Test Bank -
n n
n Gerontologic Nursing, 6th Edition By
n n n n n
Meiner n
Chapter 1-29 | All Chapters
n n n n n
, Stuvia.com
S tuvia.com
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Stuvia.com The
T he
T he
The
GERONTOLOGY NURSING n6th Edition n TEST
n BANK BY MEINER
nnn
n n n n
Chaptern01:nOverviewnofnGerontologicnNursin
gnMeiner:nGerontologicnNursing,n6thnEditionn
MULTIPLEnCHOICE
1. Inn2010,nthenrevisednStandardsnandnScopenofnGerontologicalnNursingnPracticenwasnpublished.nThennursenwouldnusenthese
nstandardsnto:
a. promotenthenpracticenofngerontologicnnursingnwithinnthenacutencarensetting.
b. definenthenconceptsnandndimensionsnofngerontologicnnursingnpractice.
c. elevatenthenpracticenofngerontologicnnursing.
d. incorporatensuggestedninterventionsnfromnothersnwhonpracticengerontologicnnursing.n
ANS:nD
ThencurrentnpublishingnofnthenStandardsnandnScopenofnGerontologicalnNursingnPracticeninn2010nincorporatesntheninputnofnger
ontologicnnursesnfromnacrossnthenUnitednStates.nItnwasnnotnintendedntonpromotengerontologicnnursingnpracticenwithinnacutencar
ensettings,ndefinenconceptsnorndimensionsnofngerontologicnnursingnpractice,nornelevatenthenpracticenofngerontologicnnursing.nDI
F:nRememberingn(Knowledge)nREF:n Pagen2nOBJ:n1-1
TOP:nN/AnMSC:nSafenandnEffectivenCarenEnvironment
2. Whennattemptingntonminimizentheneffectnofnageismn onnthenpracticenofnnursingnoldernadults,nannursenneedsntonfirst:
a. recognizenthatnnursesnmustnactnasnadvocatesnforn agingnpatients.
b. acceptnthatnthisnpopulationnrepresentsnansubstantialnportionnofnthosenrequiringnnursingncare.
c. self-reflectnandnformulatenone’snpersonalnviewnofnagingnandnthenoldernpatient.
d. recognizenageismnasnan formnofnbigotrynsharednbynmanynAmericans.n
ANS:nC
Ageismnisnannever-
increasingnprejudicialnviewnofntheneffectsnofnthenagingnprocessnandnofnthenoldern populationnasnanwhole.nWithnnursesnbeingnmem
bersnofnansocietynholdingnsuchnviews,nitnisncriticalnthatnthenindividualnnursenself-
reflectnonnpersonalnfeelingsnandndeterminenwhethernsuchnfeelingsnwillnaffectnthennursingncarenthatnhenornshenprovidesntonthenagi
ngnpatient.nActingnasnannadvocatenisnannimportantnnursingnroleninnallnsettings.nSimplynacceptingnanfactndoesnnotnhelpnendnageis
m,nnorndoesnrecognizingnageismnasnanformn ofnbigotry.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-9
TOP:nTeaching-LearningnMSC:nSafenandnEffectivenCarenEnvironment
3. Whenn discussingnfactorsnthatnhavenhelpedntonincreasenthennumbern ofnhealthy,nindependentnoldern Americans,nthennursen
includesnthenimportancenof:
a. increasednavailabilitynofnin-homencarenservices.
b. governmentnsupportnofnretiredncitizens.
c. effectivenantibioticntherapies.
d. thendevelopmentnofnlife-
extendingntherapies.nANS:nC
ThenhealthnandnultimatenautonomynofnoldernAmericansnhasnbeennpositivelynimpactednbynthendevelopmentnofnantibiotics,nbettern
sanitation,nandnvaccines.nThesenpublicnhealthnmeasuresnhavenbeennmoreninstrumentalninnincreasingnthennumbersnofnhealthy,nin
dependentnoldernAmericansnthannhavenin-homencarenservices,n governmentnprograms,n ornlife-extendingntherapies.
