TOWARD HEALTH AGING: Human Needs and
4D 4D 4D 4D 4D 4D
Nursing Responses 11TH EDITION/ALL CHAPT
4D 4D 4D 4D
ERS 1-35 4D
, TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING
CARE, 12TH EDITION BY JACQUELINE BURCHUM, LAURA
ROSENTHAL/ALL CHAPTERS 1-112|COMPLETE GUIDE 2024-
2025
Chapter 01: Gerontological Nursing Across the Continuum of Care
4D 4D 4D 4D 4D 4D 4D 4D 4D
Touhy: Toward Healthy Aging, 11th Edition
4D 4D 4D 4D 4D
MULTIPLE CHOICE 4D
1. When did serious and well-controlled research studies on aging first become available?
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
a. Only in the past 60 years. 4D 4D 4D 4D 4D
b. Since the turn of the 20th century. 4D 4D 4D 4D 4D 4D
c. Following the Great Depression. 4D 4D 4D
d. Since the year 2000. 4D 4D 4D
ACCURATE ANSWER: 4D
-A
REASONING:-
>>>Only in the past 60 years have serious and carefully controlled research studies flouri
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
shed. Before that, anecdotal evidence was used to illustrate issues assumed to be universal,
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
making all the remaining options incorrect.
4D 4D 4D 4D 4D
DIF: Cognitive Level: Remembering 4D 4D
TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health
4 D 4D 4D 4D 4 D 4D 4D
Promotion and Maintenance
4D 4D 4D
2. The son of a nursing home resident asks a nursing attendant: “What is the significance o
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
f being certified in gerontology? I see that you are, but not all of the nursing attendants
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
are.” What response best answers the family member’s question?
4D 4D 4D 4D 4D 4D 4D 4D
a. “National certification as a gerontological nursing attendant is a way to dem
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
onstrate special knowledge in caring for older adults.” 4D 4D 4D 4D 4D 4D 4D
b. “National certification in gerontology is required for all nursing attendants wh
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
o have worked in this setting for 2 or more years.”
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
c. “National certification is only available to nursing attendants who have a Baccal
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
aureate degree in nursing.” 4D 4D 4D
d. “Only advanced practice nursing attendants, like nursing attendant p
4D 4D 4D 4D 4D 4D 4D 4D
ractitioners, are certified in gerontology.” 4D 4D 4D 4D
ACCURATE ANSWER: 4D
-A
REASONING:-
>>>National certification is a way to demonstrate special expertise in caring for older adu
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
lts. It is not required for practice in any setting across the continuum of care, and it is not
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
exclusive to nursing attendants with Baccalaureate degrees. There is both a generalist and
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4
Da specialist gerontological nursing certification. The generalist functions in a variety of se
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ttings providing care to older adults and their families. The specialist has advanced geront
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
, ological education at a master’s level.
4D 4D 4D 4D 4D
DIF: Cognitive Level: Understanding 4D 4D
TOPIC: Integrated Process: Communication and Documentatio
4 D 4D 4D 4D 4D
n MSC: Patient Needs: Management of Care
4D 4 D 4D 4D 4D 4D
3. The major goal of the NICHE (Nursing attendants Improving Care for Healthsystem
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
Elders) program includes which of the following?
4D 4D 4D 4D 4D 4D
a. Improve outcomes for hospitalized older adults. 4D 4D 4D 4D 4D
b. Increase the number of older adults cared for in hospitals.
4D 4D 4D 4D 4D 4D 4D 4D 4D
c. Increase the number of iatrogenic complications that occur in hospitalized old
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
er adults. 4D
d. Decrease 30-day readmission rates for hospitalized older adults.
4D 4D 4D 4D 4D 4D 4D
ACCURATE ANSWER:-A 4D
REASONING:-
>>>The goal of NICHE is to improve outcomes for hospitalized older adults. Although o
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ption D is a good outcome for hospitalized older adults, it is not one of the major goals of
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4
NICHE, which are broader. Options B and C are not goals that would improve care for ol
D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
der adults but would be negative outcomes themselves.
4D 4D 4D 4D 4D 4D 4D
DIF: Cognitive Level: Understanding 4D 4D
TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health
4 D 4D 4D 4D 4 D 4D 4D
Promotion and Maintenance
4D 4D 4D
MULTIPLE RESPONSE 4D
1. What is the impact of the Hospital Readmission Reduction Program (HRRP) on avoida
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ble readmissions? (Choose all that apply.)
4D 4D 4D 4D 4D
a. Readmission rates for the selected conditions have dropped nationwide. 4D 4D 4D 4D 4D 4D 4D 4D
b. Many hospitals have instituted system-wide interventions to prevent readmissions.
