg.plan,g.theg.nurs
eg.includesg.theg.patient‟s:
a. nonrelatedg.caretaker.
b. paidg.caregiver.
c. familyg.member.
d. intuitionalg.representative.
ANS:g . C
Lessg.thang.4%g.ofg.olderg.adultsg.liveg.ing.ag.formalg.healthg.careg.environment.g.Theg.majorityg.ofg.theg.ger
iatricg.populationg.livesg.atg.homeg.org.withg.familyg.members.
DIF: Applyingg.(Application) REF:g . g . N/A OBJ:g . g . 3-3
TOP:g . Nursingg.Process:g.Planning MSC:g . Safeg.andg.Effectiveg.Careg.Environment
5. Theg.nurseg.planningg.careg.forg.ang.olderg.adultg.whog.hasg.recentlyg.beeng.diagnosedg.withg.rheumatoi
dg.arthritisg.viewsg.theg.priorityg.criteriong.forg.continuedg.independenceg.tog.beg.theg.patient‟s:
a. age.
b. financialg.status.
c. gender.
d. functionalg.status.
ANS:g . D
Maintainingg.theg.functionalg.statusg.ofg.olderg.adultsg.mayg.avertg.theg.onsetg.ofg.physicalg.frailtyg.andg.co
gnitiveg.impairment,g.twog.conditionsg.thatg.increaseg.theg.likelihoodg.ofg.institutionalization.
DIF: Rememberingg.(Knowledge) REF:g . Pageg.8 OBJ:g . 1-
6g.TOP:g . Nursingg.Process:g.Planning MSC:g . Physiologicg.Integrity
6. Ag.nurseg.workingg.withg.theg.olderg.adultg.populationg.isg.mostg.likelyg.tog.assessg.ag.needg.forg.ag.financi
alg.socialg.service‟sg.referralg.forg.a(n):
a. whiteg.male.
b. blackg.female.
c. Hispanicg.male.
d. Asiang.Americang.female.
ANS:g . B
Theg.povertyg.rateg.amongg.olderg.blackg.womeng.isg.substantiallyg.higherg.thang.thatg.seeng.amongg.male
sg.org.femalesg.ofg.otherg.ethnicg.groups.g.Whiteg.malesg.hadg.theg.leastg.poverty.
DIF: Applyingg.(Application) REF:g . g . N/A OBJ:g . g . 1-4
TOP:g . Nursingg.Process:g.Assessment MSC:g . Safeg.andg.Effectiveg.Careg.Environment
, 7. Whichg.ofg.theg.followingg.statementsg.madeg.byg.ag.nurseg.preparingg.tog.completeg.ag.healthg.assessme
ntg.andg.historyg.ong.ang.olderg.patientg.reflectsg.ang.understandingg.ofg.theg.generalg.healthg.statusg.ofg.th
isg.population?
a. “I‟llg.needg.tog.documentg.wellg.regardingg.theg.medicationsg.theg.patientg.isg.currentl
yg.prescribed.”
b. “Ig.wouldg.likeg.tog.understandg.howg.supportiveg.theg.patient‟sg.familyg.membersg.are.”
c. “Mostg.olderg.patientsg.areg.beingg.treatedg.forg.ag.varietyg.ofg.chronicg.healthg.careg.issues.”
d. “Itg.willg.beg.interestingg.tog.seeg.whetherg.thisg.patientg.seesg.herselfg.asg.beingg.healthy.”
ANS:g . D
Itg.isg.ag.misconceptiong.thatg.oldg.ageg.isg.synonymousg.withg.diseaseg.andg.illness.g.Theg.nurseg.shouldg.a
lwaysg.determineg.theg.patient‟sg.senseg.ofg.wellnessg.andg.independenceg.wheng.conductingg.ag.healthg.
andg.historyg.assessment.g.Ang.assessmentg.ofg.medicationg.useg.andg.familyg.supportg.isg.importantg.forg
.anyg.patient.g.Manyg.olderg.adultsg.dog.haveg.chronicg.healthg.conditions,g.butg.theirg.perceptiong.isg.more
g.importantg.thang.ag.singleg.number.
