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, Chapter 01: Overview of Gerontologic Nursing
Meiner: Gerontologic Nursing, 6th Edition
Q1.
The most appropriate use of the 2010 Standards and Scope of Gerontological Nursing Practice is to:
a. Promote practice in acute care settings
b. Define nursing theories in gerontology
c. Elevate the practice of gerontologic nursing
d. Integrate health promotion, maintenance, prevention, and self-care
Answer: D
Rationale: The 2010 Standards emphasize comprehensive gerontologic practice, including health promotion,
maintenance, disease prevention, and self-care. It is not limited to acute care or abstract theory.
Q2.
To minimize ageism in nursing care, the nurse’s first step is to:
a. Advocate for older adults
b. Recognize ageism as a form of bigotry
c. Accept that most patients are older adults
d. Self-reflect on personal beliefs about aging
Answer: D
Rationale: Combating ageism begins with nurses’ self-reflection on their personal biases toward older adults
before advocacy or system-level interventions.
Q3.
For an older adult with newly diagnosed rheumatoid arthritis, the priority criterion for continued independence is:
a. Age
b. Financial status
c. Gender
d. Functional status
Answer: D
Rationale: Functional status directly determines independence and predicts outcomes more than demographics.
Q4.
Which patient most likely needs referral to financial social services?
a. White male
b. Black female
c. Hispanic male
d. Asian American female
Answer: B
Rationale: Older women, particularly women of color, have disproportionately higher poverty rates.
,Q5.
Which nurse statement best reflects the health status of older adults?
a. “I’ll document current medications.”
b. “I’ll ask about family support.”
c. “Most are treated for multiple chronic diseases.”
d. “I’ll explore how the patient perceives her own health.”
Answer: D
Rationale: Many older adults perceive themselves as healthy despite chronic conditions. Nurses must assess
self-perceptions.
Q6.
A family is anxious about their father’s transfer from acute care to subacute care. The best nurse response is:
a. “He’ll be happier there.”
b. “Insurance won’t cover more hospital days.”
c. “The facility will focus on maintaining independence.”
d. “Hospitals lack therapists.”
Answer: C
Rationale: Subacute care emphasizes independence and rehabilitation—key goals for older adults.
Q7.
The best way for a nurse to ensure safe in-home care when unlicensed assistive personnel (UAP) are involved is
to:
a. Evaluate UAP competency
b. Act as case manager and advocate
c. Arrange UAP services
d. Assess functional limitations
Answer: A
Rationale: Patient safety depends on nurses assessing and validating UAP competency.
Q8.
Gerontologic nursing certification is:
a. Mandatory in long-term care
b. Voluntary, showing clinical expertise
c. Required for third-party reimbursement
d. Necessary for all promotions
Answer: B
Rationale: Certification is voluntary but demonstrates advanced expertise and commitment to gerontologic care.
, Q9.
Which priority action defines the role of a gerontologic nurse?
a. Patient advocacy
b. Disease education
c. Helping patients remain independent
d. Home health referrals
Answer: C
Rationale: Maintaining independence is a hallmark of gerontologic nursing practice.
Q10.
When planning care for older adults, the most useful baseline is:
a. Living conditions
b. Medications list
c. Baseline physical/cognitive function
d. Mini-Mental State Exam results
Answer: C
Rationale: Functional and cognitive baselines are essential to detect deviations during illness.
Q11.
Which best explains why many older Americans continue working past retirement age?
a. Longevity and good health
b. Financial necessity
c. Boredom in retirement
d. Desire to give back
Answer: B
Rationale: Financial pressures are the leading reason for delayed retirement.
Q12.
Which Medicare fact is accurate?
a. Covers all prescription drugs under Part A
b. Part B covers inpatient hospital care
c. Covers all over 65 plus end-stage renal disease
d. Part D eliminated the “donut hole”
Answer: C
Rationale: Medicare is for those over 65, but also any age with end-stage renal disease.
