TESTBANK
v
,Chapter01:OverviewofGerontologicNursing Meiner:
v v v v v v
Gerontologic Nursing, 5th Edition
v v v v
MULTIPLE CHOICE v
1. In 2010, the revised Standards andScope of Gerontological Nursing Practice was published. The
v v v v v v v v v v v v v
v nurse would use these standards to:
v v v v v
a. promote the practice of gerontologic nursing within the acute care setting.
v v v v v v v v v v
b. define the concepts and dimensions of gerontologic nursing practice.
v v v v v v v v
c. elevate the practice of gerontologic nursing. v v v v v
d. incorporate suggested interventions from others who practice gerontologic nursing. v v v v v v v v
ANS: D v
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
v v v v v v v v v v v v v
incorporates the input of gerontologic nurses from across the United States. It was not intended to
v v v v v v v v v v v v v v v v
promote gerontologic nursing practice within acute care settings, define concepts or dimensions of
v v v v v v v v v v v v v
gerontologic nursing practice, or elevate the practice of gerontologic nursing.
v v v v v v v v v v
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1 v v v v
TOP: N/A
v MSC: Safe and Effective Care Environment
v v v v v v
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse
v v v v v v v v v v v v v v v v
needs to first:
v v v
a. recognize that nurses must act as advocates for aging patients. v v v v v v v v v
b. accept that this population represents a substantial portion of those requiring
v v v v v v v v v v
nursing care. v v
c. self-reflect and formulate one’s personal view of aging and the older patient. v v v v v v v v v v v
d. recognize ageism as a form of bigotry shared by many Americans. v v v v v v v v v v
ANS: C v
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
v v v v v v v v v v v v v v v v
population as a whole. With nurses being members of a society holding such views, it is critical that
v v v v v v v v v v v v v v v v v v
the individual nurse self-reflect on personal feelings and determine whether such feelings will
v v v v v v v v v v v v v
affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
v v v v v v v v v v v v v v v v v v v
important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does
v v v v v v v v v v v v v v v v v
recognizing ageism as a form of bigotry.
v v v v v v v
DIF: Applying (Application) v REF: N/A OBJ: 1-9
v v v v
TOP: Teaching-Learning v MSC: Safe and Effective Care Environment
v v v v v
3. When discussing factors that have helped to increase the number of healthy, independent older
v v v v v v v v v v v v v
v Americans, the nurse includes the importance of: v v v v v v
a. increased availability of in-home care services. v v v v v
b. government support of retired citizens. v v v v
c. effective antibiotic therapies. v v
d. the development of life-extending therapies.
v v v v
ANS: C v
, The health and ultimate autonomy of older Americans has been positively impacted by the
v v v v v v v v v v v v v
development of antibiotics, better sanitation, and vaccines. These public health measures have
v v v v v v v v v v v v
been more instrumental in increasing the numbers of healthy, independent older Americans than
v v v v v v v v v v v v v
have in-home care services, government programs, or life-extending therapies.
v v v v v v v v v
DIF: Remembering (Knowledge) v REF: Page 2 OBJ: 3-3 v v v v v
TOP: Nursing Process: Implementation
v v v MSC: Health Promotion and Maintenance
v v v v
4. Based on current data, when presenting an older adult’s discharge teaching plan, the nurse
v v v v v v v v v v v v v
includes the patient’s:
v v v
a. nonrelated caretaker. v
b. paid caregiver. v
c. family member. v
d. intuitional representative. v
ANS: C v
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric
v v v v v v v v v v v v v v v v v
population lives at home or with family members.
v v v v v v v v
DIF: Applying (Application) v REF: N/A OBJ: 3-3
v v v v
TOP: Nursing Process: Planning
v v v MSC: Safe and Effective Care Environment
v v v v v
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
v v v v v v v v v v v v v v
v arthritis views the priority criterion for continued independence to be the patient’s:
v v v v v v v v v v v
a. age.
b. financial status. v
c. gender.
d. functional status. v
ANS: D v
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
v v v v v v v v v v v v v v v
impairment, two conditions that increase the likelihood of institutionalization.
