, Gerontologic Nursing 6th Edition Meiner Test Bank f f f f f f f
lOMoARcPSD|3013804
Gerontologic Nursing 6th Edition Meiner Test Bank f f f f f f
Chapter 01: Overview of Gerontologic Nursing
f f f f f
Meiner: Gerontologic Nursing, 6th Edition
f f f f
MULTIPLE CHOICE f
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
f f f f f f f f f f f f f f
published. The nurse would use these standards to f f f f f f f
a. promote the practice of gerontologic nursing within the acute care setting.
ff f f f f f f f f f f
b. define the concepts and dimensions of gerontologic nursing practice.
ff f f f f f f f f
c. elevate the practice of gerontologic nursing.
ff f f f f f
d. incorporate the concepts of health promotion, health maintenance, disease
f f f f f f f f f f f
prevention, and self-care f f
ANS: D f
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
f f f f f f f f f f f f f
incorporates the input of gerontologic nurses from across the United States and
f f f f f f f f f f f f f
includes comprehensive concepts and dimensions important to those practicing gerontologic
f f f f f f f f f
nursing. It was not intended to promote gerontologic nursing practice within acute care
f f f f f f f f f f f f f f
settings, define concepts or dimensions of gerontologic nursing practice, or elevate the
f f f f f f f f f f f f
practice of gerontologic nursing. f f f
DIF: Remembering fff OBJ: 1-1 TOP: N/A fff
MSC: Safe and Effective Care Environment
f f f f f
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
f f f f f f f f f f f f f f f f f f
nurse needs to first f f f
, Gerontologic Nursing 6th Edition Meiner Test Bank f f f f f f f lOMoARcPSD|3013804
a. ff recognize that nurses must act as advocates for aging patients. f f f f f f f f f
b. accept that this population represents a substantial portion of those requiring
f f f f f f f f f f f f f
nursing care. f
c. ff self-reflect and formulate one‟s personal view of aging and the older patient. f f f f f f f f f f f
d. recognize ageism as a form of bigotry shared by many Americans.
ff f f f f f f f f f f
ANS: C f
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
f f f f f f f f f f f f f f f f
population as a whole. With nurses being members of a society holding such views, it is critical
f f f f f f f f f f f f f f f f f
that the individual nurse self-reflects on personal feelings and determines whether such feelings
f f f f f f f f f f f f f
will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is
f f f f f f f f f f f f f f f f f f f
an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
f f f f f f f f f f f f f f f f f
does recognizing ageism as a form of bigotry.
f f f f f f f f
DIF: Applying OBJ: 1-6
fff TOP: Integrated Process: Teaching-Learning fff f f
MSC: Safe and Effective Care Environment
f f f f f
3. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
f f f f f f f f f f f f f f f f f
arthritis views the priority criterion for continued independence to be the patient‟s
f f f f f f f f f f f
a. age. ff
b. financial status.
ff f
c. gender.ff
d. functional status.
ff f
Maintaining the functional status of older adults (especially those with chronic health f f f f f f f f f f f
conditions) may avert the onset of physical frailty and cognitive impairment, two conditions
f f f f f f f f f f f f
that increase the likelihood of institutionalization.
f f f f f f
DIF: Remembering fff OBJ: 1-4
TOP: Nursing Process: Planning
fff f f MSC: Physiologic Integrity f f
4. A nurse working with the older adult population is most likely to assess a need for a
f f f f f f f f f f f f f f f f f f f
financial social service‟s referral for which person?
f f f f f f
a. White male
ff f
b. Black female
ff f
c. Hispanic male
ff f
d. Asian American female
ff f f
ANS: B f
The poverty rate among older women is substantially higher than that seen among men. The
f f f f f f f f f f f f f f
poverty rates for people of color is higher than that of whites.
f f f f f f f f f f f f
DIF: Remembering fff OBJ: 1-4
TOP: Nursing Process: Assessment
fff f f MSC: Safe and Effective Care Environment f f f f f
5. A nurse is preparing to complete a health assessment and history on an older patient. Which
f f f f f f f f f f f f f f f f f f
statement reflects an understanding of the general health status of this population?