4D 4D 4D 4D 4D 4D 4D 4D
c. Hospitals are keeping hospital patients longer to avoid readmissions.
4D 4D 4D 4D 4D 4D 4D 4D
d. Potentially avoidable hospitalizations among nursing home residents is increasing.
4D 4D 4D 4D 4D 4D 4D 4D
e. Hospitals have a financial incentive to develop programs to reduce readmissions.
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ACCURATE ANSWER:-A, B, E 4D 4D 4D
REASONING:-
>>>The Hospital Readmission Reduction Program (HRRP) was established as a provisio
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
n in the Affordable Care Act (ACA) requiring Medicare to reduce payments to hospitals w
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ith relatively high readmission rates for selected conditions for hospital patients in traditio
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
nal Medicare. Since the HRRP, readmission rates for the selected conditions have dropped
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4
Dnationwide but estimates are that in 2018, about 80% of hospitals evaluated by CMS will
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
face penalties totaling $564 million (Advisory Board, 2017). Additionally, the HRRP has b
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
een the impetus for many hospitals to institute system-
4D 4D 4D 4D 4D 4D 4D 4D
wide interventions to prevent readmissions that have also contributed to the decline in rea
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
dmission rates. The rate of potentially avoidable hospitalizations among SNF residents has
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
4Dfallen by nearly a third in recent years as a result of many quality improvement initiatives
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
.
DIF: Cognitive Level: Understanding 4D 4D
TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health
4 D 4D 4D 4D 4 D 4D 4D
Promotion and Maintenance
4D 4D 4D
, 2. Which of the following are true statements about the current health care workforce? (Choos
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
e all that apply.)
4D 4D 4D
a. Approximately 10% of registered nursing attendants (RNs) are certified in
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
gerontological nursing. 4D
b. The number of geriatricians is expected to increase about 50% over the next
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4
25 years.
D 4D
c. The professions of social work, physical therapy, and psychiatry are demonstrati
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ng the same trends as nursing.
4D 4D 4D 4D 4D
d. The world’s older population is expected to grow to at least 1.3 billion in the n
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ext 20 years.4D 4D
e. It is anticipated that there will be a need for approximately 3million additio
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
nal direct care and professional health care workers by the year 2030.
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ACCURATE ANSWER:-C, D, E 4D 4D 4D
4D 4D 4D 4D 4D 4D
Nursing Responses 11TH EDITION/ALL CHAPT
4D 4D 4D 4D
ERS 1-35 4D
, TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING
CARE, 12TH EDITION BY JACQUELINE BURCHUM, LAURA
ROSENTHAL/ALL CHAPTERS 1-112|COMPLETE GUIDE 2024-
2025
Chapter 01: Gerontological Nursing Across the Continuum of Care
4D 4D 4D 4D 4D 4D 4D 4D 4D
Touhy: Toward Healthy Aging, 11th Edition
4D 4D 4D 4D 4D
MULTIPLE CHOICE 4D
1. When did serious and well-controlled research studies on aging first become available?
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
a. Only in the past 60 years. 4D 4D 4D 4D 4D
b. Since the turn of the 20th century. 4D 4D 4D 4D 4D 4D
c. Following the Great Depression. 4D 4D 4D
d. Since the year 2000. 4D 4D 4D
ACCURATE ANSWER: 4D
-A
REASONING:-
>>>Only in the past 60 years have serious and carefully controlled research studies flouri
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
shed. Before that, anecdotal evidence was used to illustrate issues assumed to be universal,
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
making all the remaining options incorrect.
4D 4D 4D 4D 4D
DIF: Cognitive Level: Remembering 4D 4D
TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health
4 D 4D 4D 4D 4 D 4D 4D
Promotion and Maintenance
4D 4D 4D
2. The son of a nursing home resident asks a nursing attendant: “What is the significance o
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
f being certified in gerontology? I see that you are, but not all of the nursing attendants
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
are.” What response best answers the family member’s question?
4D 4D 4D 4D 4D 4D 4D 4D
a. “National certification as a gerontological nursing attendant is a way to dem
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
onstrate special knowledge in caring for older adults.” 4D 4D 4D 4D 4D 4D 4D
b. “National certification in gerontology is required for all nursing attendants wh
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
o have worked in this setting for 2 or more years.”