DIF:nRememberingn(Knowledge)nREF:nPagen2nOBJ:n3-3
TOP:nNursingnProcess:nImplementationnMSC:nHealthnPromotionnandnMaintenance
4. Basednonn currentndata,nwhennpresentingnannoldernadult’sndischargenteachingnplan,nthennursenincludesnthenpatient’s:
a. nonrelatedncaretaker.
b. paidncaregiver.
c. familynmember.
d. intuitionalnrepresentative.
,ANS:nC
Lessnthann4%nofnoldernadultsnliveninnanformalnhealthncarenenvironment.nThenmajoritynofnthengeriatricnpopulationnlivesnatnhomen
orn withn familynmembers.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n3-3
TOP:nNursingnProcess:nPlanningnMSC:nSafenandnEffectivenCarenEnvironment
5. Thennursenplanningncarenfornannoldernadultnwhonhasnrecentlynbeenndiagnosednwithnrheumatoidnarthritisnviewsnthenpriorityn
criterionn forn continuednindependencentonbenthenpatient’s:
a. age.
b. financialnstatus.
c. gender.
d. functionalnstatus.n
ANS:nD
Maintainingnthenfunctionalnstatusnofnoldern adultsnmaynavertnthenonsetnofnphysicalnfrailtynandncognitivenimpairment,ntwonconditi
onsnthatnincreasenthenlikelihoodnofninstitutionalization.
DIF:nRememberingn(Knowledge)n REF:nPagen8nOBJ:n1-
6nTOP:nNursingnProcess:nPlanningnMSC:nPhysiologicnIntegrit
y
6. Annursenworkingnwithnthenoldernadultnpopulationnisnmostnlikelyntonassessnanneednforn anfinancialnsocialnservice’snreferralnforn
a(n):
a. whitenmale.
b. blacknfemale.
c. Hispanicnmale.
d. AsiannAmericannfemale.n
ANS:nB
Thenpovertynratenamongnoldernblacknwomenn isnsubstantiallynhighernthannthatnseennamongnmalesnornfemalesnofnothernethnicngro
ups.nWhitenmalesnhadnthenleastnpoverty.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nSafenandnEffectivenCarenEnvironment
7. Whichnofnthenfollowingnstatementsnmadenbynannursenpreparingntoncompletenanhealthnassessmentnandnhistorynonn annoldern
patientnreflectsnann understandingnofnthengeneralnhealthnstatusnofnthisnpopulation?
a. “I’llnneedntondocumentnwellnregardingnthenmedicationsnthenpatientnisncurrentlynprescribed.”
b. “Inwouldnlikentonunderstandnhownsupportiventhenpatient’snfamilynmembersnare.”
c. “Mostnoldern patientsnarenbeingntreatednforn anvarietynofnchronicnhealthncarenissues.”
d. “Itn willnbeninterestingntonseenwhethernthisnpatientnseesnherselfnasnbeingnhealthy.”n
ANS:nD
Itnisnanmisconceptionnthatnoldnagenisnsynonymousnwithndiseasenandnillness.nThennursenshouldnalwaysndeterminenthenpatient’snse
nsenofnwellnessnandnindependencenwhennconductingnanhealthnandnhistorynassessment.nAnnassessmentnofnmedicationnusenandnfa
milynsupportnisnimportantnfornanynpatient.nManynoldernadultsndonhavenchronicnhealthnconditions,nbutntheirnperceptionnisnmoreni
mportantnthannan singlennumber.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nHealthnPromotion
8. Thennursenisncaringnfornannoldernadultnwhonhasnbeennadmittedntonannacutencarenhospitalnforntreatmentnofnanfracturednfemur.n
Thenfamilynexpressesnconcernnaboutnthenpatient’snpendingntransferntonansubacutencarenfacility.nWhatnresponsenbynthennursenisn
best?
a. “Acutencarenfacilitiesnlacknthenlong-termnphysicalntherapynsupportnyourndadnrequires.”
b. “Yourn dadnwillnbenmuchnhappierninnanmorenserene,nprivatenenvironment.”
c. “Thensubacutenfacilitynwillnfocusnonnhelpingnyourndadnmaintainnhisnindependence.”
