TEST BANK
n
,Chapter n01: nOverview nof nGerontologic
nNursing nMeiner: nGerontologic nNursing, n5th
nEdition
MULTIPLE nCHOICE
1. In n2010, nthe nrevised nStandards nand nScope nof nGerontological nNursing nPractice nwas
npublished. nThe nnurse nwould nuse nthese nstandards nto:
a. promote nthe npractice nof ngerontologic nnursing nwithin nthe nacute ncare nsetting.
b. define nthe nconcepts nand ndimensions nof ngerontologic nnursing npractice.
c. elevate nthe npractice nof ngerontologic nnursing.
d. incorporate nsuggested ninterventions nfrom nothers nwho npractice ngerontologic nnursing.
ANS: n D
The ncurrent npublishing nof nthe nStandards nand nScope nof nGerontological nNursing
nPractice nin n2010 nincorporates nthe ninput nof ngerontologic nnurses nfrom nacross nthe
nUnited nStates. nIt nwas nnot nintended nto npromote ngerontologic nnursing npractice nwithin
nacute ncare nsettings, ndefine nconcepts nor ndimensions nof ngerontologic nnursing npractice, nor
nelevate nthe npractice nof ngerontologic nnursing.
DIF: Remembering n(Knowledge) REF: n Page n2 OBJ: n 1-
1 nTOP: n N/A MSC: n Safe nand nEffective nCare nEnvironment
2. When nattempting nto nminimize nthe neffect nof nageism non nthe npractice nof nnursing nolder
nadults, na nnurse nneeds nto nfirst:
a. recognize nthat nnurses nmust nact nas nadvocates nfor naging npatients.
b. accept nthat nthis npopulation nrepresents na nsubstantial nportion nof nthose
nrequiring nnursing ncare.
c. self-reflect nand nformulate none‟s npersonal nview nof naging nand nthe nolder npatient.
d. recognize nageism nas na nform nof nbigotry nshared nby nmany nAmericans.
ANS: n C
Ageism nis nan never-increasing nprejudicial nview nof nthe neffects nof nthe naging nprocess nand
nof nthe nolder npopulation nas na nwhole. nWith nnurses nbeing nmembers nof na nsociety nholding
nsuch nviews, nit nis ncritical nthat nthe nindividual nnurse nself-reflect non npersonal nfeelings nand
ndetermine nwhether nsuch nfeelings nwill naffect nthe nnursing ncare nthat nhe nor nshe nprovides nto
nthe naging npatient. nActing nas nan nadvocate nis nan nimportant nnursing nrole nin nall nsettings.
nSimply naccepting na nfact ndoes nnot nhelp nend nageism, nnor ndoes nrecognizing nageism nas na
nform nof nbigotry.
DIF: Applying n(Application) REF: n n N/A OBJ: n n 1-9
TOP: n Teaching-Learning MSC: n Safe nand nEffective nCare nEnvironment
3. When ndiscussing nfactors nthat nhave nhelped nto nincrease nthe nnumber nof nhealthy,
nindependent nolder nAmericans, nthe nnurse nincludes nthe nimportance nof:
a. increased navailability nof nin-home ncare nservices.
b. government nsupport nof nretired ncitizens.
c. effective nantibiotic ntherapies.
d. the ndevelopment nof nlife-extending ntherapies.
ANS: n C
, The nhealth nand nultimate nautonomy nof nolder nAmericans nhas nbeen npositively nimpacted nby
nthe ndevelopment nof nantibiotics, nbetter nsanitation, nand nvaccines. nThese npublic nhealth
nmeasures nhave nbeen nmore ninstrumental nin nincreasing nthe nnumbers nof nhealthy,
nindependent nolder nAmericans nthan nhave nin-home ncare nservices, ngovernment nprograms,
nor nlife-extending ntherapies.
DIF: Remembering n(Knowledge) REF: n n Page n2 OBJ: n n 3-3
TOP: n Nursing nProcess: nImplementation MSC: n Health nPromotion nand nMaintenance
4. Based non ncurrent ndata, nwhen npresenting nan nolder nadult‟s ndischarge nteaching nplan,
nthe nnurse nincludes nthe npatient‟s:
a. nonrelated ncaretaker.
b. paid ncaregiver.
c. family nmember.
d. intuitional nrepresentative.
