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Test Bank for Gerontologic Nursing 26th Edition by Sue E. Meiner, All Chapters 1-29 Complete Guide A+.pdf

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Test Bank for Gerontologic Nursing 26th Edition by Sue E. Meiner, All Chapters 1-29 Complete Guide A+.pdf

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GerontologicgNursingg6thgEditiongMeinergTestgBank


Chapter 01: Overview of Gerontologic Nursing Meiner
g g g g g g

: Gerontologic Nursing, 6th Edition
g g g g




MULTIPLEgCHOICE

1. Ing2010,gthegrevisedgStandardsgandgScopegofgGerontologicalgNursinggPracticegwasg
published.gThegnursegwouldgusegthesegstandardsgto
a. promotegthegpracticegofggerontologicgnursinggwithingthegacutegcaregsetting.
b. definegthegconceptsgandgdimensionsgofggerontologicgnursinggpractice.
c. elevategthegpracticegofggerontologicgnursing.
d. incorporategthegconceptsgofghealthgpromotion,ghealthgmaintenance,gdiseaseg
prevention,gandgself-care
ANS:g D
ThegcurrentgpublishinggofgthegStandardsgandgScopegofgGerontologicalgNursinggPracticeging20
10gincorporatesgtheginputgofggerontologicgnursesgfromgacrossgthegUnitedgStatesgandgincludesgc
omprehensivegconceptsgandgdimensionsgimportantgtogthosegpracticingggerontologicgnursing.gItg
wasgnotgintendedgtogpromoteggerontologicgnursinggpracticegwithingacutegcaregsettings,gdefinegc
onceptsgorgdimensionsgofggerontologicgnursinggpractice,gorgelevategthegpracticegofggerontologi
cgnursing.

DIF: Remembering OBJ: 1-1 TOP:
N/AgMSC:g SafegandgEffectivegCaregEnvironment

2. Whengattemptinggtogminimizegthegeffectgofgageismgongthegpracticegofgnursinggoldergadults,gagn
ursegneedsgtogfirst
a. recognizegthatgnursesgmustgactgasgadvocatesgforgaginggpatients.
b. acceptgthatgthisgpopulationgrepresentsgagsubstantialgportiongofgthosegrequiringg
nursinggcare.
c. self-reflectgandgformulategone‟sgpersonalgviewgofgaginggandgthegoldergpatient.
d. recognizegageismgasgagformgofgbigotrygsharedgbygmanygAmericans.
ANS:g C
Ageismgisgangever-
increasinggprejudicialgviewgofgthegeffectsgofgthegaginggprocessgandgofgthegoldergpopulationgasgag
whole.gWithgnursesgbeinggmembersgofgagsocietygholdinggsuchgviews,gitgisgcriticalgthatgthegindivi
dualgnursegself-
reflectsgongpersonalgfeelingsgandgdeterminesgwhethergsuchgfeelingsgwillgaffectgthegnursinggcareg
thatghegorgshegprovidesgtogthegaginggpatient.gActinggasgangadvocategisgangimportantgnursinggroleg
ingallgsettings.gSimplygacceptinggagfactgdoesgnotghelpgendgageism,gnorgdoesgrecognizinggageism
gasgagformgofgbigotry.




DIF: Applying OBJ: 1-6 TOP: IntegratedgProcess:gTeaching-
LearninggMSC:g SafegandgEffectivegCaregEnvironment

3. Thegnursegplanninggcaregforgangoldergadultgwhoghasgrecentlygbeengdiagnosedgwithgrheumatoidga
rthritisgviewsgthegprioritygcriteriongforgcontinuedgindependencegtogbegthegpatient‟s
a. age.
b. financialgstatus.
c. gender.
d. functionalgstatus.

, GerontologicgNursingg6thgEditiongMeinergTestgBank


ANS:g g D
Maintaininggthegfunctionalgstatusgofgoldergadultsg(especiallygthosegwithgchronicghealthgconditi
ons)gmaygavertgthegonsetgofgphysicalgfrailtygandgcognitivegimpairment,gtwogconditionsgthatgincr
easegtheglikelihoodgofginstitutionalization.

DIF: Remembering OBJ: 1-4
TOP: NursinggProcess:gPlanning MSC:g PhysiologicgIntegrity

4. Agnursegworkinggwithgthegoldergadultgpopulationgisgmostglikelygtogassessgagneedgforgagfi
nancialgsocialgservice‟sgreferralgforgwhichgperson?
a. Whitegmale
b. Blackgfemale
c. Hispanicgmale
d. AsiangAmericangfemale
ANS:g B
Thegpovertygrategamonggoldergwomengisgsubstantiallyghighergthangthatgseengamonggmen.gThegpover
tygratesgforgpeoplegofgcolorgisghighergthangthatgofgwhites.

