TOWARD HEALTH AGING: Human Needs and
Nursing Responses 11TH EDITION/ALL
CHAPTERS 1-35
,Chapter V01: VGerontological VNursing VAcross Vthe VContinuum Vof VCare
VTouhy: VToward VHealthy VAging, V11th VEdition
MULTIPLE VCHOICE
1. When Vdid Vserious Vand Vwell-controlled Vresearch Vstudies Von Vaging Vfirst Vbecome Vavailable?
a. Only Vin Vthe Vpast V60 Vyears.
b. Since Vthe Vturn Vof Vthe V20th Vcentury.
c. Following Vthe VGreat VDepression.
d. Since Vthe Vyear V2000.
ACCURATE
ANSWER:-A
V
REASONING:->>>Only Vin Vthe Vpast V60 Vyears Vhave Vserious Vand Vcarefully Vcontrolled
Vresearch Vstudies Vflourished. VBefore Vthat, Vanecdotal Vevidence Vwas Vused Vto Villustrate
Vissues Vassumed Vto Vbe Vuniversal, Vmaking Vall Vthe Vremaining Voptions Vincorrect.
DIF: Cognitive VLevel: VRemembering TOPIC: V Integrated VProcess:
VTeaching/Learning VMSC: V Patient VNeeds: VHealth VPromotion Vand VMaintenance
2. The Vson Vof Va Vnursing Vhome Vresident Vasks Va Vnursing Vattendant: V“What Vis Vthe
Vsignificance Vof Vbeing Vcertified Vin Vgerontology? VI Vsee Vthat Vyou Vare, Vbut Vnot Vall Vof Vthe
Vnursing Vattendants Vare.” VWhat Vresponse Vbest Vanswers Vthe Vfamily Vmember’s Vquestion?
a. “National Vcertification Vas Va Vgerontological Vnursing Vattendant Vis Va Vway Vto
Vdemonstrate Vspecial Vknowledge Vin Vcaring Vfor Volder Vadults.”
b. “National Vcertification Vin Vgerontology Vis Vrequired Vfor Vall Vnursing Vattendants
Vwho Vhave Vworked Vin Vthis Vsetting Vfor V2 Vor Vmore Vyears.”
c. “National Vcertification Vis Vonly Vavailable Vto Vnursing Vattendants Vwho Vhave Va
VBaccalaureate Vdegree Vin Vnursing.”
d. “Only Vadvanced Vpractice Vnursing Vattendants, Vlike Vnursing Vattendant
Vpractitioners, Vare Vcertified Vin Vgerontology.”
ACCURATE
ANSWER:-A
V
REASONING:->>>National Vcertification Vis Va Vway Vto Vdemonstrate Vspecial Vexpertise Vin
Vcaring Vfor Volder Vadults. VIt Vis Vnot Vrequired Vfor Vpractice Vin Vany Vsetting Vacross Vthe
Vcontinuum Vof Vcare, Vand Vit Vis Vnot Vexclusive Vto Vnursing Vattendants Vwith VBaccalaureate
Vdegrees. VThere Vis Vboth Va Vgeneralist Vand Va Vspecialist Vgerontological Vnursing Vcertification.
VThe Vgeneralist Vfunctions Vin Va Vvariety Vof Vsettings Vproviding Vcare Vto Volder Vadults Vand
Vtheir Vfamilies. VThe Vspecialist Vhas Vadvanced Vgerontological Veducation Vat Va Vmaster’s
Vlevel.
DIF: Cognitive VLevel: VUnderstanding
TOPIC: V Integrated VProcess: VCommunication Vand
VDocumentation VMSC: V Patient VNeeds: VManagement Vof VCare
3. The Vmajor Vgoal Vof Vthe VNICHE V(Nursing Vattendants VImproving VCare Vfor
Healthsystem VElders) Vprogram Vincludes Vwhich Vof Vthe Vfollowing?
V
a. Improve Voutcomes Vfor Vhospitalized Volder Vadults.
b. Increase Vthe Vnumber Vof Volder Vadults Vcared Vfor Vin Vhospitals.
c. Increase Vthe Vnumber Vof Viatrogenic Vcomplications Vthat Voccur Vin Vhospitalized
, older Vadults.
V
d. Decrease V30-day Vreadmission Vrates Vfor Vhospitalized Volder Vadults.
