Full Test Bank For
Toward Healthy Aging: Human Needs And Nursing Response
11th Edition
By Theris A. Touhy ,Kathleen F
,Table Of Contents
Chapter 01: Gerontological Nursing Across The Continuum Of Care ................................................. 3
Chapter 02: Aging, Health, And Wellness In A Global Community ..................................................... 8
Chapter 03: Theories Of Aging .......................................................................................................... 13
Chapter 04: Provision Of Cross-Cultural Care ................................................................................... 19
Chapter 05: Economics And Health Care In Late Life ....................................................................... 24
Chapter 06: Promoting Excellence In Long-Term Care ..................................................................... 29
Chapter 07: Therapeutic Communication With Older Adults........................................................... 34
Chapter 08: Clinical Judgment To Promote Cognitive Health........................................................... 38
Chapter 09: Recognizing And Analyzing Cues To Maximize Outcomes ............................................ 41
Chapter 10: Using Laboratory Data In Clinical Judgment ................................................................. 46
Chapter 11: Safe Medication Use ..................................................................................................... 51
Chapter 12: Visual Health ................................................................................................................. 58
Chapter 13: Auditory Health ............................................................................................................. 63
Chapter 14: Healthy Skin................................................................................................................... 66
Chapter 15: Nutritional Health ......................................................................................................... 71
Chapter 16: Oral Health And Hydration ............................................................................................ 76
Chapter 17: Elimination .................................................................................................................... 81
Chapter 18: Sleep .............................................................................................................................. 86
Chapter 19: Activity And Exercise ..................................................................................................... 90
Chapter 20: Falls And Fall Risk Reduction ......................................................................................... 94
Chapter 21: Safe And Secure Environments ..................................................................................... 99
Chapter 22: Living Well With Chronic Illness .................................................................................. 104
Chapter 23: Vascular Disorders....................................................................................................... 107
Chapter 24: Respiratory Disorders.................................................................................................. 112
Chapter 25: Neurocognitive Disorders ........................................................................................... 116
Chapter 26: Care Of Individuals With Neurocognitive Disorders ................................................... 121
Chapter 27: Endocrine And Immune Disorders .............................................................................. 126
Chapter 28: Common Musculoskeletal Disorders .......................................................................... 131
Chapter 29: Pain And Comfort ........................................................................................................ 135
Chapter 30: Mental Health ............................................................................................................. 142
Chapter 31: Ethics, Decision-Making, And Mistreatment............................................................... 149
Chapter 32: Relationships, Roles, And Life Transitions................................................................... 154
Chapter 33: Intimacy And Sexual Health ........................................................................................ 159
Chapter 34: Loss, Grief, Dying, And Death ...................................................................................... 165
Chapter 35: Spiritual Health, Meaning, And Self-Actualization ...................................................... 170
,Chapter 01: Gerontological Nursing Across The Continuum Of Care
Touhy: Toward Healthy Aging, 11th Edition
MULTIPLE CHOICE
1. When Did Serious And Well-Controlled Research Studies On Aging First Become Available?
A. Only In The Past 60 Years.
B. Since The Turn Of The 20th Century.
C. Following The Great Depression.
D. Since The Year 2000.
ANS: A
Only In The Past 60 Years Have Serious And Carefully Controlled Research Studies Flourished. Before
That, Anecdotal Evidence Was Used To Illustrate Issues Assumed To Be Universal, Making All The
Remaining Options Incorrect.
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning MSC: Client
Needs: Health Promotion And Maintenance
2. The Son Of A Nursing Home Resident Asks A Nurse: “What Is The Significance Of Being
Certified In Gerontology? I See That You Are, But Not All Of The Nurses Are.” What Response Best
Answers The Family Member’s Question?
A. “National Certification As A Gerontological Nurse Is A Way To Demonstrate Special
Knowledge In Caring For Older Adults.”
B. “National Certification In Gerontology Is Required For All Nurses Who Have Worked In This
Setting For 2 Or More Years.”
C. “National Certification Is Only Available To Nurses Who Have A Baccalaureate Degree In
Nursing.”
D. “Only Advanced Practice Nurses, Like Nurse Practitioners, Are Certified In Gerontology.”
ANS: A
National Certification Is A Way To Demonstrate Special Expertise In Caring For Older Adults. It Is Not
Required For Practice In Any Setting Across The Continuum Of Care, And It Is Not Exclusive To Nurses
With Baccalaureate Degrees. There Is Both A Generalist And A Specialist Gerontological Nursing
Certification. The Generalist Functions In A Variety Of Settings Providing Care To Older Adults And
Their Families. The Specialist Has Advanced Gerontological Education At A Master’s Level.