DIF: Remembering OBJ: 1-4
TOP: NursinggProcess:gAssessment MSC:g SafegandgEffectivegCaregEnvironment

5. Agnursegisgpreparinggtogcompletegaghealthgassessmentgandghistorygongangoldergpatient.gWhichgs
tatementgreflectsgangunderstandinggofgtheggeneralghealthgstatusgofgthisgpopulation?
a. “I‟llgneedgtogdocumentgthegmedicationsgthegpatientgisgcurrentlygprescribed.”
b. “Igwouldglikegtogunderstandghowgsupportivegthegpatient‟sgfamilygmembersgare.”
NeingRSggI
c. “MostgoldergpatientsgaregbU gGgB.C
gt r N
e a t eT
d gforgagvOariety gofgchronicghealthgcaregissues.”
d. “Itgwillgbeginterestinggtogseegwhethergthisgpatientgseesgherselfgasgbeingghealthy.”
ANS:g D
Itgisgagmisconceptiongthatgoldgagegisgsynonymousgwithgdiseasegandgillness.gIngfact,goldergadults
galreadygtendgtogviewgtheirgpersonalghealthgpositivelygdespitegthegpresencegofgchronicgillness,gd

isease,gandgimpairment.gThegnursegshouldgalwaysgdeterminegthegpatient‟sgsensegofgwellnessgan
dgindependencegwhengconductinggaghealthgandghistorygassessment.gAngassessmentgofgmedicat
iongusegandgfamilygsupportgisgimportantgforganygpatient.gManygoldergadultsgdoghavegchronicghe
althgconditions,gbutgtheirgperceptiongisgmoregimportantgthangagsinglegnumber.

DIF: Applying OBJ: 1-4 TOP:
NursinggProcess:gAssessmentgMSC:g HealthgPromotiongandgMaintenance

6. Thegnursegisgcaringgforgangoldergadultgwhoghasgbeengadmittedgtogangacutegcareghospitalgforgtr
eatmentgofgagfracturedgfemur.gThegfamilygexpressesgconcerngaboutgtheirgfather‟sgpendinggtra
nsfergtogagsubacutegcaregfacility.gWhatgresponsegbygthegnursegisgbest?
a. “Acutegcaregfacilitiesglackgtheglong-termgphysicalgtherapygyourgdadgrequires.”
b. “Yourgdadgwillgbegmuchghappiergingagmoregserene,gprivategenvironment.”
c. “Thegsubacutegfacilitygwillgfocusgonghelpinggyourgdadgtogmaintainghisgi
ndependence.”
d. “Insurance,gincludinggMedicare,gwillgcovergonlygaglimitedgamountgofgtimeghere.”

, GerontologicgNursingg6thgEditiongMeinergTestgBank

ANS:g C
Thegtransfergofgthegpatientgtogagsubacutegfacilitygisgbasedgongthegneedgtogmaintaingthe
patient‟sglevelgofgfunctiongandgindependence,gagtaskgthegacutegcaregfacilitygisgnotgpreparedgtoga
ddressgoncegthegpatientgisgphysiologicallygstable.gThegacutegcaregfacilitygmaygorgmaygnotgbegabl
egtogprovideglong-
termgtherapy.gThegpatientgmaygorgmaygnotgbeghappiergingthegnewgsetting;gthegnursegshouldgnotg
makegthisgjudgment.gItgisgtruegthatginsurancegonlygpaysgforgaglimitedgamountgofgtimegingangacut
egcaregfacility,gbutgthisgisgnotgthegbestgreasongforgthegpatientgtogtransfer.

DIF: Applying OBJ: 1-4
TOP:
IntegratedgProcess:gCommunicationgandgDocumentationg
MSC:g HealthgPromotiongandgMaintenance

7. Togbestgassuregbothgthegqualitygofgcaregandgthegsafetygofgthegoldergadultgpatientgwhogrequiresgi
n-
homegunlicensedgassistivegpersonalg(UAP)gassistance,gwhichgactiongbygtheggerontologicgnurs
egisgbest?
a. EvaluatesgthegcompetencygofgthegUAPgstaff.
b. Assumesgthegrolesgofgcasegmanagergandgpatientgadvocate.
c. ArrangesgforgthegneededgUAPgprovidedgservices.
d. Assessesgthegpatientgforgfunctionalglimitations.
ANS:g A
AsgmoregcaregtraditionallygprovidedgbygprofessionalgnursesgisgbeinggtransferredgtogUAP,gthegnu
rsegmustgassumegmoregresponsibilitygforgeducating,gtraining,gandgevaluatinggthegcompetencygo
fgUAPgstaffgtogprovidegsafe,geffectivegcaregforgthegoldergadultgpatient.

