TEST BANK
Gerontologic Nursing, 7th Edition
by Jennifer J. Yeager
SC
O
R
EG
U
ID
ES
, Table of Content
PART I Introduction to Gerontologic Nursing
1. Overview of Gerontologic Nursing
2. Healthcare Policy that Affects Older Adults
3. Assessment of the Older Adult
PART II Influences on Health and Illness
4. Family Influences
5. Socioeconomic and Environmental Influences
6. Health Promotion and Illness/Disability Prevention
SC
PART III Influences on Quality of Life
7. Nutrition
8. Sleep and Activity
9. Safety
10. Sexuality and Aging
O
11. Pain
12. Infection and Inflammation
R
PART IV Diagnostic Studies and Pharmacologic Management
13. Laboratory and Diagnostic Tests
14. Drugs and Aging
EG
PART V Nursing Care of Physiologic and Psychological Disorders
15. Integumentary Function
16. Sensory Function
17. Cardiovascular Function
18. Respiratory Function
U
19. Gastrointestinal Function
20. Urinary Function
ID
21. Musculoskeletal Function
22. Cognitive and Neurologic Function
23. Endocrine Function
PART VI Health Care Transitions
ES
24. Health Care Delivery Settings and Older Adults
25. Chronic Illness and Rehabilitation
26. Cancer
27. Loss and End-of-Life Issues
,Chapter 01: Overview of Gerontologic Nursing
Meiner: Gerontologic Nursing, 7th Edition
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
published. The nurse would use these standards to
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate the concepts of health promotion, health maintenance, disease
prevention, and self-care
SC
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
2010 incorporates the input of gerontologic nurses from across the United States and
includes comprehensive concepts and dimensions important to those practicing gerontologic
nursing. It was not intended to promote gerontologic nursing practice within acute care
settings, define concepts or dimensions of gerontologic nursing practice, or elevate the
O
practice of gerontologic nursing.
DIF: Remembering OBJ: 1-1 TOP: N/A
R
MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first
EG
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring
nursing care.
c. self-reflect and formulate one‟s personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
U
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
older population as a whole. With nurses being members of a society holding such views, it
is critical that the individual nurse self-reflects on personal feelings and determines whether
ID
such feelings will affect the nursing care that he or she provides to the aging patient. Acting
as an advocate is an important nursing role in all settings. Simply accepting a fact does not
help end ageism, nor does recognizing ageism as a form of bigotry.
ES
DIF: Applying OBJ: 1-6 TOP: Integrated Process: Teaching-Learning
MSC: Safe and Effective Care Environment
3. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
arthritis views the priority criterion for continued independence to be the patient‟s
a. age.
b. financial status.
c. gender.
d. functional status.
, Gerontologic Nursing 7th Edition Meiner Test Bank
ANS: D
Maintaining the functional status of older adults (especially those with chronic health
conditions) may avert the onset of physical frailty and cognitive impairment, two conditions
that increase the likelihood of institutionalization.
DIF: Remembering OBJ: 1-4
TOP: Nursing Process: Planning MSC: Physiologic Integrity
4. A nurse working with the older adult population is most likely to assess a need for a
financial social service‟s referral for which person?
a. White male
SC
b. Black female
c. Hispanic male
d. Asian American female
ANS: B
The poverty rate among older women is substantially higher than that seen among men. The
poverty rates for people of color is higher than that of whites.
O
DIF: Remembering OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
R
5. A nurse is preparing to complete a health assessment and history on an older patient. Which
statement reflects an understanding of the general health status of this population?
a. “I‟ll need to document the medications the patient is currently prescribed.”
EG
b. “I would like to understand how supportive the patient‟s family members are.”
c. “Most older patients areNbUeR gI
inS eaG
trN dB
teT fo.
r a vOariet y of chronic health care issues.”
d. “It will be interesting to see whether this patient sees herself as being healthy.”
ANS: D
It is a misconception that old age is synonymous with disease and illness. In fact, older
adults already tend to view their personal health positively despite the presence of chronic
U
illness, disease, and impairment. The nurse should always determine the patient‟s sense of
wellness and independence when conducting a health and history assessment. An
assessment of medication use and family support is important for any patient. Many older
ID
adults do have chronic health conditions, but their perception is more important than a
single number.
DIF: Applying OBJ: 1-4 TOP: Nursing Process: Assessment
ES
MSC: Health Promotion and Maintenance
6. The nurse is caring for an older adult who has been admitted to an acute care hospital for
treatment of a fractured femur. The family expresses concern about their father‟s pending
transfer to a subacute care facility. What response by the nurse is best?
a. “Acute care facilities lack the long-term physical therapy your dad requires.”
b. “Your dad will be much happier in a more serene, private environment.”
c. “The subacute facility will focus on helping your dad to maintain his
independence.”
d. “Insurance, including Medicare, will cover only a limited amount of time here.”