, d. “Insurance,nincludingnMedicare,nwillncovernonlynanlimitednamountnofntimenhere.”
nANS:n C
Thentransfernofnthenpatientntonansubacutenfacilitynisnbasednonnthenneedntonmaintainnthenpatient’snlevelnofnfunctionnandnindepende
nce,nantasknthenacutencarenfacilitynisnnotnpreparedntonaddressnoncenthenpatientnisnphysiologicallynstable.nThenpatientnmaynornmay
nnotnbenhappierninnthennewnsetting;nthennursenshouldnnotnmakenthisnjudgment.nItnisntruenthatninsurancenonlynpaysnfornanlimitedna
mountnofntimeninnannacutencarenfacility,n butnthisnisnnotnthenbestnreasonn fornthenpatientntontransfer.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-
6nTOP:nCommunicationnandnDocumentation
MSC:nHealthnPromotionnandnMaintenance
9. Tonbestnassurenbothnthenqualitynofncarenandnthensafetynofnthenoldernadultnpatientnwhonrequiresnin-
homenunlicensednassistivenpersonaln (UAP)nassistance,n thengeriatricnnurse:
a. evaluatesnthencompetencynofnthenUAPnstaff.
b. assumesnthenrolesnofncasenmanagernandnpatientnadvocate.
c. arrangesnfornthenneedednUAPnprovidednservices.
d. assessesnthenpatientnfornfunctionalnlimitations.
nANS:n A
AsnmorencarentraditionallynprovidednbynprofessionalnnursesnisnbeingntransferredntonUAP,nthennursenmustnassumenmorenresponsi
bilitynforneducating,ntraining,nandnevaluatingnthencompetencynofnUAPnstaffntonprovidensafe,neffectivencarenfornthenoldernadultnpa
tient.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-
2nTOP:nCommunicationnandnDocumentation
MSC:nSafenandnEffectivenCarenEnvironment
10. Thennursenworkingnwithnoldernadultsnunderstandsnwhatninformationnaboutncertificationn inngerontologicnnursing?
a. Itnisnmandatorynfornthoseninnlong-termn carensettings.
b. Itnisnvoluntarynandnshowsnclinicalnexpertiseninnannarea.
c. Itnallowsnnursesntonbenpaidnbynthird-partynpayers.
d. Itnallowsnnursesntonadvancentheirncareersninnanjob.n
ANS:nB
Certificationnisnvoluntarynandnshowsnthatnannursenhasnadditionalnknowledgenandnexpertiseninnancertainnareanofnpractice.nItnisnnotn
mandatoryninnspecificncarensettings.nItndoesnnotnallownfornthird-
partynreimbursement.nItnmaynbenpartnofnancareernladdernprogram,nbutnthatnisnnotntruenofnallnworkn settings.
DIF:nRememberingn(Knowledge)nREF:nPagen2nOBJ:n1-2
TOP:nTeaching-LearningnMSC:nSafenEffectivenCarenEnvironment
11. Annursenworksninnangerontologicnclinic.nWhatnactionnbynthennursentakesnhighestnpriority?
a. Servingnasnanpatientnadvocate
b. Educatingnpatientsnaboutndiseases
c. Helpingnpatientsnremainnindependent
d. Referringnpatientsntonhomenhealthncaren
ANS:nC
Onenofnthenchallengesnandnprioritiesnofnthengerontologicnnursenisnhelpingnpatientsnmaintainntheirnindependence.nD
IF:nRememberingn(Knowledge)nREF:nPagen10nOBJ:n1-2
TOP:nNursingnProcess:nImplementationnMSC:nHealthnPromotion
12. Annursenisncaringnfornann oldernpatientninnthenemergencyndepartment.nWhatninformationnaboutnthenpatientnwillnbenmostn
helpfulninncreatingnanplann ofncare?
