Test Bank for Toward Healthy Aging: Human Needs and
Nursing Response 11th Edition Theris A.Touhy, 2025 Chapter
1-36
Chapter 01: Gerontological Nursing Across the Continuum of
Care
Touhy: Toward Healthy Aging, 11th Edition
MULTIPLE CHOICE
1. When did serious and well-controlled research studies on aging first
become available?
a. Only in the past 60 years.
b. Since the turn of the 20th century.
c. Following the Great Depression.
d. Since the year 2000.
ACCURATE
ANSWER:-A
REASONING:->>>Only in the past 60 years have serious and carefully
controlled research studies flourished. Before that, anecdotal evidence was
used to illustrate issues assumed to be universal, making all the
remaining options incorrect.
DIF: Cognitive Level: Remembering TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
Needs: Health Promotion and Maintenance
2. The son of a nursing home resident asks a nursing attendant: “What
is the significance of being certified in gerontology? I see that you are,
but not all of the nursing attendants are.” What response best answers the
family member’s question?
a. “National certification as a gerontological nursing
attendant is a way to demonstrate special knowledge in
caring for older
adults.”
b. “National certification in gerontology is required for all nursing
attendants who have worked in this setting for 2 or more
years.”
c. “National certification is only available to nursing
attendants who have a Baccalaureate degree in
nursing.”
d. “Only advanced practice nursing attendants, like
nursing attendant practitioners, are certified in
gerontology.”
ACCURATE
ANSWER:-A
, REASONING:->>>National certification is a way to demonstrate special
expertise in caring for older adults. It is not required for practice in
any setting across the continuum of care, and it is not exclusive to
nursing attendants with Baccalaureate degrees. There is both a
generalist and a specialist gerontological nursing certification. The
generalist functions in a variety of settings providing care to
older adults and their families. The specialist has advanced gerontological
education at a master’s level.
DIF: Cognitive Level: Understanding
TOPIC: Integrated Process: Communication and
Documentation MSC: Patient Needs:
Management of Care
3. The major goal of the NICHE (Nursing attendants Improving
Care for Healthsystem Elders) program includes which of
the following?
a. Improve outcomes for hospitalized older adults.
b. Increase the number of older adults cared for in hospitals.
c. Increase the number of iatrogenic complications that
occur in hospitalized older adults.
d. Decrease 30-day readmission rates for hospitalized older adults.
ACCURATE ANSWER:-A
REASONING:->>>The goal of NICHE is to improve outcomes for
hospitalized older adults. Although option D is a good
outcome for hospitalized older adults, it is not one of the major goals of
NICHE, which are broader. Options B and C are not goals that would
improve care for older adults but would be negative outcomes
themselves.
DIF: Cognitive Level: Understanding TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
Needs: Health Promotion and Maintenance
MULTIPLE RESPONSE
1. What is the impact of the Hospital Readmission Reduction Program
(HRRP) on avoidable readmissions? (Choose all that apply.)
a. Readmission rates for the selected conditions have dropped nationwide.
b. Many hospitals have instituted system-wide interventions to prevent
readmissions.
c. Hospitals are keeping hospital patients longer to avoid readmissions.
d. Potentially avoidable hospitalizations among nursing home residents is
increasing.
e. Hospitals have a financial incentive to develop programs to reduce
readmissions.
ACCURATE ANSWER:-A, B, E
REASONING:->>>The Hospital Readmission Reduction Program (HRRP)
was established as a provision in the Affordable Care Act (ACA) requiring
Medicare to reduce payments to hospitals with relatively high
, readmission rates for selected conditions for hospital patients in
traditional Medicare. Since the HRRP, readmission rates for the
selected conditions have dropped nationwide but estimates are that in
2018, about 80% of hospitals evaluated by CMS will face
penalties totaling $564 million (Advisory Board, 2017). Additionally, the
HRRP has been the impetus for many hospitals to institute system-wide
interventions to prevent readmissions that have also contributed to the
decline in readmission rates. The rate of potentially
avoidable hospitalizations among SNF residents has fallen by nearly a
third in recent years as a result of many quality improvement initiatives.