DIF: Applying OBJ:Ng1R
-5
TOP: IntegratedgProcess:gCommunicationgandgDocumentation
MSC:g SafegandgEffectivegCaregEnvironment

8. Thegnursegworkinggwithgoldergadultsgunderstandsgwhatginformationgaboutgcertificationging
gerontologicgnursing?
a. Itgisgmandatorygforgthoseginglong-termgcaregsettings.
b. Itgisgvoluntarygandgshowsgclinicalgexpertisegingangarea.
c. Itgallowsgnursesgtogbegpaidgbygthird-partygpayers.
d. Itgallowsgnursesgtogadvancegtheirgcareersgingagjob.
ANS:g B
Certificationgisgvoluntarygandgshowsgthatgagnurseghasgadditionalgknowledgegandgexpertisegingagc
ertaingareagofgpractice.gItgisgnotgmandatorygingspecificgcaregsettings.gItgdoesgnotgallowgforgthird-
partygreimbursement.gItgmaygbegpartgofgagcareergladdergprogram,gbutgthatgisgnotgtruegofgallgwork
gsettings.




DIF: Remembering OBJ: 1-
2gTOP: IntegratedgProcess:gTeaching-Learning
MSC:g SafegandgEffectivegCaregEnvironment

9. Agnursegworksgingaggerontologicgclinic.gWhatgactiongbygthegnursegtakesghighestgpriority?
a. Servinggasgagpatientgadvocate
b. Educatinggpatientsgaboutgdiseases

, GerontologicgNursingg6thgEditiongMeinergTestgBank

c. Helpinggpatientsgremaingindependent
d. Referringgpatientsgtoghomeghealthgcare
ANS:g C
Onegofgthegchallengesgandgprioritiesgofgtheggerontologicgnursegisghelpinggpatientsgtogmaintaingth
eirgindependence.gWhilegnursesgdogservegasgpatientgadvocates,geducategpatients,gandgmakegrefe
rrals,gthesegactionsgaregnotgspecificgtoggerontologicgnursing.

DIF: Remembering OBJ: 1-2
TOP: NursinggProcess:gImplementation MSC:g HealthgPromotiongandgMaintenance

10. Agnursegisgcaringgforgangoldergpatientgingthegemergencygdepartment.gWhatginformationgaboutgt
hegpatientgwillgbegmostghelpfulgingcreatinggagplangofgcare?
a. Baselinegphysicalgandgcognitivegfunctioning
b. Livinggconditionsgandgfamilygsupport
c. Medicationsgandgcurrentgmedicalgproblems
d. ResultsgofgthegMini-MentalgStategExamination
ANS:g A
Thegnursegisgencouragedgtogviewgoldergpatientsgasgindividualsgandgconsidergtheirgbaselinegphys
icalgandgcognitivegfunctionalgstatusgasgagstandardgbygwhichgtogcomparegthegpatient‟sgcurrentgst
atus.gThegotherginformationgisgalsogimportant,gbutgthegbasisgofgindividualizedgcaregbeginsgwithgt
hegpatient‟sgstrengthsgandgweaknesses.

DIF: Applying OBJ: 1-2 TOP:
NursinggProcess:gAssessmentgMSC:g HealthgPromotiongandgMaintenance
N R I G B.C M
11. Thegfacultygmemberge x p l a i n sUt o gS
studN
entsTthatgmO
anygoldergAmericansgcontinuegtogworkgpastgt
heg“retirementgage.”gWhatgbestgexplainsgthisgtrend?
a. Feelingghealthierglonger
b. Changinggfinancialgoutlook
c. Becominggboredgingretirement
d. Agdesiregtoggivegback
ANS:g B
Asgfinancialgsituationsgmayghavegdeclinedgasgagresultgofgmanygeconomicgfactors,gmoregoldergad
ultsgworkgpastgtheirg“retirementgage.”gThegothergoptionsgmaygbegreasonsgforgsomegtogcontinueg
working,gbutgfinancialgnecessitygisgthegreasongthegmajoritygcontinuegtogdogso.

DIF: Remembering OBJ: 1-
3gTOP: IntegratedgProcess:gTeaching-Learning
MSC:g HealthgPromotiongandgMaintenance

12. WhatginformationgdoesgthegfacultygmembergteachgstudentsgaboutgMedicare?
a. Coversganyonegwithgend-stagegrenalgdisease
b. PartgAgcoversgsomegprescriptiongcosts
c. PartgBgcoversginpatientghospitalgcosts
d. PartgDgeliminatesgthegdrugg“donutghole”g
ANS:g A
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