TEST BANK
mk
,Chaptermk01:mkOverviewmkofmkGerontologicmkNursing
mkMeiner:mkGerontologicmkNursing,mk5thmkEdition
MULTIPLEmkCHOIC
E
1. Inmk2010,mkthemkrevisedmkStandardsmkandmkScopemkofmkGerontologicalmkNursingmkPracticemkwa
smkpublished.mkThemknursemkwouldmkusemkthesemkstandardsmkto:
a. promotemkthemkpracticemkofmkgerontologicmknursingmkwithinmkthemkacutemkcaremksetting.
b. definemkthemkconceptsmkandmkdimensionsmkofmkgerontologicmknursingmkpractice.
c. elevatemkthemkpracticemkofmkgerontologicmknursing.
d. incorporatemksuggestedmkinterventionsmkfrommkothersmkwhomkpracticemkgerontologicmknursing
.
ANS:m k D
ThemkcurrentmkpublishingmkofmkthemkStandardsmkandmkScopemkofmkGerontologicalmkNursingmkP
racticemkinmk2010mkincorporatesmkthemkinputmkofmkgerontologicmknursesmkfrommkacrossmkthemk
UnitedmkStates.mkItmkwasmknotmkintendedmktomkpromotemkgerontologicmknursingmkpracticemkwith
inmkacutemkcaremksettings,mkdefinemkconceptsmkormkdimensionsmkofmkgerontologicmknursingmkpra
ctice,mkormkelevatemkthemkpracticemkofmkgerontologicmknursing.
DIF: Rememberingmk(Knowledge) REF:m k Pagemk2
OBJ:m k 1-1mkTOP:m k N/A
MSC:m k SafemkandmkEffectivemkCaremkEnvironment
2. Whenmkattemptingmktomkminimizemkthemkeffectmkofmkageismmkonmkthemkpracticemkofmknursing
mkoldermkadults,mkamknursemkneedsmktomkfirst:
a. recognizemkthatmknursesmkmustmkactmkasmkadvocatesmkformkagingmkpatients.
b. acceptmkthatmkthismkpopulationmkrepresentsmkamksubstantialmkportionmkofmkthos
emkrequiringmknursingmkcare.
c. self-reflectmkandmkformulatemkone‟smkpersonalmkviewmkofmkagingmkandmkthemkoldermkpatient.
d. recognizemkageismmkasmkamkformmkofmkbigotrymksharedmkbymkmanymkAmericans.
ANS:m k C
Ageismmkismkanmkever-
increasingmkprejudicialmkviewmkofmkthemkeffectsmkofmkthemkagingmkprocessmkandmkofmkthemkolderm
kpopulationmkasmkamkwhole.mkWithmknursesmkbeingmkmembersmkofmkamksocietymkholdingmksuch mkvi
ews,mkitmkismkcriticalmkthatmkthemkindividualmknursemkself-
reflectmkonmkpersonalmkfeelingsmkandmkdeterminemkwhethermksuchmkfeelingsmkwillmkaffectmkthemk
nursingmkcaremkthatmkhemkormkshemkprovidesmktomkthemkagingmkpatient.mkActingmkasmkanmkadvocat
emkismkanmkimportantmknursingmkrolemkinmkallmksettings.mkSimplymkacceptingmkamkfactmkdoesmknotmk
helpmkendmkageism,mknormkdoesmkrecognizingmkageismmkasmkamkformmkofmkbigotry.
DIF: Applyingmk(Application) REF:m k m k N/A OBJ:m k m k 1-9
TOP:m k Teaching-Learning MSC:m k SafemkandmkEffectivemkCaremkEnvironment
3. Whenmkdiscussingmkfactorsmkthatmkhavemkhelpedmktomkincreasemkthemknumbermkofmkhealthy,mkind
ependentmkoldermkAmericans,mkthemknursemkincludesmkthemkimportancemkof:
a. increasedmkavailabilitymkofmkin-homemkcaremkservices.
b. governmentmksupportmkofmkretiredmkcitizens.
c. effectivemkantibioticmktherapies.
d. themkdevelopmentmkofmklife-extendingmktherapies.