DIF: Applyingg.(Application) REF:g . N/A OBJ:g . 1-
4g.TOP:g . Nursingg.Process:g.Assessment MSC:g . Healthg.Promotion
8. Theg.nurseg.isg.caringg.forg.ang.olderg.adultg.whog.hasg.beeng.admittedg.tog.ang.acuteg.careg.hospitalg.f
org.treatmentg.ofg.ag.fracturedg.femur.g.Theg.familyg.expressesg.concerng.aboutg.theg.patient‟sg.pen
dingg.transferg.tog.ag.subacuteg.careg.facility.g.Whatg.responseg.byg.theg.nurseg.isg.best?
a. “Acuteg.careg.facilitiesg.lackg.theg.long-
termg.physicalg.therapyg.supportg.yourg.dadg.requires.”
b. “Yourg.dadg.willg.beg.muchg.happierg.ing.ag.moreg.serene,g.privateg.environment.”
c. “Theg.subacuteg.facilityg.willg.focusg.ong.helpingg.yourg.dadg.maintaing.hisg.independence.”
d. “Insurance,g.includingg.Medicare,g.willg.coverg.onlyg.ag.limitedg.amountg.ofg.timeg.here.”
ANS:g . C
Theg.transferg.ofg.theg.patientg.tog.ag.subacuteg.facilityg.isg.basedg.ong.theg.needg.tog.maintaing.theg.patient
‟sg.levelg.ofg.functiong.andg.independence,g.ag.taskg.theg.acuteg.careg.facilityg.isg.notg.preparedg.tog.addre
ssg.onceg.theg.patientg.isg.physiologicallyg.stable.g.Theg.patientg.mayg.org.mayg.notg.beg.happierg.ing.theg.n
ewg.setting;g.theg.nurseg.shouldg.notg.makeg.thisg.judgment.g.Itg.isg.trueg.thatg.insuranceg.onlyg.paysg.forg.
ag.limitedg.amountg.ofg.timeg.ing.ang.acuteg.careg.facility,g.butg.thisg.isg.notg.theg.bestg.reasong.forg.theg.patie
ntg.tog.transfer.
DIF: Applyingg.(Application) REF:g . N/A OBJ:g . 1-
6g.TOP:g . Communicationg.andg.Documentation
MSC:g . Healthg.Promotiong.andg.Maintenance
9. Tog.bestg.assureg.bothg.theg.qualityg.ofg.careg.andg.theg.safetyg.ofg.theg.olderg.adultg.patientg.whog.requiresg.i
n-g.homeg.unlicensedg.assistiveg.personalg.(UAP)g.assistance,g.theg.geriatricg.nurse:
a. evaluatesg.theg.competencyg.ofg.theg.UAPg.staff.
b. assumesg.theg.rolesg.ofg.caseg.managerg.andg.patientg.advocate.
c. arrangesg.forg.theg.neededg.UAPg.providedg.services.
d. assessesg.theg.patientg.forg.functionalg.limitations.
ANS:g . A
Asg.moreg.careg.traditionallyg.providedg.byg.professionalg.nursesg.isg.beingg.transferredg.tog.UAP,g.theg.
nurseg.mustg.assumeg.moreg.responsibilityg.forg.educating,g.training,g.andg.evaluatingg.theg.competenc
yg.ofg.UAPg.staffg.tog.provideg.safe,g.effectiveg.careg.forg.theg.olderg.adultg.patient.
g.
,Chapter 01: Overview of Gerontologic Nursing Mein
g. g. g. g. g. g.
er: Gerontologic Nursing, 5th Edition
g. g. g. g.