n n
n Gerontologic Nursing, 6th Edition By
n n n n n
Meiner n
Chapter 1-29 | All Chapters
n n n n n
, Stuvia.com
S tuvia.com
S tuvia.com
Stuvia.com The
T he
T he
The
GERONTOLOGY NURSING n6th Edition n TEST
n BANK BY MEINER
nnn
n n n n
Chaptern01:nOverviewnofnGerontologicnNursin
gnMeiner:nGerontologicnNursing,n6thnEditionn
MULTIPLEnCHOICE
1. Inn2010,nthenrevisednStandardsnandnScopenofnGerontologicalnNursingnPracticenwasnpublished.nThennursenwouldnusenthese
nstandardsnto:
a. promotenthenpracticenofngerontologicnnursingnwithinnthenacutencarensetting.
b. definenthenconceptsnandndimensionsnofngerontologicnnursingnpractice.
c. elevatenthenpracticenofngerontologicnnursing.
d. incorporatensuggestedninterventionsnfromnothersnwhonpracticengerontologicnnursing.n
ANS:nD
ThencurrentnpublishingnofnthenStandardsnandnScopenofnGerontologicalnNursingnPracticeninn2010nincorporatesntheninputnofnger
ontologicnnursesnfromnacrossnthenUnitednStates.nItnwasnnotnintendedntonpromotengerontologicnnursingnpracticenwithinnacutencar
ensettings,ndefinenconceptsnorndimensionsnofngerontologicnnursingnpractice,nornelevatenthenpracticenofngerontologicnnursing.nDI
F:nRememberingn(Knowledge)nREF:n Pagen2nOBJ:n1-1
TOP:nN/AnMSC:nSafenandnEffectivenCarenEnvironment
2. Whennattemptingntonminimizentheneffectnofnageismn onnthenpracticenofnnursingnoldernadults,nannursenneedsntonfirst:
a. recognizenthatnnursesnmustnactnasnadvocatesnforn agingnpatients.
b. acceptnthatnthisnpopulationnrepresentsnansubstantialnportionnofnthosenrequiringnnursingncare.
c. self-reflectnandnformulatenone’snpersonalnviewnofnagingnandnthenoldernpatient.
d. recognizenageismnasnan formnofnbigotrynsharednbynmanynAmericans.n
ANS:nC
Ageismnisnannever-
increasingnprejudicialnviewnofntheneffectsnofnthenagingnprocessnandnofnthenoldern populationnasnanwhole.nWithnnursesnbeingnmem
bersnofnansocietynholdingnsuchnviews,nitnisncriticalnthatnthenindividualnnursenself-
reflectnonnpersonalnfeelingsnandndeterminenwhethernsuchnfeelingsnwillnaffectnthennursingncarenthatnhenornshenprovidesntonthenagi
ngnpatient.nActingnasnannadvocatenisnannimportantnnursingnroleninnallnsettings.nSimplynacceptingnanfactndoesnnotnhelpnendnageis
m,nnorndoesnrecognizingnageismnasnanformn ofnbigotry.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-9
TOP:nTeaching-LearningnMSC:nSafenandnEffectivenCarenEnvironment
3. Whenn discussingnfactorsnthatnhavenhelpedntonincreasenthennumbern ofnhealthy,nindependentnoldern Americans,nthennursen
includesnthenimportancenof:
a. increasednavailabilitynofnin-homencarenservices.
b. governmentnsupportnofnretiredncitizens.
c. effectivenantibioticntherapies.
d. thendevelopmentnofnlife-
extendingntherapies.nANS:nC
ThenhealthnandnultimatenautonomynofnoldernAmericansnhasnbeennpositivelynimpactednbynthendevelopmentnofnantibiotics,nbettern
sanitation,nandnvaccines.nThesenpublicnhealthnmeasuresnhavenbeennmoreninstrumentalninnincreasingnthennumbersnofnhealthy,nin
dependentnoldernAmericansnthannhavenin-homencarenservices,n governmentnprograms,n ornlife-extendingntherapies.
