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