v v v v v v v v v
DIF: Remembering (Knowledge) v REF: Page 8 OBJ: 1-6v v v
TOP: Nursing Process: Planning
v v v v MSC: Physiologic Integrity v v
6. A nurse working with the older adult population is most likely to assess a need for a financial social
v v v v v v v v v v v v v v v v v v
service’s referral for a(n):
v v v v
a. white male. v
b. black female. v
c. Hispanic male. v
d. Asian American female. v v
ANS: B v
The poverty rate among older black women is substantially higher than that seen among males or
v v v v v v v v v v v v v v v
females of other ethnic groups. White males had the least poverty.
v v v v v v v v v v v
DIF: Applying (Application) v REF: N/A OBJ: 1-4
v v v v
TOP: Nursing Process: Assessment
v v v MSC: Safe and Effective Care Environment
v v v v v
, 7. Which of the following statements made by a nurse preparing to complete a health assessment and
v v v v v v v v v v v v v v v
history on an older patient reflects an understanding of the general health status of this
v v v v v v v v v v v v v v v
population?
v
a. “I’ll need to document well regarding the medications the patient is currently
v v v v v v v v v v v
prescribed.”v
b. “I would like to understand how supportive the patient’s family members are.”
v v v v v v v v v v v
c. “Most older patients are being treated for a variety of chronic health care issues.”
v v v v v v v v v v v v v
d. “It will be interesting to see whether this patient sees herself as being healthy.”
v v v v v v v v v v v v v
ANS: D v
It is a misconception that old age is synonymous with disease and illness. The nurse should
v v v v v v v v v v v v v v v
always determine the patient’s sense of wellness and independence when conducting a health and
v v v v v v v v v v v v v v
history assessment. An assessment of medication use and family support is important for any
v v v v v v v v v v v v v v
patient. Many older adults do have chronic health conditions, but their perception is more
v v v v v v v v v v v v v v
important than a single number.
v v v v v
DIF: Applying (Application) v REF: N/A OBJ: 1-4 v v
TOP: Nursing Process: Assessment
v v v v MSC: Health Promotion v v
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
v v v v v v v v v v v v v v v v v
treatment of a fractured femur. The family expresses concern about the patient’s pending
v v v v v v v v v v v v v
transfer to a subacute care facility. What response by the nurse is best?
v v v v v v v v v v v v v
a. “Acute care facilities lack the long-term physical therapy support your dad v v v v v v v v v v
requires.” v
b. “Your dad will be much happier in a more serene, private environment.” v v v v v v v v v v v
c. “The subacute facility will focus on helping your dad maintain his independence.”
v v v v v v v v v v v
d. “Insurance, including Medicare, will cover only a limited amount of time here.” v v v v v v v v v v v
ANS: C v
The transfer of the patient to a subacute facility is based on the need to maintain the patient’s level
v v v v v v v v v v v v v v v v v v
of function and independence, a task the acute care facility is not prepared to address once the
v v v v v v v v v v v v v v v v v
patient is physiologically stable. The patient may or may not be happier in the new setting; the
v v v v v v v v v v v v v v v v v
nurse should not make this judgment. It is true that insurance only pays for a limited amount of
v v v v v v v v v v v v v v v v v v
time in an acute care facility, but this is not the best reason for the patient to transfer.
v v v v v v v v v v v v v v v v v v
DIF: Applying (Application) REF: N/A v v OBJ: 1-6 v
TOP: Communication and Documentation
v v v v
MSC: Health Promotion and Maintenance v v v v
9. To best assure both the quality of care and the safety of the older adult patient who requires in- home
v v v v v v v v v v v v v v v v v v v
unlicensed assistive personal (UAP) assistance, the geriatric nurse:
v v v v v v v v
a. evaluates the competency of the UAP staff. v v v v v v
b. assumes the roles of case manager and patient advocate. v v v v v v v v
c. arranges for the needed UAP provided services. v v v v v v
d. assesses the patient for functional limitations. v v v v v
ANS: A v
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse
v v v v v v v v v v v v v v
must assume more responsibility for educating, training, and evaluating the competency of UAP
v v v v v v v v v v v v v
staff to provide safe, effective care for the older adult patient.
