TESTBANK
,Chapter 01: Overview of Gerontologicss s s s s s s
Nursing Meiner: Gerontologic
ss s s s s
Nursing, 5th Edition
s s ss ss
MULTIPLE s s CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing
s s s s s s s s s s s s s s s s s s
s Practice
s
was published. The nurse would use these standards to:
ss s s s s s s s s s s s s s s
a. promote the practice of gerontologic nursing within the acute care s s s s s s s s s s s s s s s s s s s s
setting. s s
b. define the concepts and dimensions of gerontologic nursing practice. s s s s s s s s s s s s s s s s
c. elevate the practice of gerontologic nursing. s s s s s s s s s s
d. incorporate suggested interventions from others who practice gerontologic s s s s s s s s s s s s s s
nursing. s s
ANS: D
The current publishing of the Standards and Scope of
s s s s s s s s s s s s s s s s
Gerontological Nursing Practice in 2010 incorporates the input of
s s s s ss s s s s s s s s s s s s
gerontologic nurses from across the United States. It was not
s s s s s s s s s s ss s s s s s s s s
intended to promote gerontologic nursing practice within
s s s s s s s s s s s s ss
acute care settings, define concepts or dimensions of gerontologic nursing
s s s s s s s s s s s s s s s s s s
practice, or elevate the practice of gerontologic nursing.
s s s s ss s s s s s s s s s s
DIF: Remembering (Knowledge) REF: Page 2 s s s s s s s s OBJ: 1-
1 TOP: N/A MSC: Safe and Effective Care s s s s s s s s s s s s s s s s Environment
2. When attempting to minimize the effect of ageism on the
s s s s s s s s s s s s s s s s s s
s s practice of nursing older adults, a nurse needs to first:
s s s s ss ss s s s s s s s s s s
a. recognize that nurses must act as advocates for aging patients. s s s s s s s s s s s s s s s s s s s s s s s s
b. accept that this population represents a substantial portion
s s s s s s s s s s s s s s
of those requiring nursing care.
s s s s ss s s s s
c. self-reflect and formulate one‟s personal view of aging and the older s s s s s s s s s s s s s s s s s s s s
s patient.
s
d. recognize ageism as a form of bigotry shared by many Americans. s s s s s s s s s s s s s s s s s s s s s s s s s s
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging s s s s s s s s
process and of the older population as a whole. With nurses being
ss ss s s s s s s s s s s s s s s s s s s
members of a society holding such views, it is critical that the
s s s s s s ss s s s s s s s s s s s s s s s s
individual nurse self-reflect on personal feelings and determine whether
s s s s s s s s ss s s s s s s s s
such feelings will affect the nursing care that he or she provides to
s s s s s s s s s s s s s s ss s s s s s s s s s s
the aging patient. Acting as an advocate is an important s s s s s s s s s s ss
nursing role in all settings.
s s s s s s s s s s
Simply accepting a fact does not help end ageism, nor does s s s s s s s s s s s s s s s s s s s s
recognizing ageism as a form of bigotry.
s s s s s s ss s s s s s s
DIF: Applying (Application) s s REF: N/A OBJ: 1-9
TOP: Teaching-Learning
ss MSC: Safe
s s s and Effective ss
s Care
s
Environment
3. When discussing factors that have helped to increase
s s s s s s s s s s s s s s s s the
s s number of healthy, independent older Americans, the nurse s s ss ss s s s s s s s s
s s includes the importance of: s s s s s s
,a. increased availability of in-home care services.
s s s s s s s s s s s s
b. government support of retired citizens.
s s s s s s s s s s
c. effective antibiotic therapies.
s s s s
d. the development of life-extending therapies.
s s s s s s s s
ANS: C
, The health and ultimate autonomy of older Americans has been
s s s s s s s s s s s s s s s s s s
positively impacted by the development of antibiotics, better sanitation,
s s s s ss s s s s s s s s s s s s
and vaccines. These public health measures have been more
s s s s s s s s ss ss s s s s s s
instrumental in increasing the numbers of healthy, independent older
s s s s s s s s s s s s s s ss
Americans than
s s have in-home care services, government
programs, or life-extending therapies.