DIF:nRememberingn(Knowledge)nREF:nPagen2nOBJ:n3-3
TOP:nNursingnProcess:nImplementationnMSC:nHealthnPromotionnandnMaintenance
4. Basednonn currentndata,nwhennpresentingnannoldernadult’sndischargenteachingnplan,nthennursenincludesnthenpatient’s:
a. nonrelatedncaretaker.
b. paidncaregiver.
c. familynmember.
d. intuitionalnrepresentative.
,ANS:nC
Lessnthann4%nofnoldernadultsnliveninnanformalnhealthncarenenvironment.nThenmajoritynofnthengeriatricnpopulationnlivesnatnhomen
orn withn familynmembers.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n3-3
TOP:nNursingnProcess:nPlanningnMSC:nSafenandnEffectivenCarenEnvironment
5. Thennursenplanningncarenfornannoldernadultnwhonhasnrecentlynbeenndiagnosednwithnrheumatoidnarthritisnviewsnthenpriorityn
criterionn forn continuednindependencentonbenthenpatient’s:
a. age.
b. financialnstatus.
c. gender.
d. functionalnstatus.n
ANS:nD
Maintainingnthenfunctionalnstatusnofnoldern adultsnmaynavertnthenonsetnofnphysicalnfrailtynandncognitivenimpairment,ntwonconditi
onsnthatnincreasenthenlikelihoodnofninstitutionalization.
DIF:nRememberingn(Knowledge)n REF:nPagen8nOBJ:n1-
6nTOP:nNursingnProcess:nPlanningnMSC:nPhysiologicnIntegrit
y
6. Annursenworkingnwithnthenoldernadultnpopulationnisnmostnlikelyntonassessnanneednforn anfinancialnsocialnservice’snreferralnforn
a(n):
a. whitenmale.
b. blacknfemale.
c. Hispanicnmale.
d. AsiannAmericannfemale.n
ANS:nB
Thenpovertynratenamongnoldernblacknwomenn isnsubstantiallynhighernthannthatnseennamongnmalesnornfemalesnofnothernethnicngro
ups.nWhitenmalesnhadnthenleastnpoverty.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nSafenandnEffectivenCarenEnvironment
7. Whichnofnthenfollowingnstatementsnmadenbynannursenpreparingntoncompletenanhealthnassessmentnandnhistorynonn annoldern
patientnreflectsnann understandingnofnthengeneralnhealthnstatusnofnthisnpopulation?
a. “I’llnneedntondocumentnwellnregardingnthenmedicationsnthenpatientnisncurrentlynprescribed.”
b. “Inwouldnlikentonunderstandnhownsupportiventhenpatient’snfamilynmembersnare.”
c. “Mostnoldern patientsnarenbeingntreatednforn anvarietynofnchronicnhealthncarenissues.”
d. “Itn willnbeninterestingntonseenwhethernthisnpatientnseesnherselfnasnbeingnhealthy.”n
ANS:nD
Itnisnanmisconceptionnthatnoldnagenisnsynonymousnwithndiseasenandnillness.nThennursenshouldnalwaysndeterminenthenpatient’snse
nsenofnwellnessnandnindependencenwhennconductingnanhealthnandnhistorynassessment.nAnnassessmentnofnmedicationnusenandnfa
milynsupportnisnimportantnfornanynpatient.nManynoldernadultsndonhavenchronicnhealthnconditions,nbutntheirnperceptionnisnmoreni
mportantnthannan singlennumber.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nHealthnPromotion
8. Thennursenisncaringnfornannoldernadultnwhonhasnbeennadmittedntonannacutencarenhospitalnforntreatmentnofnanfracturednfemur.n
Thenfamilynexpressesnconcernnaboutnthenpatient’snpendingntransferntonansubacutencarenfacility.nWhatnresponsenbynthennursenisn
best?
a. “Acutencarenfacilitiesnlacknthenlong-termnphysicalntherapynsupportnyourndadnrequires.”
b. “Yourn dadnwillnbenmuchnhappierninnanmorenserene,nprivatenenvironment.”
c. “Thensubacutenfacilitynwillnfocusnonnhelpingnyourndadnmaintainnhisnindependence.”