ACCURATE VANSWER:-A
REASONING:->>>The Vgoal Vof VNICHE Vis Vto Vimprove Voutcomes Vfor Vhospitalized Volder
Vadults. VAlthough Voption VD Vis Va Vgood Voutcome Vfor Vhospitalized Volder Vadults, Vit Vis Vnot
Vone Vof Vthe Vmajor Vgoals Vof VNICHE, Vwhich Vare Vbroader. VOptions VB Vand VC Vare Vnot Vgoals
Vthat Vwould Vimprove Vcare Vfor Volder Vadults Vbut Vwould Vbe Vnegative Voutcomes Vthemselves.
DIF: Cognitive VLevel: VUnderstanding TOPIC: V Integrated VProcess:
VTeaching/Learning VMSC: V Patient VNeeds: VHealth VPromotion Vand VMaintenance
MULTIPLE VRESPONSE
1. What Vis Vthe Vimpact Vof Vthe VHospital VReadmission VReduction VProgram V(HRRP) Von
Vavoidable Vreadmissions? V(Choose Vall Vthat Vapply.)
a. Readmission Vrates Vfor Vthe Vselected Vconditions Vhave Vdropped Vnationwide.
b. Many Vhospitals Vhave Vinstituted Vsystem-wide Vinterventions Vto Vprevent Vreadmissions.
c. Hospitals Vare Vkeeping Vhospital Vpatients Vlonger Vto Vavoid Vreadmissions.
d. Potentially Vavoidable Vhospitalizations Vamong Vnursing Vhome Vresidents Vis Vincreasing.
e. Hospitals Vhave Va Vfinancial Vincentive Vto Vdevelop Vprograms Vto Vreduce Vreadmissions.
ACCURATE VANSWER:-A, VB, VE
REASONING:->>>The VHospital VReadmission VReduction VProgram V(HRRP) Vwas
Vestablished Vas Va Vprovision Vin Vthe VAffordable VCare VAct V(ACA) Vrequiring VMedicare Vto
Vreduce Vpayments Vto Vhospitals Vwith Vrelatively Vhigh Vreadmission Vrates Vfor Vselected
Vconditions Vfor Vhospital Vpatients Vin Vtraditional VMedicare. VSince Vthe VHRRP, Vreadmission
Vrates Vfor Vthe Vselected Vconditions Vhave Vdropped Vnationwide Vbut Vestimates Vare Vthat Vin
V2018, Vabout V80% Vof Vhospitals Vevaluated Vby VCMS Vwill Vface Vpenalties Vtotaling V$564
Vmillion V(Advisory VBoard, V2017). VAdditionally, Vthe VHRRP Vhas Vbeen Vthe Vimpetus Vfor
Vmany Vhospitals Vto Vinstitute Vsystem-wide Vinterventions Vto Vprevent Vreadmissions Vthat Vhave
Valso Vcontributed Vto Vthe Vdecline Vin Vreadmission Vrates. VThe Vrate Vof Vpotentially Vavoidable
Vhospitalizations Vamong VSNF Vresidents Vhas Vfallen Vby Vnearly Va Vthird Vin Vrecent Vyears Vas Va
Vresult Vof Vmany Vquality Vimprovement Vinitiatives.
DIF: Cognitive VLevel: VUnderstanding TOPIC: V Integrated VProcess:
VTeaching/Learning VMSC: V Patient VNeeds: VHealth VPromotion Vand VMaintenance
2. Which Vof Vthe Vfollowing Vare Vtrue Vstatements Vabout Vthe Vcurrent Vhealth Vcare Vworkforce?
V(Choose Vall Vthat Vapply.)
a. Approximately V10% Vof Vregistered Vnursing Vattendants V(RNs) Vare Vcertified
in Vgerontological Vnursing.
V
b. The Vnumber Vof Vgeriatricians Vis Vexpected Vto Vincrease Vabout V50% Vover Vthe
next V25 Vyears.
V
c. The Vprofessions Vof Vsocial Vwork, Vphysical Vtherapy, Vand Vpsychiatry Vare
demonstrating Vthe Vsame Vtrends Vas Vnursing.
V
d. The Vworld’s Volder Vpopulation Vis Vexpected Vto Vgrow Vto Vat Vleast V1.3 Vbillion Vin
the Vnext V20 Vyears.
V
e. It Vis Vanticipated Vthat Vthere Vwill Vbe Va Vneed Vfor Vapproximately V3million
Vadditional Vdirect Vcare Vand Vprofessional Vhealth Vcare Vworkers Vby Vthe V year
V2030.
