gU
,Chapter 01: Overview of Gerontologic Nursing
gU gU gU gU gU
Meiner: Gerontologic Nursing, 5th Edition
gU gU gU gU gU
MULTIPLE
gUCHOICE
1. In gU2010, gUthe gUrevised gUStandards gUand gUScope gUof gUGerontological gUNursing gUPractice gUwas
published. gUThe gUnurse gUwould gUuse gUthese gUstandards gUto:
gU
a. promote gUthe gUpractice gUof gUgerontologic gUnursing gUwithin gUthe gUacute gUcare gUsetting.
b. define gUthe gUconcepts gUand gUdimensions gUof gUgerontologic gUnursing gUpractice.
c. elevate gUthe gUpractice gUof gUgerontologic gUnursing.
d. incorporate gUsuggested gUinterventions gUfrom gUothers gUwho gUpractice gUgerontologic gUnursing.
ANS: g U D
The gUcurrent gUpublishing gUof gUthe gUStandards gUand gUScope gUof gUGerontological gUNursing
gUPractice gUin gU2010 gUincorporates gUthe gUinput gUof gUgerontologic gUnurses gUfrom gUacross gUthe
gUUnited gUStates. gUIt gUwas gUnot gUintended gUto gUpromote gUgerontologic gUnursing gUpractice gUwithin
gUacute gUcare gUsettings, gUdefine gUconcepts gUor gUdimensions gUof gUgerontologic gUnursing gUpractice,
gUor gUelevate gUthe gUpractice gUof gUgerontologic gUnursing.
DIF: Remembering gU(Knowledge) REF: g U Page gU2 OBJ:
g U 1-1 gUTOP: g U N/A MSC: g U Safe gUand gUEffective
gUCare gUEnvironment
2. When gUattempting gUto gUminimize gUthe gUeffect gUof gUageism gUon gUthe gUpractice gUof gUnursing
older gUadults, gUa gUnurse gUneeds gUto gUfirst:
gU
a. recognize gUthat gUnurses gUmust gUact gUas gUadvocates gUfor gUaging gUpatients.
b. accept gUthat gUthis gUpopulation gUrepresents gUa gUsubstantial gUportion gUof gUthose
gU requiring gUnursing gUcare.
c. self-reflect gUand gUformulate gUone‟s gUpersonal gUview gUof gUaging gUand gUthe gUolder gUpatient.
d. recognize gUageism gUas gUa gUform gUof gUbigotry gUshared gUby gUmanygUAmericans.
ANS: g U C
Ageism gUis gUan gUever-increasing gUprejudicial gUview gUof gUthe gUeffects gUof gUthe gUaging gUprocess
gUand gUof gUthe gUolder gUpopulation gUas gUa gUwhole. gUWith gUnurses gUbeing gUmembers gUof gUa gUsociety
gUholding gUsuch gUviews, gUit gUis gUcritical gUthat gUthe gUindividual gUnurse gUself-reflect gUon gUpersonal
gUfeelings gUand gUdetermine gUwhether gUsuch gUfeelings gUwill gUaffect gUthe gUnursing gUcare gUthat gUhe
gUor gUshe gUprovides gUto gUthe gUaging gUpatient. gUActing gUas gUan gUadvocate gUis gUan gUimportant gUnursing
gUrole gUin gUall gUsettings. gUSimply gUaccepting gUa gUfact gUdoes gUnot gUhelp gUend gUageism, gUnor gUdoes
gUrecognizing gUageism gUas gUa gUform gUof gUbigotry.
DIF: Applying gU(Application) REF: g U g U N/A OBJ: g U g U 1-9
TOP: g U Teaching-Learning MSC: g U Safe gUand gUEffective gUCare gUEnvironment
3. When gUdiscussing gUfactors gUthat gUhave gUhelped gUto gUincrease gUthe gUnumber gUof gUhealthy,
independent gUolder gUAmericans, gUthe gUnurse gUincludes gUthe gUimportance gUof:
gU
a. increased gUavailability gUof gUin-home gUcare gUservices.
b. government gUsupport gUof gUretired gUcitizens.
c. effective gUantibiotic gUtherapies.
d. the gUdevelopment gUof gUlife-extending gUtherapies.