DIF: Cognitive Level: Understanding TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
Needs: Health Promotion and Maintenance
2. Which of the following are true statements about the current health care
workforce?
(Choose all that apply.)
a. Approximately 10% of registered nursing attendants (RNs)
are certified in gerontological nursing.
b. The number of geriatricians is expected to increase about 50%
over the next 25 years.
c. The professions of social work, physical therapy, and
psychiatry are demonstrating the same trends as nursing.
d. The world’s older population is expected to grow to at least 1.3
billion in the next 20 years.
e. It is anticipated that there will be a need for approximately
3million additional direct care and professional health
care workers by the year 2030.
ACCURATE ANSWER:-C, D, E
REASONING:->>>Less than 1% of RNs are certified in gerontological
nursing. Geriatric medicine faces similar challenges with about
7000 prepared geriatricians, 1 for every 2546 older Americans;
and this number is falling with the trend predicted to be less than 5000 by
2040 (IOM, 2008). By 2040 the number of older adults in the world
will be at least 1.3 billion. Other professions such as social work,
physical therapy, and psychiatry have similar shortages. It is
estimated that by 2030 nearly 3 million additional health care
professionals and direct care workers will be needed to
meet the care needs of a growing older adult population. Healthy People
2030 has addressed this concern..
DIF: Cognitive Level: Understanding TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
Needs: Health Promotion and Maintenance
3. Best practice recommendations for nursing education in relation to
gerontology include which of the following? (Choose all that apply.)
a. Provision of a “stand-alone” course in gerontological nursing
, b. Integration of gerontological content throughout the curriculum
c. Replacement of acute care pediatric clinical experiences
with gerontological clinical experiences
d. Recruitment of nursing attendants with Master and
Doctoral degrees and a specialty in gerontology to
faculty roles
e. Requiring all undergraduate nursing students to obtain
gerontological certification as a requirement for graduation
ACCURATE ANSWER:-A, B, D
REASONING:->>>Best practices include providing a stand-alone
gerontological nursing course as well as integrating gerontology
throughout the curriculum. Recruitment of nursing attendants with a
specialty in gerontology and a Master or Doctoral degree to faculty roles is
a critical step in making sure that the next generation of nursing
attendants is prepared to care for older adults. Best practices do not
recommend removing pediatric clinical experiences and replacing them
with gerontological experiences. Nursing certification is only available to
practicing nursing attendants who meet specific education
and practice requirements. It is not applicable to nursing
students.
DIF: Cognitive Level: Understanding TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
Needs: Health Promotion and Maintenance
4. What are the current initiatives being implemented to enhance the
specialty of gerontological nursing? (Choose all that apply.)
a. Mandating of a minimum of a Baccalaureate degree in nursing in
order to care for older adults
b. Geriatric Nursing Leadership Academy (GNLA) project
c. Promotion of geriatric nursing to excellence to the nursing community
d. Requiring a nursing certification specifically required to long-term care
e. Offering scholarships for study and research in geriatric nursing
ACCURATE ANSWER:-B, C, E
REASONING:->>>The most significant influence in enhancing the specialty
of gerontological nursing has been the work of The
Hartford Institute for Geriatric Nursing, established in 1996 and funded by
the John A. Hartford Foundation. Initiatives in nursing education, nursing
practice, nursing research, and nursing policy have
addressed enhancement of geriatrics in nursing education
programs through curricular reform and faculty development, creation of
the National Hartford Centers of Gerontological Nursing
Excellence, predoctoral and postdoctoral scholarships for study and
research in geriatric nursing, and clinical practice improvement projects to
enhance care for older adults. . Mandating minimum nursing levels or
certifications to practice in long-term care are not current initiatives.