, ACCURATE VANSWER:-C, VD, VE
Nursing Responses 11TH EDITION/ALL
CHAPTERS 1-35
,Chapter V01: VGerontological VNursing VAcross Vthe VContinuum Vof VCare
VTouhy: VToward VHealthy VAging, V11th VEdition
MULTIPLE VCHOICE
1. When Vdid Vserious Vand Vwell-controlled Vresearch Vstudies Von Vaging Vfirst Vbecome Vavailable?
a. Only Vin Vthe Vpast V60 Vyears.
b. Since Vthe Vturn Vof Vthe V20th Vcentury.
c. Following Vthe VGreat VDepression.
d. Since Vthe Vyear V2000.
ACCURATE
ANSWER:-A
V
REASONING:->>>Only Vin Vthe Vpast V60 Vyears Vhave Vserious Vand Vcarefully Vcontrolled
Vresearch Vstudies Vflourished. VBefore Vthat, Vanecdotal Vevidence Vwas Vused Vto Villustrate
Vissues Vassumed Vto Vbe Vuniversal, Vmaking Vall Vthe Vremaining Voptions Vincorrect.
DIF: Cognitive VLevel: VRemembering TOPIC: V Integrated VProcess:
VTeaching/Learning VMSC: V Patient VNeeds: VHealth VPromotion Vand VMaintenance
2. The Vson Vof Va Vnursing Vhome Vresident Vasks Va Vnursing Vattendant: V“What Vis Vthe
Vsignificance Vof Vbeing Vcertified Vin Vgerontology? VI Vsee Vthat Vyou Vare, Vbut Vnot Vall Vof Vthe
Vnursing Vattendants Vare.” VWhat Vresponse Vbest Vanswers Vthe Vfamily Vmember’s Vquestion?
a. “National Vcertification Vas Va Vgerontological Vnursing Vattendant Vis Va Vway Vto
Vdemonstrate Vspecial Vknowledge Vin Vcaring Vfor Volder Vadults.”
b. “National Vcertification Vin Vgerontology Vis Vrequired Vfor Vall Vnursing Vattendants
Vwho Vhave Vworked Vin Vthis Vsetting Vfor V2 Vor Vmore Vyears.”
c. “National Vcertification Vis Vonly Vavailable Vto Vnursing Vattendants Vwho Vhave Va
VBaccalaureate Vdegree Vin Vnursing.”
d. “Only Vadvanced Vpractice Vnursing Vattendants, Vlike Vnursing Vattendant
Vpractitioners, Vare Vcertified Vin Vgerontology.”
ACCURATE
ANSWER:-A
V
REASONING:->>>National Vcertification Vis Va Vway Vto Vdemonstrate Vspecial Vexpertise Vin
Vcaring Vfor Volder Vadults. VIt Vis Vnot Vrequired Vfor Vpractice Vin Vany Vsetting Vacross Vthe
Vcontinuum Vof Vcare, Vand Vit Vis Vnot Vexclusive Vto Vnursing Vattendants Vwith VBaccalaureate
Vdegrees. VThere Vis Vboth Va Vgeneralist Vand Va Vspecialist Vgerontological Vnursing Vcertification.
VThe Vgeneralist Vfunctions Vin Va Vvariety Vof Vsettings Vproviding Vcare Vto Volder Vadults Vand
Vtheir Vfamilies. VThe Vspecialist Vhas Vadvanced Vgerontological Veducation Vat Va Vmaster’s
Vlevel.
DIF: Cognitive VLevel: VUnderstanding
TOPIC: V Integrated VProcess: VCommunication Vand
VDocumentation VMSC: V Patient VNeeds: VManagement Vof VCare
3. The Vmajor Vgoal Vof Vthe VNICHE V(Nursing Vattendants VImproving VCare Vfor
Healthsystem VElders) Vprogram Vincludes Vwhich Vof Vthe Vfollowing?
V
a. Improve Voutcomes Vfor Vhospitalized Volder Vadults.
b. Increase Vthe Vnumber Vof Volder Vadults Vcared Vfor Vin Vhospitals.
c. Increase Vthe Vnumber Vof Viatrogenic Vcomplications Vthat Voccur Vin Vhospitalized
, older Vadults.
V
d. Decrease V30-day Vreadmission Vrates Vfor Vhospitalized Volder Vadults.