ANS: g U C
, The gUhealth gUand gUultimate gUautonomy gUof gUolder gUAmericans gUhas gUbeen gUpositively gUimpacted
gUby gUthe gUdevelopment gUof gUantibiotics, gUbetter gUsanitation, gUand gUvaccines. gUThese gUpublic
gUhealth gUmeasures gUhave gUbeen gUmore gUinstrumental gUin gUincreasing gUthe gUnumbers gUof
gUhealthy, gUindependent gUolder gUAmericans gUthan gUhave gUin-home gUcare gUservices, gUgovernment
gUprograms, gUor gUlife-extending gUtherapies.
DIF: Remembering gU(Knowledge) REF: g U g U Page gU2 OBJ: g U g U 3-3
TOP: g U Nursing gUProcess: gUImplementation MSC: g U Health gUPromotion gUand gUMaintenance
4. Based gUon gUcurrent gUdata, gUwhen gUpresenting gUan gUolder gUadult‟s gUdischarge gUteaching gUplan,
the gUnurse gUincludes gUthe gUpatient‟s:
gU
a. nonrelated gUcaretaker.
b. paid gUcaregiver.
c. family gUmember.
d. intuitional gUrepresentative.
ANS: g U C
Less gUthan gU4% gUof gUolder gUadults gUlive gUin gUa gUformal gUhealth gUcare gUenvironment. gUThe gUmajority
gUof gUthe gUgeriatric gUpopulation gUlives gUat gUhome gUor gUwith gUfamily gUmembers.
DIF: Applying gU(Application) REF: g U g U N/A OBJ: g U g U 3-3
TOP: g U Nursing gUProcess: gUPlanning MSC: g U Safe gUand gUEffective gUCare gUEnvironment
5. The gUnurse gUplanning gUcare gUfor gUan gUolder gUadult gUwho gUhas gUrecently gUbeen gUdiagnosed gUwith
rheumatoid gUarthritis gUviews gUthe gUpriority gUcriterion gUfor gUcontinued gUindependence gUto gUbe
gU
the gUpatient‟s:
gU
a. age.
b. financial gUstatus.
c. gender.
d. functional gUstatus.
ANS: g U D
Maintaining gUthe gUfunctional gUstatus gUof gUolder gUadults gUmay gUavert gUthe gUonset gUof gUphysical
gUfrailty gUand gUcognitive gUimpairment, gUtwo gUconditions gUthat gUincrease gUthe gUlikelihood gUof
gUinstitutionalization.
DIF: Remembering gU(Knowledge) REF: g U Page gU8 OBJ:
g U 1-6 gUTOP: g U Nursing gUProcess: gUPlanning MSC:
g U Physiologic gUIntegrity
6. A gUnurse gUworking gUwith gUthe gUolder gUadult gUpopulation gUis gUmost gUlikely gUto gUassess gUa gUneed
for gUa gUfinancial gUsocial gUservice‟s gUreferral gUfor gUa(n):
gU
a. white gUmale.
b. black gUfemale.
c. Hispanic gUmale.
d. Asian gUAmerican gUfemale.
ANS: g U B
The gUpoverty gUrate gUamong gUolder gUblack gUwomen gUis gUsubstantially gUhigher gUthan gUthat gUseen
gUamong gUmales gUor gUfemales gUof gUother gUethnic gUgroups. gUWhite gUmales gUhad gUthe gUleast
gUpoverty.
DIF: Applying gU(Application) REF: g U g U N/A OBJ: g U g U 1-4
TOP: g U Nursing gUProcess: gUAssessment MSC: g U Safe gUand gUEffective gUCare gUEnvironment
, 7. Which gUof gUthe gUfollowing gUstatements gUmade gUby gUa gUnurse gUpreparing gUto gUcomplete gUa gUhealth
assessment gUand gUhistory gUon gUan gUolder gUpatient gUreflects gUan gUunderstanding gUof gUthe
gU
general gUhealth gUstatus gUof gUthis gUpopulation?
gU
a. “I‟ll gUneed gUto gUdocument gUwell gUregarding gUthe gUmedications gUthe gUpatient gUis
gUcurrently gUprescribed.”
b. “I gUwould gUlike gUto gUunderstand gUhow gUsupportive gUthe gUpatient‟s gUfamily gUmembers gUare.”
c. “Most gUolder gUpatients gUare gUbeing gUtreated gUfor gUa gUvariety gUof gUchronic gUhealth gUcare gUissues.”
d. “It gUwill gUbe gUinteresting gUto gUsee gUwhether gUthis gUpatient gUsees gUherself gUas gUbeing gUhealthy.”
