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Chapter 01: Overview of Gerontologic Nursing9 9 9 9 9 9
Meiner: Gerontologic Nursing 9 9
6th Edition MULTIPLE CHOICE
9 9 9
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use these st
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
andards to: 9
a. promote the practice of gerontologic nursing within the acute care setting.
9 9 9 9 9 9 9 9 9 9
b. define the concepts and dimensions of gerontologic nursing practice.
9 9 9 9 9 9 9 9
c. elevate the practice of gerontologic nursing. 9 9 9 9 9
d. incorporate suggested interventions from others who practice gerontologic nursing.
9 9 9 9 9 9 9 9 9
ANS: D 9
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of geront
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
ologic nurses from across the United States. It was not intended to promote gerontologic nursing practice within acute care setti
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
ngs, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing. DIF: Reme
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
mbering (Knowledge) REF: Page 2 OBJ: 1-19 9 9 9 9 9
TOP: N/A MSC: Safe and Effective Care Environment
9 9 9 9 9 9 9
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
a. recognize that nurses must act as advocates for aging patients. 9 9 9 9 9 9 9 9 9
b. accept that this population represents a substantial portion of those requiring nursing care.
9 9 9 9 9 9 9 9 9 9 9 9
c. self-reflect and formulate one‟s personal view of aging and the older patient.
9 9 9 9 9 9 9 9 9 9 9
d. recognize ageism as a form of bigotry shared by many Americans. 9 9 9 9 9 9 9 9 9 9 9
ANS: C 9
Ageism is an ever- 9 9 9
increasing prejudicial view of the effects of the aging process and of the older population as a whole. With nurses being membe
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
rs of a society holding such views, it is critical that the individual nurse self-
9 9 9 9 9 9 9 9 9 9 9 9 9 9
reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she provides to the aging
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
9patient. Acting as an advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, no
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
r does recognizing ageism as a form of bigotry.
9 9 9 9 9 9 9 9
DIF: Applying (Application) REF: N/A OBJ: 1-9
9 9 9 9 9 9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
9 9 9 9 9 9 9
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the nurse in
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
cludes the importance of: 9 9 9
a. increased availability of in-home care services. 9 9 9 9 9
b. government support of retired citizens. 9 9 9 9
c. effective antibiotic therapies. 9 9
d. the development of life- 9 9 9
extending therapies. ANS: C 9 9 9
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics, better sa
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
nitation, and vaccines. These public health measures have been more instrumental in increasing the numbers of healthy, indepe
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
ndent older Americans than have in-home care services, government programs, or life-extending therapies.
9 9 9 9 9 9 9 9 9 9 9 9
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
9 9 9 9 9 9 9
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
9 9 9 9 9 9 9 9
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the patient‟s:
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
a. nonrelated caretaker. 9
b. paid caregiver. 9
c. family member. 9
d. intuitional representative. 9
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ANS: C 9
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at home or
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
with family members.9 9
DIF: Applying (Application) REF: N/A OBJ: 3-3
9 9 9 9 9 9
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
9 9 9 9 9 9 9 9 9
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the priority cr
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
iterion for continued independence to be the patient‟s:
9 9 9 9 9 9 9
a. age.
b. financial status. 9
c. gender.
d. functional status. 9
ANS: D
9 9
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two conditio
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
ns that increase the likelihood of institutionalization.
9 9 9 9 9 9
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-
9 9 9 9 9 9 9
6 TOP: Nursing Process: Planning MSC: Physiologic Integrit
9 9 9 9 9 9 9
y
6. A nurse working with the older adult population is most likely to assess a need for a financial social service‟s referral for a(
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
n):
a. white male. 9
b. black female. 9
c. Hispanic male. 9
d. Asian American female. 9 9 9
ANS: B 9
The poverty rate among older black women is substantially higher than that seen among males or females of other ethnic groups
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
. White males had the least poverty.
9 9 9 9 9 9
DIF: Applying (Application) REF: N/A OBJ: 1-4
9 9 9 9 9 9
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
9 9 9 9 9 9 9 9 9
7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an older pa
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
tient reflects an understanding of the general health status of this population?
9 9 9 9 9 9 9 9 9 9 9
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
9 9 9 9 9 9 9 9 9 9 9 9
b. “I would like to understand how supportive the patient‟s family members are.”
9 9 9 9 9 9 9 9 9 9 9
c. “Most older patients are being treated for a variety of chronic health care issues.”