DIF: Cognitive Level: Understanding
, TOP: Integrated Process: Communication And Documentation MSC: Client Needs: Management Of
Care
3. The Major Goal Of The NICHE (Nurses Improving Care For Healthsystem Elders) Program
Includes Which Of The Following?
A. Improve Outcomes For Hospitalized Older Adults.
B. Increase The Number Of Older Adults Cared For In Hospitals.
C. Increase The Number Of Iatrogenic Complications That Occur In Hospitalized Older Adults.
D. Decrease 30-Day Readmission Rates For Hospitalized Older Adults.
ANS: A
The Goal Of NICHE Is To Improve Outcomes For Hospitalized Older Adults. Although Option D Is A
Good Outcome For Hospitalized Older Adults, It Is Not One Of The Major Goals Of NICHE, Which Are
Broader. Options B And C Are Not Goals That Would Improve Care For Older Adults But Would Be
Negative Outcomes Themselves.
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning MSC: Client
Needs: Health Promotion And Maintenance
MULTIPLE RESPONSE
1. What Is The Impact Of The Hospital Readmission Reduction Program (HRRP) On Avoidable
Readmissions? (Select All That Apply.)
A. Readmission Rates For The Selected Conditions Have Dropped Nationwide.
B. Many Hospitals Have Instituted System-Wide Interventions To Prevent Readmissions.
C. Hospitals Are Keeping Patients Longer To Avoid Readmissions.
D. Potentially Avoidable Hospitalizations Among Nursing Home Residents Is Increasing.
E. Hospitals Have A Financial Incentive To Develop Programs To Reduce Readmissions.
ANS: A, B, E
The Hospital Readmission Reduction Program (HRRP) Was Established As A Provision In The
Affordable Care Act (ACA) Requiring Medicare To Reduce Payments To Hospitals With Relatively
High Readmission Rates For Selected Conditions For Patients In Traditional Medicare. Since The
HRRP, Readmission Rates For The Selected Conditions Have Dropped Nationwide But Estimates Are
That In 2018, About 80% Of Hospitals Evaluated By CMS Will Face Penalties Totaling $564 Million
(Advisory Board, 2017). Additionally, The HRRP Has Been The Impetus For Many Hospitals To
Institute System-Wide Interventions To Prevent Readmissions That Have Also Contributed To The
Decline In Readmission Rates. The Rate Of Potentially Avoidable Hospitalizations Among SNF
Toward Healthy Aging: Human Needs And Nursing Response
11th Edition
By Theris A. Touhy ,Kathleen F
,Table Of Contents
Chapter 01: Gerontological Nursing Across The Continuum Of Care ................................................. 3
Chapter 02: Aging, Health, And Wellness In A Global Community ..................................................... 8
Chapter 03: Theories Of Aging .......................................................................................................... 13
Chapter 04: Provision Of Cross-Cultural Care ................................................................................... 19
Chapter 05: Economics And Health Care In Late Life ....................................................................... 24
Chapter 06: Promoting Excellence In Long-Term Care ..................................................................... 29
Chapter 07: Therapeutic Communication With Older Adults........................................................... 34
Chapter 08: Clinical Judgment To Promote Cognitive Health........................................................... 38
Chapter 09: Recognizing And Analyzing Cues To Maximize Outcomes ............................................ 41
Chapter 10: Using Laboratory Data In Clinical Judgment ................................................................. 46
Chapter 11: Safe Medication Use ..................................................................................................... 51
Chapter 12: Visual Health ................................................................................................................. 58
Chapter 13: Auditory Health ............................................................................................................. 63
Chapter 14: Healthy Skin................................................................................................................... 66
Chapter 15: Nutritional Health ......................................................................................................... 71
Chapter 16: Oral Health And Hydration ............................................................................................ 76
Chapter 17: Elimination .................................................................................................................... 81
Chapter 18: Sleep .............................................................................................................................. 86
Chapter 19: Activity And Exercise ..................................................................................................... 90
Chapter 20: Falls And Fall Risk Reduction ......................................................................................... 94
Chapter 21: Safe And Secure Environments ..................................................................................... 99
Chapter 22: Living Well With Chronic Illness .................................................................................. 104
Chapter 23: Vascular Disorders....................................................................................................... 107
Chapter 24: Respiratory Disorders.................................................................................................. 112
Chapter 25: Neurocognitive Disorders ........................................................................................... 116
Chapter 26: Care Of Individuals With Neurocognitive Disorders ................................................... 121
Chapter 27: Endocrine And Immune Disorders .............................................................................. 126
Chapter 28: Common Musculoskeletal Disorders .......................................................................... 131
Chapter 29: Pain And Comfort ........................................................................................................ 135
Chapter 30: Mental Health ............................................................................................................. 142
Chapter 31: Ethics, Decision-Making, And Mistreatment............................................................... 149
Chapter 32: Relationships, Roles, And Life Transitions................................................................... 154
Chapter 33: Intimacy And Sexual Health ........................................................................................ 159
Chapter 34: Loss, Grief, Dying, And Death ...................................................................................... 165
Chapter 35: Spiritual Health, Meaning, And Self-Actualization ...................................................... 170
