Test Bank for Gerontologic Nursing, 6th Edition by Sue E. Meiner Jennifer J. Yeager Chapter 1-29 | All Chapters

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Chapter 01: Overview of Gerontologic
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ng Meiner: Gerontologic Nursing, 6th Editi
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on MULTIPLE CHOICE
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1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse woul
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d use these standards to:
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a. promote the practice of gerontologic nursing within the acute care setting.
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b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing.
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d. incorporate suggested interventions from others who practice gerontologic nu
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rsing. ANS: D x@ x@

The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the
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input of gerontologic nurses from across the United States. It was not intended to promote gerontologic nursing
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practice within acute care settings, define concepts or dimensions of gerontologic nursing practice, or elevate the
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@practice of gerontologic nursing. DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1
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TOP: N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
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a. recognize that nurses must act as advocates for aging patients.
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b. accept that this population represents a substantial portion of those requiring nursing care.
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c. self-reflect and formulate one‟s personal view of aging and the older patient.
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d. recognize ageism as a form of bigotry shared by many Am
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ericans. ANS: C x@ x@

Ageism is an ever- x@ x@ x@

increasing prejudicial view of the effects of the aging process and of the older population as a whole. With nur
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ses being members of a society holding such views, it is critical that the individual nurse self-
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reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she pro
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vides to the aging patient. Acting as an advocate is an important nursing role in all settings. Simply accepting
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a fact does not help end ageism, nor does recognizing ageism as a form of bigotry.
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DIF: Applying (Application) REF: N/A OBJ: 1-9
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TOP: Teaching-Learning MSC: Safe and Effective Care Environment
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3. When discussing factors that have helped to increase the number of healthy, independent older Americans
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, the nurse includes the importance of:
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a. increased availability of in-home care services.
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b. government support of retired citizens. x@ x@ x@ x@




c. effective antibiotic therapies. x@ x@




d. the development of life-
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extending therapies. ANS: C x@ x@ x@

The health and ultimate autonomy of older Americans has been positively impacted by the development of antibi
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otics, better sanitation, and vaccines. These public health measures have been more instrumental in increasing th
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e numbers of healthy, independent older Americans than have in-
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home care services, government programs, or life-extending therapies.
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DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
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TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
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4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the patient‟s:
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a. nonrelated caretaker. x@




b. paid caregiver. x@




c. family member. x@




d. intuitional representative. x@




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ANS: C x@

Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population
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lives at home or with family members.
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DIF: Applying (Application) REF: N/A OBJ: 3-3
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TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis view
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s the priority criterion for continued independence to be the patient‟s:
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a. age.

b. financial status. x@




c. gender.

d. functional status x@



. ANS: D
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Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment
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, two conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-
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6 TOP: Nursing Process: Planning MSC: Physiologic In
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tegrity
6. A nurse working with the older adult population is most likely to assess a need for a financial social servic
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e‟s referral for a(n):
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a. white male. x@




b. black female. x@




c. Hispanic male. x@




d. Asian American femal x@ x@



e. ANS: B
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The poverty rate among older black women is substantially higher than that seen among males or females of ot
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her ethnic groups. White males had the least poverty.
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DIF: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
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7. Which of the following statements made by a nurse preparing to complete a health assessment and history
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on an older patient reflects an understanding of the general health status of this population?
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a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
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b. “I would like to understand how supportive the patient‟s family members are.”
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c. “Most older patients are being treated for a variety of chronic health care issues.”
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d. “It will be interesting to see whether this patient sees herself as being
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@healthy.” ANS: D x@ x@

It is a misconception that old age is synonymous with disease and illness. The nurse should always determine t
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he patient‟s sense of wellness and independence when conducting a health and history assessment. An assessmen
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t of medication use and family support is important for any patient. Many older adults do have chronic health c
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onditions, but their perception is more important than a single number.
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DIF: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Health Promotion
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8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a
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fractured femur. The family expresses concern about the patient‟s pending transfer to a subacute care facility.
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What response by the nurse is best?
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a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
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b. “Your dad will be much happier in a more serene, private environment.”
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c. “The subacute facility will focus on helping your dad maintain his independence.”
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d. “Insurance, including Medicare, will cover only a limited amount of tim
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e here.” ANS: C
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The transfer of the patient to a subacute facility is based on the need to maintain the patient‟s level of functio
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n and independence, a task the acute care facility is not prepared to address once the patient is physiologically
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@stable. The patient may or may not be happier in the new setting; the nurse should not make this judgment. It
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is true that insurance only pays for a limited amount of time in an acute care facility, but this is not the bes
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t reason for the patient to transfer.
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DIF: Applying (Application) REF: N/A OBJ:
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1-6 TOP: Communication and Documentation
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MSC: Health Promotion and Maintenance
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9. To best assure both the quality of care and the safety of the older adult patient who requires in-
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home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
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a. evaluates the competency of the UAP staff.
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b. assumes the roles of case manager and patient advocate.
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c. arranges for the needed UAP provided services.
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d. assesses the patient for functional limitati
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ons. ANS: A
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As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume mo
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re responsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care
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@for the older adult patient.
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DIF: Applying (Application) REF: N/A OBJ:
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1-2 TOP: Communication and Documentation
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MSC: Safe and Effective Care Environment
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10. The nurse working with older adults understands what information about certification in gerontologic nursing?
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a. It is mandatory for those in long-term care settings.
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b. It is voluntary and shows clinical expertise in an area.
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c. It allows nurses to be paid by third-party payers.
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d. It allows nurses to advance their careers in
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a job. ANS: B
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Certification is voluntary and shows that a nurse has additional knowledge and expertise in a certain area of pra
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ctice. It is not mandatory in specific care settings. It does not allow for third-
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party reimbursement. It may be part of a career ladder program, but that is not true of all work settings.
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DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-2
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TOP: Teaching-Learning MSC: Safe Effective Care Environment
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11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
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a. Serving as a patient advocate x@ x@ x@ x@




b. Educating patients about diseases x@ x@ x@




c. Helping patients remain independent
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d. Referring patients to home health c x@ x@ x@ x@ x@



are ANS: C
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One of the challenges and priorities of the gerontologic nurse is helping patients maintain their indep
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endence. DIF: Remembering (Knowledge) REF: Page 10 OBJ: 1-2
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TOP: Nursing Process: Implementation MSC: Health Promotion
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12. A nurse is caring for an older patient in the emergency department. What information about the patient
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@will be most helpful in creating a plan of care?
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a. Baseline physical and cognitive functioning
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b. Living conditions and family support
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