ANS:m k C
, ThemkhealthmkandmkultimatemkautonomymkofmkoldermkAmericansmkhasmkbeenmkpositivelymkimpa
ctedmkbymkthemkdevelopmentmkofmkantibiotics,mkbettermksanitation,mkandmkvaccines.mkThesemkpub
licmkhealthmkmeasuresmkhavemkbeenmkmoremkinstrumentalmkinmkincreasingmkthemknumbersmkofmk
healthy,mkindependentmkoldermkAmericansmkthanmkhavemkin-
homemkcaremkservices,mkgovernmentmkprograms,mkormklife-extendingmktherapies.
DIF: Rememberingmk(Knowledge) REF:m k m k Pagemk2 OBJ:m k m k 3-3
TOP:m k NursingmkProcess:mkImplementation MSC:m k HealthmkPromotionmkandmkMaintenance
4. Basedmkonmkcurrentmkdata,mkwhenmkpresentingmkanmkoldermkadult‟smkdischargemkteachingmkpl
an,mkthemknursemkincludesmkthemkpatient‟s:
a. nonrelatedmkcaretaker.
b. paidmkcaregiver.
c. familymkmember.
d. intuitionalmkrepresentative.
ANS:m k C
Lessmkthanmk4%mkofmkoldermkadultsmklivemkinmkamkformalmkhealthmkcaremkenvironment.mkThemkmaj
oritymkofmkthemkgeriatricmkpopulationmklivesmkatmkhomemkormkwithmkfamilymkmembers.
DIF: Applyingmk(Application) REF:m k m k N/A OBJ:m k m k 3-3
TOP:m k NursingmkProcess:mkPlanning MSC:m k SafemkandmkEffectivemkCaremkEnvironment
5. Themknursemkplanningmkcaremkformkanmkoldermkadultmkwhomkhasmkrecentlymkbeenmkdiagnosedmk
withmkrheumatoidmkarthritismkviewsmkthemkprioritymkcriterionmkformkcontinuedmkindependence
mkto mkbemkthemkpatient‟s:
a. age.
b. financialmkstatus.
c. gender.
d. functionalmkstatus.
ANS:m k D
Maintainingmkthemkfunctionalmkstatusmkofmkoldermkadultsmkmaymkavertmkthemkonsetmkofmkphysicalmk
frailtymkandmkcognitivemkimpairment,mktwomkconditionsmkthatmkincreasemkthemklikelihoodmkofmkin
stitutionalization.
DIF: Rememberingmk(Knowledge) REF:m k Pagemk8
OBJ:m k 1-6mkTOP:m k NursingmkProcess:mkPlanning
MSC:m k PhysiologicmkIntegrity
6. Amknursemkworkingmkwithmkthemkoldermkadultmkpopulationmkismkmostmklikelymktomkassessmkamkne
edmkformkamkfinancialmksocialmkservice‟smkreferralmkformka(n):
a. whitemkmale.
b. blackmkfemale.
c. Hispanicmkmale.
d. AsianmkAmericanmkfemale.
ANS:m k B
Themkpovertymkratemkamongmkoldermkblackmkwomenmkismksubstantiallymkhighermkthanmkthatmkseen
mkamongmkmalesmkormkfemalesmkofmkothermkethnicmkgroups.mkWhitemkmalesmkhadmkthemkleastmkpo
verty.
DIF: Applyingmk(Application) REF:m k m k N/A OBJ:m k m k 1-4
TOP:m k NursingmkProcess:mkAssessment MSC:m k SafemkandmkEffectivemkCaremkEnvironment
, 7. Whichmkofmkthemkfollowingmkstatementsmkmademkbymkamknursemkpreparingmktomkcompletemkamkhe
althmkassessmentmkandmkhistorymkonmkanmkoldermkpatientmkreflectsmkanmkunderstandingmkofmkthe
mkgeneralmkhealthmkstatusmkofmkthismkpopulation?
a. “I‟llmkneedmktomkdocumentmkwellmkregardingmkthemkmedicationsmkthemkpatientm
kismkcurrentlymkprescribed.”
b. “Imkwouldmklikemktomkunderstandmkhowmksupportivemkthemkpatient‟smkfamilymkmembersmkare.”
c. “Mostmkoldermkpatientsmkaremkbeingmktreatedmkformkamkvarietymkofmkchronicmkhealthmkcaremkiss
ues.”
d. “Itmkwillmkbemkinterestingmktomkseemkwhethermkthismkpatientmkseesmkherselfmkasmkbeingmkhealth
y.”