Gerontologic Nursing, 7th Edition
by Jennifer J. Yeager
SC
O
R
EG
U
ID
ES
, Table of Content
PART I Introduction to Gerontologic Nursing
1. Overview of Gerontologic Nursing
2. Healthcare Policy that Affects Older Adults
3. Assessment of the Older Adult
PART II Influences on Health and Illness
4. Family Influences
5. Socioeconomic and Environmental Influences
6. Health Promotion and Illness/Disability Prevention
SC
PART III Influences on Quality of Life
7. Nutrition
8. Sleep and Activity
9. Safety
10. Sexuality and Aging
O
11. Pain
12. Infection and Inflammation
R
PART IV Diagnostic Studies and Pharmacologic Management
13. Laboratory and Diagnostic Tests
14. Drugs and Aging
EG
PART V Nursing Care of Physiologic and Psychological Disorders
15. Integumentary Function
16. Sensory Function
17. Cardiovascular Function
18. Respiratory Function
U
19. Gastrointestinal Function
20. Urinary Function
ID
21. Musculoskeletal Function
22. Cognitive and Neurologic Function
23. Endocrine Function
PART VI Health Care Transitions
ES
24. Health Care Delivery Settings and Older Adults
25. Chronic Illness and Rehabilitation
26. Cancer
27. Loss and End-of-Life Issues
,Chapter 01: Overview of Gerontologic Nursing
Meiner: Gerontologic Nursing, 7th Edition
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
published. The nurse would use these standards to
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate the concepts of health promotion, health maintenance, disease
prevention, and self-care
SC
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
2010 incorporates the input of gerontologic nurses from across the United States and
includes comprehensive concepts and dimensions important to those practicing gerontologic
nursing. It was not intended to promote gerontologic nursing practice within acute care
settings, define concepts or dimensions of gerontologic nursing practice, or elevate the
O
practice of gerontologic nursing.
DIF: Remembering OBJ: 1-1 TOP: N/A
R
MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first
EG
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring
nursing care.
c. self-reflect and formulate one‟s personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
U
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
older population as a whole. With nurses being members of a society holding such views, it
is critical that the individual nurse self-reflects on personal feelings and determines whether
ID
such feelings will affect the nursing care that he or she provides to the aging patient. Acting
as an advocate is an important nursing role in all settings. Simply accepting a fact does not
help end ageism, nor does recognizing ageism as a form of bigotry.
ES
DIF: Applying OBJ: 1-6 TOP: Integrated Process: Teaching-Learning
MSC: Safe and Effective Care Environment
3. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
arthritis views the priority criterion for continued independence to be the patient‟s
a. age.
b. financial status.
c. gender.
d. functional status.
, Gerontologic Nursing 7th Edition Meiner Test Bank
ANS: D
Maintaining the functional status of older adults (especially those with chronic health
conditions) may avert the onset of physical frailty and cognitive impairment, two conditions
that increase the likelihood of institutionalization.
DIF: Remembering OBJ: 1-4
TOP: Nursing Process: Planning MSC: Physiologic Integrity
4. A nurse working with the older adult population is most likely to assess a need for a
financial social service‟s referral for which person?
a. White male
SC
b. Black female
c. Hispanic male
d. Asian American female
ANS: B
The poverty rate among older women is substantially higher than that seen among men. The
poverty rates for people of color is higher than that of whites.
O
DIF: Remembering OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
R
5. A nurse is preparing to complete a health assessment and history on an older patient. Which
statement reflects an understanding of the general health status of this population?
a. “I‟ll need to document the medications the patient is currently prescribed.”
EG
b. “I would like to understand how supportive the patient‟s family members are.”
c. “Most older patients areNbUeR gI
inS eaG
trN dB
teT fo.
r a vOariet y of chronic health care issues.”
d. “It will be interesting to see whether this patient sees herself as being healthy.”
ANS: D
It is a misconception that old age is synonymous with disease and illness. In fact, older
adults already tend to view their personal health positively despite the presence of chronic
U
illness, disease, and impairment. The nurse should always determine the patient‟s sense of
wellness and independence when conducting a health and history assessment. An
assessment of medication use and family support is important for any patient. Many older
ID
adults do have chronic health conditions, but their perception is more important than a
single number.
DIF: Applying OBJ: 1-4 TOP: Nursing Process: Assessment
ES
MSC: Health Promotion and Maintenance
6. The nurse is caring for an older adult who has been admitted to an acute care hospital for
treatment of a fractured femur. The family expresses concern about their father‟s pending
transfer to a subacute care facility. What response by the nurse is best?
a. “Acute care facilities lack the long-term physical therapy your dad requires.”
b. “Your dad will be much happier in a more serene, private environment.”
c. “The subacute facility will focus on helping your dad to maintain his
independence.”
d. “Insurance, including Medicare, will cover only a limited amount of time here.”