, d. “Insurance,nincludingnMedicare,nwillncovernonlynanlimitednamountnofntimenhere.”
nANS:n C
Thentransfernofnthenpatientntonansubacutenfacilitynisnbasednonnthenneedntonmaintainnthenpatient’snlevelnofnfunctionnandnindepende
nce,nantasknthenacutencarenfacilitynisnnotnpreparedntonaddressnoncenthenpatientnisnphysiologicallynstable.nThenpatientnmaynornmay
nnotnbenhappierninnthennewnsetting;nthennursenshouldnnotnmakenthisnjudgment.nItnisntruenthatninsurancenonlynpaysnfornanlimitedna
mountnofntimeninnannacutencarenfacility,n butnthisnisnnotnthenbestnreasonn fornthenpatientntontransfer.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-
6nTOP:nCommunicationnandnDocumentation
MSC:nHealthnPromotionnandnMaintenance
9. Tonbestnassurenbothnthenqualitynofncarenandnthensafetynofnthenoldernadultnpatientnwhonrequiresnin-
homenunlicensednassistivenpersonaln (UAP)nassistance,n thengeriatricnnurse:
a. evaluatesnthencompetencynofnthenUAPnstaff.
b. assumesnthenrolesnofncasenmanagernandnpatientnadvocate.
c. arrangesnfornthenneedednUAPnprovidednservices.
d. assessesnthenpatientnfornfunctionalnlimitations.
nANS:n A
AsnmorencarentraditionallynprovidednbynprofessionalnnursesnisnbeingntransferredntonUAP,nthennursenmustnassumenmorenresponsi
bilitynforneducating,ntraining,nandnevaluatingnthencompetencynofnUAPnstaffntonprovidensafe,neffectivencarenfornthenoldernadultnpa
tient.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-
2nTOP:nCommunicationnandnDocumentation
MSC:nSafenandnEffectivenCarenEnvironment
10. Thennursenworkingnwithnoldernadultsnunderstandsnwhatninformationnaboutncertificationn inngerontologicnnursing?
a. Itnisnmandatorynfornthoseninnlong-termn carensettings.
b. Itnisnvoluntarynandnshowsnclinicalnexpertiseninnannarea.
c. Itnallowsnnursesntonbenpaidnbynthird-partynpayers.
d. Itnallowsnnursesntonadvancentheirncareersninnanjob.n
ANS:nB
Certificationnisnvoluntarynandnshowsnthatnannursenhasnadditionalnknowledgenandnexpertiseninnancertainnareanofnpractice.nItnisnnotn
mandatoryninnspecificncarensettings.nItndoesnnotnallownfornthird-
partynreimbursement.nItnmaynbenpartnofnancareernladdernprogram,nbutnthatnisnnotntruenofnallnworkn settings.
DIF:nRememberingn(Knowledge)nREF:nPagen2nOBJ:n1-2
TOP:nTeaching-LearningnMSC:nSafenEffectivenCarenEnvironment
11. Annursenworksninnangerontologicnclinic.nWhatnactionnbynthennursentakesnhighestnpriority?
a. Servingnasnanpatientnadvocate
b. Educatingnpatientsnaboutndiseases
c. Helpingnpatientsnremainnindependent
d. Referringnpatientsntonhomenhealthncaren
ANS:nC
Onenofnthenchallengesnandnprioritiesnofnthengerontologicnnursenisnhelpingnpatientsnmaintainntheirnindependence.nD
IF:nRememberingn(Knowledge)nREF:nPagen10nOBJ:n1-2
TOP:nNursingnProcess:nImplementationnMSC:nHealthnPromotion
12. Annursenisncaringnfornann oldernpatientninnthenemergencyndepartment.nWhatninformationnaboutnthenpatientnwillnbenmostn
helpfulninncreatingnanplann ofncare?