ANS: n C
Less nthan n4% nof nolder nadults nlive nin na nformal nhealth ncare nenvironment. nThe nmajority
nof nthe ngeriatric npopulation nlives nat nhome nor nwith nfamily nmembers.
DIF: Applying n(Application) REF: n n N/A OBJ: n n 3-3
TOP: n Nursing nProcess: nPlanning MSC: n Safe nand nEffective nCare nEnvironment
5. The nnurse nplanning ncare nfor nan nolder nadult nwho nhas nrecently nbeen ndiagnosed nwith
nrheumatoid narthritis nviews nthe npriority ncriterion nfor ncontinued nindependence nto nbe nthe
npatient‟s:
a. age.
b. financial nstatus.
c. gender.
d. functional nstatus.
ANS: n D
Maintaining nthe nfunctional nstatus nof nolder nadults nmay navert nthe nonset nof nphysical nfrailty
nand ncognitive nimpairment, ntwo nconditions nthat nincrease nthe nlikelihood nof
ninstitutionalization.
DIF: Remembering n(Knowledge) REF: n Page n8 OBJ: n 1-
6 nTOP: n Nursing nProcess: nPlanning MSC: n Physiologic nIntegrity
6. A nnurse nworking nwith nthe nolder nadult npopulation nis nmost nlikely nto nassess na nneed nfor na
nfinancial nsocial nservice‟s nreferral nfor na(n):
a. white nmale.
b. black nfemale.
c. Hispanic nmale.
d. Asian nAmerican nfemale.
ANS: n B
The npoverty nrate namong nolder nblack nwomen nis nsubstantially nhigher nthan nthat nseen
namong nmales nor nfemales nof nother nethnic ngroups. nWhite nmales nhad nthe nleast npoverty.
DIF: Applying n(Application) REF: n n N/A OBJ: n n 1-4
TOP: n Nursing nProcess: nAssessment MSC: n Safe nand nEffective nCare nEnvironment
, 7. Which nof nthe nfollowing nstatements nmade nby na nnurse npreparing nto ncomplete na nhealth
nassessment nand nhistory non nan nolder npatient nreflects nan nunderstanding nof nthe ngeneral
nhealth nstatus nof nthis npopulation?
a. “I‟ll nneed nto ndocument nwell nregarding nthe nmedications nthe npatient nis
ncurrently nprescribed.”
b. “I nwould nlike nto nunderstand nhow nsupportive nthe npatient‟s nfamily nmembers nare.”
c. “Most nolder npatients nare nbeing ntreated nfor na nvariety nof nchronic nhealth ncare nissues.”
d. “It nwill nbe ninteresting nto nsee nwhether nthis npatient nsees nherself nas nbeing nhealthy.”
ANS: n D
It nis na nmisconception nthat nold nage nis nsynonymous nwith ndisease nand nillness. nThe nnurse
nshould nalways ndetermine nthe npatient‟s nsense nof nwellness nand nindependence nwhen
nconducting na nhealth nand nhistory nassessment. nAn nassessment nof nmedication nuse nand
nfamily nsupport nis nimportant nfor nany npatient. nMany nolder nadults ndo nhave nchronic nhealth
nconditions, nbut ntheir nperception nis nmore nimportant nthan na nsingle nnumber.
DIF: Applying n(Application) REF: n N/A OBJ: n 1-
4 nTOP: n Nursing nProcess: nAssessment MSC: n Health nPromotion
8. The nnurse nis ncaring nfor nan nolder nadult nwho nhas nbeen nadmitted nto nan nacute ncare
nhospital nfor ntreatment nof na nfractured nfemur. nThe nfamily nexpresses nconcern nabout
nthe npatient‟s npending ntransfer nto na nsubacute ncare nfacility. nWhat nresponse nby nthe
nnurse nis nbest?
a. “Acute ncare nfacilities nlack nthe nlong-term nphysical ntherapy nsupport
nyour ndad nrequires.”
b. “Your ndad nwill nbe nmuch nhappier nin na nmore nserene, nprivate nenvironment.”
c. “The nsubacute nfacility nwill nfocus non nhelping nyour ndad nmaintain nhis nindependence.”
d. “Insurance, nincluding nMedicare, nwill ncover nonly na nlimited namount nof ntime nhere.”