ANS:m k D
Itmkismkamkmisconceptionmkthatmkoldmkagemkismksynonymousmkwithmkdiseasemkandmkillness.mkThem
knursemkshouldmkalwaysmkdeterminemkthemkpatient‟smksensemkofmkwellnessmkandmkindependencemk
whenmkconductingmkamkhealthmkandmkhistorymkassessment.mkAnmkassessmentmkofmkmedicationmku
semkandmkfamilymksupportmkismkimportantmkformkanymkpatient.mkManymkoldermkadultsmkdomkhavemk
chronicmkhealthmkconditions,mkbutmktheirmkperceptionmkismkmoremkimportantmkthanmkamksinglemknu
mber.
DIF: Applyingmk(Application) REF:m k N/A
OBJ:m k 1-4mkTOP:m k NursingmkProcess:mkAssessment
MSC:m k HealthmkPromotion
8. Themknursemkismkcaringmkformkanmkoldermkadultmkwhomkhasmkbeenmkadmittedmktomkanmkacute
mkcaremkhospitalmkformktreatmentmkofmkamkfracturedmkfemur.mkThemkfamilymkexpressesmkcon
cernmkaboutmkthemkpatient‟smkpendingmktransfermktomkamksubacutemkcaremkfacility.mkWhatmk
responsemkbymkthemknursemkismkbest?
a. “Acutemkcaremkfacilitiesmklackmkthemklong-
termmkphysicalmktherapymksupportmkyourmkdadmkrequires.”
b. “Yourmkdadmkwillmkbemkmuchmkhappiermkinmkamkmoremkserene,mkprivatemkenvironment.”
c. “Themksubacutemkfacilitymkwillmkfocusmkonmkhelpingmkyourmkdadmkmaintainmkhismkindependen
ce.”
d. “Insurance,mkincludingmkMedicare,mkwillmkcovermkonlymkamklimitedmkamountmkofmktimemkhere.
”
ANS:m k C
Themktransfermkofmkthemkpatientmktomkamksubacutemkfacilitymkismkbasedmkonmkthemkneedmktomkmai
ntainmkthemkpatient‟smklevelmkofmkfunctionmkandmkindependence,mkamktaskmkthemkacutemkcaremkfa
cilitymkismknotmkpreparedmktomkaddressmkoncemkthemkpatientmkismkphysiologicallymkstable.mkThem
kpatientmkmaymkormkmaymknotmkbemkhappiermkinmkthemknewmksetting;mkthe mknursemkshouldmknot mk
makemkthismkjudgment.mkItmkismktruemkthatmkinsurancemkonlymkpaysmkformkamklimitedmkamountmk
ofmktimemkinmkanmkacutemkcaremkfacility,mkbutmkthismkismknotmkthemkbestmkreasonmkformkthemkpatien
tmktomktransfer.
DIF: Applyingmk(Application) REF:m k N/A
OBJ:m k 1-6mkTOP:m k CommunicationmkandmkDocumentation
MSC:m k HealthmkPromotionmkandmkMaintenance
9. Tomkbestmkassuremkbothmkthemkqualitymkofmkcaremkandmkthemksafetymkofmkthemkoldermkadultmkpatien
tmkwhomkrequiresmkin-
mkhomemkunlicensedmkassistivemkpersonalmk(UAP) mkassistance,mkthemkgeriatricmknurse:
a. evaluatesmkthemkcompetencymkofmkthemkUAPmkstaff.
b. assumesmkthemkrolesmkofmkcasemkmanagermkandmkpatientmkadvocate.
c. arrangesmkformkthemkneededmkUAPmkprovidedmkservices.
d. assessesmkthemkpatientmkformkfunctionalmklimitations.