ss ss s s s s
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 s s s s s s
TOP: Nursing Process: Implementation MSC: Health Promotion s s s s ss s s s s s s s s and s s s s Maintenance
4. Based on current data, when presenting an older adult‟s
s s s s s s s s s s s s s s s s
s s discharge teaching plan, the nurse includes the patient‟s: s s ss ss s s s s s s s s
a. nonrelated caretaker. s s
b. paid caregiver. s s s s
c. family member. s s
d. intuitional representative. s s
ANS: C
Less than 4% of older adults live in a formal health care
s s s s s s s s s s s s s s s s s s s s s s
environment. The majority of the geriatric population
s s lives at home s s ss ss s s s s s s s s
or with s s family members.
s s s s
DIF: Applying s s (Application) REF: N/A OBJ: 3-3
TOP: Nursing s s Process: s s MSC: Safe Effective Care s s
Planning
s s s and s Environment s s
5. The nurse planning care for an older adult
s s s s s s s s s s s s s s s s who has recently been s s s s s s
s s diagnosed with rheumatoid arthritis views the s s ss s s s s s s s s priority criterion for s s s s
s s continued independence to be the patient‟s: s s s s s s ss ss
a. age.
b. financial status. s s
c. gender.
d. functional status. s s
ANS: D
Maintaining the functional status of older adults may avert the s s s s s s s s s s s s s s s s s s
onset of physical frailty and cognitive impairment, two conditions
s s s s s s ss ss s s s s s s s s
that increase the likelihood of institutionalization.
s s s s s s s s s s ss
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1- s s s s s s s s
6 TOP: Nursing Process: Planning MSC: Physiologic Integrity
s s s s s s s s s s s s s s s s
6. A nurse s s working with the older adult population is most likely
s s s s s s s s s s s s s s s s s s
s s to assess a need for a financial social service‟s referral for a(n):
s s s s s s ss s s ss s s s s s s s s s s
a. white male. s s
b. black female. s s
c. Hispanic male. s s
d. Asian American female. s s s s
ANS: B
The poverty rate among older black women is substantially
s s s s s s s s s s s s s s s s s s higher
than that seen among males or females of other ethnic
s s s s s s ss s s s s s s s s s s s s s s groups.
White males had the least poverty.
s s s s s s s s s s ss
DIF: Applying s s (Application) REF: N/A OBJ: 1-4
TOP: Nursing s sProcess: Assessment MSC: s s Safe s s and Effective Care s s s s s s s s s s s s Environment
,Chapter 01: Overview of Gerontologicss s s s s s s
Nursing Meiner: Gerontologic
ss s s s s
Nursing, 5th Edition
s s ss ss
MULTIPLE s s CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing
s s s s s s s s s s s s s s s s s s
s Practice
s
was published. The nurse would use these standards to:
ss s s s s s s s s s s s s s s
a. promote the practice of gerontologic nursing within the acute care s s s s s s s s s s s s s s s s s s s s
setting. s s
b. define the concepts and dimensions of gerontologic nursing practice. s s s s s s s s s s s s s s s s
c. elevate the practice of gerontologic nursing. s s s s s s s s s s
d. incorporate suggested interventions from others who practice gerontologic s s s s s s s s s s s s s s
nursing. s s
ANS: D
The current publishing of the Standards and Scope of
s s s s s s s s s s s s s s s s
Gerontological Nursing Practice in 2010 incorporates the input of
s s s s ss s s s s s s s s s s s s
gerontologic nurses from across the United States. It was not
s s s s s s s s s s ss s s s s s s s s
intended to promote gerontologic nursing practice within
s s s s s s s s s s s s ss
acute care settings, define concepts or dimensions of gerontologic nursing
s s s s s s s s s s s s s s s s s s
practice, or elevate the practice of gerontologic nursing.
s s s s ss s s s s s s s s s s
DIF: Remembering (Knowledge) REF: Page 2 s s s s s s s s OBJ: 1-
1 TOP: N/A MSC: Safe and Effective Care s s s s s s s s s s s s s s s s Environment
2. When attempting to minimize the effect of ageism on the
s s s s s s s s s s s s s s s s s s
s s practice of nursing older adults, a nurse needs to first:
s s s s ss ss s s s s s s s s s s
a. recognize that nurses must act as advocates for aging patients. s s s s s s s s s s s s s s s s s s s s s s s s
b. accept that this population represents a substantial portion
s s s s s s s s s s s s s s
of those requiring nursing care.
s s s s ss s s s s
c. self-reflect and formulate one‟s personal view of aging and the older s s s s s s s s s s s s s s s s s s s s
s patient.
