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Chapter 01: Overview of Gerontologic Nursing M l l l l l l
einer: Gerontologic Nursing, 6th Edition MULTI
l l l l l
CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use these stand
l l l l l l l l l l l l l l l l l l
ards to: l
a. promote the practice of gerontologic nursing within the acute care setting. l l l l l l l l l l
b. define the concepts and dimensions of gerontologic nursing practice.
l l l l l l l l
c. elevate the practice of gerontologic nursing. l l l l l
d. incorporate suggested interventions from others who practice gerontologic nursing. A l l l l l l l l l
NS: D l
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of gerontolo
l l l l l l l l l l l l l l l l l l
gic nurses from across the United States. It was not intended to promote gerontologic nursing practice within acute care settings, def
l l l l l l l l l l l l l l l l l l l l
ine concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing. DIF: Remembering (K
l l l l l l l l l l l l l l l l l
nowledge) REF: Page 2 OBJ: 1-1 l l l l l
TOP: N/A MSC: Safe and Effective Care Environment
l l l l l l l
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
l l l l l l l l l l l l l l l l l l l
a. recognize that nurses must act as advocates for aging patients. l l l l l l l l l
b. accept that this population represents a substantial portion of those requiring nursing care.
l l l l l l l l l l l l
c. self-reflect and formulate one‟s personal view of aging and the older patient. l l l l l l l l l l l
d. recognize ageism as a form of bigotry shared by many Americans. AN l l l l l l l l l l l
S: C l
Ageism is an ever- l l l
increasing prejudicial view of the effects of the aging process and of the older population as a whole. With nurses being members of
l l l l l l l l l l l l l l l l l l l l l l l
a society holding such views, it is critical that the individual nurse self-
l l l l l l l l l l l l
reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she provides to the aging pati
l l l l l l l l l l l l l l l l l l l l l l
ent. Acting as an advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does rec
l l l l l l l l l l l l l l l l l l l l l l l l
ognizing ageism as a form of bigotry. l l l l l l
DIF: Applying (Application) REF: N/A OBJ: 1-9
l l l l l l
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
l l l l l l l
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the nurse inclu
l l l l l l l l l l l l l l l l l
des the importance of:
l l l
a. increased availability of in-home care services. l l l l l
b. government support of retired citizens. l l l l
c. effective antibiotic therapies. l l
d. the development of life- l l l
extending therapies. ANS: C l l l
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics, better sanita
l l l l l l l l l l l l l l l l l l
tion, and vaccines. These public health measures have been more instrumental in increasing the numbers of healthy, independent ol
l l l l l l l l l l l l l l l l l l
der Americans than have in-home care services, government programs, or life-extending therapies.
l l l l l l l l l l l
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
l l l l l l l
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
l l l l l l l l
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the patient‟s:
l l l l l l l l l l l l l l l l
a. nonrelated caretaker. l
b. paid caregiver. l
c. family member. l
d. intuitional representative. l
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2@
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ANS: C l
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at home or with f
l l l l l l l l l l l l l l l l l l l l l l l l
amily members. l
DIF: Applying (Application) REF: N/A OBJ: 3-3
l l l l l l
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
l l l l l l l l l
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the priority criteri
l l l l l l l l l l l l l l l l l l l
on for continued independence to be the patient‟s:
l l l l l l l
a. age.
b. financial status. l
c. gender.
d. functional status. l l
ANS: D l
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two conditions th
l l l l l l l l l l l l l l l l l l l
at increase the likelihood of institutionalization.
l l l l l
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-
l l l l l l l
6 TOP: Nursing Process: Planning MSC: Physiologic Integrity
l l l l l l l
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(n):
l l l l l l l l l l l l l l l l l l l l l l
a. white male. l
b. black female. l
c. Hispanic male. l
d. Asian American female. l l l
ANS: B l
The poverty rate among older black women is substantially higher than that seen among males or females of other ethnic groups. W
l l l l l l l l l l l l l l l l l l l l l
hite males had the least poverty.