v v v v v v v v v v v
v
,Chapter01:OverviewofGerontologicNursing Meiner:
v v v v v v
Gerontologic Nursing, 5th Edition
v v v v
MULTIPLE CHOICE v
1. In 2010, the revised Standards andScope of Gerontological Nursing Practice was published. The
v v v v v v v v v v v v v
v nurse would use these standards to:
v v v v v
a. promote the practice of gerontologic nursing within the acute care setting.
v v v v v v v v v v
b. define the concepts and dimensions of gerontologic nursing practice.
v v v v v v v v
c. elevate the practice of gerontologic nursing. v v v v v
d. incorporate suggested interventions from others who practice gerontologic nursing. v v v v v v v v
ANS: D v
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
v v v v v v v v v v v v v
incorporates the input of gerontologic nurses from across the United States. It was not intended to
v v v v v v v v v v v v v v v v
promote gerontologic nursing practice within acute care settings, define concepts or dimensions of
v v v v v v v v v v v v v
gerontologic nursing practice, or elevate the practice of gerontologic nursing.
v v v v v v v v v v
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1 v v v v
TOP: N/A
v MSC: Safe and Effective Care Environment
v v v v v v
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse
v v v v v v v v v v v v v v v v
needs to first:
v v v
a. recognize that nurses must act as advocates for aging patients. v v v v v v v v v
b. accept that this population represents a substantial portion of those requiring
v v v v v v v v v v
nursing care. v v
c. self-reflect and formulate one’s personal view of aging and the older patient. v v v v v v v v v v v
d. recognize ageism as a form of bigotry shared by many Americans. v v v v v v v v v v
ANS: C v
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
v v v v v v v v v v v v v v v v
population as a whole. With nurses being members of a society holding such views, it is critical that
v v v v v v v v v v v v v v v v v v
the individual nurse self-reflect on personal feelings and determine whether such feelings will
v v v v v v v v v v v v v
affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
v v v v v v v v v v v v v v v v v v v
important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does
v v v v v v v v v v v v v v v v v
recognizing ageism as a form of bigotry.
v v v v v v v
DIF: Applying (Application) v REF: N/A OBJ: 1-9
v v v v
TOP: Teaching-Learning v MSC: Safe and Effective Care Environment
v v v v v
3. When discussing factors that have helped to increase the number of healthy, independent older
v v v v v v v v v v v v v
v Americans, the nurse includes the importance of: v v v v v v
a. increased availability of in-home care services. v v v v v
b. government support of retired citizens. v v v v
c. effective antibiotic therapies. v v
d. the development of life-extending therapies.
v v v v
ANS: C v
, The health and ultimate autonomy of older Americans has been positively impacted by the
v v v v v v v v v v v v v
development of antibiotics, better sanitation, and vaccines. These public health measures have
v v v v v v v v v v v v
been more instrumental in increasing the numbers of healthy, independent older Americans than
v v v v v v v v v v v v v
have in-home care services, government programs, or life-extending therapies.
v v v v v v v v v
DIF: Remembering (Knowledge) v REF: Page 2 OBJ: 3-3 v v v v v
TOP: Nursing Process: Implementation
v v v MSC: Health Promotion and Maintenance
v v v v
4. Based on current data, when presenting an older adult’s discharge teaching plan, the nurse
v v v v v v v v v v v v v
includes the patient’s:
v v v
a. nonrelated caretaker. v
b. paid caregiver. v
c. family member. v
d. intuitional representative. v
ANS: C v
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric
v v v v v v v v v v v v v v v v v
population lives at home or with family members.
v v v v v v v v
DIF: Applying (Application) v REF: N/A OBJ: 3-3
v v v v
TOP: Nursing Process: Planning
v v v MSC: Safe and Effective Care Environment
v v v v v
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
v v v v v v v v v v v v v v
v arthritis views the priority criterion for continued independence to be the patient’s:
v v v v v v v v v v v
a. age.
b. financial status. v
c. gender.
d. functional status. v
ANS: D v
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
v v v v v v v v v v v v v v v
impairment, two conditions that increase the likelihood of institutionalization.