f f f f f f f f f f f
a. “I‟ll need to document the medications the patient is currently prescribed.”
f f f f f f f f f f f
b. “I would like to understand how supportive the patient‟s family members are.”
f f f f f f f f f f f
c. N Rg treG B.C f f f
d. Oariety of chronic health care issues.” f f f f f
“It will be interesting to see whether this patient sees herself as being healthy.”
f f f f f f f f f f f f f f
ANS: A f
, Gerontologic Nursing 6th Edition Meiner Test Bank f f f f f f f lOMoARcPSD|3013804
ANS: D f
It is a misconception that old age is synonymous with disease and illness. In fact, older
f f f f f f f f f f f f f f f
adults already tend to view their personal health positively despite the presence of chronic
f f f f f f f f f f f f f f
illness, disease, and impairment. The nurse should always determine the patient‟s sense of
f f f f f f f f f f f f f
wellness and independence when conducting a health and history assessment. An
f f f f f f f f f f f
assessment of medication use and family support is important for any patient. Many older
f f f f f f f f f f f f f f
adults do have chronic health conditions, but their perception is more important than a
f f f f f f f f f f f f f f
single number. f
DIF: Applying OBJ: 1-4 fff TOP: Nursing Process: Assessment fff f f
MSC: Health Promotion and Maintenance f f f f
6. The nurse is caring for an older adult who has been admitted to an acute care hospital for
ff f f f f f f f f f f f f f f f f f f
treatment of a fractured femur. The family expresses concern about their father‟s pending
f f f f f f f f f f f f f
transfer to a subacute care facility. What response by the nurse is best?
f f f f f f f f f f f f
a. “Acute care facilities lack the long-term physical therapy your dad requires.”
f f f f f f f f f f f
b. “Your dad will be much happier in a more serene, private environment.”
f f f f f f f f f f f f
c. “The subacute facility will focus on helping your dad to maintain his
f f f f f f f f f f f f
independence.”
d. “Insurance, including Medicare, will cover only a limited amount of time here.”
f f f f f f f f f f f f
ANS: C f
The transfer of the patient to a subacute facility is based on the need to maintain the
f f f f f f f f f f f f f f f f
patient‟s level of function and independence, a task the acute care facility is not prepared to
f f f f f f f f f f f f f f f f
address once the patient is physiologically stable. The acute care facility may or may not be
f f f f f f f f f f f f f f f f
able to provide long-term therapy. The patient may or may not be happier in the new setting;
f f f f f f f f f f f f f f f f f
the nurse should not make this judgment. It is true that insurance only pays for a limited
f f f f f f f f f f f f f f f f f
amount of time in an acute care facility, but this is not the best reason for the patient to
f f f f f f f f f f f f f f f f f f f
transfer.
DIF: Applying OBJ: 1-4 fff
TOP: Integrated Process: Communication and Documentation
f f f f f f f
MSC: Health Promotion and Maintenance
f f f f f
7. To best assure both the quality of care and the safety of the older adult patient who requires
ff f f f f f f f f f f f f f f f f f f
in-home unlicensed assistive personal (UAP) assistance, which action by the gerontologic
f f f f f f f f f f f
nurse is best? f f
a. Evaluates the competency of the UAP staff.
ff f f f f f f
b. Assumes the roles of case manager and patient advocate.
ff f f f f f f f f
c. Arranges for the needed UAP provided services.
ff f f f f f f
d. Assesses the patient for functional limitations.