s
d. recognize ageism as a form of bigotry shared by many Americans. s s s s s s s s s s s s s s s s s s s s s s s s s s
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging s s s s s s s s
process and of the older population as a whole. With nurses being
ss ss s s s s s s s s s s s s s s s s s s
members of a society holding such views, it is critical that the
s s s s s s ss s s s s s s s s s s s s s s s s
individual nurse self-reflect on personal feelings and determine whether
s s s s s s s s ss s s s s s s s s
such feelings will affect the nursing care that he or she provides to
s s s s s s s s s s s s s s ss s s s s s s s s s s
the aging patient. Acting as an advocate is an important s s s s s s s s s s ss
nursing role in all settings.
s s s s s s s s s s
Simply accepting a fact does not help end ageism, nor does s s s s s s s s s s s s s s s s s s s s
recognizing ageism as a form of bigotry.
s s s s s s ss s s s s s s
DIF: Applying (Application) s s REF: N/A OBJ: 1-9
TOP: Teaching-Learning
ss MSC: Safe
s s s and Effective ss
s Care
s
Environment
3. When discussing factors that have helped to increase
s s s s s s s s s s s s s s s s the
s s number of healthy, independent older Americans, the nurse s s ss ss s s s s s s s s
s s includes the importance of: s s s s s s
,a. increased availability of in-home care services.
s s s s s s s s s s s s
b. government support of retired citizens.
s s s s s s s s s s
c. effective antibiotic therapies.
s s s s
d. the development of life-extending therapies.
s s s s s s s s
ANS: C
, The health and ultimate autonomy of older Americans has been
s s s s s s s s s s s s s s s s s s
positively impacted by the development of antibiotics, better sanitation,
s s s s ss s s s s s s s s s s s s
and vaccines. These public health measures have been more
s s s s s s s s ss ss s s s s s s
instrumental in increasing the numbers of healthy, independent older
s s s s s s s s s s s s s s ss
Americans than
s s have in-home care services, government
programs, or life-extending therapies.
ss ss s s s s
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 s s s s s s
TOP: Nursing Process: Implementation MSC: Health Promotion s s s s ss s s s s s s s s and s s s s Maintenance
4. Based on current data, when presenting an older adult‟s
s s s s s s s s s s s s s s s s
s s discharge teaching plan, the nurse includes the patient‟s: s s ss ss s s s s s s s s
a. nonrelated caretaker. s s
b. paid caregiver. s s s s
c. family member. s s
d. intuitional representative. s s
ANS: C
Less than 4% of older adults live in a formal health care
s s s s s s s s s s s s s s s s s s s s s s
environment. The majority of the geriatric population
s s lives at home s s ss ss s s s s s s s s
or with s s family members.
s s s s
DIF: Applying s s (Application) REF: N/A OBJ: 3-3
TOP: Nursing s s Process: s s MSC: Safe Effective Care s s
Planning
s s s and s Environment s s
5. The nurse planning care for an older adult
s s s s s s s s s s s s s s s s who has recently been s s s s s s
s s diagnosed with rheumatoid arthritis views the s s ss s s s s s s s s priority criterion for s s s s
s s continued independence to be the patient‟s: s s s s s s ss ss
a. age.
b. financial status. s s
c. gender.
d. functional status. s s
ANS: D
Maintaining the functional status of older adults may avert the s s s s s s s s s s s s s s s s s s
onset of physical frailty and cognitive impairment, two conditions
s s s s s s ss ss s s s s s s s s
that increase the likelihood of institutionalization.
s s s s s s s s s s ss
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1- s s s s s s s s
6 TOP: Nursing Process: Planning MSC: Physiologic Integrity
s s s s s s s s s s s s s s s s
6. A nurse s s working with the older adult population is most likely
s s s s s s s s s s s s s s s s s s
s s to assess a need for a financial social service‟s referral for a(n):
s s s s s s ss s s ss s s s s s s s s s s
a. white male. s s
b. black female. s s
c. Hispanic male. s s
d. Asian American female. s s s s
ANS: B
The poverty rate among older black women is substantially
s s s s s s s s s s s s s s s s s s higher
than that seen among males or females of other ethnic
s s s s s s ss s s s s s s s s s s s s s s groups.
White males had the least poverty.
s s s s s s s s s s ss
DIF: Applying s s (Application) REF: N/A OBJ: 1-4
TOP: Nursing s sProcess: Assessment MSC: s s Safe s s and Effective Care s s s s s s s s s s s s Environment