mk
,Chaptermk01:mkOverviewmkofmkGerontologicmkNursing
mkMeiner:mkGerontologicmkNursing,mk5thmkEdition
MULTIPLEmkCHOIC
E
1. Inmk2010,mkthemkrevisedmkStandardsmkandmkScopemkofmkGerontologicalmkNursingmkPracticemkwa
smkpublished.mkThemknursemkwouldmkusemkthesemkstandardsmkto:
a. promotemkthemkpracticemkofmkgerontologicmknursingmkwithinmkthemkacutemkcaremksetting.
b. definemkthemkconceptsmkandmkdimensionsmkofmkgerontologicmknursingmkpractice.
c. elevatemkthemkpracticemkofmkgerontologicmknursing.
d. incorporatemksuggestedmkinterventionsmkfrommkothersmkwhomkpracticemkgerontologicmknursing
.
ANS:m k D
ThemkcurrentmkpublishingmkofmkthemkStandardsmkandmkScopemkofmkGerontologicalmkNursingmkP
racticemkinmk2010mkincorporatesmkthemkinputmkofmkgerontologicmknursesmkfrommkacrossmkthemk
UnitedmkStates.mkItmkwasmknotmkintendedmktomkpromotemkgerontologicmknursingmkpracticemkwith
inmkacutemkcaremksettings,mkdefinemkconceptsmkormkdimensionsmkofmkgerontologicmknursingmkpra
ctice,mkormkelevatemkthemkpracticemkofmkgerontologicmknursing.
DIF: Rememberingmk(Knowledge) REF:m k Pagemk2
OBJ:m k 1-1mkTOP:m k N/A
MSC:m k SafemkandmkEffectivemkCaremkEnvironment
2. Whenmkattemptingmktomkminimizemkthemkeffectmkofmkageismmkonmkthemkpracticemkofmknursing
mkoldermkadults,mkamknursemkneedsmktomkfirst:
a. recognizemkthatmknursesmkmustmkactmkasmkadvocatesmkformkagingmkpatients.
b. acceptmkthatmkthismkpopulationmkrepresentsmkamksubstantialmkportionmkofmkthos
emkrequiringmknursingmkcare.
c. self-reflectmkandmkformulatemkone‟smkpersonalmkviewmkofmkagingmkandmkthemkoldermkpatient.
d. recognizemkageismmkasmkamkformmkofmkbigotrymksharedmkbymkmanymkAmericans.
ANS:m k C
Ageismmkismkanmkever-
increasingmkprejudicialmkviewmkofmkthemkeffectsmkofmkthemkagingmkprocessmkandmkofmkthemkolderm
kpopulationmkasmkamkwhole.mkWithmknursesmkbeingmkmembersmkofmkamksocietymkholdingmksuch mkvi
ews,mkitmkismkcriticalmkthatmkthemkindividualmknursemkself-
reflectmkonmkpersonalmkfeelingsmkandmkdeterminemkwhethermksuchmkfeelingsmkwillmkaffectmkthemk
nursingmkcaremkthatmkhemkormkshemkprovidesmktomkthemkagingmkpatient.mkActingmkasmkanmkadvocat
emkismkanmkimportantmknursingmkrolemkinmkallmksettings.mkSimplymkacceptingmkamkfactmkdoesmknotmk
helpmkendmkageism,mknormkdoesmkrecognizingmkageismmkasmkamkformmkofmkbigotry.
DIF: Applyingmk(Application) REF:m k m k N/A OBJ:m k m k 1-9
TOP:m k Teaching-Learning MSC:m k SafemkandmkEffectivemkCaremkEnvironment
3. Whenmkdiscussingmkfactorsmkthatmkhavemkhelpedmktomkincreasemkthemknumbermkofmkhealthy,mkind
ependentmkoldermkAmericans,mkthemknursemkincludesmkthemkimportancemkof:
a. increasedmkavailabilitymkofmkin-homemkcaremkservices.
b. governmentmksupportmkofmkretiredmkcitizens.
c. effectivemkantibioticmktherapies.
d. themkdevelopmentmkofmklife-extendingmktherapies.