DIF: Cognitive Level: Understanding TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
Nursing Response 11th Edition Theris A.Touhy, 2025 Chapter
1-36
Chapter 01: Gerontological Nursing Across the Continuum of
Care
Touhy: Toward Healthy Aging, 11th Edition
MULTIPLE CHOICE
1. When did serious and well-controlled research studies on aging first
become available?
a. Only in the past 60 years.
b. Since the turn of the 20th century.
c. Following the Great Depression.
d. Since the year 2000.
ACCURATE
ANSWER:-A
REASONING:->>>Only in the past 60 years have serious and carefully
controlled research studies flourished. Before that, anecdotal evidence was
used to illustrate issues assumed to be universal, making all the
remaining options incorrect.
DIF: Cognitive Level: Remembering TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
Needs: Health Promotion and Maintenance
2. The son of a nursing home resident asks a nursing attendant: “What
is the significance of being certified in gerontology? I see that you are,
but not all of the nursing attendants are.” What response best answers the
family member’s question?
a. “National certification as a gerontological nursing
attendant is a way to demonstrate special knowledge in
caring for older
adults.”
b. “National certification in gerontology is required for all nursing
attendants who have worked in this setting for 2 or more
years.”
c. “National certification is only available to nursing
attendants who have a Baccalaureate degree in
nursing.”
d. “Only advanced practice nursing attendants, like
nursing attendant practitioners, are certified in
gerontology.”
ACCURATE
ANSWER:-A
, REASONING:->>>National certification is a way to demonstrate special
expertise in caring for older adults. It is not required for practice in
any setting across the continuum of care, and it is not exclusive to
nursing attendants with Baccalaureate degrees. There is both a
generalist and a specialist gerontological nursing certification. The
generalist functions in a variety of settings providing care to
older adults and their families. The specialist has advanced gerontological
education at a master’s level.
DIF: Cognitive Level: Understanding
TOPIC: Integrated Process: Communication and
Documentation MSC: Patient Needs:
Management of Care
3. The major goal of the NICHE (Nursing attendants Improving
Care for Healthsystem Elders) program includes which of
the following?
a. Improve outcomes for hospitalized older adults.
b. Increase the number of older adults cared for in hospitals.
c. Increase the number of iatrogenic complications that
occur in hospitalized older adults.
d. Decrease 30-day readmission rates for hospitalized older adults.
ACCURATE ANSWER:-A
REASONING:->>>The goal of NICHE is to improve outcomes for
hospitalized older adults. Although option D is a good
outcome for hospitalized older adults, it is not one of the major goals of
NICHE, which are broader. Options B and C are not goals that would
improve care for older adults but would be negative outcomes
themselves.
DIF: Cognitive Level: Understanding TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
Needs: Health Promotion and Maintenance
MULTIPLE RESPONSE
1. What is the impact of the Hospital Readmission Reduction Program
(HRRP) on avoidable readmissions? (Choose all that apply.)
a. Readmission rates for the selected conditions have dropped nationwide.
b. Many hospitals have instituted system-wide interventions to prevent
readmissions.
c. Hospitals are keeping hospital patients longer to avoid readmissions.
d. Potentially avoidable hospitalizations among nursing home residents is
increasing.
e. Hospitals have a financial incentive to develop programs to reduce
readmissions.
ACCURATE ANSWER:-A, B, E
REASONING:->>>The Hospital Readmission Reduction Program (HRRP)
was established as a provision in the Affordable Care Act (ACA) requiring
Medicare to reduce payments to hospitals with relatively high
, readmission rates for selected conditions for hospital patients in
traditional Medicare. Since the HRRP, readmission rates for the
selected conditions have dropped nationwide but estimates are that in
2018, about 80% of hospitals evaluated by CMS will face
penalties totaling $564 million (Advisory Board, 2017). Additionally, the
HRRP has been the impetus for many hospitals to institute system-wide
interventions to prevent readmissions that have also contributed to the
decline in readmission rates. The rate of potentially
avoidable hospitalizations among SNF residents has fallen by nearly a
third in recent years as a result of many quality improvement initiatives.