l l l l l
DIF: Applying (Application) REF: N/A OBJ: 1-4
l l l l l l
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
l l l l l l l l l
7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an older patient
l l l l l l l l l l l l l l l l l l l l
reflects an understanding of the general health status of this population?
l l l l l l l l l l l
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
l l l l l l l l l l l l
b. “I would like to understand how supportive the patient‟s family members are.”
l l l l l l l l l l l
c. “Most older patients are being treated for a variety of chronic health care issues.”
l l l l l l l l l l l l l
d. “It will be interesting to see whether this patient sees herself as being healthy.” AN
l l l l l l l l l l l l l l
S: D l
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patient‟s sense of
l l l l l l l l l l l l l l l l l l l l l l
wellness and independence when conducting a health and history assessment. An assessment of medication use and family support
l l l l l l l l l l l l l l l l l l
is important for any patient. Many older adults do have chronic health conditions, but their perception is more important than a singl
l l l l l l l l l l l l l l l l l l l l l
e number.
l
DIF: Applying (Application) REF: N/A OBJ: 1-4
l l l l l l
TOP: Nursing Process: Assessment MSC: Health Promotion
l l l l l l
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur. The fa
l l l l l l l l l l l l l l l l l l l l l l l l
mily expresses concern about the patient‟s pending transfer to a subacute care facility. What response by the nurse is best?
l l l l l l l l l l l l l l l l l l l
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
l l l l l l l l l l l
b. “Your dad will be much happier in a more serene, private environment.”
l l l l l l l l l l l
c. “The subacute facility will focus on helping your dad maintain his independence.”
l l l l l l l l l l l
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Distributionloflthisldocumentlislillegal
, Stuvia.coml-lThelMarketplaceltolBuylandlSelllyourlStudylMaterial
Chapter 01: Overview of Gerontologic Nursing M l l l l l l
einer: Gerontologic Nursing, 6th Edition MULTI
l l l l l
CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use these stand
l l l l l l l l l l l l l l l l l l
ards to: l
a. promote the practice of gerontologic nursing within the acute care setting. l l l l l l l l l l
b. define the concepts and dimensions of gerontologic nursing practice.
l l l l l l l l
c. elevate the practice of gerontologic nursing. l l l l l
d. incorporate suggested interventions from others who practice gerontologic nursing. A l l l l l l l l l
NS: D l
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of gerontolo
l l l l l l l l l l l l l l l l l l
gic nurses from across the United States. It was not intended to promote gerontologic nursing practice within acute care settings, def
l l l l l l l l l l l l l l l l l l l l
ine concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing. DIF: Remembering (K
l l l l l l l l l l l l l l l l l
nowledge) REF: Page 2 OBJ: 1-1 l l l l l
TOP: N/A MSC: Safe and Effective Care Environment
l l l l l l l
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
l l l l l l l l l l l l l l l l l l l
a. recognize that nurses must act as advocates for aging patients. l l l l l l l l l
b. accept that this population represents a substantial portion of those requiring nursing care.
l l l l l l l l l l l l
c. self-reflect and formulate one‟s personal view of aging and the older patient. l l l l l l l l l l l
d. recognize ageism as a form of bigotry shared by many Americans. AN l l l l l l l l l l l
S: C l
Ageism is an ever- l l l
increasing prejudicial view of the effects of the aging process and of the older population as a whole. With nurses being members of
l l l l l l l l l l l l l l l l l l l l l l l
a society holding such views, it is critical that the individual nurse self-
l l l l l l l l l l l l
reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she provides to the aging pati
l l l l l l l l l l l l l l l l l l l l l l
ent. Acting as an advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does rec
l l l l l l l l l l l l l l l l l l l l l l l l
ognizing ageism as a form of bigotry. l l l l l l
DIF: Applying (Application) REF: N/A OBJ: 1-9
l l l l l l
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
l l l l l l l
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the nurse inclu
l l l l l l l l l l l l l l l l l
des the importance of:
l l l
a. increased availability of in-home care services. l l l l l
b. government support of retired citizens. l l l l
c. effective antibiotic therapies. l l
d. the development of life- l l l
extending therapies. ANS: C l l l
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics, better sanita
l l l l l l l l l l l l l l l l l l
tion, and vaccines. These public health measures have been more instrumental in increasing the numbers of healthy, independent ol
l l l l l l l l l l l l l l l l l l
der Americans than have in-home care services, government programs, or life-extending therapies.