ACCURATE VANSWER:-A
REASONING:->>>The Vgoal Vof VNICHE Vis Vto Vimprove Voutcomes Vfor Vhospitalized Volder
Vadults. VAlthough Voption VD Vis Va Vgood Voutcome Vfor Vhospitalized Volder Vadults, Vit Vis Vnot
Vone Vof Vthe Vmajor Vgoals Vof VNICHE, Vwhich Vare Vbroader. VOptions VB Vand VC Vare Vnot Vgoals
Vthat Vwould Vimprove Vcare Vfor Volder Vadults Vbut Vwould Vbe Vnegative Voutcomes Vthemselves.
DIF: Cognitive VLevel: VUnderstanding TOPIC: V Integrated VProcess:
VTeaching/Learning VMSC: V Patient VNeeds: VHealth VPromotion Vand VMaintenance
MULTIPLE VRESPONSE
1. What Vis Vthe Vimpact Vof Vthe VHospital VReadmission VReduction VProgram V(HRRP) Von
Vavoidable Vreadmissions? V(Choose Vall Vthat Vapply.)
a. Readmission Vrates Vfor Vthe Vselected Vconditions Vhave Vdropped Vnationwide.
b. Many Vhospitals Vhave Vinstituted Vsystem-wide Vinterventions Vto Vprevent Vreadmissions.
c. Hospitals Vare Vkeeping Vhospital Vpatients Vlonger Vto Vavoid Vreadmissions.
d. Potentially Vavoidable Vhospitalizations Vamong Vnursing Vhome Vresidents Vis Vincreasing.
e. Hospitals Vhave Va Vfinancial Vincentive Vto Vdevelop Vprograms Vto Vreduce Vreadmissions.
ACCURATE VANSWER:-A, VB, VE
REASONING:->>>The VHospital VReadmission VReduction VProgram V(HRRP) Vwas
Vestablished Vas Va Vprovision Vin Vthe VAffordable VCare VAct V(ACA) Vrequiring VMedicare Vto
Vreduce Vpayments Vto Vhospitals Vwith Vrelatively Vhigh Vreadmission Vrates Vfor Vselected
Vconditions Vfor Vhospital Vpatients Vin Vtraditional VMedicare. VSince Vthe VHRRP, Vreadmission
Vrates Vfor Vthe Vselected Vconditions Vhave Vdropped Vnationwide Vbut Vestimates Vare Vthat Vin
V2018, Vabout V80% Vof Vhospitals Vevaluated Vby VCMS Vwill Vface Vpenalties Vtotaling V$564
Vmillion V(Advisory VBoard, V2017). VAdditionally, Vthe VHRRP Vhas Vbeen Vthe Vimpetus Vfor
Vmany Vhospitals Vto Vinstitute Vsystem-wide Vinterventions Vto Vprevent Vreadmissions Vthat Vhave
Valso Vcontributed Vto Vthe Vdecline Vin Vreadmission Vrates. VThe Vrate Vof Vpotentially Vavoidable
Vhospitalizations Vamong VSNF Vresidents Vhas Vfallen Vby Vnearly Va Vthird Vin Vrecent Vyears Vas Va
Vresult Vof Vmany Vquality Vimprovement Vinitiatives.
DIF: Cognitive VLevel: VUnderstanding TOPIC: V Integrated VProcess:
VTeaching/Learning VMSC: V Patient VNeeds: VHealth VPromotion Vand VMaintenance
2. Which Vof Vthe Vfollowing Vare Vtrue Vstatements Vabout Vthe Vcurrent Vhealth Vcare Vworkforce?
V(Choose Vall Vthat Vapply.)
a. Approximately V10% Vof Vregistered Vnursing Vattendants V(RNs) Vare Vcertified
in Vgerontological Vnursing.
V
b. The Vnumber Vof Vgeriatricians Vis Vexpected Vto Vincrease Vabout V50% Vover Vthe
next V25 Vyears.
V
c. The Vprofessions Vof Vsocial Vwork, Vphysical Vtherapy, Vand Vpsychiatry Vare
demonstrating Vthe Vsame Vtrends Vas Vnursing.
V
d. The Vworld’s Volder Vpopulation Vis Vexpected Vto Vgrow Vto Vat Vleast V1.3 Vbillion Vin
the Vnext V20 Vyears.
V
e. It Vis Vanticipated Vthat Vthere Vwill Vbe Va Vneed Vfor Vapproximately V3million
Vadditional Vdirect Vcare Vand Vprofessional Vhealth Vcare Vworkers Vby Vthe V year
V2030.
, ACCURATE VANSWER:-C, VD, VE