DIF: Cognitive Level: Understanding TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
Needs: Health Promotion and Maintenance
2. Which of the following are true statements about the current health care
workforce?
(Choose all that apply.)
a. Approximately 10% of registered nursing attendants (RNs)
are certified in gerontological nursing.
b. The number of geriatricians is expected to increase about 50%
over the next 25 years.
c. The professions of social work, physical therapy, and
psychiatry are demonstrating the same trends as nursing.
d. The world’s older population is expected to grow to at least 1.3
billion in the next 20 years.
e. It is anticipated that there will be a need for approximately
3million additional direct care and professional health
care workers by the year 2030.
ACCURATE ANSWER:-C, D, E
REASONING:->>>Less than 1% of RNs are certified in gerontological
nursing. Geriatric medicine faces similar challenges with about
7000 prepared geriatricians, 1 for every 2546 older Americans;
and this number is falling with the trend predicted to be less than 5000 by
2040 (IOM, 2008). By 2040 the number of older adults in the world
will be at least 1.3 billion. Other professions such as social work,
physical therapy, and psychiatry have similar shortages. It is
estimated that by 2030 nearly 3 million additional health care
professionals and direct care workers will be needed to
meet the care needs of a growing older adult population. Healthy People
2030 has addressed this concern..
DIF: Cognitive Level: Understanding TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
Needs: Health Promotion and Maintenance
3. Best practice recommendations for nursing education in relation to
gerontology include which of the following? (Choose all that apply.)
a. Provision of a “stand-alone” course in gerontological nursing
, b. Integration of gerontological content throughout the curriculum
c. Replacement of acute care pediatric clinical experiences
with gerontological clinical experiences
d. Recruitment of nursing attendants with Master and
Doctoral degrees and a specialty in gerontology to
faculty roles
e. Requiring all undergraduate nursing students to obtain
gerontological certification as a requirement for graduation
ACCURATE ANSWER:-A, B, D
REASONING:->>>Best practices include providing a stand-alone
gerontological nursing course as well as integrating gerontology
throughout the curriculum. Recruitment of nursing attendants with a
specialty in gerontology and a Master or Doctoral degree to faculty roles is
a critical step in making sure that the next generation of nursing
attendants is prepared to care for older adults. Best practices do not
recommend removing pediatric clinical experiences and replacing them
with gerontological experiences. Nursing certification is only available to
practicing nursing attendants who meet specific education
and practice requirements. It is not applicable to nursing
students.
DIF: Cognitive Level: Understanding TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
Needs: Health Promotion and Maintenance
4. What are the current initiatives being implemented to enhance the
specialty of gerontological nursing? (Choose all that apply.)
a. Mandating of a minimum of a Baccalaureate degree in nursing in
order to care for older adults
b. Geriatric Nursing Leadership Academy (GNLA) project
c. Promotion of geriatric nursing to excellence to the nursing community
d. Requiring a nursing certification specifically required to long-term care
e. Offering scholarships for study and research in geriatric nursing
ACCURATE ANSWER:-B, C, E
REASONING:->>>The most significant influence in enhancing the specialty
of gerontological nursing has been the work of The
Hartford Institute for Geriatric Nursing, established in 1996 and funded by
the John A. Hartford Foundation. Initiatives in nursing education, nursing
practice, nursing research, and nursing policy have
addressed enhancement of geriatrics in nursing education
programs through curricular reform and faculty development, creation of
the National Hartford Centers of Gerontological Nursing
Excellence, predoctoral and postdoctoral scholarships for study and
research in geriatric nursing, and clinical practice improvement projects to
enhance care for older adults. . Mandating minimum nursing levels or
certifications to practice in long-term care are not current initiatives.
DIF: Cognitive Level: Understanding TOPIC:
Integrated Process: Teaching/Learning MSC: Patient