9 9 9 9 9 9 9 9 9 9 9 9 9
d. “It will be interesting to see whether this patient sees herself as being healthy.”
9 9 9 9 9 9 9 9 9 9 9 9 9 9
ANS: D 9
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patient‟s sens
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
e of wellness and independence when conducting a health and history assessment. An assessment of medication use and family
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
9support is important for any patient. Many older adults do have chronic health conditions, but their perception is more importan
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
t than a single number.
9 9 9 9
DIF: Applying (Application) REF: N/A OBJ: 1-4
9 9 9 9 9 9
TOP: Nursing Process: Assessment MSC: Health Promotion
9 9 9 9 9 9
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur. Th
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
e family expresses concern about the patient‟s pending transfer to a subacute care facility. What response by the nurse is best?
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
9 9 9 9 9 9 9 9 9 9 9
b. “Your dad will be much happier in a more serene, private environment.”
9 9 9 9 9 9 9 9 9 9 9
c. “The subacute facility will focus on helping your dad maintain his independence.”
9 9 9 9 9 9 9 9 9 9 9
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d. “Insurance, including Medicare, will cover only a limited amount of time here.” 9 9 9 9 9 9 9 9 9 9 9 9
ANS: C 9
The transfer of the patient to a subacute facility is based on the need to maintain the patient‟s level of function and independenc
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
e, a task the acute care facility is not prepared to address once the patient is physiologically stable. The patient may or may not
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
be happier in the new setting; the nurse should not make this judgment. It is true that insurance only pays for a limited amount o
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
f time in an acute care facility, but this is not the best reason for the patient to transfer.
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
DIF: Applying (Application) REF: N/A OBJ: 1-
9 9 9 9 9 9
6 TOP: Communication and Documentation
9 9 9 9
MSC: Health Promotion and Maintenance
9 9 9 9
9. To best assure both the quality of care and the safety of the older adult patient who requires in-
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
9 9 9 9 9 9 9 9
a. evaluates the competency of the UAP staff. 9 9 9 9 9 9
b. assumes the roles of case manager and patient advocate. 9 9 9 9 9 9 9 9
c. arranges for the needed UAP provided services. 9 9 9 9 9 9
d. assesses the patient for functional limitations. 9 9 9 9 9 9
ANS: A 9
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more responsibilit
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
y for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the older adult patient.
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
DIF: Applying (Application) REF: N/A OBJ: 1-
9 9 9 9 9 9
2 TOP: Communication and Documentation
9 9 9 9
MSC: Safe and Effective Care Environment
9 9 9 9 9
10. The nurse working with older adults understands what information about certification in gerontologic nursing?
9 9 9 9 9 9 9 9 9 9 9 9 9
a. It is mandatory for those in long-term care settings.
9 9 9 9 9 9 9 9
b. It is voluntary and shows clinical expertise in an area.
9 9 9 9 9 9 9 9 9
c. It allows nurses to be paid by third-party payers.
9 9 9 9 9 9 9 9
d. It allows nurses to advance their careers in a job.
9 9 9 9 9 9 9 9 9 9
ANS: B 9
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a certain area of practice. It is not m
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
andatory in specific care settings. It does not allow for third-
9 9 9 9 9 9 9 9 9 9
party reimbursement. It may be part of a career ladder program, but that is not true of all work settings.
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-2
9 9 9 9 9 9 9
TOP: Teaching-Learning MSC: Safe Effective Care Environment
9 9 9 9 9 9
11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
9 9 9 9 9 9 9 9 9 9 9 9 9 9
a. Serving as a patient advocate 9 9 9 9
b. Educating patients about diseases 9 9 9
c. Helping patients remain independent 9 9 9
d. Referring patients to home health care 9 9 9 9 9 9
ANS: C 9
One of the challenges and priorities of the gerontologic nurse is helping patients maintain their independence. DIF:
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
9Remembering (Knowledge) REF: Page 10 OBJ: 1-2 9 9 9 9 9 9
TOP: Nursing Process: Implementation MSC: Health Promotion
9 9 9 9 9 9
12. A nurse is caring for an older patient in the emergency department. What information about the patient will be most he
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
lpful in creating a plan of care?
9 9 9 9 9 9
a. Baseline physical and cognitive functioning 9 9 9 9
b. Living conditions and family support 9 9 9 9
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Distribution9of9this9document9is9illegal
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Distribution9of9this9document9is9illegal
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Chapter 01: Overview of Gerontologic Nursing9 9 9 9 9 9
Meiner: Gerontologic Nursing 9 9
6th Edition MULTIPLE CHOICE
9 9 9
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use these st
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
andards to: 9
a. promote the practice of gerontologic nursing within the acute care setting.