ANS: n C
The ntransfer nof nthe npatient nto na nsubacute nfacility nis nbased non nthe nneed nto nmaintain nthe
npatient‟s nlevel nof nfunction nand nindependence, na ntask nthe nacute ncare nfacility nis nnot
nprepared nto naddress nonce nthe npatient nis nphysiologically nstable. nThe npatient nmay nor
nmay nnot nbe nhappier nin nthe nnew nsetting; nthe nnurse nshould nnot nmake nthis njudgment. nIt
nis ntrue nthat ninsurance nonly npays nfor na nlimited namount nof ntime nin nan nacute ncare nfacility,
nbut nthis nis nnot nthe nbest nreason nfor nthe npatient nto ntransfer.
DIF: Applying n(Application) REF: n N/A OBJ: n 1-
6 nTOP: n Communication nand nDocumentation
MSC: n Health nPromotion nand nMaintenance
9. To nbest nassure nboth nthe nquality nof ncare nand nthe nsafety nof nthe nolder nadult npatient nwho
nrequires nin- nhome nunlicensed nassistive npersonal n(UAP) nassistance, nthe ngeriatric nnurse:
a. evaluates nthe ncompetency nof nthe nUAP nstaff.
b. assumes nthe nroles nof ncase nmanager nand npatient nadvocate.
c. arranges nfor nthe nneeded nUAP nprovided nservices.
d. assesses nthe npatient nfor nfunctional nlimitations.
ANS: n A
As nmore ncare ntraditionally nprovided nby nprofessional nnurses nis nbeing ntransferred nto
nUAP, nthe nnurse nmust nassume nmore nresponsibility nfor neducating, ntraining, nand nevaluating
nthe ncompetency nof nUAP nstaff nto nprovide nsafe, neffective ncare nfor nthe nolder nadult
npatient.
n
,Chapter n01: nOverview nof nGerontologic
nNursing nMeiner: nGerontologic nNursing, n5th
nEdition
MULTIPLE nCHOICE
1. In n2010, nthe nrevised nStandards nand nScope nof nGerontological nNursing nPractice nwas
npublished. nThe nnurse nwould nuse nthese nstandards nto:
a. promote nthe npractice nof ngerontologic nnursing nwithin nthe nacute ncare nsetting.
b. define nthe nconcepts nand ndimensions nof ngerontologic nnursing npractice.
c. elevate nthe npractice nof ngerontologic nnursing.
d. incorporate nsuggested ninterventions nfrom nothers nwho npractice ngerontologic nnursing.
ANS: n D
The ncurrent npublishing nof nthe nStandards nand nScope nof nGerontological nNursing
nPractice nin n2010 nincorporates nthe ninput nof ngerontologic nnurses nfrom nacross nthe
nUnited nStates. nIt nwas nnot nintended nto npromote ngerontologic nnursing npractice nwithin
nacute ncare nsettings, ndefine nconcepts nor ndimensions nof ngerontologic nnursing npractice, nor
nelevate nthe npractice nof ngerontologic nnursing.
DIF: Remembering n(Knowledge) REF: n Page n2 OBJ: n 1-
1 nTOP: n N/A MSC: n Safe nand nEffective nCare nEnvironment
2. When nattempting nto nminimize nthe neffect nof nageism non nthe npractice nof nnursing nolder
nadults, na nnurse nneeds nto nfirst:
a. recognize nthat nnurses nmust nact nas nadvocates nfor naging npatients.
b. accept nthat nthis npopulation nrepresents na nsubstantial nportion nof nthose
nrequiring nnursing ncare.
c. self-reflect nand nformulate none‟s npersonal nview nof naging nand nthe nolder npatient.
d. recognize nageism nas na nform nof nbigotry nshared nby nmany nAmericans.
