k
Chapterg01:gOverviewgofgGerontologicgNursinggMeine
r:gGerontologicgNursing,g6thgEdition
MULTIPLEgCHOICE
1. Ing2010,gthegrevisedgStandardsgandgScopegofgGerontologicalgNursinggPracticegwa
sgpublished.gThegnursegwouldgusegthesegstandardsgto
a. promotegthegpracticegofggerontologicgnursinggwithingthegacutegcaregsetting.
b. definegthegconceptsgandgdimensionsgofggerontologicgnursinggpractice.
c. elevategthegpracticegofggerontologicgnursing.
d. incorporategthegconceptsgofghealthgpromotion,ghealthgmaintenance,gdiseas
egprevention,gandgself-care
ANS:g D
ThegcurrentgpublishinggofgthegStandardsgandgScopegofgGerontologicalgNursinggPracticeging
2010gincorporatesgtheginputgofggerontologicgnursesgfromgacrossgthegUnitedgStatesgandginclu
desgcomprehensivegconceptsgandgdimensionsgimportantgtogthosegpracticingggerontologicgnur
sing.gItgwasgnotgintendedgtogpromoteggerontologicgnursinggpracticegwithingacutegcaregsetting
s,gdefinegconceptsgorgdimensionsgofggerontologicgnursinggpractice,gorgelevategthegpracticegof
ggerontologicgnursing.
DIF: Remembering OBJ: 1-1 TOP:
N/AgMSC:g SafegandgEffectivegCaregEnvironment
2. Whengattemptinggtogminimizegthegeffectgofgageismgongthegpracticegofgnursinggoldergadults,g
agnursegneedsgtogfirst
a. recognizegthatgnursesgmustgactgasgadvocatesgforgaginggpatients.
b. acceptgthatgthisgpopulationgrepresentsgagsubstantialgportiongofgthosegrequirin
ggnursinggcare.
c. self-reflectgandgformulategone‟sgpersonalgviewgofgaginggandgthegoldergpatient.
d. recognizegageismgasgagformgofgbigotrygsharedgbygmanygAmericans.
ANS:g C
Ageismgisgangever-
increasinggprejudicialgviewgofgthegeffectsgofgthegaginggprocessgandgofgthegoldergpopulationga
sgagwhole.gWithgnursesgbeinggmembersgofgagsocietygholdinggsuchgviews,gitgisgcriticalgthatgth
egindividualgnursegself-
reflectsgongpersonalgfeelingsgandgdeterminesgwhethergsuchgfeelingsgwillgaffectgthegnursinggc
aregthatghegorgshegprovidesgtogthegaginggpatient.gActinggasgangadvocategisgangimportantgnursi
nggrolegingallgsettings.gSimplygacceptinggagfactgdoesgnotghelpgendgageism,gnorgdoesgrecogniz
inggageismgasgagformgofgbigotry.
DIF: Applying OBJ: 1-6 TOP: IntegratedgProcess:gTeaching-
LearninggMSC:g SafegandgEffectivegCaregEnvironment
3. Thegnursegplanninggcaregforgangoldergadultgwhoghasgrecentlygbeengdiagnosedgwithgrheumatoi
dgarthritisgviewsgthegprioritygcriteriongforgcontinuedgindependencegtogbegthegpatient‟s
a. age.
b. financialgstatus.
c. gender.
d. functionalgstatus.
, GerontologicgNursingg6thgEditiongMeinergTestgBan
k
ANS:g g D
Maintaininggthegfunctionalgstatusgofgoldergadultsg(especiallygthosegwithgchronicghealthgcond
itions)gmaygavertgthegonsetgofgphysicalgfrailtygandgcognitivegimpairment,gtwogconditionsgtha
tgincreasegtheglikelihoodgofginstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: NursinggProcess:gPlanning MSC:g PhysiologicgIntegrity
4. Agnursegworkinggwithgthegoldergadultgpopulationgisgmostglikelygtogassessgagneedgfor
gagfinancialgsocialgservice‟sgreferralgforgwhichgperson?
a. Whitegmale
b. Blackgfemale
c. Hispanicgmale
d. AsiangAmericangfemale
ANS:g B
Thegpovertygrategamonggoldergwomengisgsubstantiallyghighergthangthatgseengamonggmen.gThegpo
vertygratesgforgpeoplegofgcolorgisghighergthangthatgofgwhites.
