Test Bank - for Toward Healthy Aging: Human Needs and Nursing Response 11th Edition (Theris A. Touhy, 2025), Chapter 1-36 | All Chapters.

TOWARD HEALTH AGING: Human Needs and
Nursing Responses 11TH EDITION/ALL
CHAPTERS 1-35

,Chapter 01: Gerontological Nursing Across the Continuum of Care To
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uhy: Toward Healthy Aging, 11th Edition
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MULTIPLE CHOICE NW




1. When did serious and well-controlled research studies on aging first become available?
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a. Only in the past 60 years. NW NW NW NW NW




b. Since the turn of the 20th century. NW NW NW NW NW NW




c. Following the Great Depression. NW NW NW




d. Since the year 2000. NW NW NW




ACCURATE ANSWER: NW




-A
REASONING:-
>>>Only in the past 60 years have serious and carefully controlled research studies flourishe
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d. Before that, anecdotal evidence was used to illustrate issues assumed to be universal, maki
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ng all the remaining options incorrect.
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DIF: Cognitive Level: Remembering NW NW




TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health Pr
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omotion and Maintenance NW NW




2. The son of a nursing home resident asks a nursing attendant: “What is the significance of be
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ing certified in gerontology? I see that you are, but not all of the nursing attendants are.” W
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hat response best answers the family member’s question?
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a. “National certification as a gerontological nursing attendant is a way to demons
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trate special knowledge in caring for older adults.”
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b. “National certification in gerontology is required for all nursing attendants who
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have worked in this setting for 2 or more years.”
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c. “National certification is only available to nursing attendants who have a Baccalau
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reate degree in nursing.” NW NW NW




d. “Only advanced practice nursing attendants, like nursing attendant prac
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titioners, are certified in gerontology.” NW NW NW NW




ACCURATE ANSWER: NW




-A
REASONING:-
>>>National certification is a way to demonstrate special expertise in caring for older adults.
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It is not required for practice in any setting across the continuum of care, and it is not exclusi
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ve to nursing attendants with Baccalaureate degrees. There is both a generalist and a speciali
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st gerontological nursing certification. The generalist functions in a variety of settings provid
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ing care to older adults and their families. The specialist has advanced gerontological educati
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on at a master’s level.
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DIF: Cognitive Level: Understanding NW NW




TOPIC: Integrated Process: Communication and Documentation
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MSC: Patient Needs: Management of Care
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3. The major goal of the NICHE (Nursing attendants Improving Care for Healthsystem Eld
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ers) program includes which of the following?
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a. Improve outcomes for hospitalized older adults. NW NW NW NW NW

, b. Increase the number of older adults cared for in hospitals. NW NW NW NW NW NW NW NW NW




c. Increase the number of iatrogenic complications that occur in hospitalized older
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NW adults.
d. Decrease 30-day readmission rates for hospitalized older adults. NW NW NW NW NW NW NW




ACCURATE ANSWER:-A NW




REASONING:-
>>>The goal of NICHE is to improve outcomes for hospitalized older adults. Although optio
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n D is a good outcome for hospitalized older adults, it is not one of the major goals of NICH
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E, which are broader. Options B and C are not goals that would improve care for older adults
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but would be negative outcomes themselves.
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DIF: Cognitive Level: Understanding NW NW




TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health Pr
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omotion and Maintenance NW NW




MULTIPLE RESPONSE NW




1. What is the impact of the Hospital Readmission Reduction Program (HRRP) on avoidabl
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e readmissions? (Choose all that apply.)
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a. Readmission rates for the selected conditions have dropped nationwide. NW NW NW NW NW NW NW NW




b. Many hospitals have instituted system-wide interventions to prevent readmissions.
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c. Hospitals are keeping hospital patients longer to avoid readmissions.
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d. Potentially avoidable hospitalizations among nursing home residents is increasing.
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e. Hospitals have a financial incentive to develop programs to reduce readmissions.
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ACCURATE ANSWER:-A, B, E NW NW NW




REASONING:-
>>>The Hospital Readmission Reduction Program (HRRP) was established as a provision in
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Wthe Affordable Care Act (ACA) requiring Medicare to reduce payments to hospitals with rel
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atively high readmission rates for selected conditions for hospital patients in traditional Medi
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care. Since the HRRP, readmission rates for the selected conditions have dropped nationwide
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but estimates are that in 2018, about 80% of hospitals evaluated by CMS will face penalties
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totaling $564 million (Advisory Board, 2017). Additionally, the HRRP has been the impetus
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for many hospitals to institute system-
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wide interventions to prevent readmissions that have also contributed to the decline in readm
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ission rates. The rate of potentially avoidable hospitalizations among SNF residents has falle
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n by nearly a third in recent years as a result of many quality improvement initiatives.
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DIF: Cognitive Level: Understanding NW NW




TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health Pr
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omotion and Maintenance NW NW




2. Which of the following are true statements about the current health care workforce? (Choose
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all that apply.)
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a. Approximately 10% of registered nursing attendants (RNs) are certified in ge NW NW NW NW NW NW NW NW NW NW




rontological nursing. NW




b. The number of geriatricians is expected to increase about 50% over the next 25
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years. NW




c. The professions of social work, physical therapy, and psychiatry are demonstrating
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the same trends as nursing.
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, d. The world’s older population is expected to grow to at least 1.3 billion in the next
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20 years.
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e. It is anticipated that there will be a need for approximately 3million additional
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direct care and professional health care workers by the year 2030.
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ACCURATE ANSWER:-C, D, ENW NW NW