TEST BANK
g
,Chapter 01: Overview of Gerontologic Nursing
g g g g g
Meiner: Gerontologic Nursing, 5th Edition
g g g g g
MULTIPLE CHOICE g
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
g g g g g g g g g g g g
The nurse would use these standards to:
g g g g g g g
a. promote the practice of gerontologic nursing within the acute care setting.
g g g g g g g g g g
b. define the concepts and dimensions of gerontologic nursing practice.
g g g g g g g g
c. elevate the practice of gerontologic nursing. g g g g g
d. incorporate suggested interventions from others who practice gerontologic nursing. g g g g g g g g
ANS: D g
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
g g g g g g g g g g g g
2010 incorporates the input of gerontologic nurses from across the United States. It was not
g g g g g g g g g g g g g g g
intended to promote gerontologic nursing practice within acute care settings, define concepts
g g g g g g g g g g g g
or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic
g g g g g g g g g g g g
nursing.
g
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1- g g g g
1 TOP: N/A
g MSC: Safe and Effective Care Environment
g g g g g g
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
g g g g g g g g g g g g g g g
nurse needs to first:
g g g g
a. recognize that nurses must act as advocates for aging patients. g g g g g g g g g
b. accept that this population represents a substantial portion of those requiring
g g g g g g g g g g
nursing care.
g g
c. self-reflect and formulate one‟s personal view of aging and the older patient. g g g g g g g g g g g
d. recognize ageism as a form of bigotry shared by many Americans. g g g g g g g g g g
ANS: C g
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
g g g g g g g g g g g g g g g
older population as a whole. With nurses being members of a society holding such views, it is
g g g g g g g g g g g g g g g g g
critical that the individual nurse self-reflect on personal feelings and determine whether such
g g g g g g g g g g g g g
feelings will affect the nursing care that he or she provides to the aging patient. Acting as an
g g g g g g g g g g g g g g g g g g
advocate is an important nursing role in all settings. Simply accepting a fact does not help end
g g g g g g g g g g g g g g g g g
ageism, nor does recognizing ageism as a form of bigotry.
g g g g g g g g g g
DIF: Applying (Application) g REF: N/A OBJ: 1-9 g g g g
TOP: Teaching-Learning g MSC: Safe and Effective Care Environment
g g g g g
3. When discussing factors that have helped to increase the number of healthy, independent older
g g g g g g g g g g g g g
Americans, the nurse includes the importance of:
g g g g g g g
a.increased availability of in-home care services. g g g g g
b.government support of retired citizens. g g g g
c.effective antibiotic therapies. g g
d.the development of life-extending therapies.
g g g g
ANS: C g
, The health and ultimate autonomy of older Americans has been positively impacted by the
g g g g g g g g g g g g g
development of antibiotics, better sanitation, and vaccines. These public health measures have
g g g g g g g g g g g g
been more instrumental in increasing the numbers of healthy, independent older Americans
g g g g g g g g g g g g
than have in-home care services, government programs, or life-extending therapies.
g g g g g g g g g g
DIF: Remembering (Knowledge) g REF: Page 2 OBJ: 3-3 g g g g g
TOP: Nursing Process: Implementation
g g g MSC: Health Promotion and Maintenance
g g g g
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse
g g g g g g g g g g g g g
includes the patient‟s:
g g g
a. nonrelated caretaker. g
b. paid caregiver. g
c. family member. g
d. intuitional representative. g
ANS: C g
Less than 4% of older adults live in a formal health care environment. The majority of the
g g g g g g g g g g g g g g g g
geriatric population lives at home or with family members.
g g g g g g g g g
DIF: Applying (Application) g REF: N/A OBJ: 3-3 g g g g
TOP: Nursing Process: Planning
g g g MSC: Safe and Effective Care Environment
g g g g g
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
g g g g g g g g g g g g g g
garthritis views the priority criterion for continued independence to be the patient‟s:
g g g g g g g g g g g
a. age.
b. financial status. g
c. gender.
d. functional status. g
ANS: D g
Maintaining the functional status of older adults may avert the onset of physical frailty and
g g g g g g g g g g g g g g
cognitive impairment, two conditions that increase the likelihood of institutionalization.
