,GerontologiclNursingl6thlEditionlMeinerlTestlBank
, GerontologiclNursingl6thlEditionlMeinerlTestlBank
Chapter 01: Overview of Gerontologic Nursing
l l l l l l
Meiner: Gerontologic Nursing, 6th Edition
l l l l
MULTIPLElCHOICE
1. Inl2010,lthelrevisedlStandardslandlScopeloflGerontologicallNursinglPracticelwaslpub
lished.lThelnurselwouldluseltheselstandardslto
a. promotelthelpracticeloflgerontologiclnursinglwithinlthelacutelcarelsetting.
b. definelthelconceptslandldimensionsloflgerontologiclnursinglpractice.
c. elevatelthelpracticeloflgerontologiclnursing.
d. incorporatelthelconceptsloflhealthlpromotion,lhealthlmaintenance,ldiseaselpr
evention,landlself-care
ANS:l D
ThelcurrentlpublishingloflthelStandardslandlScopeloflGerontologicallNursinglPracticelinl2010li
ncorporateslthelinputloflgerontologiclnurseslfromlacrosslthelUnitedlStateslandlincludeslcompreh
ensivelconceptslandldimensionslimportantltolthoselpracticinglgerontologiclnursing.lItlwaslnotlint
endedltolpromotelgerontologiclnursinglpracticelwithinlacutelcarelsettings,ldefinelconceptslorldi
mensionsloflgerontologiclnursinglpractice,lorlelevatelthelpracticeloflgerontologiclnursing.
DIF: Remembering OBJ: 1-1 TOP:
N/AlMSC:l SafelandlEffectivelCarelEnvironment
2. Whenlattemptingltolminimizeltheleffectloflageismlonlthelpracticeloflnursinglolderladults,lalnurs
elneedsltolfirst NURSINGTB.COM
a. recognizelthatlnurseslmustlactlasladvocateslforlaginglpatients.
b. acceptlthatlthislpopulationlrepresentslalsubstantiallportionloflthoselrequiringlnur
singlcare.
c. self-reflectlandlformulatelone’slpersonallviewloflaginglandlthelolderlpatient.
d. recognizelageismlaslalformloflbigotrylsharedlbylmanylAmericans.
ANS:l C
Ageismlislanlever-
increasinglprejudiciallviewlofltheleffectsloflthelaginglprocesslandloflthelolderlpopulationlaslalwh
ole.lWithlnurseslbeinglmembersloflalsocietylholdinglsuchlviews,litlislcriticallthatlthelindividualln
urselself-
reflectslonlpersonallfeelingslandldetermineslwhetherlsuchlfeelingslwilllaffectlthelnursinglcareltha
tlhelorlshelprovidesltolthelaginglpatient.lActinglaslanladvocatelislanlimportantlnursinglrolelinlalllse
ttings.lSimplylacceptinglalfactldoeslnotlhelplendlageism,lnorldoeslrecognizinglageismlaslalformlo
flbigotry.
DIF: Applying OBJ: 1-6 TOP: IntegratedlProcess:lTeaching-
LearninglMSC:l SafelandlEffectivelCarelEnvironment
3. Thelnurselplanninglcarelforlanlolderladultlwholhaslrecentlylbeenldiagnosedlwithlrheumatoidlarthr
itislviewslthelprioritylcriterionlforlcontinuedlindependenceltolbelthelpatient’s
a. age.
b. financiallstatus.
c. gender.
d. functionallstatus.
, GerontologiclNursingl6thlEditionlMeinerlTestlBank
ANS:l l D
Maintaininglthelfunctionallstatusloflolderladultsl(especiallylthoselwithlchroniclhealthlconditions
)lmaylavertlthelonsetloflphysicallfrailtylandlcognitivelimpairment,ltwolconditionslthatlincreaselth
ellikelihoodloflinstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: NursinglProcess:lPlanning MSC:l PhysiologiclIntegrity
4. Alnurselworkinglwithlthelolderladultlpopulationlislmostllikelyltolassesslalneedlforlalfinan
ciallsociallservice’slreferrallforlwhichlperson?
a. Whitelmale
b. Blacklfemale
c. Hispaniclmale
d. AsianlAmericanlfemale
ANS:l B
Thelpovertylratelamonglolderlwomenlislsubstantiallylhigherlthanlthatlseenlamonglmen.lThelpovertylr
ateslforlpeopleloflcolorlislhigherlthanlthatloflwhites.
DIF: Remembering OBJ: 1-4
TOP: NursinglProcess:lAssessment MSC:l SafelandlEffectivelCarelEnvironment
5. Alnurselislpreparingltolcompletelalhealthlassessmentlandlhistorylonlanlolderlpatient.lWhichlstate
mentlreflectslanlunderstandingloflthelgenerallhealthlstatusloflthislpopulation?
a. “I’lllneedltoldocumentlthelmedicationslthelpatientlislcurrentlylprescribed.”
b. “Ilwouldllikeltolunderstandlhowlsupportivelthelpatient’slfamilylmemberslare.”
c. “MostlolderlpatientslareNbUeR gI
inS eaG
l trN dB
teT fo.
rlaCvOa ri et y loflchroniclhealthlcarelissues.”
d. “Itlwilllbelinterestingltolseelwhetherlthislpatientlseeslherselflaslbeinglhealthy.”
ANS:l D
Itlislalmisconceptionlthatloldlagelislsynonymouslwithldiseaselandlillness.lInlfact,lolderladultslalr
eadyltendltolviewltheirlpersonallhealthlpositivelyldespitelthelpresenceloflchroniclillness,ldisease
,landlimpairment.lThelnurselshouldlalwaysldeterminelthelpatient’slsenseloflwellnesslandlindepe
ndencelwhenlconductinglalhealthlandlhistorylassessment.lAnlassessmentloflmedicationluselandl
familylsupportlislimportantlforlanylpatient.lManylolderladultsldolhavelchroniclhealthlcondition
s,lbutltheirlperceptionlislmorelimportantlthanlalsinglelnumber.
DIF: Applying OBJ: 1-4 TOP:
NursinglProcess:lAssessmentlMSC:l HealthlPromotionlandlMaintenance
6. Thelnurselislcaringlforlanlolderladultlwholhaslbeenladmittedltolanlacutelcarelhospitallforltreat
mentloflalfracturedlfemur.lThelfamilylexpresseslconcernlaboutltheirlfather’slpendingltransferlt
olalsubacutelcarelfacility.lWhatlresponselbylthelnurselislbest?
a. “Acutelcarelfacilitiesllacklthellong-termlphysicalltherapylyourldadlrequires.”
b. “Yourldadlwilllbelmuchlhappierlinlalmorelserene,lprivatelenvironment.”
c. “Thelsubacutelfacilitylwilllfocuslonlhelpinglyourldadltolmaintainlhislind
ependence.”
d. “Insurance,lincludinglMedicare,lwilllcoverlonlylallimitedlamountlofltimelhere.”