DIF: Remembering OBJ: 1-4
TOP: NursinggProcess:gAssessment MSC:g SafegandgEffectivegCaregEnvironment
5. Agnursegisgpreparinggtogcompletegaghealthgassessmentgandghistorygongangoldergpatient.gWhic
hgstatementgreflectsgangunderstandinggofgtheggeneralghealthgstatusgofgthisgpopulation?
a. “I‟llgneedgtogdocumentgthegmedicationsgthegpatientgisgcurrentlygprescribed.”
b. “Igwouldglikegtogunderstandghowgsupportivegthegpatient‟sgfamilygmembersgare.”
c. “MostgoldergpatientsgaregbN gRgIgGgB.C
UeinSggt r Ne a t eTd gforgagvOariet ygofgchronicghealthgcaregissues.”
d. “Itgwillgbeginterestinggtogseegwhethergthisgpatientgseesgherselfgasgbeingghealthy.”
ANS:g D
Itgisgagmisconceptiongthatgoldgagegisgsynonymousgwithgdiseasegandgillness.gIngfact,goldergad
ultsgalreadygtendgtogviewgtheirgpersonalghealthgpositivelygdespitegthegpresencegofgchronicgill
ness,gdisease,gandgimpairment.gThegnursegshouldgalwaysgdeterminegthegpatient‟sgsensegofgw
ellnessgandgindependencegwhengconductinggaghealthgandghistorygassessment.gAngassessmen
tgofgmedicationgusegandgfamilygsupportgisgimportantgforganygpatient.gManygoldergadultsgdog
havegchronicghealthgconditions,gbutgtheirgperceptiongisgmoregimportantgthangagsinglegnumbe
r.
DIF: Applying OBJ: 1-4 TOP:
NursinggProcess:gAssessmentgMSC:g HealthgPromotiongandgMaintenance
6. Thegnursegisgcaringgforgangoldergadultgwhoghasgbeengadmittedgtogangacutegcareghospitalgf
orgtreatmentgofgagfracturedgfemur.gThegfamilygexpressesgconcerngaboutgtheirgfather‟sgpen
dinggtransfergtogagsubacutegcaregfacility.gWhatgresponsegbygthegnursegisgbest?
a. “Acutegcaregfacilitiesglackgtheglong-termgphysicalgtherapygyourgdadgrequires.”
b. “Yourgdadgwillgbegmuchghappiergingagmoregserene,gprivategenvironment.”
c. “Thegsubacutegfacilitygwillgfocusgonghelpinggyourgdadgtogmaintainghi
sgindependence.”
d. “Insurance,gincludinggMedicare,gwillgcovergonlygaglimitedgamountgofgtimeghere.”
, GerontologicgNursingg6thgEditiongMeinergTestgBan
k
ANS:g C
Thegtransfergofgthegpatientgtogagsubacutegfacilitygisgbasedgongthegneedgtogmaintaingthe
patient‟sglevelgofgfunctiongandgindependence,gagtaskgthegacutegcaregfacilitygisgnotgpreparedgt
ogaddressgoncegthegpatientgisgphysiologicallygstable.gThegacutegcaregfacilitygmaygorgmaygnot
gbegablegtogprovideglong-
termgtherapy.gThegpatientgmaygorgmaygnotgbeghappiergingthegnewgsetting;gthegnursegshouldgn
otgmakegthisgjudgment.gItgisgtruegthatginsurancegonlygpaysgforgaglimitedgamountgofgtimeginga
ngacutegcaregfacility,gbutgthisgisgnotgthegbestgreasongforgthegpatientgtogtransfer.
DIF: Applying OBJ: 1-4
TOP:
IntegratedgProcess:gCommunicationgandgDocumentation
gMSC:g HealthgPromotiongandgMaintenance
7. Togbestgassuregbothgthegqualitygofgcaregandgthegsafetygofgthegoldergadultgpatientgwhogrequir
esgin-
homegunlicensedgassistivegpersonalg(UAP)gassistance,gwhichgactiongbygtheggerontologicgn
ursegisgbest?
a. EvaluatesgthegcompetencygofgthegUAPgstaff.
b. Assumesgthegrolesgofgcasegmanagergandgpatientgadvocate.
c. ArrangesgforgthegneededgUAPgprovidedgservices.
d. Assessesgthegpatientgforgfunctionalglimitations.
ANS:g A
AsgmoregcaregtraditionallygprovidedgbygprofessionalgnursesgisgbeinggtransferredgtogUAP,gthe
gnursegmustgassumegmoregresponsibilitygforgeducating,gtraining,gandgevaluatinggthegcompete
ncygofgUAPgstaffgtogprovidegsafe,geffectivegcaregforgthegoldergadultgpatient.
