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

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 tf




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. tf tf tf tf tf



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



c. Following the Great Depression. tf tf tf



d. Since the year 2000. tf tf tf




ACCURATE ANSWE tf


R:-A
REASONING:-
>>>Only in the past 60 years have serious and carefully controlled research studies flourish
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ed. Before that, anecdotal evidence was used to illustrate issues assumed to be universal, mak
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ing all the remaining options incorrect.
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DIF: Cognitive Level: Remembering tf tf



TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health t f tf tf tf t f tf tf tf



Promotion and Maintenance tf tf




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.” Wh
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at response best answers the family member’s question?
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a. “National certification as a gerontological nursing attendant is a way to demon tf tf tf tf tf tf tf tf tf tf tf



strate special knowledge in caring for older adults.” tf tf tf tf tf tf tf



b. “National certification in gerontology is required for all nursing attendants who tf tf tf tf tf tf tf tf tf tf tf



have worked in this setting for 2 or more years.” tf tf tf tf tf tf tf tf tf



c. “National certification is only available to nursing attendants who have a Baccala tf tf tf tf tf tf tf tf tf tf tf



ureate degree in nursing.” tf tf tf



d. “Only advanced practice nursing attendants, like nursing attendant pr tf tf tf tf tf tf tf tf



actitioners, are certified in gerontology.” tf tf tf tf




ACCURATE ANSWE tf



R:-A
REASONING:-
>>>National certification is a way to demonstrate special expertise in caring for older adults tf tf tf tf tf tf tf tf tf tf tf tf tf



. 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 educat
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ion at a master’s level. tf tf tf tf




DIF: Cognitive Level: Understanding tf tf


TOPIC: Integrated Process: Communication and Documentatio t f tf tf tf tf



n MSC: Patient Needs: Management of Care
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3. The major goal of the NICHE (Nursing attendants Improving Care for Healthsystem El
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ders) program includes which of the following?
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a. Improve outcomes for hospitalized older adults. tf tf tf tf tf



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



c. Increase the number of iatrogenic complications that occur in hospitalized olde tf tf tf tf tf tf tf tf tf tf



r adults. tf



d. Decrease 30-day readmission rates for hospitalized older adults. tf tf tf tf tf tf tf

, ACCURATE ANSWER:-A tf



REASONING:-
>>>The goal of NICHE is to improve outcomes for hospitalized older adults. Although opt
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ion D is a good outcome for hospitalized older adults, it is not one of the major goals of NIC
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HE, which are broader. Options B and C are not goals that would improve care for older adul
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ts but would be negative outcomes themselves.
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DIF: Cognitive Level: Understanding tf tf



TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health t f tf tf tf t f tf tf tf



Promotion and Maintenance tf tf




MULTIPLE RESPONSE tf




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



b. Many hospitals have instituted system-wide interventions to prevent readmissions. tf tf tf tf tf tf tf tf



c. Hospitals are keeping hospital patients longer to avoid readmissions. tf tf tf tf tf tf tf tf



d. Potentially avoidable hospitalizations among nursing home residents is increasing. tf tf tf tf tf tf tf tf



e. Hospitals have a financial incentive to develop programs to reduce readmissions. tf tf tf tf tf tf tf tf tf tf




ACCURATE ANSWER:-A, B, E tf tf tf



REASONING:-
>>>The Hospital Readmission Reduction Program (HRRP) was established as a provision
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in the Affordable Care Act (ACA) requiring Medicare to reduce payments to hospitals with r
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elatively high readmission rates for selected conditions for hospital patients in traditional M
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edicare. Since the HRRP, readmission rates for the selected conditions have dropped nation
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wide but estimates are that in 2018, about 80% of hospitals evaluated by CMS will face penal
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ties totaling $564 million (Advisory Board, 2017). Additionally, the HRRP has been the imp
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etus for many hospitals to institute system-
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wide interventions to prevent readmissions that have also contributed to the decline in read
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mission rates. The rate of potentially avoidable hospitalizations among SNF residents has fa
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llen by nearly a third in recent years as a result of many quality improvement initiatives.
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DIF: Cognitive Level: Understanding tf tf



TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health t f tf tf tf t f tf tf tf



Promotion and Maintenance tf tf




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



rontological nursing. tf



b. The number of geriatricians is expected to increase about 50% over the next 25
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years.
c. The professions of social work, physical therapy, and psychiatry are demonstratin
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g 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. tf



e. It is anticipated that there will be a need for approximately 3million additiona
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l direct care and professional health care workers by the year 2030.
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ACCURATE ANSWER:-C, D, E tf tf tf

, REASONING:-
>>>Less than 1% of RNs are certified in gerontological nursing. Geriatric medicine faces si
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milar challenges with about 7000 prepared geriatricians, 1 for every 2546 older Americans; a
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nd this number is falling with the trend predicted to be less than 5000 by 2040 (IOM, 2008). B
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y 2040 the number of older adults in the world will be at least 1.3 billion. Other professions su
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ch as social work, physical therapy, and psychiatry have similar shortages. It is estimated tha
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t by 2030 nearly 3 million additional health care professionals and direct care workers will be
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needed to meet the care needs of a growing older adult population. Healthy People 2030 has
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addressed this concern.. tf tf




DIF: Cognitive Level: Understanding tf tf



TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health t f tf tf tf t f tf tf tf



Promotion and Maintenance tf tf




3. Best practice recommendations for nursing education in relation to gerontology include whic
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h of the following? (Choose all that apply.)
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a. Provision of a “stand-alone” course in gerontological nursing tf tf tf tf tf tf tf



b. Integration of gerontological content throughout the curriculum tf tf tf tf tf tf



c. Replacement of acute care pediatric clinical experiences with gerontologica tf tf tf tf tf tf tf tf



l clinical experiences tf tf



d. Recruitment of nursing attendants with Master and Doctoral degrees and tf tf tf tf tf tf tf tf tf tf



a specialty in gerontology to faculty roles
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e. Requiring all undergraduate nursing students to obtain gerontological certificati tf tf tf tf tf tf tf tf



on as a requirement for graduation tf tf tf tf tf




ACCURATE ANSWER:-A, B, D tf tf tf



REASONING:->>>Best practices include providing a stand- tf tf tf tf tf



alone gerontological nursing course as well as integrating gerontology throughout the curric
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ulum. Recruitment of nursing attendants with a specialty in gerontology and a Master or Doc
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toral degree to faculty roles is a critical step in making sure that the next generation of nursing
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attendants is prepared to care for older adults. Best practices do not recommend removing p
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ediatric clinical experiences and replacing them with gerontological experiences. Nursing ce
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rtification is only available to practicing nursing attendants who meet specific education and
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practice requirements. It is not applicable to nursing students.
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DIF: Cognitive Level: Understanding tf tf



TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Health t f tf tf tf t f tf tf tf



Promotion and Maintenance tf tf




4. What are the current initiatives being implemented to enhance the specialty of gerontologic
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al nursing? (Choose all that apply.)
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a. Mandating of a minimum of a Baccalaureate degree in nursing in order to care for tf tf tf tf tf tf tf tf tf tf tf tf tf tf



older adults tf tf



b. Geriatric Nursing Leadership Academy (GNLA) project tf tf tf tf tf



c. Promotion of geriatric nursing to excellence to the nursing community tf tf tf tf tf tf tf tf tf



d. Requiring a nursing certification specifically required to long-term care tf tf tf tf tf tf tf tf



e. Offering scholarships for study and research in geriatric nursing tf tf tf tf tf tf tf tf




ACCURATE ANSWER:-B, C, E tf tf tf