DOWNLOADvbTHEvbTestvbBankvbforvbEbersolevbandvbHess'vbTowardvbHealthyvbAgingvb9thvbE
ditionvbTouhy
Chaptervb02:vbGerontologicalvbNursing:vbPast,vbPresent,vbandvbFuturevbT
ouhy:vbEbersolevb&vbHess’vbTowardvbHealthyvbAging,vb10thvbEdition
MULTIPLEvbCHOICE
1. Seriousvbandvbwell-controlledvbresearchvbstudiesvbonvbagingvbhavevbbeenvbavailable:
a. onlyvbinvbthevbpastvb60vbyears.
b. sincevbthevbturnvbofvbthevb20thvbcentury.
c. followingvbthevbGreatvbDepression.
d. sincevbthevbyearvb2000.
ANS:v b v b A
Onlyvbinvbthevbpastvb60vbyearsvbhavevbseriousvbandvbcarefullyvbcontrolledvbresearchvbstudiesvbflou
rished.vbBeforevbthat,vbanecdotalvbevidencevbwasvbusedvbtovbillustratevbissuesvbassumedvbtovbbevb
universal,vbmakingvballvbthevbremainingvboptionsvbincorrect.
DIF: CognitivevbLevel:vbRemembering TOP:
IntegratedvbProcess:vbTeaching/LearningvbMSC:v b ClientvbNeeds:vbHealthvbPromotio
nvbandvbMaintenance
2. Thevbsonvbofvbavbnursingvbhomevbresidentvbasksvbavbnurse:vb“Whatvbisvbthevbsignificancevbofvbbeingv
bcertifiedvbinvbgerontology? vbIvbseevbthatvbyouvbare,vbbutvbnotvballvbofvbthevbnursesvbare.”vbThevbbes
tvbresponsevbbyvbthevbnursevbisvbwhichvbofvbthevbfollowing?
a. “Nationalvbcertificationvbasvbavbgerontologicalvbnursevbisvbavbwayvbtovbdemonstratevbs
pecialvbknowledgevbinvbcaringvbforvboldervbadults.”
b. “Nationalvbcertificationvbinvbgerontologyvbisvbrequiredvbforvballvbnursesvbwhovbhavevb
workedvbinvbthisvbsettingvbforvb2vborvbmorevbyears.”
c. “NationalvbcertificationvbisvbonlyvbavailablevbtovbnursesvbwhovbhavevbavbBaccalaureatevb
degreevbinvbnursing.”
d. “Onlyvbadvancedvbpracticevbnurses,vblikevbnursevbpractitioners,vbarevbcertifi
edvbinvbgerontology.”
ANS:v b v b A
Nationalvbcertificationvbisvbavbwayvbtovbdemonstratevbspecialvbexpertisevbinvbcaringvbforvboldervba
dults.vbItvbisvbnotvbrequiredvbforvbpracticevbinvbanyvbsettingvbacrossvbthevbcontinuumvbofvbcare,vban
dvbitvbisvbnotvbexclusivevbtovbnursesvbwithvbBaccalaureatevbdegrees.vbTherevbisvbbothvbavbgeneralis
tvbandvbavbspecialistvbgerontologicalvbnursingvbcertification.vbThevbgeneralistvbfunctionsvbinvbavbv
arietyvbofvbsettingsvbprovidingvbcarevbtovboldervbadultsvbandvbtheirvbfamilies.vbThevbspecialistvbhasv
badvancedvbgerontologicalvbeducationvbatvbavbMastersvblevel.
DIF: CognitivevbLevel:vbAnalyzing
TOP:
IntegratedvbProcess:vbCommunicationvbandvbDocumentati
onvbMSC:v b ClientvbNeeds:vbManagementvbofvbCare
3. ThevbmajorvbgoalvbofvbthevbNICHEvb(NursesvbImprovingvbCarevbforvbHealthvbSystemvbElders)vbp
rogramvbincludesvbwhichvbofvbthevbfollowing?
a. Improvevboutcomesvbforvbhospitalizedvboldervbadults.
b. Increasevbthevbnumbervbofvboldervbadultsvbcaredvbforvbinvbhospitals.
c. Increasevbthevbnumbervbofvbiatrogenicvbcomplicationsvbthatvboccurvbinvbhospitalizedv
boldervbadults.
mynursytest.store
, DOWNLOADvbTHEvbTestvbBankvbforvbEbersolevbandvbHess'vbTowardvbHealthyvbAgingvb9thvbE
ditionvbTouhy
d. Decreasevb30-dayvbreadmissionvbratesvbforvbhospitalizedvboldervbadults.