DIF: Applying OBJ:Ng1R
-5
TOP: IntegratedgProcess:gCommunicationgandgDocumentation
MSC:g SafegandgEffectivegCaregEnvironment
8. Thegnursegworkinggwithgoldergadultsgunderstandsgwhatginformationgaboutgcertificationgi
nggerontologicgnursing?
a. Itgisgmandatorygforgthoseginglong-termgcaregsettings.
b. Itgisgvoluntarygandgshowsgclinicalgexpertisegingangarea.
c. Itgallowsgnursesgtogbegpaidgbygthird-partygpayers.
d. Itgallowsgnursesgtogadvancegtheirgcareersgingagjob.
ANS:g B
Certificationgisgvoluntarygandgshowsgthatgagnurseghasgadditionalgknowledgegandgexpertiseging
agcertaingareagofgpractice.gItgisgnotgmandatorygingspecificgcaregsettings.gItgdoesgnotgallowgfor
gthird-
partygreimbursement.gItgmaygbegpartgofgagcareergladdergprogram,gbutgthatgisgnotgtruegofgallg
workgsettings.
DIF: Remembering OBJ: 1-
2gTOP: IntegratedgProcess:gTeaching-Learning
MSC:g SafegandgEffectivegCaregEnvironment
9. Agnursegworksgingaggerontologicgclinic.gWhatgactiongbygthegnursegtakesghighestgpriority?
a. Servinggasgagpatientgadvocate
b. Educatinggpatientsgaboutgdiseases
, GerontologicgNursingg6thgEditiongMeinergTestgBan
k
c. Helpinggpatientsgremaingindependent
d. Referringgpatientsgtoghomeghealthgcare
ANS:g C
Onegofgthegchallengesgandgprioritiesgofgtheggerontologicgnursegisghelpinggpatientsgtogmaintai
ngtheirgindependence.gWhilegnursesgdogservegasgpatientgadvocates,geducategpatients,gandgma
kegreferrals,gthesegactionsgaregnotgspecificgtoggerontologicgnursing.
DIF: Remembering OBJ: 1-2
TOP: NursinggProcess:gImplementation MSC:g HealthgPromotiongandgMaintenance
10. Agnursegisgcaringgforgangoldergpatientgingthegemergencygdepartment.gWhatginformationgabo
utgthegpatientgwillgbegmostghelpfulgingcreatinggagplangofgcare?
a. Baselinegphysicalgandgcognitivegfunctioning
b. Livinggconditionsgandgfamilygsupport
c. Medicationsgandgcurrentgmedicalgproblems
d. ResultsgofgthegMini-MentalgStategExamination
ANS:g A
Thegnursegisgencouragedgtogviewgoldergpatientsgasgindividualsgandgconsidergtheirgbaselinegp
hysicalgandgcognitivegfunctionalgstatusgasgagstandardgbygwhichgtogcomparegthegpatient‟sgcur
rentgstatus.gThegotherginformationgisgalsogimportant,gbutgthegbasisgofgindividualizedgcaregbeg
insgwithgthegpatient‟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
anygoldergAmericansgcontinuegtogworkgpa
stgtheg“retirementgage.”gWhatgbestgexplainsgthisgtrend?
a. Feelingghealthierglonger
b. Changinggfinancialgoutlook
c. Becominggboredgingretirement
d. Agdesiregtoggivegback
ANS:g B
Asgfinancialgsituationsgmayghavegdeclinedgasgagresultgofgmanygeconomicgfactors,gmoregolder
gadultsgworkgpastgtheirg“retirementgage.”gThegothergoptionsgmaygbegreasonsgforgsomegtogcon
tinuegworking,gbutgfinancialgnecessitygisgthegreasongthegmajoritygcontinuegtogdogso.
DIF: Remembering OBJ: 1-
3gTOP: IntegratedgProcess:gTeaching-Learning
MSC:g HealthgPromotiongandgMaintenance
12. WhatginformationgdoesgthegfacultygmembergteachgstudentsgaboutgMedicare?
a. Coversganyonegwithgend-stagegrenalgdisease
b. PartgAgcoversgsomegprescriptiongcosts
c. PartgBgcoversginpatientghospitalgcosts
d. PartgDgeliminatesgthegdrugg“donutghole
”gANS:g A