g g g g g g g g g g
DIF: Remembering (Knowledge) g REF: Page 8 OBJ: 1- g g g
6 TOP: Nursing Process: Planning
g g g g MSC: Physiologic Integrity g g
6. A nurse working with the older adult population is most likely to assess a need for a financial
g g g g g g g g g g g g g g g g g
social service‟s referral for a(n):
g g g g g
a. white male. g
b. black female. g
c. Hispanic male. g
d. Asian American female. g g
ANS: B g
The poverty rate among older black women is substantially higher than that seen among males
g g g g g g g g g g g g g g
or females of other ethnic groups. White males had the least poverty.
g g g g g g g g g g g g
DIF: Applying (Application) g REF: N/A OBJ: 1-4 g g g g
TOP: Nursing Process: Assessment
g g g MSC: Safe and Effective Care Environment
g g g g g
, 7. Which of the following statements made by a nurse preparing to complete a health assessment
g g g g g g g g g g g g g g
and history on an older patient reflects an understanding of the general health status of this
g g g g g g g g g g g g g g g g
population?
g
a. “I‟ll need to document well regarding the medications the patient is currently
g g g g g g g g g g g
prescribed.”
g
b. “I would like to understand how supportive the patient‟s family members are.”
g g g g g g g g g g g
c. “Most older patients are being treated for a variety of chronic health care issues.”
g g g g g g g g g g g g g
d. “It will be interesting to see whether this patient sees herself as being healthy.”
g g g g g g g g g g g g g
ANS: D g
It is a misconception that old age is synonymous with disease and illness. The nurse should
g g g g g g g g g g g g g g g
galways determine the patient‟s sense of wellness and independence when conducting a health
g g g g g g g g g g g g
gand history assessment. An assessment of medication use and family support is important for
g g g g g g g g g g g g g
gany patient. Many older adults do have chronic health conditions, but their perception is more
g g g g g g g g g g g g g g
gimportant than a single number. g g g g
DIF: Applying (Application) g REF: N/A OBJ: 1- g g
4 TOP: Nursing Process: Assessment
g g g g MSC: Health Promotion g g
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
g g g g g g g g g g g g g g g g g
treatment of a fractured femur. The family expresses concern about the patient‟s pending
g g g g g g g g g g g g g
transfer to a subacute care facility. What response by the nurse is best?
g g g g g g g g g g g g g
a. “Acute care facilities lack the long-term physical therapy support your dad
g g g g g g g g g g
requires.”
g
b. “Your dad will be much happier in a more serene, private environment.”
g g g g g g g g g g g
c. “The subacute facility will focus on helping your dad maintain his independence.”
g g g g g g g g g g g
d. “Insurance, including Medicare, will cover only a limited amount of time here.” g g g g g g g g g g g
ANS: C g
The transfer of the patient to a subacute facility is based on the need to maintain the patient‟s
g g g g g g g g g g g g g g g g g
level of function and independence, a task the acute care facility is not prepared to address
g g g g g g g g g g g g g g g g
once the patient is physiologically stable. The patient may or may not be happier in the new
g g g g g g g g g g g g g g g g g
setting; the nurse should not make this judgment. It is true that insurance only pays for a
g g g g g g g g g g g g g g g g g
limited amount of time in an acute care facility, but this is not the best reason for the patient to
g g g g g g g g g g g g g g g g g g g g
transfer.
g
DIF: Applying (Application) REF: N/A g g OBJ: 1- g
6 TOP: Communication and Documentation
g g g g
MSC: Health Promotion and Maintenance
g g g g
9. To best assure both the quality of care and the safety of the older adult patient who requires in-
g g g g g g g g g g g g g g g g g g
ghome unlicensed assistive personal (UAP) assistance, the geriatric nurse:
g g g g g g g g
a. evaluates the competency of the UAP staff. g g g g g g
b. assumes the roles of case manager and patient advocate. g g g g g g g g
c. arranges for the needed UAP provided services. g g g g g g
d. assesses the patient for functional limitations. g g g g g
ANS: A g
As more care traditionally provided by professional nurses is being transferred to UAP, the
g g g g g g g g g g g g g
nurse must assume more responsibility for educating, training, and evaluating the competency
g g g g g g g g g g g g
of UAP staff to provide safe, effective care for the older adult patient.