ANS:v b v b A
ThevbgoalvbofvbNICHEvbisvbtovbimprovevboutcomesvbforvbhospitalizedvboldervbadults.vbAlthoughvbo
ptionvbDvbisvbavbgoodvboutcomevbforvbhospitalizedvboldervbadults,vbitvbisvbnotvbonevbofvbthevbmajorvb
goalsvbofvbNICHE,vbwhichvbarevbbroader.vbOptionsvbBvbandvbCvbarevbnotvbgoalsvbthatvbwouldvbimp
rovevbcarevbforvboldervbadults,vbbutvbwouldvbbevbnegativevboutcomesvbthemselves.
DIF: CognitivevbLevel:vbRemembering TOP:
IntegratedvbProcess:vbTeaching/LearningvbMSC:v b ClientvbNeeds:vbHealthvbPromotio
nvbandvbMaintenance
MULTIPLEvbRESPONSE
1. ThevbimpactvbofvbthevbHospitalvbReadmissionvbReductionvbProgramvb(HRRP)vbonvbavoi
dablevbreadmissionsvbincludesvbwhichvbofvbthevbfollowing?vb(Selectvballvbthatvbapply.)
a. Readmissionvbratesvbforvbthevbselectedvbconditionsvbhavevbdroppedvbnationwide.
b. Manyvbhospitalsvbhavevbinstitutedvbsystem-widevbinterventionsvbtovbpreventvbreadmissions.
c. Hospitalsvbarevbkeepingvbpatientsvblongervbtovbavoidvbreadmissions.
d. Potentiallyvbavoidablevbhospitalizationsvbamongvbnursingvbhomevbresidentsvbisvbincreasing.
e. Hospitalsvbhavevbavbfinancialvbincentivevbtovbdevelopvbprogramsvbtovbreducevbreadmissions.
ANS:v b v b A,vbB,vbE
ThevbHospitalvbReadmissionvbReductionvbProgramvb(HRRP)vbwasvbestablishedvbasvbavbprovisionv
binvbthevbAffordablevbCarevbActvb(ACA)vbrequiringvbMedicarevbtovbreducevbpaymentsvbtovbhospita
lsvbwithvbrelativelyvbhighvbreadmissionvbratesvbforvbselectedvbconditionsvbforvbpatientsvbinvbtraditi
onalvbMedicare.vbSincevbthevbHRRP,vbreadmissionvbratesvbforvbthevbselectedvbconditionsvbhavevbd
roppedvbnationwidevbbutvbestimatesvbarevbthatvbinvb2018,vbaboutvb80%vbofvbhospitalsvbevaluatedvb
byvbCMSvbwillvbfacevbpenaltiesvbtotalingvb$564vbmillionvb(AdvisoryvbBoard,vb2017).vbAdditionall
y,vbthevbHRRPvbhasvbbeenvbthevbimpetusvbforvbmanyvbhospitalsvbtovbinstitutevbsystem-
widevbinterventionsvbtovbpreventvbreadmissionsvbthatvbhavevbalsovbcontributedvbtovbthevbdeclinevbi
nvbreadmissionvbrates.vbThevbratevbofvbpotentiallyvbavoidablevbhospitalizationsvbamongvbSNFvbres
identsvbhasvbfallenvbbyvbnearlyvbavbthirdvbinvbrecentvbyearsvbasvbavbresultvbofvbmanyvbqualityvbimpro
vementvbinitiatives.
DIF: CognitivevbLevel:vbUnderstanding TOP:
IntegratedvbProcess:vbTeaching/LearningvbMSC:v b ClientvbNeeds:vbHealthvbPromotio
nvbandvbMaintenance
2. Whichvbofvbthevbfollowingvbarevbtruevbstatementsvbaboutvbthevbcurrentvbhealthvbcarevbworkforce?v
b(Selectvballvbthatvbapply.)
a. Approximatelyvb10%vbofvbregisteredvbnursesvb(RNs)vbarevbcertifiedvbinvbgerontolo
gicalvbnursing.
b. Thevbnumbervbofvbgeriatriciansvbisvbexpectedvbtovbincreasevbaboutvb50%vbovervbthevb
nextvb25vbyears.
c. Thevbprofessionsvbofvbsocialvbwork,vbphysicalvbtherapy,vbandvbpsychiatryvbarevbdemonst
ratingvbthevbsamevbtrendsvbasvbnursing.
d. Europevbandvbthevbdevelopingvbcountriesvbarevbexperiencingvbsimilarvbshortagesvbinvb
healthvbcarevbworkersvbwithvbgeriatricvbexpertisevbasvbinvbthevbUnitedvbStates.
e. Itvbisvbanticipatedvbthatvbtherevbwillvbbevbavbneedvbforvbapproximatelyvb3.5vbmillionvbad
ditionalvbdirectvbcarevbandvbprofessionalvbhealthvbcarevbworkersvbbyvbthevbyearvb2030
.