ff f f f f f
ANS: A f
As more care traditionally provided by professional nurses is being transferred to UAP, the
f f f f f f f f f f f f f
nurse must assume more responsibility for educating, training, and evaluating the
f f f f f f f f f f f f
competency of UAP staff to provide safe, effective care for the older adult patient. f f f f f f f f f f f f f
NU R 5 IN
DIF: Applying fff
1 - S GTB.COM
TOP: Integrated Process: Communication and Documentation
f f f f f f f f
ANS: A f
PRIMEXAM.COM
lOMoARcPSD|3013804
Gerontologic Nursing 6th Edition Meiner Test Bank f f f f f f
Chapter 01: Overview of Gerontologic Nursing
f f f f f
Meiner: Gerontologic Nursing, 6th Edition
f f f f
MULTIPLE CHOICE f
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
f f f f f f f f f f f f f f
published. The nurse would use these standards to f f f f f f f
a. promote the practice of gerontologic nursing within the acute care setting.
ff f f f f f f f f f f
b. define the concepts and dimensions of gerontologic nursing practice.
ff f f f f f f f f
c. elevate the practice of gerontologic nursing.
ff f f f f f
d. incorporate the concepts of health promotion, health maintenance, disease
f f f f f f f f f f f
prevention, and self-care f f
ANS: D f
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
f f f f f f f f f f f f f
incorporates the input of gerontologic nurses from across the United States and
f f f f f f f f f f f f f
includes comprehensive concepts and dimensions important to those practicing gerontologic
f f f f f f f f f
nursing. It was not intended to promote gerontologic nursing practice within acute care
f f f f f f f f f f f f f f
settings, define concepts or dimensions of gerontologic nursing practice, or elevate the
f f f f f f f f f f f f
practice of gerontologic nursing. f f f
DIF: Remembering fff OBJ: 1-1 TOP: N/A fff
MSC: Safe and Effective Care Environment
f f f f f
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
f f f f f f f f f f f f f f f f f f
nurse needs to first f f f
, Gerontologic Nursing 6th Edition Meiner Test Bank f f f f f f f lOMoARcPSD|3013804
a. ff recognize that nurses must act as advocates for aging patients. f f f f f f f f f
b. accept that this population represents a substantial portion of those requiring
f f f f f f f f f f f f f
nursing care. f
c. ff self-reflect and formulate one‟s personal view of aging and the older patient. f f f f f f f f f f f
d. recognize ageism as a form of bigotry shared by many Americans.
ff f f f f f f f f f f
ANS: C f
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
f f f f f f f f f f f f f f f f
population as a whole. With nurses being members of a society holding such views, it is critical
f f f f f f f f f f f f f f f f f
that the individual nurse self-reflects on personal feelings and determines whether such feelings
f f f f f f f f f f f f f
will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is
f f f f f f f f f f f f f f f f f f f
an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
f f f f f f f f f f f f f f f f f
does recognizing ageism as a form of bigotry.
f f f f f f f f
DIF: Applying OBJ: 1-6
fff TOP: Integrated Process: Teaching-Learning fff f f
MSC: Safe and Effective Care Environment
f f f f f
3. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
f f f f f f f f f f f f f f f f f
arthritis views the priority criterion for continued independence to be the patient‟s
f f f f f f f f f f f
a. age. ff
b. financial status.
ff f
c. gender.ff
d. functional status.
ff f
Maintaining the functional status of older adults (especially those with chronic health f f f f f f f f f f f
conditions) may avert the onset of physical frailty and cognitive impairment, two conditions
f f f f f f f f f f f f
that increase the likelihood of institutionalization.
f f f f f f
DIF: Remembering fff OBJ: 1-4
TOP: Nursing Process: Planning
fff f f MSC: Physiologic Integrity f f
4. A nurse working with the older adult population is most likely to assess a need for a
f f f f f f f f f f f f f f f f f f f
financial social service‟s referral for which person?
f f f f f f
a. White male
ff f
b. Black female
ff f
c. Hispanic male
ff f
d. Asian American female
ff f f
ANS: B f
The poverty rate among older women is substantially higher than that seen among men. The
f f f f f f f f f f f f f f
poverty rates for people of color is higher than that of whites.
f f f f f f f f f f f f
DIF: Remembering fff OBJ: 1-4
TOP: Nursing Process: Assessment
fff f f MSC: Safe and Effective Care Environment f f f f f
5. A nurse is preparing to complete a health assessment and history on an older patient. Which
f f f f f f f f f f f f f f f f f f
statement reflects an understanding of the general health status of this population?