MULTIPLEg.CHOICE
1. Ing.2010,g.theg.revisedg.Standardsg.andg.Scopeg.ofg.Gerontologicalg.Nursingg.Practiceg.wasg.publishe
d.g.Theg.nurseg.wouldg.useg.theseg.standardsg.to:
a. promoteg.theg.practiceg.ofg.gerontologicg.nursingg.withing.theg.acuteg.careg.setting.
b. defineg.theg.conceptsg.andg.dimensionsg.ofg.gerontologicg.nursingg.practice.
c. elevateg.theg.practiceg.ofg.gerontologicg.nursing.
d. incorporateg.suggestedg.interventionsg.fromg.othersg.whog.practiceg.gerontologicg.nursing.
ANS:g . D
Theg.currentg.publishingg.ofg.theg.Standardsg.andg.Scopeg.ofg.Gerontologicalg.Nursingg.Practiceg.ing.2
010g.incorporatesg.theg.inputg.ofg.gerontologicg.nursesg.fromg.acrossg.theg.Unitedg.States.g.Itg.wasg.notg.
intendedg.tog.promoteg.gerontologicg.nursingg.practiceg.withing.acuteg.careg.settings,g.defineg.concepts
g.org.dimensionsg.ofg.gerontologicg.nursingg.practice,g.org.elevateg.theg.practiceg.ofg.gerontologicg.nurs
ing.
DIF: Rememberingg.(Knowledge) REF:g . Pageg.2 OBJ:g . 1-
1g.TOP:g . N/A MSC:g . Safeg.andg.Effectiveg.Careg.Environment
2. Wheng.attemptingg.tog.minimizeg.theg.effectg.ofg.ageismg.ong.theg.practiceg.ofg.nursingg.olderg.adults,g
ag.nurseg.needsg.tog.first:
.
a. recognizeg.thatg.nursesg.mustg.actg.asg.advocatesg.forg.agingg.patients.
b. acceptg.thatg.thisg.populationg.representsg.ag.substantialg.portiong.ofg.thoseg.requirin
gg.nursingg.care.
c. self-reflectg.andg.formulateg.one‟sg.personalg.viewg.ofg.agingg.andg.theg.olderg.patient.
d. recognizeg.ageismg.asg.ag.formg.ofg.bigotryg.sharedg.byg.manyg.Americans.
ANS:g . C
Ageismg.isg.ang.ever-
increasingg.prejudicialg.viewg.ofg.theg.effectsg.ofg.theg.agingg.processg.andg.ofg.theg.olderg.populationg.asg.
ag.whole.g.Withg.nursesg.beingg.membersg.ofg.ag.societyg.holdingg.suchg.views,g.itg.isg.criticalg.thatg.theg.in
dividualg.nurseg.self-
reflectg.ong.personalg.feelingsg.andg.determineg.whetherg.suchg.feelingsg.willg.affectg.theg.nursingg.careg.t
hatg.heg.org.sheg.providesg.tog.theg.agingg.patient.g.Actingg.asg.ang.advocateg.isg.ang.importantg.nursingg.role
g.ing.allg.settings.g.Simplyg.acceptingg.ag.factg.doesg.notg.helpg.endg.ageism,g.norg.doesg.recognizingg.ageis
mg.asg.ag.formg.ofg.bigotry.
DIF: Applyingg.(Application) REF:g . g . N/A OBJ:g . g . 1-9
TOP:g . Teaching-Learning MSC:g . Safeg.andg.Effectiveg.Careg.Environment
3. Wheng.discussingg.factorsg.thatg.haveg.helpedg.tog.increaseg.theg.numberg.ofg.healthy,g.independentg.olde
rg.Americans,g.theg.nurseg.includesg.theg.importanceg.of:
a. increasedg.availabilityg.ofg.in-homeg.careg.services.
b. governmentg.supportg.ofg.retiredg.citizens.
c. effectiveg.antibioticg.therapies.
d. theg.developmentg.ofg.life-extendingg.therapies.
ANS:g . C
, Theg.healthg.andg.ultimateg.autonomyg.ofg.olderg.Americansg.hasg.beeng.positivelyg.impactedg.byg.theg.
developmentg.ofg.antibiotics,g.betterg.sanitation,g.andg.vaccines.g.Theseg.publicg.healthg.measuresg.hav
eg.beeng.moreg.instrumentalg.ing.increasingg.theg.numbersg.ofg.healthy,g.independentg.olderg.American
sg.thang.haveg.in-homeg.careg.services,g.governmentg.programs,g.org.life-extendingg.therapies.