ANS:m k C
, ThemkhealthmkandmkultimatemkautonomymkofmkoldermkAmericansmkhasmkbeenmkpositivelymkimpa
ctedmkbymkthemkdevelopmentmkofmkantibiotics,mkbettermksanitation,mkandmkvaccines.mkThesemkpub
licmkhealthmkmeasuresmkhavemkbeenmkmoremkinstrumentalmkinmkincreasingmkthemknumbersmkofmk
healthy,mkindependentmkoldermkAmericansmkthanmkhavemkin-
homemkcaremkservices,mkgovernmentmkprograms,mkormklife-extendingmktherapies.
DIF: Rememberingmk(Knowledge) REF:m k m k Pagemk2 OBJ:m k m k 3-3
TOP:m k NursingmkProcess:mkImplementation MSC:m k HealthmkPromotionmkandmkMaintenance
4. Basedmkonmkcurrentmkdata,mkwhenmkpresentingmkanmkoldermkadult‟smkdischargemkteachingmkpl
an,mkthemknursemkincludesmkthemkpatient‟s:
a. nonrelatedmkcaretaker.
b. paidmkcaregiver.
c. familymkmember.
d. intuitionalmkrepresentative.
ANS:m k C
Lessmkthanmk4%mkofmkoldermkadultsmklivemkinmkamkformalmkhealthmkcaremkenvironment.mkThemkmaj
oritymkofmkthemkgeriatricmkpopulationmklivesmkatmkhomemkormkwithmkfamilymkmembers.
DIF: Applyingmk(Application) REF:m k m k N/A OBJ:m k m k 3-3
TOP:m k NursingmkProcess:mkPlanning MSC:m k SafemkandmkEffectivemkCaremkEnvironment
5. Themknursemkplanningmkcaremkformkanmkoldermkadultmkwhomkhasmkrecentlymkbeenmkdiagnosedmk
withmkrheumatoidmkarthritismkviewsmkthemkprioritymkcriterionmkformkcontinuedmkindependence
mkto mkbemkthemkpatient‟s:
a. age.
b. financialmkstatus.
c. gender.
d. functionalmkstatus.
ANS:m k D
Maintainingmkthemkfunctionalmkstatusmkofmkoldermkadultsmkmaymkavertmkthemkonsetmkofmkphysicalmk
frailtymkandmkcognitivemkimpairment,mktwomkconditionsmkthatmkincreasemkthemklikelihoodmkofmkin
stitutionalization.
DIF: Rememberingmk(Knowledge) REF:m k Pagemk8
OBJ:m k 1-6mkTOP:m k NursingmkProcess:mkPlanning
MSC:m k PhysiologicmkIntegrity
6. Amknursemkworkingmkwithmkthemkoldermkadultmkpopulationmkismkmostmklikelymktomkassessmkamkne
edmkformkamkfinancialmksocialmkservice‟smkreferralmkformka(n):
a. whitemkmale.
b. blackmkfemale.
c. Hispanicmkmale.
d. AsianmkAmericanmkfemale.
ANS:m k B
Themkpovertymkratemkamongmkoldermkblackmkwomenmkismksubstantiallymkhighermkthanmkthatmkseen
mkamongmkmalesmkormkfemalesmkofmkothermkethnicmkgroups.mkWhitemkmalesmkhadmkthemkleastmkpo
verty.
DIF: Applyingmk(Application) REF:m k m k N/A OBJ:m k m k 1-4
TOP:m k NursingmkProcess:mkAssessment MSC:m k SafemkandmkEffectivemkCaremkEnvironment
, 7. Whichmkofmkthemkfollowingmkstatementsmkmademkbymkamknursemkpreparingmktomkcompletemkamkhe
althmkassessmentmkandmkhistorymkonmkanmkoldermkpatientmkreflectsmkanmkunderstandingmkofmkthe
mkgeneralmkhealthmkstatusmkofmkthismkpopulation?
a. “I‟llmkneedmktomkdocumentmkwellmkregardingmkthemkmedicationsmkthemkpatientm
kismkcurrentlymkprescribed.”
b. “Imkwouldmklikemktomkunderstandmkhowmksupportivemkthemkpatient‟smkfamilymkmembersmkare.”
c. “Mostmkoldermkpatientsmkaremkbeingmktreatedmkformkamkvarietymkofmkchronicmkhealthmkcaremkiss
ues.”
d. “Itmkwillmkbemkinterestingmktomkseemkwhethermkthismkpatientmkseesmkherselfmkasmkbeingmkhealth
y.”