9 9 9 9 9 9 9 9 9 9
b. define the concepts and dimensions of gerontologic nursing practice.
9 9 9 9 9 9 9 9
c. elevate the practice of gerontologic nursing. 9 9 9 9 9
d. incorporate suggested interventions from others who practice gerontologic nursing.
9 9 9 9 9 9 9 9 9
ANS: D 9
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of geront
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
ologic nurses from across the United States. It was not intended to promote gerontologic nursing practice within acute care setti
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
ngs, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing. DIF: Reme
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
mbering (Knowledge) REF: Page 2 OBJ: 1-19 9 9 9 9 9
TOP: N/A MSC: Safe and Effective Care Environment
9 9 9 9 9 9 9
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
a. recognize that nurses must act as advocates for aging patients. 9 9 9 9 9 9 9 9 9
b. accept that this population represents a substantial portion of those requiring nursing care.
9 9 9 9 9 9 9 9 9 9 9 9
c. self-reflect and formulate one‟s personal view of aging and the older patient.
9 9 9 9 9 9 9 9 9 9 9
d. recognize ageism as a form of bigotry shared by many Americans. 9 9 9 9 9 9 9 9 9 9 9
ANS: C 9
Ageism is an ever- 9 9 9
increasing prejudicial view of the effects of the aging process and of the older population as a whole. With nurses being membe
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
rs of a society holding such views, it is critical that the individual nurse self-
9 9 9 9 9 9 9 9 9 9 9 9 9 9
reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she provides to the aging
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
9patient. Acting as an advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, no
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
r does recognizing ageism as a form of bigotry.
9 9 9 9 9 9 9 9
DIF: Applying (Application) REF: N/A OBJ: 1-9
9 9 9 9 9 9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
9 9 9 9 9 9 9
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the nurse in
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
cludes the importance of: 9 9 9
a. increased availability of in-home care services. 9 9 9 9 9
b. government support of retired citizens. 9 9 9 9
c. effective antibiotic therapies. 9 9
d. the development of life- 9 9 9
extending therapies. ANS: C 9 9 9
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics, better sa
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
nitation, and vaccines. These public health measures have been more instrumental in increasing the numbers of healthy, indepe
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
ndent older Americans than have in-home care services, government programs, or life-extending therapies.
9 9 9 9 9 9 9 9 9 9 9 9
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
9 9 9 9 9 9 9
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
9 9 9 9 9 9 9 9
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the patient‟s:
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
a. nonrelated caretaker. 9
b. paid caregiver. 9
c. family member. 9
d. intuitional representative. 9
DoDwonwlonalodaeddedbyb:yS:9uApreiarhA9|9aabbbieiekcalyin1@
2@
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om
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ANS: C 9
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at home or
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
with family members.9 9
DIF: Applying (Application) REF: N/A OBJ: 3-3
9 9 9 9 9 9
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
9 9 9 9 9 9 9 9 9
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the priority cr
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
iterion for continued independence to be the patient‟s:
9 9 9 9 9 9 9
a. age.
b. financial status. 9
c. gender.
d. functional status. 9
ANS: D
9 9
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two conditio
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
ns that increase the likelihood of institutionalization.
9 9 9 9 9 9
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-
9 9 9 9 9 9 9
6 TOP: Nursing Process: Planning MSC: Physiologic Integrit
9 9 9 9 9 9 9
y
6. A nurse working with the older adult population is most likely to assess a need for a financial social service‟s referral for a(
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
n):
a. white male. 9
b. black female. 9
c. Hispanic male. 9
d. Asian American female. 9 9 9
ANS: B 9
The poverty rate among older black women is substantially higher than that seen among males or females of other ethnic groups
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
. White males had the least poverty.
9 9 9 9 9 9
DIF: Applying (Application) REF: N/A OBJ: 1-4
9 9 9 9 9 9
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
9 9 9 9 9 9 9 9 9
7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an older pa
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
tient reflects an understanding of the general health status of this population?
9 9 9 9 9 9 9 9 9 9 9
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
9 9 9 9 9 9 9 9 9 9 9 9
b. “I would like to understand how supportive the patient‟s family members are.”
9 9 9 9 9 9 9 9 9 9 9
c. “Most older patients are being treated for a variety of chronic health care issues.”