ANS: n C
Ageism nis nan never-increasing nprejudicial nview nof nthe neffects nof nthe naging nprocess nand
nof nthe nolder npopulation nas na nwhole. nWith nnurses nbeing nmembers nof na nsociety nholding
nsuch nviews, nit nis ncritical nthat nthe nindividual nnurse nself-reflect non npersonal nfeelings nand
ndetermine nwhether nsuch nfeelings nwill naffect nthe nnursing ncare nthat nhe nor nshe nprovides nto
nthe naging npatient. nActing nas nan nadvocate nis nan nimportant nnursing nrole nin nall nsettings.
nSimply naccepting na nfact ndoes nnot nhelp nend nageism, nnor ndoes nrecognizing nageism nas na
nform nof nbigotry.
DIF: Applying n(Application) REF: n n N/A OBJ: n n 1-9
TOP: n Teaching-Learning MSC: n Safe nand nEffective nCare nEnvironment
3. When ndiscussing nfactors nthat nhave nhelped nto nincrease nthe nnumber nof nhealthy,
nindependent nolder nAmericans, nthe nnurse nincludes nthe nimportance nof:
a. increased navailability nof nin-home ncare nservices.
b. government nsupport nof nretired ncitizens.
c. effective nantibiotic ntherapies.
d. the ndevelopment nof nlife-extending ntherapies.
ANS: n C
, The nhealth nand nultimate nautonomy nof nolder nAmericans nhas nbeen npositively nimpacted nby
nthe ndevelopment nof nantibiotics, nbetter nsanitation, nand nvaccines. nThese npublic nhealth
nmeasures nhave nbeen nmore ninstrumental nin nincreasing nthe nnumbers nof nhealthy,
nindependent nolder nAmericans nthan nhave nin-home ncare nservices, ngovernment nprograms,
nor nlife-extending ntherapies.
DIF: Remembering n(Knowledge) REF: n n Page n2 OBJ: n n 3-3
TOP: n Nursing nProcess: nImplementation MSC: n Health nPromotion nand nMaintenance
4. Based non ncurrent ndata, nwhen npresenting nan nolder nadult‟s ndischarge nteaching nplan,
nthe nnurse nincludes nthe npatient‟s:
a. nonrelated ncaretaker.
b. paid ncaregiver.
c. family nmember.
d. intuitional nrepresentative.
ANS: n C
Less nthan n4% nof nolder nadults nlive nin na nformal nhealth ncare nenvironment. nThe nmajority
nof nthe ngeriatric npopulation nlives nat nhome nor nwith nfamily nmembers.
DIF: Applying n(Application) REF: n n N/A OBJ: n n 3-3
TOP: n Nursing nProcess: nPlanning MSC: n Safe nand nEffective nCare nEnvironment
5. The nnurse nplanning ncare nfor nan nolder nadult nwho nhas nrecently nbeen ndiagnosed nwith
nrheumatoid narthritis nviews nthe npriority ncriterion nfor ncontinued nindependence nto nbe nthe
npatient‟s:
a. age.
b. financial nstatus.
c. gender.
d. functional nstatus.
ANS: n D
Maintaining nthe nfunctional nstatus nof nolder nadults nmay navert nthe nonset nof nphysical nfrailty
nand ncognitive nimpairment, ntwo nconditions nthat nincrease nthe nlikelihood nof
ninstitutionalization.
DIF: Remembering n(Knowledge) REF: n Page n8 OBJ: n 1-
6 nTOP: n Nursing nProcess: nPlanning MSC: n Physiologic nIntegrity
6. A nnurse nworking nwith nthe nolder nadult npopulation nis nmost nlikely nto nassess na nneed nfor na
nfinancial nsocial nservice‟s nreferral nfor na(n):
a. white nmale.
b. black nfemale.
c. Hispanic nmale.
d. Asian nAmerican nfemale.
ANS: n B
The npoverty nrate namong nolder nblack nwomen nis nsubstantially nhigher nthan nthat nseen
namong nmales nor nfemales nof nother nethnic ngroups. nWhite nmales nhad nthe nleast npoverty.