DIF: Rememberingg.(Knowledge) REF:g . g . Pageg.2 OBJ:g . g . 3-3
TOP:g . Nursingg.Process:g.Implementation MSC:g . Healthg.Promotiong.andg.Maintenance
4. Basedg.ong.currentg.data,g.wheng.presentingg.ang.olderg.adult‟sg.dischargeg.teachingg.plan,g.theg.nurs
eg.includesg.theg.patient‟s:
a. nonrelatedg.caretaker.
b. paidg.caregiver.
c. familyg.member.
d. intuitionalg.representative.
ANS:g . C
Lessg.thang.4%g.ofg.olderg.adultsg.liveg.ing.ag.formalg.healthg.careg.environment.g.Theg.majorityg.ofg.theg.ger
iatricg.populationg.livesg.atg.homeg.org.withg.familyg.members.
DIF: Applyingg.(Application) REF:g . g . N/A OBJ:g . g . 3-3
TOP:g . Nursingg.Process:g.Planning MSC:g . Safeg.andg.Effectiveg.Careg.Environment
5. Theg.nurseg.planningg.careg.forg.ang.olderg.adultg.whog.hasg.recentlyg.beeng.diagnosedg.withg.rheumatoi
dg.arthritisg.viewsg.theg.priorityg.criteriong.forg.continuedg.independenceg.tog.beg.theg.patient‟s:
a. age.
b. financialg.status.
c. gender.
d. functionalg.status.
ANS:g . D
Maintainingg.theg.functionalg.statusg.ofg.olderg.adultsg.mayg.avertg.theg.onsetg.ofg.physicalg.frailtyg.andg.co
gnitiveg.impairment,g.twog.conditionsg.thatg.increaseg.theg.likelihoodg.ofg.institutionalization.
DIF: Rememberingg.(Knowledge) REF:g . Pageg.8 OBJ:g . 1-
6g.TOP:g . Nursingg.Process:g.Planning MSC:g . Physiologicg.Integrity
6. Ag.nurseg.workingg.withg.theg.olderg.adultg.populationg.isg.mostg.likelyg.tog.assessg.ag.needg.forg.ag.financi
alg.socialg.service‟sg.referralg.forg.a(n):
a. whiteg.male.
b. blackg.female.
c. Hispanicg.male.
d. Asiang.Americang.female.
ANS:g . B
Theg.povertyg.rateg.amongg.olderg.blackg.womeng.isg.substantiallyg.higherg.thang.thatg.seeng.amongg.male
sg.org.femalesg.ofg.otherg.ethnicg.groups.g.Whiteg.malesg.hadg.theg.leastg.poverty.
DIF: Applyingg.(Application) REF:g . g . N/A OBJ:g . g . 1-4
TOP:g . Nursingg.Process:g.Assessment MSC:g . Safeg.andg.Effectiveg.Careg.Environment
, 7. Whichg.ofg.theg.followingg.statementsg.madeg.byg.ag.nurseg.preparingg.tog.completeg.ag.healthg.assessme
ntg.andg.historyg.ong.ang.olderg.patientg.reflectsg.ang.understandingg.ofg.theg.generalg.healthg.statusg.ofg.th
isg.population?
a. “I‟llg.needg.tog.documentg.wellg.regardingg.theg.medicationsg.theg.patientg.isg.currentl
yg.prescribed.”
b. “Ig.wouldg.likeg.tog.understandg.howg.supportiveg.theg.patient‟sg.familyg.membersg.are.”
c. “Mostg.olderg.patientsg.areg.beingg.treatedg.forg.ag.varietyg.ofg.chronicg.healthg.careg.issues.”
d. “Itg.willg.beg.interestingg.tog.seeg.whetherg.thisg.patientg.seesg.herselfg.asg.beingg.healthy.”