ANS: g U D
It gUis gUa gUmisconception gUthat gUold gUage gUis gUsynonymous gUwith gUdisease gUand gUillness. gUThe
gUnurse gUshould gUalways gUdetermine gUthe gUpatient‟s gUsense gUof gUwellness gUand gUindependence
gUwhen gUconducting gUa gUhealth gUand gUhistory gUassessment. gUAn gUassessment gUof gUmedication gUuse
gUand gUfamily gUsupport gUis gUimportant gUfor gUany gUpatient. gUMany gUolder gUadults gUdo gUhave gUchronic
gUhealth gUconditions, gUbut gUtheir gUperception gUis gUmore gUimportant gUthan gUa gUsingle gUnumber.
DIF: Applying gU(Application) REF: g U N/A OBJ:
g U 1-4 gUTOP: g U Nursing gUProcess: gUAssessment MSC:
g U Health gUPromotion
8. The gUnurse gUis gUcaring gUfor gUan gUolder gUadult gUwho gUhas gUbeen gUadmitted gUto gUan gUacute
gUcare gUhospital gUfor gUtreatment gUof gUa gUfractured gUfemur. gUThe gUfamily gUexpresses gUconcern
gUabout gUthe gUpatient‟s gUpending gUtransfer gUto gUa gUsubacute gUcare gUfacility. gUWhat gUresponse
gUby gUthe gUnurse gUis gUbest?
a. “Acute gUcare gUfacilities gUlack gUthe gUlong-term gUphysical gUtherapy gUsupport
gUyour gUdad gUrequires.”
b. “Your gUdad gUwill gUbe gUmuch gUhappier gUin gUa gUmore gUserene, gUprivate gUenvironment.”
c. “The gUsubacute gUfacility gUwill gUfocus gUon gUhelping gUyour gUdad gUmaintain gUhis gUindependence.”
d. “Insurance, gUincluding gUMedicare, gUwill gUcover gUonly gUa gUlimited gUamount gUof gUtime gUhere.”
ANS: g U C
The gUtransfer gUof gUthe gUpatient gUto gUa gUsubacute gUfacility gUis gUbased gUon gUthe gUneed gUto gUmaintain
gUthe gUpatient‟s gUlevel gUof gUfunction gUand gUindependence, gUa gUtask gUthe gUacute gUcare gUfacility gUis
gUnot gUprepared gUto gUaddress gUonce gUthe gUpatient gUis gUphysiologically gUstable. gUThe gUpatient
gUmay gUor gUmay gUnot gUbe gUhappier gUin gUthe gUnew gUsetting; gUthe gUnurse gUshould gUnot gUmake gUthis
gUjudgment. gUIt gUis gUtrue gUthat gUinsurance gUonly gUpays gUfor gUa gUlimited gUamount gUof gUtime gUin gUan
gUacute gUcare gUfacility, gUbut gUthis gUis gUnot gUthe gUbest gUreason gUfor gUthe gUpatient gUto gUtransfer.
DIF: Applying gU(Application) REF: g U N/A OBJ:
g U 1-6 gUTOP: g U Communication gUand gUDocumentation
MSC: g U Health gUPromotion gUand gUMaintenance
9. To gUbest gUassure gUboth gUthe gUquality gUof gUcare gUand gUthe gUsafety gUof gUthe gUolder gUadult gUpatient
gUwho gUrequires gUin- gUhome gUunlicensed gUassistive gUpersonal gU(UAP) gUassistance, gUthe gUgeriatric
gUnurse:
a. evaluates gUthe gUcompetency gUof gUthe gUUAP gUstaff.
b. assumes gUthe gUroles gUof gUcase gUmanager gUand gUpatient gUadvocate.
c. arranges gUfor gUthe gUneeded gUUAP gUprovided gUservices.
d. assesses gUthe gUpatient gUfor gUfunctional gUlimitations.
ANS: g U A
As gUmore gUcare gUtraditionally gUprovided gUby gUprofessional gUnurses gUis gUbeing gUtransferred gUto
gUUAP, gUthe gUnurse gUmust gUassume gUmore gUresponsibility gUfor gUeducating, gUtraining, gUand
gUevaluating gUthe gUcompetency gUof gUUAP gUstaff gUto gUprovide gUsafe, gUeffective gUcare gUfor gUthe
gUolder gUadult gUpatient.