l l l l l l l l l l l
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
l l l l l l l
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
l l l l l l l l
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the patient‟s:
l l l l l l l l l l l l l l l l
a. nonrelated caretaker. l
b. paid caregiver. l
c. family member. l
d. intuitional representative. l
DoDwonwlonalodaeddedbyb:yS:luApreiarhAl|aabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributionloflthisldocumentlislillegal
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ANS: C l
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at home or with f
l l l l l l l l l l l l l l l l l l l l l l l l
amily members. l
DIF: Applying (Application) REF: N/A OBJ: 3-3
l l l l l l
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
l l l l l l l l l
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the priority criteri
l l l l l l l l l l l l l l l l l l l
on for continued independence to be the patient‟s:
l l l l l l l
a. age.
b. financial status. l
c. gender.
d. functional status. l l
ANS: D l
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two conditions th
l l l l l l l l l l l l l l l l l l l
at increase the likelihood of institutionalization.
l l l l l
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-
l l l l l l l
6 TOP: Nursing Process: Planning MSC: Physiologic Integrity
l l l l l l l
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(n):
l l l l l l l l l l l l l l l l l l l l l l
a. white male. l
b. black female. l
c. Hispanic male. l
d. Asian American female. l l l
ANS: B l
The poverty rate among older black women is substantially higher than that seen among males or females of other ethnic groups. W
l l l l l l l l l l l l l l l l l l l l l
hite males had the least poverty.
l l l l l
DIF: Applying (Application) REF: N/A OBJ: 1-4
l l l l l l
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
l l l l l l l l l
7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an older patient
l l l l l l l l l l l l l l l l l l l l
reflects an understanding of the general health status of this population?
l l l l l l l l l l l
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
l l l l l l l l l l l l
b. “I would like to understand how supportive the patient‟s family members are.”
l l l l l l l l l l l
c. “Most older patients are being treated for a variety of chronic health care issues.”
l l l l l l l l l l l l l
d. “It will be interesting to see whether this patient sees herself as being healthy.” AN
l l l l l l l l l l l l l l
S: D l
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patient‟s sense of
l l l l l l l l l l l l l l l l l l l l l l
wellness and independence when conducting a health and history assessment. An assessment of medication use and family support
l l l l l l l l l l l l l l l l l l
is important for any patient. Many older adults do have chronic health conditions, but their perception is more important than a singl
l l l l l l l l l l l l l l l l l l l l l
e number.
l
DIF: Applying (Application) REF: N/A OBJ: 1-4
l l l l l l
TOP: Nursing Process: Assessment MSC: Health Promotion
l l l l l l
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur. The fa
l l l l l l l l l l l l l l l l l l l l l l l l
mily expresses concern about the patient‟s pending transfer to a subacute care facility. What response by the nurse is best?
l l l l l l l l l l l l l l l l l l l
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
l l l l l l l l l l l
b. “Your dad will be much happier in a more serene, private environment.”
l l l l l l l l l l l
c. “The subacute facility will focus on helping your dad maintain his independence.”
l l l l l l l l l l l
DoDwonwlonalodaeddedbyb:yS:luApreiarhAl|aabbbieiekcalyin1@
2@
gm
gmaila.cilo
.cm
om
Distributionloflthisldocumentlislillegal