f f f f f f f f f f f
a. “I‟ll need to document the medications the patient is currently prescribed.”
f f f f f f f f f f f
b. “I would like to understand how supportive the patient‟s family members are.”
f f f f f f f f f f f
c. N Rg treG B.C f f f
d. Oariety of chronic health care issues.” f f f f f
“It will be interesting to see whether this patient sees herself as being healthy.”
f f f f f f f f f f f f f f
ANS: A f
, Gerontologic Nursing 6th Edition Meiner Test Bank f f f f f f f lOMoARcPSD|3013804
ANS: D f
It is a misconception that old age is synonymous with disease and illness. In fact, older
f f f f f f f f f f f f f f f
adults already tend to view their personal health positively despite the presence of chronic
f f f f f f f f f f f f f f
illness, disease, and impairment. The nurse should always determine the patient‟s sense of
f f f f f f f f f f f f f
wellness and independence when conducting a health and history assessment. An
f f f f f f f f f f f
assessment of medication use and family support is important for any patient. Many older
f f f f f f f f f f f f f f
adults do have chronic health conditions, but their perception is more important than a
f f f f f f f f f f f f f f
single number. f
DIF: Applying OBJ: 1-4 fff TOP: Nursing Process: Assessment fff f f
MSC: Health Promotion and Maintenance f f f f
6. The nurse is caring for an older adult who has been admitted to an acute care hospital for
ff f f f f f f f f f f f f f f f f f f
treatment of a fractured femur. The family expresses concern about their father‟s pending
f f f f f f f f f f f f f
transfer to a subacute care facility. What response by the nurse is best?
f f f f f f f f f f f f
a. “Acute care facilities lack the long-term physical therapy your dad requires.”
f f f f f f f f f f f
b. “Your dad will be much happier in a more serene, private environment.”
f f f f f f f f f f f f
c. “The subacute facility will focus on helping your dad to maintain his
f f f f f f f f f f f f
independence.”
d. “Insurance, including Medicare, will cover only a limited amount of time here.”
f f f f f f f f f f f f
ANS: C f
The transfer of the patient to a subacute facility is based on the need to maintain the
f f f f f f f f f f f f f f f f
patient‟s level of function and independence, a task the acute care facility is not prepared to
f f f f f f f f f f f f f f f f
address once the patient is physiologically stable. The acute care facility may or may not be
f f f f f f f f f f f f f f f f
able to provide long-term therapy. The patient may or may not be happier in the new setting;
f f f f f f f f f f f f f f f f f
the nurse should not make this judgment. It is true that insurance only pays for a limited
f f f f f f f f f f f f f f f f f
amount of time in an acute care facility, but this is not the best reason for the patient to
f f f f f f f f f f f f f f f f f f f
transfer.
DIF: Applying OBJ: 1-4 fff
TOP: Integrated Process: Communication and Documentation
f f f f f f f
MSC: Health Promotion and Maintenance
f f f f f
7. To best assure both the quality of care and the safety of the older adult patient who requires
ff f f f f f f f f f f f f f f f f f f
in-home unlicensed assistive personal (UAP) assistance, which action by the gerontologic
f f f f f f f f f f f
nurse is best? f f
a. Evaluates the competency of the UAP staff.
ff f f f f f f
b. Assumes the roles of case manager and patient advocate.
ff f f f f f f f f
c. Arranges for the needed UAP provided services.
ff f f f f f f
d. Assesses the patient for functional limitations.
ff f f f f f
ANS: A f
As more care traditionally provided by professional nurses is being transferred to UAP, the
f f f f f f f f f f f f f
nurse must assume more responsibility for educating, training, and evaluating the
f f f f f f f f f f f f
competency of UAP staff to provide safe, effective care for the older adult patient. f f f f f f f f f f f f f
NU R 5 IN
DIF: Applying fff
1 - S GTB.COM
TOP: Integrated Process: Communication and Documentation
f f f f f f f f
ANS: A f
PRIMEXAM.COM