g g g g g g g g g g g g g
g
,Chapter 01: Overview of Gerontologic Nursing
g g g g g
Meiner: Gerontologic Nursing, 5th Edition
g g g g g
MULTIPLE CHOICE g
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
g g g g g g g g g g g g
The nurse would use these standards to:
g g g g g g g
a. promote the practice of gerontologic nursing within the acute care setting.
g g g g g g g g g g
b. define the concepts and dimensions of gerontologic nursing practice.
g g g g g g g g
c. elevate the practice of gerontologic nursing. g g g g g
d. incorporate suggested interventions from others who practice gerontologic nursing. g g g g g g g g
ANS: D g
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
g g g g g g g g g g g g
2010 incorporates the input of gerontologic nurses from across the United States. It was not
g g g g g g g g g g g g g g g
intended to promote gerontologic nursing practice within acute care settings, define concepts
g g g g g g g g g g g g
or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic
g g g g g g g g g g g g
nursing.
g
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1- g g g g
1 TOP: N/A
g MSC: Safe and Effective Care Environment
g g g g g g
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
g g g g g g g g g g g g g g g
nurse needs to first:
g g g g
a. recognize that nurses must act as advocates for aging patients. g g g g g g g g g
b. accept that this population represents a substantial portion of those requiring
g g g g g g g g g g
nursing care.
g g
c. self-reflect and formulate one‟s personal view of aging and the older patient. g g g g g g g g g g g
d. recognize ageism as a form of bigotry shared by many Americans. g g g g g g g g g g
ANS: C g
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
g g g g g g g g g g g g g g g
older population as a whole. With nurses being members of a society holding such views, it is
g g g g g g g g g g g g g g g g g
critical that the individual nurse self-reflect on personal feelings and determine whether such
g g g g g g g g g g g g g
feelings will affect the nursing care that he or she provides to the aging patient. Acting as an
g g g g g g g g g g g g g g g g g g
advocate is an important nursing role in all settings. Simply accepting a fact does not help end
g g g g g g g g g g g g g g g g g
ageism, nor does recognizing ageism as a form of bigotry.
g g g g g g g g g g
DIF: Applying (Application) g REF: N/A OBJ: 1-9 g g g g
TOP: Teaching-Learning g MSC: Safe and Effective Care Environment
g g g g g
3. When discussing factors that have helped to increase the number of healthy, independent older
g g g g g g g g g g g g g
Americans, the nurse includes the importance of:
g g g g g g g
a.increased availability of in-home care services. g g g g g
b.government support of retired citizens. g g g g
c.effective antibiotic therapies. g g
d.the development of life-extending therapies.
g g g g
ANS: C g
, The health and ultimate autonomy of older Americans has been positively impacted by the
g g g g g g g g g g g g g
development of antibiotics, better sanitation, and vaccines. These public health measures have
g g g g g g g g g g g g
been more instrumental in increasing the numbers of healthy, independent older Americans
g g g g g g g g g g g g
than have in-home care services, government programs, or life-extending therapies.
g g g g g g g g g g
DIF: Remembering (Knowledge) g REF: Page 2 OBJ: 3-3 g g g g g
TOP: Nursing Process: Implementation
g g g MSC: Health Promotion and Maintenance
g g g g
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse
g g g g g g g g g g g g g
includes the patient‟s:
g g g
a. nonrelated caretaker. g
b. paid caregiver. g
c. family member. g
d. intuitional representative. g
ANS: C g
Less than 4% of older adults live in a formal health care environment. The majority of the
g g g g g g g g g g g g g g g g
geriatric population lives at home or with family members.
g g g g g g g g g
DIF: Applying (Application) g REF: N/A OBJ: 3-3 g g g g
TOP: Nursing Process: Planning
g g g MSC: Safe and Effective Care Environment
g g g g g
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
g g g g g g g g g g g g g g
garthritis views the priority criterion for continued independence to be the patient‟s:
g g g g g g g g g g g
a. age.
b. financial status. g
c. gender.
d. functional status. g
ANS: D g
Maintaining the functional status of older adults may avert the onset of physical frailty and
g g g g g g g g g g g g g g
cognitive impairment, two conditions that increase the likelihood of institutionalization.
