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

TOWARD HEALTH AGING: Human Needs
and Nursing Responses 11TH EDITION/ALL
CHAPTERS 1-35

,Chapter 01: Gerontological Nursing Across the Continuum of Care T
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ouhy: Toward Healthy Aging, 11th Edition
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MULTIPLE CHOICE DT




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. DT DT DT DT DT




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




c. Following the Great Depression. DT DT DT




d. Since the year 2000. DT DT DT




ACCURATE ANSWE DT




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




TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Healt D T DT DT DT D T DT DT




h Promotion and Maintenance
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2. The son of a nursing home resident asks a nursing attendant: “What is the significance o
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f being certified in gerontology? I see that you are, but not all of the nursing attendants ar
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e.” What response best answers the family member’s question?
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a. “National certification as a gerontological nursing attendant is a way to dem DT DT DT DT DT DT DT DT DT DT DT




onstrate special knowledge in caring for older adults.” DT DT DT DT DT DT DT




b. “National certification in gerontology is required for all nursing attendants w DT DT DT DT DT DT DT DT DT DT




ho have worked in this setting for 2 or more years.”
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c. “National certification is only available to nursing attendants who have a BaccaDT DT DT DT DT DT DT DT DT DT DT




laureate degree in nursing.” DT DT DT




d. “Only advanced practice nursing attendants, like nursing attendant
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practitioners, are certified in gerontology.” DT DT DT DT




ACCURATE ANSWE DT




R:-A
REASONING:-
>>>National certification is a way to demonstrate special expertise in caring for older ad
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ults. It is not required for practice in any setting across the continuum of care, and it is not
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exclusive to nursing attendants with Baccalaureate degrees. There is both a generalist and
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a specialist gerontological nursing certification. The generalist functions in a variety of se
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ttings providing care to older adults and their families. The specialist has advanced geront
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ological education at a master’s level. DT DT DT DT DT




DIF: Cognitive Level: Understanding DT DT




TOPIC: Integrated Process: Communication and Documentati
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on MSC: Patient Needs: Management of Care
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3. The major goal of the NICHE (Nursing attendants Improving Care for Healthsystem
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Elders) program includes which of the following?
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a. Improve outcomes for hospitalized older adults. DT DT DT DT DT

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




c. Increase the number of iatrogenic complications that occur in hospitalized ol
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der adults. DT




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




ACCURATE ANSWER:-A DT




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




TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Healt D T DT DT DT D T DT DT




h Promotion and Maintenance
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MULTIPLE RESPONSE DT




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




b. Many hospitals have instituted system-wide interventions to prevent readmissions.
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c. Hospitals are keeping hospital patients longer to avoid readmissions. DT DT DT DT DT DT DT DT




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




e. Hospitals have a financial incentive to develop programs to reduce readmissions.
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ACCURATE ANSWER:-A, B, E DT DT DT




REASONING:-
>>>The Hospital Readmission Reduction Program (HRRP) was established as a provisi
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on in the Affordable Care Act (ACA) requiring Medicare to reduce payments to hospitals
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with relatively high readmission rates for selected conditions for hospital patients in tradi
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tional Medicare. Since the HRRP, readmission rates for the selected conditions have dro
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pped nationwide but estimates are that in 2018, about 80% of hospitals evaluated by CM
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S will face penalties totaling $564 million (Advisory Board, 2017). Additionally, the HRR
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P has been the impetus for many hospitals to institute system-
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wide interventions to prevent readmissions that have also contributed to the decline in re
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admission rates. The rate of potentially avoidable hospitalizations among SNF residents
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has fallen by nearly a third in recent years as a result of many quality improvement initiati
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ves.

DIF: Cognitive Level: Understanding DT DT




TOPIC: Integrated Process: Teaching/Learning MSC: Patient Needs: Healt D T DT DT DT D T DT DT




h Promotion and Maintenance
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2. Which of the following are true statements about the current health care workforce? (Choos
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e all that apply.)
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a. Approximately 10% of registered nursing attendants (RNs) are certified in DT DT DT DT DT DT DT DT DT DT




gerontological nursing. DT




b. The number of geriatricians is expected to increase about 50% over the next
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25 years. DT




c. The professions of social work, physical therapy, and psychiatry are demonstrat
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, ing 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 n
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ext 20 years.
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e. It is anticipated that there will be a need for approximately 3million additio
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nal direct care and professional health care workers by the year 2030.
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ACCURATE ANSWER:-C, D, E DT DT DT