Test Bank for Evidence-Based Geriatric
n n n n n
Nursing Protocols for Best Practice 6th
n n n n n n n
Edition Boltz-100% Top scores-2023-2024
n n n n
Chapter 01: Overview of Gerontologic Nursing
n n n n n
nMeiner: Gerontologic Nursing, 5th Edition n n n n
nMULTIPLE CHOICE n
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use
n n n n n n n n n n n n n n n n
these standards to:
n n n
a. promote the practice of gerontologic nursing within the acute care setting.
n n n n n n n n n n
b. define the concepts and dimensions of gerontologic nursing practice.
n n n n n n n n
c. elevate the practice of gerontologic nursing. n n n n n
d. incorporate suggested interventions from others who practice gerontologic nursing.
n n n n n n n n
ANS: D
n n
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of
n n n n n n n n n n n n n n n n n
gerontologic nurses from across the United States. It was not intended to promote gerontologic nursing practice within
n n n n n n n n n n n n n n n n n
acute care settings, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic
n n n n n n n n n n n n n n n n n
nursing. DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1
n n n n n n n n n
TOP: N/A MSC: Safe and Effective Care Environment
n n n n n n n
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
n n n n n n n n n n n n n n n n n n n n
a. recognize that nurses must act as advocates for aging patients.
n n n n n n n n n
b. accept that this population represents a substantial portion of those requiring nursing care.
n n n n n n n n n n n n
c. self-reflect and formulate one‟s personal view of aging and the older patient.
n n n n n n n n n n n
d. recognize ageism as a form of bigotry shared by many n n n n n n n n n
Americans. ANS: C
n n n
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older population as a whole.
n n n n n n n n n n n n n n n n n n n n
With nurses being members of a society holding such views, it is critical that the individual nurse self-reflect on personal
n n n n n n n n n n n n n n n n n n n n
feelings and determine whether such feelings will affect the nursing care that he or she provides to the aging patient.
n n n n n n n n n n n n n n n n n n n n
Acting as an advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
n n n n n n n n n n n n n n n n n n n n n n
does recognizing ageism as a form of bigotry.
n n n n n n n n
DIF: Applying (Application) REF: N/A OBJ: 1-9
n n n n n n
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
n n n n n n n
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the
n n n n n n n n n n n n n n n
nurse includes the importance of:
n n n n n
a. increased availability of in-home care services. n n n n n
b. government support of retired citizens. n n n n
c. effective antibiotic therapies. n n
d. the development of life-extending therapies.
n n n n
ANS: C
n n
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics,
n n n n n n n n n n n n n n n n
better sanitation, and vaccines. These public health measures have been more instrumental in increasing the numbers of
n n n n n n n n n n n n n n n n n
healthy, independent older Americans than have in-home care services, government programs, or life-extending therapies.
n n n n n n n n n n n n n n
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
n n n n n n n
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
n n n n n n n n
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the patient‟s:
n n n n n n n n n n n n n n n n
a. nonrelated caretaker. n
b. paid caregiver. n
c. family member. n
,d. intuitional representative.
n
,ANS: C n
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at
n n n n n n n n n n n n n n n n n n n n
home or with family members.
n n n n n
DIF: Applying (Application) REF: N/A OBJ: 3-3
n n n n n n
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
n n n n n n n n n
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the
n n n n n n n n n n n n n n n n n
priority criterion for continued independence to be the patient‟s:
n n n n n n n n n
a. age.
b. financial status. n
c. gender.
d. functional status. n
ANS: D
n n
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two
n n n n n n n n n n n n n n n n n
conditions that increase the likelihood of institutionalization.
n n n n n n n
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-6
n n n n n n n
TOP: Nursing Process: Planning MSC: Physiologic Integrity
n n n n n n n
6. A nurse working with the older adult population is most likely to assess a need for a financial social service‟s referral
n n n n n n n n n n n n n n n n n n n n
for a(n):
n n
a. white male. n
b. black female. n
c. Hispanic male. n
d. Asian American female. n n
ANS: B
n n
The poverty rate among older black women is substantially higher than that seen among males or females of other ethnic
n n n n n n n n n n n n n n n n n n n
groups. White males had the least poverty.
n n n n n n n
DIF: Applying (Application) REF: N/A OBJ: 1-4
n n n n n n
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
n n n n n n n n n
7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an
n n n n n n n n n n n n n n n n n n
older patient reflects an understanding of the general health status of this population?
n n n n n n n n n n n n n
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
n n n n n n n n n n n n
b. “I would like to understand how supportive the patient‟s family members are.”