9 9 9 9 9 9 9 9 9 9 9 9 9
d. “It will be interesting to see whether this patient sees herself as being healthy.”
9 9 9 9 9 9 9 9 9 9 9 9 9 9
ANS: D 9
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patient‟s sens
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
e of wellness and independence when conducting a health and history assessment. An assessment of medication use and family
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
9support is important for any patient. Many older adults do have chronic health conditions, but their perception is more importan
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
t than a single number.
9 9 9 9
DIF: Applying (Application) REF: N/A OBJ: 1-4
9 9 9 9 9 9
TOP: Nursing Process: Assessment MSC: Health Promotion
9 9 9 9 9 9
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur. Th
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
e family expresses concern about the patient‟s pending transfer to a subacute care facility. What response by the nurse is best?
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
9 9 9 9 9 9 9 9 9 9 9
b. “Your dad will be much happier in a more serene, private environment.”
9 9 9 9 9 9 9 9 9 9 9
c. “The subacute facility will focus on helping your dad maintain his independence.”
9 9 9 9 9 9 9 9 9 9 9
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om
Distribution9of9this9document9is9illegal
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d. “Insurance, including Medicare, will cover only a limited amount of time here.” 9 9 9 9 9 9 9 9 9 9 9 9
ANS: C 9
The transfer of the patient to a subacute facility is based on the need to maintain the patient‟s level of function and independenc
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
e, a task the acute care facility is not prepared to address once the patient is physiologically stable. The patient may or may not
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
be happier in the new setting; the nurse should not make this judgment. It is true that insurance only pays for a limited amount o
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
f time in an acute care facility, but this is not the best reason for the patient to transfer.
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
DIF: Applying (Application) REF: N/A OBJ: 1-
9 9 9 9 9 9
6 TOP: Communication and Documentation
9 9 9 9
MSC: Health Promotion and Maintenance
9 9 9 9
9. To best assure both the quality of care and the safety of the older adult patient who requires in-
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
9 9 9 9 9 9 9 9
a. evaluates the competency of the UAP staff. 9 9 9 9 9 9
b. assumes the roles of case manager and patient advocate. 9 9 9 9 9 9 9 9
c. arranges for the needed UAP provided services. 9 9 9 9 9 9
d. assesses the patient for functional limitations. 9 9 9 9 9 9
ANS: A 9
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more responsibilit
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
y for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the older adult patient.
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
DIF: Applying (Application) REF: N/A OBJ: 1-
9 9 9 9 9 9
2 TOP: Communication and Documentation
9 9 9 9
MSC: Safe and Effective Care Environment
9 9 9 9 9
10. The nurse working with older adults understands what information about certification in gerontologic nursing?
9 9 9 9 9 9 9 9 9 9 9 9 9
a. It is mandatory for those in long-term care settings.
9 9 9 9 9 9 9 9
b. It is voluntary and shows clinical expertise in an area.
9 9 9 9 9 9 9 9 9
c. It allows nurses to be paid by third-party payers.
9 9 9 9 9 9 9 9
d. It allows nurses to advance their careers in a job.
9 9 9 9 9 9 9 9 9 9
ANS: B 9
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a certain area of practice. It is not m
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
andatory in specific care settings. It does not allow for third-
9 9 9 9 9 9 9 9 9 9
party reimbursement. It may be part of a career ladder program, but that is not true of all work settings.
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-2
9 9 9 9 9 9 9
TOP: Teaching-Learning MSC: Safe Effective Care Environment
9 9 9 9 9 9
11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
9 9 9 9 9 9 9 9 9 9 9 9 9 9
a. Serving as a patient advocate 9 9 9 9
b. Educating patients about diseases 9 9 9
c. Helping patients remain independent 9 9 9
d. Referring patients to home health care 9 9 9 9 9 9
ANS: C 9
One of the challenges and priorities of the gerontologic nurse is helping patients maintain their independence. DIF:
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
9Remembering (Knowledge) REF: Page 10 OBJ: 1-2 9 9 9 9 9 9
TOP: Nursing Process: Implementation MSC: Health Promotion
9 9 9 9 9 9
12. A nurse is caring for an older patient in the emergency department. What information about the patient will be most he
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
lpful in creating a plan of care?
9 9 9 9 9 9
a. Baseline physical and cognitive functioning 9 9 9 9
b. Living conditions and family support 9 9 9 9
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2@
gm
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om
Distribution9of9this9document9is9illegal