, Chapter 01: Overview of Gerontologic Nursing
Meiner: Gerontologic Nursing, 6th Edition
Q1.
The most appropriate use of the 2010 Standards and Scope of Gerontological Nursing Practice is to:
a. Promote practice in acute care settings
b. Define nursing theories in gerontology
c. Elevate the practice of gerontologic nursing
d. Integrate health promotion, maintenance, prevention, and self-care
Answer: D
Rationale: The 2010 Standards emphasize comprehensive gerontologic practice, including health promotion,
maintenance, disease prevention, and self-care. It is not limited to acute care or abstract theory.
Q2.
To minimize ageism in nursing care, the nurse’s first step is to:
a. Advocate for older adults
b. Recognize ageism as a form of bigotry
c. Accept that most patients are older adults
d. Self-reflect on personal beliefs about aging
Answer: D
Rationale: Combating ageism begins with nurses’ self-reflection on their personal biases toward older adults
before advocacy or system-level interventions.
Q3.
For an older adult with newly diagnosed rheumatoid arthritis, the priority criterion for continued independence is:
a. Age
b. Financial status
c. Gender
d. Functional status
Answer: D
Rationale: Functional status directly determines independence and predicts outcomes more than demographics.
Q4.
Which patient most likely needs referral to financial social services?
a. White male
b. Black female
c. Hispanic male
d. Asian American female
Answer: B
Rationale: Older women, particularly women of color, have disproportionately higher poverty rates.
,Q5.
Which nurse statement best reflects the health status of older adults?
a. “I’ll document current medications.”
b. “I’ll ask about family support.”
c. “Most are treated for multiple chronic diseases.”
d. “I’ll explore how the patient perceives her own health.”
Answer: D
Rationale: Many older adults perceive themselves as healthy despite chronic conditions. Nurses must assess
self-perceptions.
Q6.
A family is anxious about their father’s transfer from acute care to subacute care. The best nurse response is:
a. “He’ll be happier there.”
b. “Insurance won’t cover more hospital days.”
c. “The facility will focus on maintaining independence.”
d. “Hospitals lack therapists.”
Answer: C
Rationale: Subacute care emphasizes independence and rehabilitation—key goals for older adults.
Q7.
The best way for a nurse to ensure safe in-home care when unlicensed assistive personnel (UAP) are involved is
to:
a. Evaluate UAP competency
b. Act as case manager and advocate
c. Arrange UAP services
d. Assess functional limitations
Answer: A
Rationale: Patient safety depends on nurses assessing and validating UAP competency.
Q8.
Gerontologic nursing certification is:
a. Mandatory in long-term care
b. Voluntary, showing clinical expertise
c. Required for third-party reimbursement
d. Necessary for all promotions
Answer: B
Rationale: Certification is voluntary but demonstrates advanced expertise and commitment to gerontologic care.
, Q9.
Which priority action defines the role of a gerontologic nurse?
a. Patient advocacy
b. Disease education
c. Helping patients remain independent
d. Home health referrals
Answer: C
Rationale: Maintaining independence is a hallmark of gerontologic nursing practice.
Q10.
When planning care for older adults, the most useful baseline is:
a. Living conditions
b. Medications list
c. Baseline physical/cognitive function
d. Mini-Mental State Exam results
Answer: C
Rationale: Functional and cognitive baselines are essential to detect deviations during illness.
Q11.
Which best explains why many older Americans continue working past retirement age?
a. Longevity and good health
b. Financial necessity
c. Boredom in retirement
d. Desire to give back
Answer: B
Rationale: Financial pressures are the leading reason for delayed retirement.
Q12.
Which Medicare fact is accurate?
a. Covers all prescription drugs under Part A
b. Part B covers inpatient hospital care
c. Covers all over 65 plus end-stage renal disease
d. Part D eliminated the “donut hole”
Answer: C
Rationale: Medicare is for those over 65, but also any age with end-stage renal disease.