n n n n n n n n n n n
c. “Most older patients are being treated for a variety of chronic health care issues.”
n n n n n n n n n n n n n
d. “It will be interesting to see whether this patient sees herself as being
n n n n n n n n n n n n
nhealthy.” ANS: D n n
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patient‟s
n n n n n n n n n n n n n n n n n n n
nsense of wellness and independence when conducting a health and history assessment. An assessment of medication use
n n n n n n n n n n n n n n n n
nand family support is important for any patient. Many older adults do have chronic health conditions, but their perception
n n n n n n n n n n n n n n n n n n
nis more important than a single number.
n n n n n n
DIF: Applying (Application) REF: N/A OBJ: 1-4
n n n n n n
TOP: Nursing Process: Assessment MSC: Health Promotion
n n n n n n
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured
n n n n n n n n n n n n n n n n n n n n n
nfemur. The family expresses concern about the patient‟s pending transfer to a subacute care facility. What response by
n n n n n n n n n n n n n n n n n
nthe nurse is best?
n n n
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
n n n n n n n n n n n
b. “Your dad will be much happier in a more serene, private environment.”
n n n n n n n n n n n
c. “The subacute facility will focus on helping your dad maintain his independence.”
n n n n n n n n n n n
DoDD
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n Distribution nof nthis ndocument nis nillegal
, d. “Insurance, including Medicare, will cover only a limited amount of time n n n n n n n n n n
here.” ANS: C
n n n
The transfer of the patient to a subacute facility is based on the need to maintain the patient‟s level of function and
n n n n n n n n n n n n n n n n n n n n n
independence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The
n n n n n n n n n n n n n n n n n n n
patient may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance
n n n n n n n n n n n n n n n n n n n n n n n
only pays for a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfer.
n n n n n n n n n n n n n n n n n n n n n n n n n
DIF: Applying (Application) REF: N/A OBJ: 1-6
n n n n n n
TOP: Communication and Documentation
n n n n
MSC: Health Promotion and Maintenance
n n n n
9. To best assure both the quality of care and the safety of the older adult patient who requires in-home unlicensed
n n n n n n n n n n n n n n n n n n n
assistive personal (UAP) assistance, the geriatric nurse:
n n n n n n n
a. evaluates the competency of the UAP staff. n n n n n n
b. assumes the roles of case manager and patient advocate.
n n n n n n n n
c. arranges for the needed UAP provided services. n n n n n n
d. assesses the patient for functional limitations. n n n n n
ANS: A
n n
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more
n n n n n n n n n n n n n n n n n
responsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the
n n n n n n n n n n n n n n n n n n
older adult patient.
n n n
DIF: Applying (Application) REF: N/A OBJ: 1-2
n n n n n n
TOP: Communication and Documentation
n n n n
MSC: Safe and Effective Care Environment
n n n n n
10. The nurse working with older adults understands what information about certification in gerontologic nursing?
n n n n n n n n n n n n n
a. It is mandatory for those in long-term care settings.
n n n n n n n n
b. It is voluntary and shows clinical expertise in an area.
n n n n n n n n n
c. It allows nurses to be paid by third-party payers.
n n n n n n n n
d. It allows nurses to advance their careers in a
n n n n n n n n
job. ANS: B
n n n
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a certain area of practice. It is
n n n n n n n n n n n n n n n n n n n n
not mandatory in specific care settings. It does not allow for third-party reimbursement. It may be part of a career ladder
n n n n n n n n n n n n n n n n n n n n n
program, but that is not true of all work settings.
n n n n n n n n n n
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-2
n n n n n n n
TOP: Teaching-Learning MSC: Safe Effective Care Environment
n n n n n n
11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
n n n n n n n n n n n n n n
a. Serving as a patient advocate n n n n
b. Educating patients about diseases n n n
c. Helping patients remain independent n n n
d. Referring patients to home health care n n n n n
ANS: C
n n
One of the challenges and priorities of the gerontologic nurse is helping patients maintain their independence.
n n n n n n n n n n n n n n n
DIF: Remembering (Knowledge) REF: Page 10 OBJ: 1-2
n n n n n n n n
TOP: Nursing Process: Implementation MSC: Health Promotion
n n n n n n
12. A nurse is caring for an older patient in the emergency department. What information about the patient will be
n n n n n n n n n n n n n n n n n n
most helpful in creating a plan of care?