,Chapter 01: Gerontological Nursing Across The Continuum Of Care
Touhy: Toward Healthy Aging, 11th Edition
MULTIPLE CHOICE
1. When Did Serious And Well-Controlled Research Studies On Aging First Become Available?
A. Only In The Past 60 Years.
B. Since The Turn Of The 20th Century.
C. Following The Great Depression.
D. Since The Year 2000.
ANS: A
Only In The Past 60 Years Have Serious And Carefully Controlled Research Studies Flourished. Before
That, Anecdotal Evidence Was Used To Illustrate Issues Assumed To Be Universal, Making All The
Remaining Options Incorrect.
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning MSC: Client
Needs: Health Promotion And Maintenance
2. The Son Of A Nursing Home Resident Asks A Nurse: “What Is The Significance Of Being
Certified In Gerontology? I See That You Are, But Not All Of The Nurses Are.” What Response Best
Answers The Family Member’s Question?
A. “National Certification As A Gerontological Nurse Is A Way To Demonstrate Special
Knowledge In Caring For Older Adults.”
B. “National Certification In Gerontology Is Required For All Nurses Who Have Worked In This
Setting For 2 Or More Years.”
C. “National Certification Is Only Available To Nurses Who Have A Baccalaureate Degree In
Nursing.”
D. “Only Advanced Practice Nurses, Like Nurse Practitioners, Are Certified In Gerontology.”
ANS: A
National Certification Is A Way To Demonstrate Special Expertise In Caring For Older Adults. It Is Not
Required For Practice In Any Setting Across The Continuum Of Care, And It Is Not Exclusive To Nurses
With Baccalaureate Degrees. There Is Both A Generalist And A Specialist Gerontological Nursing
Certification. The Generalist Functions In A Variety Of Settings Providing Care To Older Adults And
Their Families. The Specialist Has Advanced Gerontological Education At A Master’s Level.
DIF: Cognitive Level: Understanding
, TOP: Integrated Process: Communication And Documentation MSC: Client Needs: Management Of
Care
3. The Major Goal Of The NICHE (Nurses Improving Care For Healthsystem Elders) Program
Includes Which Of The Following?
A. Improve Outcomes For Hospitalized Older Adults.
B. Increase The Number Of Older Adults Cared For In Hospitals.
C. Increase The Number Of Iatrogenic Complications That Occur In Hospitalized Older Adults.
D. Decrease 30-Day Readmission Rates For Hospitalized Older Adults.
ANS: A
The Goal Of NICHE Is To Improve Outcomes For Hospitalized Older Adults. Although Option D Is A
Good Outcome For Hospitalized Older Adults, It Is Not One Of The Major Goals Of NICHE, Which Are
Broader. Options B And C Are Not Goals That Would Improve Care For Older Adults But Would Be
Negative Outcomes Themselves.
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning MSC: Client
Needs: Health Promotion And Maintenance
MULTIPLE RESPONSE
1. What Is The Impact Of The Hospital Readmission Reduction Program (HRRP) On Avoidable
Readmissions? (Select All That Apply.)
A. Readmission Rates For The Selected Conditions Have Dropped Nationwide.
B. Many Hospitals Have Instituted System-Wide Interventions To Prevent Readmissions.
C. Hospitals Are Keeping Patients Longer To Avoid Readmissions.
D. Potentially Avoidable Hospitalizations Among Nursing Home Residents Is Increasing.
E. Hospitals Have A Financial Incentive To Develop Programs To Reduce Readmissions.
ANS: A, B, E
The Hospital Readmission Reduction Program (HRRP) Was Established As A Provision In The
Affordable Care Act (ACA) Requiring Medicare To Reduce Payments To Hospitals With Relatively
High Readmission Rates For Selected Conditions For Patients In Traditional Medicare. Since The
HRRP, Readmission Rates For The Selected Conditions Have Dropped Nationwide But Estimates Are
That In 2018, About 80% Of Hospitals Evaluated By CMS Will Face Penalties Totaling $564 Million
(Advisory Board, 2017). Additionally, The HRRP Has Been The Impetus For Many Hospitals To
Institute System-Wide Interventions To Prevent Readmissions That Have Also Contributed To The
Decline In Readmission Rates. The Rate Of Potentially Avoidable Hospitalizations Among SNF