mynursytest.store
ditionvbTouhy
Chaptervb02:vbGerontologicalvbNursing:vbPast,vbPresent,vbandvbFuturevbT
ouhy:vbEbersolevb&vbHess’vbTowardvbHealthyvbAging,vb10thvbEdition
MULTIPLEvbCHOICE
1. Seriousvbandvbwell-controlledvbresearchvbstudiesvbonvbagingvbhavevbbeenvbavailable:
a. onlyvbinvbthevbpastvb60vbyears.
b. sincevbthevbturnvbofvbthevb20thvbcentury.
c. followingvbthevbGreatvbDepression.
d. sincevbthevbyearvb2000.
ANS:v b v b A
Onlyvbinvbthevbpastvb60vbyearsvbhavevbseriousvbandvbcarefullyvbcontrolledvbresearchvbstudiesvbflou
rished.vbBeforevbthat,vbanecdotalvbevidencevbwasvbusedvbtovbillustratevbissuesvbassumedvbtovbbevb
universal,vbmakingvballvbthevbremainingvboptionsvbincorrect.
DIF: CognitivevbLevel:vbRemembering TOP:
IntegratedvbProcess:vbTeaching/LearningvbMSC:v b ClientvbNeeds:vbHealthvbPromotio
nvbandvbMaintenance
2. Thevbsonvbofvbavbnursingvbhomevbresidentvbasksvbavbnurse:vb“Whatvbisvbthevbsignificancevbofvbbeingv
bcertifiedvbinvbgerontology? vbIvbseevbthatvbyouvbare,vbbutvbnotvballvbofvbthevbnursesvbare.”vbThevbbes
tvbresponsevbbyvbthevbnursevbisvbwhichvbofvbthevbfollowing?
a. “Nationalvbcertificationvbasvbavbgerontologicalvbnursevbisvbavbwayvbtovbdemonstratevbs
pecialvbknowledgevbinvbcaringvbforvboldervbadults.”
b. “Nationalvbcertificationvbinvbgerontologyvbisvbrequiredvbforvballvbnursesvbwhovbhavevb
workedvbinvbthisvbsettingvbforvb2vborvbmorevbyears.”
c. “NationalvbcertificationvbisvbonlyvbavailablevbtovbnursesvbwhovbhavevbavbBaccalaureatevb
degreevbinvbnursing.”
d. “Onlyvbadvancedvbpracticevbnurses,vblikevbnursevbpractitioners,vbarevbcertifi
edvbinvbgerontology.”
ANS:v b v b A
Nationalvbcertificationvbisvbavbwayvbtovbdemonstratevbspecialvbexpertisevbinvbcaringvbforvboldervba
dults.vbItvbisvbnotvbrequiredvbforvbpracticevbinvbanyvbsettingvbacrossvbthevbcontinuumvbofvbcare,vban
dvbitvbisvbnotvbexclusivevbtovbnursesvbwithvbBaccalaureatevbdegrees.vbTherevbisvbbothvbavbgeneralis
tvbandvbavbspecialistvbgerontologicalvbnursingvbcertification.vbThevbgeneralistvbfunctionsvbinvbavbv
arietyvbofvbsettingsvbprovidingvbcarevbtovboldervbadultsvbandvbtheirvbfamilies.vbThevbspecialistvbhasv
badvancedvbgerontologicalvbeducationvbatvbavbMastersvblevel.
DIF: CognitivevbLevel:vbAnalyzing
TOP:
IntegratedvbProcess:vbCommunicationvbandvbDocumentati
onvbMSC:v b ClientvbNeeds:vbManagementvbofvbCare
3. ThevbmajorvbgoalvbofvbthevbNICHEvb(NursesvbImprovingvbCarevbforvbHealthvbSystemvbElders)vbp
rogramvbincludesvbwhichvbofvbthevbfollowing?
a. Improvevboutcomesvbforvbhospitalizedvboldervbadults.
b. Increasevbthevbnumbervbofvboldervbadultsvbcaredvbforvbinvbhospitals.
c. Increasevbthevbnumbervbofvbiatrogenicvbcomplicationsvbthatvboccurvbinvbhospitalizedv
boldervbadults.
mynursytest.store
, DOWNLOADvbTHEvbTestvbBankvbforvbEbersolevbandvbHess'vbTowardvbHealthyvbAgingvb9thvbE
ditionvbTouhy
d. Decreasevb30-dayvbreadmissionvbratesvbforvbhospitalizedvboldervbadults.