n n n n n n n n
a. Baseline physical and cognitive functioning n n n n
b. Living conditions and family support n n n n
n n n n n
Nursing Protocols for Best Practice 6th
n n n n n n n
Edition Boltz-100% Top scores-2023-2024
n n n n
Chapter 01: Overview of Gerontologic Nursing
n n n n n
nMeiner: Gerontologic Nursing, 5th Edition n n n n
nMULTIPLE CHOICE n
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use
n n n n n n n n n n n n n n n n
these standards to:
n n n
a. promote the practice of gerontologic nursing within the acute care setting.
n n n n n n n n n n
b. define the concepts and dimensions of gerontologic nursing practice.
n n n n n n n n
c. elevate the practice of gerontologic nursing. n n n n n
d. incorporate suggested interventions from others who practice gerontologic nursing.
n n n n n n n n
ANS: D
n n
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of
n n n n n n n n n n n n n n n n n
gerontologic nurses from across the United States. It was not intended to promote gerontologic nursing practice within
n n n n n n n n n n n n n n n n n
acute care settings, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic
n n n n n n n n n n n n n n n n n
nursing. DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1
n n n n n n n n n
TOP: N/A MSC: Safe and Effective Care Environment
n n n n n n n
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
n n n n n n n n n n n n n n n n n n n n
a. recognize that nurses must act as advocates for aging patients.
n n n n n n n n n
b. accept that this population represents a substantial portion of those requiring nursing care.
n n n n n n n n n n n n
c. self-reflect and formulate one‟s personal view of aging and the older patient.
n n n n n n n n n n n
d. recognize ageism as a form of bigotry shared by many n n n n n n n n n
Americans. ANS: C
n n n
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older population as a whole.
n n n n n n n n n n n n n n n n n n n n
With nurses being members of a society holding such views, it is critical that the individual nurse self-reflect on personal
n n n n n n n n n n n n n n n n n n n n
feelings and determine whether such feelings will affect the nursing care that he or she provides to the aging patient.
n n n n n n n n n n n n n n n n n n n n
Acting as an advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
n n n n n n n n n n n n n n n n n n n n n n
does recognizing ageism as a form of bigotry.
n n n n n n n n
DIF: Applying (Application) REF: N/A OBJ: 1-9
n n n n n n
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
n n n n n n n
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the
n n n n n n n n n n n n n n n
nurse includes the importance of:
n n n n n
a. increased availability of in-home care services. n n n n n
b. government support of retired citizens. n n n n
c. effective antibiotic therapies. n n
d. the development of life-extending therapies.
n n n n
ANS: C
n n
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics,
n n n n n n n n n n n n n n n n
better sanitation, and vaccines. These public health measures have been more instrumental in increasing the numbers of
n n n n n n n n n n n n n n n n n
healthy, independent older Americans than have in-home care services, government programs, or life-extending therapies.
n n n n n n n n n n n n n n
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
n n n n n n n
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
n n n n n n n n
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the patient‟s:
n n n n n n n n n n n n n n n n
a. nonrelated caretaker. n
b. paid caregiver. n
c. family member. n
,d. intuitional representative.
n
,ANS: C n
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at
n n n n n n n n n n n n n n n n n n n n
home or with family members.
n n n n n
DIF: Applying (Application) REF: N/A OBJ: 3-3
n n n n n n
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
n n n n n n n n n
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the
n n n n n n n n n n n n n n n n n
priority criterion for continued independence to be the patient‟s:
n n n n n n n n n
a. age.
b. financial status. n
c. gender.
d. functional status. n
ANS: D
n n
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two
n n n n n n n n n n n n n n n n n
conditions that increase the likelihood of institutionalization.
n n n n n n n
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-6
n n n n n n n
TOP: Nursing Process: Planning MSC: Physiologic Integrity
n n n n n n n
6. A nurse working with the older adult population is most likely to assess a need for a financial social service‟s referral
n n n n n n n n n n n n n n n n n n n n
for a(n):
n n
a. white male. n
b. black female. n
c. Hispanic male. n
d. Asian American female. n n
ANS: B
n n
The poverty rate among older black women is substantially higher than that seen among males or females of other ethnic
n n n n n n n n n n n n n n n n n n n
groups. White males had the least poverty.
n n n n n n n
DIF: Applying (Application) REF: N/A OBJ: 1-4
n n n n n n
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
n n n n n n n n n
7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an
n n n n n n n n n n n n n n n n n n
older patient reflects an understanding of the general health status of this population?
n n n n n n n n n n n n n
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
n n n n n n n n n n n n
b. “I would like to understand how supportive the patient‟s family members are.”
n n n n n n n n n n n
c. “Most older patients are being treated for a variety of chronic health care issues.”
