,ChapterV01:VOverviewVofVGerontologicVNursingVMei
ner:VGerontologicVNursing,V6thVEdition
MULTIPLEVCHOICE
1. InV2010,VtheVrevisedVStandardsVandVScopeVofVGerontologicalVNursingVPractice
VwasVpublished.VTheVnurseVwouldVuseVtheseVstandardsVto
a. promoteVtheVpracticeVofVgerontologicVnursingVwithinVtheVacuteVcareVsetting.
b. defineVtheVconceptsVandVdimensionsVofVgerontologicVnursingVpractice.
c. elevateVtheVpracticeVofVgerontologicVnursing.
d. incorporateVtheVconceptsVofVhealthVpromotion,VhealthVmaintenance,Vdis
easeVprevention,VandVself-care
ANS:V D
TheVcurrentVpublishingVofVtheVStandardsVandVScopeVofVGerontologicalVNursingVPractice
VinV2010VincorporatesVtheVinputVofVgerontologicVnursesVfromVacrossVtheVUnitedVStatesV
andVincludesVcomprehensiveVconceptsVandVdimensionsVimportantVtoVthoseVpracticingVger
ontologicVnursing.VItVwasVnotVintendedVtoVpromoteVgerontologicVnursingVpracticeVwithi
nVacuteVcareVsettings,VdefineVconceptsVorVdimensionsVofVgerontologicVnursingVpractice,
VorVelevateVtheVpracticeVofVgerontologicVnursing.
DIF: Remembering OBJ: 1-1 TOP:
N/AVMSC:V SafeVandVEffectiveVCareVEnvironment
2. WhenVattemptingVtoVminimizeVtheVeffectVofVageismVonVtheVpracticeVofVnursingVolderV
adults,VaVnurseVneedsVtoVfirst
a. recognizeVthatVnursesVmustVactVasVadvocatesVforVagingVpatients.
b. acceptVthatVthisVpopulationVrepresentsVaVsubstantialVportionVofVthoseVreq
uiringVnursingVcare.
c. self-reflectVandVformulateVone‟sVpersonalVviewVofVagingVandVtheVolderVpatient.
d. recognizeVageismVasVaVformVofVbigotryVsharedVbyVmanyVAmericans.
ANS:V C
AgeismVisVanVever-
increasingVprejudicialVviewVofVtheVeffectsVofVtheVagingVprocessVandVofVtheVolderVpopul
ationVasVaVwhole.VWithVnursesVbeingVmembersVofVaVsocietyVholdingVsuchVviews,VitVisV
criticalVthatVtheVindividualVnurseVself-
reflectsVonVpersonalVfeelingsVandVdeterminesVwhetherVsuchVfeelingsVwillVaffectVtheVnurs
ingVcareVthatVheVorVsheVprovidesVtoVtheVagingVpatient.VActingVasVanVadvocateVisVanVim
portantVnursingVroleVinVallVsettings.VSimplyVacceptingVaVfactVdoesVnotVhelpVendVageism
,VnorVdoesVrecognizingVageismVasVaVformVofVbigotry.
DIF: Applying OBJ: 1-6 TOP: IntegratedVProcess:VTeaching-
LearningVMSC:V SafeVandVEffectiveVCareVEnvironment
3. TheVnurseVplanningVcareVforVanVolderVadultVwhoVhasVrecentlyVbeenVdiagnosedVwithVrhe
umatoidVarthritisVviewsVtheVpriorityVcriterionVforVcontinuedVindependenceVtoVbeVtheVpat
ient‟s
a. age.
b. financialVstatus.
c. gender.
d. functionalVstatus.
, GerontologicVNursingV6thVEditionVMeinerVTestVB
ank
ANS:V V D
MaintainingVtheVfunctionalVstatusVofVolderVadultsV(especiallyVthoseVwithVchronicVhealth
Vconditions)VmayVavertVtheVonsetVofVphysicalVfrailtyVandVcognitiveVimpairment,VtwoVco
nditionsVthatVincreaseVtheVlikelihoodVofVinstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: NursingVProcess:VPlanning MSC:V PhysiologicVIntegrity
4. AVnurseVworkingVwithVtheVolderVadultVpopulationVisVmostVlikelyVtoVassessVaVn
eedVforVaVfinancialVsocialVservice‟sVreferralVforVwhichVperson?
a. WhiteVmale
b. BlackVfemale
c. HispanicVmale
d. AsianVAmericanVfemale
ANS:V B
TheVpovertyVrateVamongVolderVwomenVisVsubstantiallyVhigherVthanVthatVseenVamongVmen.V
TheVpovertyVratesVforVpeopleVofVcolorVisVhigherVthanVthatVofVwhites.
DIF: Remembering OBJ: 1-4
TOP: NursingVProcess:VAssessment MSC:V SafeVandVEffectiveVCareVEnvironment
5. AVnurseVisVpreparingVtoVcompleteVaVhealthVassessmentVandVhistoryVonVanVolderVpatient
.VWhichVstatementVreflectsVanVunderstandingVofVtheVgeneralVhealthVstatusVofVthisVpopu
lation?
a. “I‟llVneedVtoVdocumentVtheVmedicationsVtheVpatientVisVcurrentlyVprescribed.”
b. “IVwouldVlikeVtoVunderstandVhowVsupportiveVtheVpatient‟sVfamilyVmembersVare.”
c. “MostVolderVpatientsVareNbUeR gVI
inS eaG
trN dVB
teT fo.
rVaVvOariet y VofVchronicVhealthVcareVissues.”
d. “ItVwillVbeVinterestingVtoVseeVwhetherVthisVpatientVseesVherselfVasVbeingVhealthy.”
ANS:V D
ItVisVaVmisconceptionVthatVoldVageVisVsynonymousVwithVdiseaseVandVillness.VInVfact,V
olderVadultsValreadyVtendVtoVviewVtheirVpersonalVhealthVpositivelyVdespiteVtheVpresenc
eVofVchronicVillness,Vdisease,VandVimpairment.VTheVnurseVshouldValwaysVdetermineVthe
Vpatient‟sVsenseVofVwellnessVandVindependenceVwhenVconductingVaVhealthVandVhistory
Vassessment.VAnVassessmentVofVmedicationVuseVandVfamilyVsupportVisVimportantVforVa
nyVpatient.VManyVolderVadultsVdoVhaveVchronicVhealthVconditions,VbutVtheirVperceptio
nVisVmoreVimportantVthanVaVsingleVnumber.
DIF: Applying OBJ: 1-4 TOP:
NursingVProcess:VAssessmentVMSC:V HealthVPromotionVandVMaintena
nce
6. TheVnurseVisVcaringVforVanVolderVadultVwhoVhasVbeenVadmittedVtoVanVacuteVcareVho
spitalVforVtreatmentVofVaVfracturedVfemur.VTheVfamilyVexpressesVconcernVaboutVtheir
Vfather‟sVpendingVtransferVtoVaVsubacuteVcareVfacility.VWhatVresponseVbyVtheVnurseV
isVbest?
a. “AcuteVcareVfacilitiesVlackVtheVlong-termVphysicalVtherapyVyourVdadVrequires.”
b. “YourVdadVwillVbeVmuchVhappierVinVaVmoreVserene,VprivateVenvironment.”
c. “TheVsubacuteVfacilityVwillVfocusVonVhelpingVyourVdadVtoVmainta
inVhisVindependence.”
d. “Insurance,VincludingVMedicare,VwillVcoverVonlyVaVlimitedVamountVofVtimeVhere.”