ANS:g . D
Itg.isg.ag.misconceptiong.thatg.oldg.ageg.isg.synonymousg.withg.diseaseg.andg.illness.g.Theg.nurseg.shouldg.a
lwaysg.determineg.theg.patient‟sg.senseg.ofg.wellnessg.andg.independenceg.wheng.conductingg.ag.healthg.
andg.historyg.assessment.g.Ang.assessmentg.ofg.medicationg.useg.andg.familyg.supportg.isg.importantg.forg
.anyg.patient.g.Manyg.olderg.adultsg.dog.haveg.chronicg.healthg.conditions,g.butg.theirg.perceptiong.isg.more
g.importantg.thang.ag.singleg.number.
DIF: Applyingg.(Application) REF:g . N/A OBJ:g . 1-
4g.TOP:g . Nursingg.Process:g.Assessment MSC:g . Healthg.Promotion
8. Theg.nurseg.isg.caringg.forg.ang.olderg.adultg.whog.hasg.beeng.admittedg.tog.ang.acuteg.careg.hospitalg.f
org.treatmentg.ofg.ag.fracturedg.femur.g.Theg.familyg.expressesg.concerng.aboutg.theg.patient‟sg.pen
dingg.transferg.tog.ag.subacuteg.careg.facility.g.Whatg.responseg.byg.theg.nurseg.isg.best?
a. “Acuteg.careg.facilitiesg.lackg.theg.long-
termg.physicalg.therapyg.supportg.yourg.dadg.requires.”
b. “Yourg.dadg.willg.beg.muchg.happierg.ing.ag.moreg.serene,g.privateg.environment.”
c. “Theg.subacuteg.facilityg.willg.focusg.ong.helpingg.yourg.dadg.maintaing.hisg.independence.”
d. “Insurance,g.includingg.Medicare,g.willg.coverg.onlyg.ag.limitedg.amountg.ofg.timeg.here.”
ANS:g . C
Theg.transferg.ofg.theg.patientg.tog.ag.subacuteg.facilityg.isg.basedg.ong.theg.needg.tog.maintaing.theg.patient
‟sg.levelg.ofg.functiong.andg.independence,g.ag.taskg.theg.acuteg.careg.facilityg.isg.notg.preparedg.tog.addre
ssg.onceg.theg.patientg.isg.physiologicallyg.stable.g.Theg.patientg.mayg.org.mayg.notg.beg.happierg.ing.theg.n
ewg.setting;g.theg.nurseg.shouldg.notg.makeg.thisg.judgment.g.Itg.isg.trueg.thatg.insuranceg.onlyg.paysg.forg.
ag.limitedg.amountg.ofg.timeg.ing.ang.acuteg.careg.facility,g.butg.thisg.isg.notg.theg.bestg.reasong.forg.theg.patie
ntg.tog.transfer.
DIF: Applyingg.(Application) REF:g . N/A OBJ:g . 1-
6g.TOP:g . Communicationg.andg.Documentation
MSC:g . Healthg.Promotiong.andg.Maintenance
9. Tog.bestg.assureg.bothg.theg.qualityg.ofg.careg.andg.theg.safetyg.ofg.theg.olderg.adultg.patientg.whog.requiresg.i
n-g.homeg.unlicensedg.assistiveg.personalg.(UAP)g.assistance,g.theg.geriatricg.nurse:
a. evaluatesg.theg.competencyg.ofg.theg.UAPg.staff.
b. assumesg.theg.rolesg.ofg.caseg.managerg.andg.patientg.advocate.
c. arrangesg.forg.theg.neededg.UAPg.providedg.services.
d. assessesg.theg.patientg.forg.functionalg.limitations.
ANS:g . A
Asg.moreg.careg.traditionallyg.providedg.byg.professionalg.nursesg.isg.beingg.transferredg.tog.UAP,g.theg.
nurseg.mustg.assumeg.moreg.responsibilityg.forg.educating,g.training,g.andg.evaluatingg.theg.competenc
yg.ofg.UAPg.staffg.tog.provideg.safe,g.effectiveg.careg.forg.theg.olderg.adultg.patient.