v v v v v v v v v
DIF: Remembering (Knowledge) v REF: Page 8 OBJ: 1-6v v v
TOP: Nursing Process: Planning
v v v v MSC: Physiologic Integrity v v
6. A nurse working with the older adult population is most likely to assess a need for a financial social
v v v v v v v v v v v v v v v v v v
service’s referral for a(n):
v v v v
a. white male. v
b. black female. v
c. Hispanic male. v
d. Asian American female. v v
ANS: B v
The poverty rate among older black women is substantially higher than that seen among males or
v v v v v v v v v v v v v v v
females of other ethnic groups. White males had the least poverty.
v v v v v v v v v v v
DIF: Applying (Application) v REF: N/A OBJ: 1-4
v v v v
TOP: Nursing Process: Assessment
v v v MSC: Safe and Effective Care Environment
v v v v v
, 7. Which of the following statements made by a nurse preparing to complete a health assessment and
v v v v v v v v v v v v v v v
history on an older patient reflects an understanding of the general health status of this
v v v v v v v v v v v v v v v
population?
v
a. “I’ll need to document well regarding the medications the patient is currently
v v v v v v v v v v v
prescribed.”v
b. “I would like to understand how supportive the patient’s family members are.”
v v v v v v v v v v v
c. “Most older patients are being treated for a variety of chronic health care issues.”
v v v v v v v v v v v v v
d. “It will be interesting to see whether this patient sees herself as being healthy.”
v v v v v v v v v v v v v
ANS: D v
It is a misconception that old age is synonymous with disease and illness. The nurse should
v v v v v v v v v v v v v v v
always determine the patient’s sense of wellness and independence when conducting a health and
v v v v v v v v v v v v v v
history assessment. An assessment of medication use and family support is important for any
v v v v v v v v v v v v v v
patient. Many older adults do have chronic health conditions, but their perception is more
v v v v v v v v v v v v v v
important than a single number.
v v v v v
DIF: Applying (Application) v REF: N/A OBJ: 1-4 v v
TOP: Nursing Process: Assessment
v v v v MSC: Health Promotion v v
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
v v v v v v v v v v v v v v v v v
treatment of a fractured femur. The family expresses concern about the patient’s pending
v v v v v v v v v v v v v
transfer to a subacute care facility. What response by the nurse is best?
v v v v v v v v v v v v v
a. “Acute care facilities lack the long-term physical therapy support your dad v v v v v v v v v v
requires.” v
b. “Your dad will be much happier in a more serene, private environment.” v v v v v v v v v v v
c. “The subacute facility will focus on helping your dad maintain his independence.”
v v v v v v v v v v v
d. “Insurance, including Medicare, will cover only a limited amount of time here.” v v v v v v v v v v v
ANS: C v
The transfer of the patient to a subacute facility is based on the need to maintain the patient’s level
v v v v v v v v v v v v v v v v v v
of function and independence, a task the acute care facility is not prepared to address once the
v v v v v v v v v v v v v v v v v
patient is physiologically stable. The patient may or may not be happier in the new setting; the
v v v v v v v v v v v v v v v v v
nurse should not make this judgment. It is true that insurance only pays for a limited amount of
v v v v v v v v v v v v v v v v v v
time in an acute care facility, but this is not the best reason for the patient to transfer.
v v v v v v v v v v v v v v v v v v
DIF: Applying (Application) REF: N/A v v OBJ: 1-6 v
TOP: Communication and Documentation
v v v v
MSC: Health Promotion and Maintenance v v v v
9. To best assure both the quality of care and the safety of the older adult patient who requires in- home
v v v v v v v v v v v v v v v v v v v
unlicensed assistive personal (UAP) assistance, the geriatric nurse:
v v v v v v v v
a. evaluates the competency of the UAP staff. v v v v v v
b. assumes the roles of case manager and patient advocate. v v v v v v v v
c. arranges for the needed UAP provided services. v v v v v v
d. assesses the patient for functional limitations. v v v v v
ANS: A v
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse
v v v v v v v v v v v v v v
must assume more responsibility for educating, training, and evaluating the competency of UAP
v v v v v v v v v v v v v
staff to provide safe, effective care for the older adult patient.
v v v v v v v v v v v