ANS:v b v b A
ThevbgoalvbofvbNICHEvbisvbtovbimprovevboutcomesvbforvbhospitalizedvboldervbadults.vbAlthoughvbo
ptionvbDvbisvbavbgoodvboutcomevbforvbhospitalizedvboldervbadults,vbitvbisvbnotvbonevbofvbthevbmajorvb
goalsvbofvbNICHE,vbwhichvbarevbbroader.vbOptionsvbBvbandvbCvbarevbnotvbgoalsvbthatvbwouldvbimp
rovevbcarevbforvboldervbadults,vbbutvbwouldvbbevbnegativevboutcomesvbthemselves.
DIF: CognitivevbLevel:vbRemembering TOP:
IntegratedvbProcess:vbTeaching/LearningvbMSC:v b ClientvbNeeds:vbHealthvbPromotio
nvbandvbMaintenance
MULTIPLEvbRESPONSE
1. ThevbimpactvbofvbthevbHospitalvbReadmissionvbReductionvbProgramvb(HRRP)vbonvbavoi
dablevbreadmissionsvbincludesvbwhichvbofvbthevbfollowing?vb(Selectvballvbthatvbapply.)
a. Readmissionvbratesvbforvbthevbselectedvbconditionsvbhavevbdroppedvbnationwide.
b. Manyvbhospitalsvbhavevbinstitutedvbsystem-widevbinterventionsvbtovbpreventvbreadmissions.
c. Hospitalsvbarevbkeepingvbpatientsvblongervbtovbavoidvbreadmissions.
d. Potentiallyvbavoidablevbhospitalizationsvbamongvbnursingvbhomevbresidentsvbisvbincreasing.
e. Hospitalsvbhavevbavbfinancialvbincentivevbtovbdevelopvbprogramsvbtovbreducevbreadmissions.
ANS:v b v b A,vbB,vbE
ThevbHospitalvbReadmissionvbReductionvbProgramvb(HRRP)vbwasvbestablishedvbasvbavbprovisionv
binvbthevbAffordablevbCarevbActvb(ACA)vbrequiringvbMedicarevbtovbreducevbpaymentsvbtovbhospita
lsvbwithvbrelativelyvbhighvbreadmissionvbratesvbforvbselectedvbconditionsvbforvbpatientsvbinvbtraditi
onalvbMedicare.vbSincevbthevbHRRP,vbreadmissionvbratesvbforvbthevbselectedvbconditionsvbhavevbd
roppedvbnationwidevbbutvbestimatesvbarevbthatvbinvb2018,vbaboutvb80%vbofvbhospitalsvbevaluatedvb
byvbCMSvbwillvbfacevbpenaltiesvbtotalingvb$564vbmillionvb(AdvisoryvbBoard,vb2017).vbAdditionall
y,vbthevbHRRPvbhasvbbeenvbthevbimpetusvbforvbmanyvbhospitalsvbtovbinstitutevbsystem-
widevbinterventionsvbtovbpreventvbreadmissionsvbthatvbhavevbalsovbcontributedvbtovbthevbdeclinevbi
nvbreadmissionvbrates.vbThevbratevbofvbpotentiallyvbavoidablevbhospitalizationsvbamongvbSNFvbres
identsvbhasvbfallenvbbyvbnearlyvbavbthirdvbinvbrecentvbyearsvbasvbavbresultvbofvbmanyvbqualityvbimpro
vementvbinitiatives.
DIF: CognitivevbLevel:vbUnderstanding TOP:
IntegratedvbProcess:vbTeaching/LearningvbMSC:v b ClientvbNeeds:vbHealthvbPromotio
nvbandvbMaintenance
2. Whichvbofvbthevbfollowingvbarevbtruevbstatementsvbaboutvbthevbcurrentvbhealthvbcarevbworkforce?v
b(Selectvballvbthatvbapply.)
a. Approximatelyvb10%vbofvbregisteredvbnursesvb(RNs)vbarevbcertifiedvbinvbgerontolo
gicalvbnursing.
b. Thevbnumbervbofvbgeriatriciansvbisvbexpectedvbtovbincreasevbaboutvb50%vbovervbthevb
nextvb25vbyears.
c. Thevbprofessionsvbofvbsocialvbwork,vbphysicalvbtherapy,vbandvbpsychiatryvbarevbdemonst
ratingvbthevbsamevbtrendsvbasvbnursing.
d. Europevbandvbthevbdevelopingvbcountriesvbarevbexperiencingvbsimilarvbshortagesvbinvb
healthvbcarevbworkersvbwithvbgeriatricvbexpertisevbasvbinvbthevbUnitedvbStates.
e. Itvbisvbanticipatedvbthatvbtherevbwillvbbevbavbneedvbforvbapproximatelyvb3.5vbmillionvbad
ditionalvbdirectvbcarevbandvbprofessionalvbhealthvbcarevbworkersvbbyvbthevbyearvb2030
.
mynursytest.store