g g g g g g g g g g
DIF: Remembering (Knowledge) g REF: Page 8 OBJ: 1- g g g
6 TOP: Nursing Process: Planning
g g g g MSC: Physiologic Integrity g g
6. A nurse working with the older adult population is most likely to assess a need for a financial
g g g g g g g g g g g g g g g g g
social service‟s referral for a(n):
g g g g g
a. white male. g
b. black female. g
c. Hispanic male. g
d. Asian American female. g g
ANS: B g
The poverty rate among older black women is substantially higher than that seen among males
g g g g g g g g g g g g g g
or females of other ethnic groups. White males had the least poverty.
g g g g g g g g g g g g
DIF: Applying (Application) g REF: N/A OBJ: 1-4 g g g g
TOP: Nursing Process: Assessment
g g g MSC: Safe and Effective Care Environment
g g g g g
, 7. Which of the following statements made by a nurse preparing to complete a health assessment
g g g g g g g g g g g g g g
and history on an older patient reflects an understanding of the general health status of this
g g g g g g g g g g g g g g g g
population?
g
a. “I‟ll need to document well regarding the medications the patient is currently
g g g g g g g g g g g
prescribed.”
g
b. “I would like to understand how supportive the patient‟s family members are.”
g g g g g g g g g g g
c. “Most older patients are being treated for a variety of chronic health care issues.”
g g g g g g g g g g g g g
d. “It will be interesting to see whether this patient sees herself as being healthy.”
g g g g g g g g g g g g g
ANS: D g
It is a misconception that old age is synonymous with disease and illness. The nurse should
g g g g g g g g g g g g g g g
galways determine the patient‟s sense of wellness and independence when conducting a health
g g g g g g g g g g g g
gand history assessment. An assessment of medication use and family support is important for
g g g g g g g g g g g g g
gany patient. Many older adults do have chronic health conditions, but their perception is more
g g g g g g g g g g g g g g
gimportant than a single number. g g g g
DIF: Applying (Application) g REF: N/A OBJ: 1- g g
4 TOP: Nursing Process: Assessment
g g g g MSC: Health Promotion g g
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
g g g g g g g g g g g g g g g g g
treatment of a fractured femur. The family expresses concern about the patient‟s pending
g g g g g g g g g g g g g
transfer to a subacute care facility. What response by the nurse is best?
g g g g g g g g g g g g g
a. “Acute care facilities lack the long-term physical therapy support your dad
g g g g g g g g g g
requires.”
g
b. “Your dad will be much happier in a more serene, private environment.”
g g g g g g g g g g g
c. “The subacute facility will focus on helping your dad maintain his independence.”
g g g g g g g g g g g
d. “Insurance, including Medicare, will cover only a limited amount of time here.” g g g g g g g g g g g
ANS: C g
The transfer of the patient to a subacute facility is based on the need to maintain the patient‟s
g g g g g g g g g g g g g g g g g
level of function and independence, a task the acute care facility is not prepared to address
g g g g g g g g g g g g g g g g
once the patient is physiologically stable. The patient may or may not be happier in the new
g g g g g g g g g g g g g g g g g
setting; the nurse should not make this judgment. It is true that insurance only pays for a
g g g g g g g g g g g g g g g g g
limited amount of time in an acute care facility, but this is not the best reason for the patient to
g g g g g g g g g g g g g g g g g g g g
transfer.
g
DIF: Applying (Application) REF: N/A g g OBJ: 1- g
6 TOP: Communication and Documentation
g g g g
MSC: Health Promotion and Maintenance
g g g g
9. To best assure both the quality of care and the safety of the older adult patient who requires in-
g g g g g g g g g g g g g g g g g g
ghome unlicensed assistive personal (UAP) assistance, the geriatric nurse:
g g g g g g g g
a. evaluates the competency of the UAP staff. g g g g g g
b. assumes the roles of case manager and patient advocate. g g g g g g g g
c. arranges for the needed UAP provided services. g g g g g g
d. assesses the patient for functional limitations. g g g g g
ANS: A g
As more care traditionally provided by professional nurses is being transferred to UAP, the
g g g g g g g g g g g g g
nurse must assume more responsibility for educating, training, and evaluating the competency
g g g g g g g g g g g g
of UAP staff to provide safe, effective care for the older adult patient.
g g g g g g g g g g g g g