n n n n n n n n n n n n n
d. “It will be interesting to see whether this patient sees herself as being
n n n n n n n n n n n n
nhealthy.” ANS: D n n
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patient‟s
n n n n n n n n n n n n n n n n n n n
nsense of wellness and independence when conducting a health and history assessment. An assessment of medication use
n n n n n n n n n n n n n n n n
nand family support is important for any patient. Many older adults do have chronic health conditions, but their perception
n n n n n n n n n n n n n n n n n n
nis more important than a single number.
n n n n n n
DIF: Applying (Application) REF: N/A OBJ: 1-4
n n n n n n
TOP: Nursing Process: Assessment MSC: Health Promotion
n n n n n n
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured
n n n n n n n n n n n n n n n n n n n n n
nfemur. The family expresses concern about the patient‟s pending transfer to a subacute care facility. What response by
n n n n n n n n n n n n n n n n n
nthe nurse is best?
n n n
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
n n n n n n n n n n n
b. “Your dad will be much happier in a more serene, private environment.”
n n n n n n n n n n n
c. “The subacute facility will focus on helping your dad maintain his independence.”
n n n n n n n n n n n
DoDD
woonww
lo
nnlaold
oae
addeed
bdyb:byS
y::uAaprliearshAia||la
cabb
| biaeilekecasliiya
n1l@
c2@
gm
agom
ali.lac.ciol.om
cm
om
n Distribution nof nthis ndocument nis nillegal
, d. “Insurance, including Medicare, will cover only a limited amount of time n n n n n n n n n n
here.” ANS: C
n n n
The transfer of the patient to a subacute facility is based on the need to maintain the patient‟s level of function and
n n n n n n n n n n n n n n n n n n n n n
independence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The
n n n n n n n n n n n n n n n n n n n
patient may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance
n n n n n n n n n n n n n n n n n n n n n n n
only pays for a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfer.
n n n n n n n n n n n n n n n n n n n n n n n n n
DIF: Applying (Application) REF: N/A OBJ: 1-6
n n n n n n
TOP: Communication and Documentation
n n n n
MSC: Health Promotion and Maintenance
n n n n
9. To best assure both the quality of care and the safety of the older adult patient who requires in-home unlicensed
n n n n n n n n n n n n n n n n n n n
assistive personal (UAP) assistance, the geriatric nurse:
n n n n n n n
a. evaluates the competency of the UAP staff. n n n n n n
b. assumes the roles of case manager and patient advocate.
n n n n n n n n
c. arranges for the needed UAP provided services. n n n n n n
d. assesses the patient for functional limitations. n n n n n
ANS: A
n n
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more
n n n n n n n n n n n n n n n n n
responsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the
n n n n n n n n n n n n n n n n n n
older adult patient.
n n n
DIF: Applying (Application) REF: N/A OBJ: 1-2
n n n n n n
TOP: Communication and Documentation
n n n n
MSC: Safe and Effective Care Environment
n n n n n
10. The nurse working with older adults understands what information about certification in gerontologic nursing?
n n n n n n n n n n n n n
a. It is mandatory for those in long-term care settings.
n n n n n n n n
b. It is voluntary and shows clinical expertise in an area.
n n n n n n n n n
c. It allows nurses to be paid by third-party payers.
n n n n n n n n
d. It allows nurses to advance their careers in a
n n n n n n n n
job. ANS: B
n n n
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a certain area of practice. It is
n n n n n n n n n n n n n n n n n n n n
not mandatory in specific care settings. It does not allow for third-party reimbursement. It may be part of a career ladder
n n n n n n n n n n n n n n n n n n n n n
program, but that is not true of all work settings.
n n n n n n n n n n
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-2
n n n n n n n
TOP: Teaching-Learning MSC: Safe Effective Care Environment
n n n n n n
11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
n n n n n n n n n n n n n n
a. Serving as a patient advocate n n n n
b. Educating patients about diseases n n n
c. Helping patients remain independent n n n
d. Referring patients to home health care n n n n n
ANS: C
n n
One of the challenges and priorities of the gerontologic nurse is helping patients maintain their independence.
n n n n n n n n n n n n n n n
DIF: Remembering (Knowledge) REF: Page 10 OBJ: 1-2
n n n n n n n n
TOP: Nursing Process: Implementation MSC: Health Promotion
n n n n n n
12. A nurse is caring for an older patient in the emergency department. What information about the patient will be
n n n n n n n n n n n n n n n n n n
most helpful in creating a plan of care?
n n n n n n n n
a. Baseline physical and cognitive functioning n n n n
b. Living conditions and family support n n n n