DIF: Applying n(Application) REF: n n N/A OBJ: n n 1-4
TOP: n Nursing nProcess: nAssessment MSC: n Safe nand nEffective nCare nEnvironment
, 7. Which nof nthe nfollowing nstatements nmade nby na nnurse npreparing nto ncomplete na nhealth
nassessment nand nhistory non nan nolder npatient nreflects nan nunderstanding nof nthe ngeneral
nhealth nstatus nof nthis npopulation?
a. “I‟ll nneed nto ndocument nwell nregarding nthe nmedications nthe npatient nis
ncurrently nprescribed.”
b. “I nwould nlike nto nunderstand nhow nsupportive nthe npatient‟s nfamily nmembers nare.”
c. “Most nolder npatients nare nbeing ntreated nfor na nvariety nof nchronic nhealth ncare nissues.”
d. “It nwill nbe ninteresting nto nsee nwhether nthis npatient nsees nherself nas nbeing nhealthy.”
ANS: n D
It nis na nmisconception nthat nold nage nis nsynonymous nwith ndisease nand nillness. nThe nnurse
nshould nalways ndetermine nthe npatient‟s nsense nof nwellness nand nindependence nwhen
nconducting na nhealth nand nhistory nassessment. nAn nassessment nof nmedication nuse nand
nfamily nsupport nis nimportant nfor nany npatient. nMany nolder nadults ndo nhave nchronic nhealth
nconditions, nbut ntheir nperception nis nmore nimportant nthan na nsingle nnumber.
DIF: Applying n(Application) REF: n N/A OBJ: n 1-
4 nTOP: n Nursing nProcess: nAssessment MSC: n Health nPromotion
8. The nnurse nis ncaring nfor nan nolder nadult nwho nhas nbeen nadmitted nto nan nacute ncare
nhospital nfor ntreatment nof na nfractured nfemur. nThe nfamily nexpresses nconcern nabout
nthe npatient‟s npending ntransfer nto na nsubacute ncare nfacility. nWhat nresponse nby nthe
nnurse nis nbest?
a. “Acute ncare nfacilities nlack nthe nlong-term nphysical ntherapy nsupport
nyour ndad nrequires.”
b. “Your ndad nwill nbe nmuch nhappier nin na nmore nserene, nprivate nenvironment.”
c. “The nsubacute nfacility nwill nfocus non nhelping nyour ndad nmaintain nhis nindependence.”
d. “Insurance, nincluding nMedicare, nwill ncover nonly na nlimited namount nof ntime nhere.”
ANS: n C
The ntransfer nof nthe npatient nto na nsubacute nfacility nis nbased non nthe nneed nto nmaintain nthe
npatient‟s nlevel nof nfunction nand nindependence, na ntask nthe nacute ncare nfacility nis nnot
nprepared nto naddress nonce nthe npatient nis nphysiologically nstable. nThe npatient nmay nor
nmay nnot nbe nhappier nin nthe nnew nsetting; nthe nnurse nshould nnot nmake nthis njudgment. nIt
nis ntrue nthat ninsurance nonly npays nfor na nlimited namount nof ntime nin nan nacute ncare nfacility,
nbut nthis nis nnot nthe nbest nreason nfor nthe npatient nto ntransfer.
DIF: Applying n(Application) REF: n N/A OBJ: n 1-
6 nTOP: n Communication nand nDocumentation
MSC: n Health nPromotion nand nMaintenance
9. To nbest nassure nboth nthe nquality nof ncare nand nthe nsafety nof nthe nolder nadult npatient nwho
nrequires nin- nhome nunlicensed nassistive npersonal n(UAP) nassistance, nthe ngeriatric nnurse:
a. evaluates nthe ncompetency nof nthe nUAP nstaff.
b. assumes nthe nroles nof ncase nmanager nand npatient nadvocate.
c. arranges nfor nthe nneeded nUAP nprovided nservices.
d. assesses nthe npatient nfor nfunctional nlimitations.
ANS: n A
As nmore ncare ntraditionally nprovided nby nprofessional nnurses nis nbeing ntransferred nto
nUAP, nthe nnurse nmust nassume nmore nresponsibility nfor neducating, ntraining, nand nevaluating
nthe ncompetency nof nUAP nstaff nto nprovide nsafe, neffective ncare nfor nthe nolder nadult
npatient.