ANS:m k D
Itmkismkamkmisconceptionmkthatmkoldmkagemkismksynonymousmkwithmkdiseasemkandmkillness.mkThem
knursemkshouldmkalwaysmkdeterminemkthemkpatient‟smksensemkofmkwellnessmkandmkindependencemk
whenmkconductingmkamkhealthmkandmkhistorymkassessment.mkAnmkassessmentmkofmkmedicationmku
semkandmkfamilymksupportmkismkimportantmkformkanymkpatient.mkManymkoldermkadultsmkdomkhavemk
chronicmkhealthmkconditions,mkbutmktheirmkperceptionmkismkmoremkimportantmkthanmkamksinglemknu
mber.
DIF: Applyingmk(Application) REF:m k N/A
OBJ:m k 1-4mkTOP:m k NursingmkProcess:mkAssessment
MSC:m k HealthmkPromotion
8. Themknursemkismkcaringmkformkanmkoldermkadultmkwhomkhasmkbeenmkadmittedmktomkanmkacute
mkcaremkhospitalmkformktreatmentmkofmkamkfracturedmkfemur.mkThemkfamilymkexpressesmkcon
cernmkaboutmkthemkpatient‟smkpendingmktransfermktomkamksubacutemkcaremkfacility.mkWhatmk
responsemkbymkthemknursemkismkbest?
a. “Acutemkcaremkfacilitiesmklackmkthemklong-
termmkphysicalmktherapymksupportmkyourmkdadmkrequires.”
b. “Yourmkdadmkwillmkbemkmuchmkhappiermkinmkamkmoremkserene,mkprivatemkenvironment.”
c. “Themksubacutemkfacilitymkwillmkfocusmkonmkhelpingmkyourmkdadmkmaintainmkhismkindependen
ce.”
d. “Insurance,mkincludingmkMedicare,mkwillmkcovermkonlymkamklimitedmkamountmkofmktimemkhere.
”
ANS:m k C
Themktransfermkofmkthemkpatientmktomkamksubacutemkfacilitymkismkbasedmkonmkthemkneedmktomkmai
ntainmkthemkpatient‟smklevelmkofmkfunctionmkandmkindependence,mkamktaskmkthemkacutemkcaremkfa
cilitymkismknotmkpreparedmktomkaddressmkoncemkthemkpatientmkismkphysiologicallymkstable.mkThem
kpatientmkmaymkormkmaymknotmkbemkhappiermkinmkthemknewmksetting;mkthe mknursemkshouldmknot mk
makemkthismkjudgment.mkItmkismktruemkthatmkinsurancemkonlymkpaysmkformkamklimitedmkamountmk
ofmktimemkinmkanmkacutemkcaremkfacility,mkbutmkthismkismknotmkthemkbestmkreasonmkformkthemkpatien
tmktomktransfer.
DIF: Applyingmk(Application) REF:m k N/A
OBJ:m k 1-6mkTOP:m k CommunicationmkandmkDocumentation
MSC:m k HealthmkPromotionmkandmkMaintenance
9. Tomkbestmkassuremkbothmkthemkqualitymkofmkcaremkandmkthemksafetymkofmkthemkoldermkadultmkpatien
tmkwhomkrequiresmkin-
mkhomemkunlicensedmkassistivemkpersonalmk(UAP) mkassistance,mkthemkgeriatricmknurse:
a. evaluatesmkthemkcompetencymkofmkthemkUAPmkstaff.
b. assumesmkthemkrolesmkofmkcasemkmanagermkandmkpatientmkadvocate.
c. arrangesmkformkthemkneededmkUAPmkprovidedmkservices.
d. assessesmkthemkpatientmkformkfunctionalmklimitations.