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
c. “National certification is only available to nursing attendants who have a Baccal
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
aureate degree in nursing.” 4D 4D 4D
d. “Only advanced practice nursing attendants, like nursing attendant p
4D 4D 4D 4D 4D 4D 4D 4D
ractitioners, are certified in gerontology.” 4D 4D 4D 4D
ACCURATE ANSWER: 4D
-A
REASONING:-
>>>National certification is a way to demonstrate special expertise in caring for older adu
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
lts. It is not required for practice in any setting across the continuum of care, and it is not
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
exclusive to nursing attendants with Baccalaureate degrees. There is both a generalist and
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4
Da specialist gerontological nursing certification. The generalist functions in a variety of se
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ttings providing care to older adults and their families. The specialist has advanced geront
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
, ological education at a master’s level.
4D 4D 4D 4D 4D
DIF: Cognitive Level: Understanding 4D 4D
TOPIC: Integrated Process: Communication and Documentatio
4 D 4D 4D 4D 4D
n MSC: Patient Needs: Management of Care
4D 4 D 4D 4D 4D 4D
3. The major goal of the NICHE (Nursing attendants Improving Care for Healthsystem
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
Elders) program includes which of the following?
4D 4D 4D 4D 4D 4D
a. Improve outcomes for hospitalized older adults. 4D 4D 4D 4D 4D
b. Increase the number of older adults cared for in hospitals.
4D 4D 4D 4D 4D 4D 4D 4D 4D
c. Increase the number of iatrogenic complications that occur in hospitalized old
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
er adults. 4D
d. Decrease 30-day readmission rates for hospitalized older adults.
4D 4D 4D 4D 4D 4D 4D
ACCURATE ANSWER:-A 4D
REASONING:-
>>>The goal of NICHE is to improve outcomes for hospitalized older adults. Although o
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ption D is a good outcome for hospitalized older adults, it is not one of the major goals of
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4
NICHE, which are broader. Options B and C are not goals that would improve care for ol
D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
der adults but would be negative outcomes themselves.
4D 4D 4D 4D 4D 4D 4D
DIF: Cognitive Level: Understanding 4D 4D
TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health
4 D 4D 4D 4D 4 D 4D 4D
Promotion and Maintenance
4D 4D 4D
MULTIPLE RESPONSE 4D
1. What is the impact of the Hospital Readmission Reduction Program (HRRP) on avoida
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ble readmissions? (Choose all that apply.)
4D 4D 4D 4D 4D
a. Readmission rates for the selected conditions have dropped nationwide. 4D 4D 4D 4D 4D 4D 4D 4D
b. Many hospitals have instituted system-wide interventions to prevent readmissions.
4D 4D 4D 4D 4D 4D 4D 4D
c. Hospitals are keeping hospital patients longer to avoid readmissions.
4D 4D 4D 4D 4D 4D 4D 4D
d. Potentially avoidable hospitalizations among nursing home residents is increasing.
4D 4D 4D 4D 4D 4D 4D 4D
e. Hospitals have a financial incentive to develop programs to reduce readmissions.
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ACCURATE ANSWER:-A, B, E 4D 4D 4D
REASONING:-
>>>The Hospital Readmission Reduction Program (HRRP) was established as a provisio
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
n in the Affordable Care Act (ACA) requiring Medicare to reduce payments to hospitals w
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ith relatively high readmission rates for selected conditions for hospital patients in traditio
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
nal Medicare. Since the HRRP, readmission rates for the selected conditions have dropped
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4
Dnationwide but estimates are that in 2018, about 80% of hospitals evaluated by CMS will
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
face penalties totaling $564 million (Advisory Board, 2017). Additionally, the HRRP has b
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
een the impetus for many hospitals to institute system-
4D 4D 4D 4D 4D 4D 4D 4D
wide interventions to prevent readmissions that have also contributed to the decline in rea
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
dmission rates. The rate of potentially avoidable hospitalizations among SNF residents has
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
4Dfallen by nearly a third in recent years as a result of many quality improvement initiatives
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
.
DIF: Cognitive Level: Understanding 4D 4D
TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health
4 D 4D 4D 4D 4 D 4D 4D
Promotion and Maintenance
4D 4D 4D
, 2. Which of the following are true statements about the current health care workforce? (Choos
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
e all that apply.)
4D 4D 4D
a. Approximately 10% of registered nursing attendants (RNs) are certified in
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
gerontological nursing. 4D
b. The number of geriatricians is expected to increase about 50% over the next
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4
25 years.
D 4D
c. The professions of social work, physical therapy, and psychiatry are demonstrati
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ng the same trends as nursing.
4D 4D 4D 4D 4D
d. The world’s older population is expected to grow to at least 1.3 billion in the n
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ext 20 years.4D 4D
e. It is anticipated that there will be a need for approximately 3million additio
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
nal direct care and professional health care workers by the year 2030.
4D 4D 4D 4D 4D 4D 4D 4D 4D 4D 4D
ACCURATE ANSWER:-C, D, E 4D 4D 4D
