,
,Chapter 01: Overview of Gerontologic Nursing
#z #z #z #z #z
Meiner: Gerontologic Nursing, 6th Edition
#z #z #z #z #z
MULTIPLE #zCHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
published. The nurse would use these standards to
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate the concepts of health promotion, health maintenance, disease
prevention, and self-care
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
2010 incorporates the input of gerontologic nurses from across the United States and
includes comprehensive concepts and dimensions important to those practicing gerontologic
nursing. It was not intended to promote gerontologic nursing practice within acute care
settings, define concepts or dimensions of gerontologic nursing practice, or elevate the
practice of gerontologic nursing.
DIF: Remembering OBJ: 1-1 TOP: N/A
MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring
nursing care.
c. self-reflect and formulate one‟s personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
older population as a whole. With nurses being members of a society holding such views, it
is critical that the individual nurse self-reflects on personal feelings and determines whether
such feelings will affect the nursing care that he or she provides to the aging patient. Acting
as an advocate is an important nursing role in all settings. Simply accepting a fact does not
help end ageism, nor does recognizing ageism as a form of bigotry.
DIF: Applying OBJ: 1-6 TOP: Integrated Process: Teaching-Learning
MSC: Safe and Effective Care Environment
3. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
arthritis views the priority criterion for continued independence to be the patient‟s
a. age.
b. financial status.
c. gender.
d. functional status.
, Gerontologic #zNursing #z6th #zEdition #zMeiner #zTest
#zBank
ANS: # z # z D
Maintaining #zthe #zfunctional #zstatus #zof #zolder #zadults #z(especially #zthose #zwith #zchronic #zhealth
#zconditions) #zmay #zavert #zthe #zonset #zof #zphysical #zfrailty #zand #zcognitive #zimpairment, #ztwo
#zconditions #zthat #zincrease #zthe #zlikelihood #zof #zinstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: Nursing #zProcess: #zPlanning MSC: # z Physiologic #zIntegrity
4. A #znurse #zworking #zwith #zthe #zolder #zadult #zpopulation #zis #zmost #zlikely#zto #zassess #za
#zneed #zfor #za #zfinancial #zsocial #zservice‟s #zreferral #zfor #zwhich #zperson?
a. White #zmale
b. Black #zfemale
c. Hispanic #zmale
d. Asian #zAmerican #zfemale
ANS: # z B
The #zpoverty #zrate #zamong #zolder #zwomen #zis #zsubstantially #zhigher #zthan #zthat #zseen #zamong #zmen.
#zThe #zpoverty #zrates #zfor #zpeople #zof #zcolor #zis #zhigher #zthan #zthat #zof #zwhites.
DIF: Remembering OBJ: 1-4
TOP: Nursing #zProcess: #zAssessment MSC: # z Safe #zand #zEffective #zCare #zEnvironment
5. A #znurse #zis #zpreparing #zto #zcomplete #za #zhealth #zassessment #zand #zhistory #zon #zan #zolder #zpatient.
#zWhich #zstatement #zreflects #zan #zunderstanding #zof #zthe #zgeneral #zhealth #zstatus #zof #zthis
#zpopulation?
a. “I‟ll #zneed #zto #zdocument #zthe #zmedications #zthe #zpatient #zis #zcurrently #zprescribed.”
b. “I#zwould #zlike #zto #zunderstand #zhow #zsupportive #zthe #zpatient‟s #zfamily#zmembers #zare.”
c. “Most #zolder #zpatients #zareNbUeR g#zI
inS eaG
trN d#zB
teT fo.
r #za #zvOariet y #zof #zchronic #zhealth #zcare #zissues.”
d. “It #zwill #zbe #zinteresting #zto #zsee #zwhether #zthis #zpatient #zsees #zherself #zas #zbeing #zhealthy.”
ANS: # z D
It #zis #za #zmisconception #zthat #zold #zage #zis #zsynonymous #zwith #zdisease #zand #zillness. #zIn #zfact,
#zolder #zadults #zalready #ztend #zto #zview #ztheir #zpersonal #zhealth #zpositively #zdespite #zthe
#zpresence #zof #zchronic #zillness, #zdisease, #zand #zimpairment. #zThe #znurse #zshould #zalways
#zdetermine #zthe #zpatient‟s #zsense #zof #zwellness #zand #zindependence #zwhen #zconducting #za
#zhealth #zand #zhistory #zassessment. #zAn #zassessment #zof #zmedication #zuse #zand #zfamily
#zsupport #zis #zimportant #zfor #zany #zpatient. #zMany #zolder #zadults #zdo #zhave #zchronic #zhealth
#zconditions, #zbut #ztheir #zperception #zis #zmore #zimportant #zthan #za #zsingle #znumber.
DIF: Applying OBJ: 1-4 TOP: Nursing #zProcess:
#zAssessment #zMSC: # z Health #zPromotion #zand #zMaintenance
6. The #znurse #zis #zcaring #zfor #zan #zolder #zadult #zwho #zhas #zbeen #zadmitted #zto #zan #zacute #zcare
#zhospital #zfor #ztreatment #zof #za #zfractured #zfemur. #zThe #zfamily #zexpresses #zconcern #zabout
#ztheir #zfather‟s #zpending #ztransfer #zto #za #zsubacute #zcare #zfacility. #zWhat #zresponse #zby #zthe
#znurse #zis #zbest?
a. “Acute #zcare #zfacilities #zlack #zthe #zlong-term #zphysical #ztherapy #zyour #zdad #zrequires.”
b. “Your #zdad #zwill #zbe #zmuch #zhappier #zin #za #zmore #zserene, #zprivate #zenvironment.”
c. “The #zsubacute #zfacility #zwill #zfocus #zon #zhelping #zyour #zdad #zto
#zmaintain #zhis #zindependence.”
d. “Insurance, #zincluding #zMedicare, #zwill #zcover #zonly #za #zlimited #zamount #zof #ztime #zhere.”
,Chapter 01: Overview of Gerontologic Nursing
#z #z #z #z #z
Meiner: Gerontologic Nursing, 6th Edition
#z #z #z #z #z
MULTIPLE #zCHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
published. The nurse would use these standards to
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate the concepts of health promotion, health maintenance, disease
prevention, and self-care
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
2010 incorporates the input of gerontologic nurses from across the United States and
includes comprehensive concepts and dimensions important to those practicing gerontologic
nursing. It was not intended to promote gerontologic nursing practice within acute care
settings, define concepts or dimensions of gerontologic nursing practice, or elevate the
practice of gerontologic nursing.
DIF: Remembering OBJ: 1-1 TOP: N/A
MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring
nursing care.
c. self-reflect and formulate one‟s personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
older population as a whole. With nurses being members of a society holding such views, it
is critical that the individual nurse self-reflects on personal feelings and determines whether
such feelings will affect the nursing care that he or she provides to the aging patient. Acting
as an advocate is an important nursing role in all settings. Simply accepting a fact does not
help end ageism, nor does recognizing ageism as a form of bigotry.
DIF: Applying OBJ: 1-6 TOP: Integrated Process: Teaching-Learning
MSC: Safe and Effective Care Environment
3. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
arthritis views the priority criterion for continued independence to be the patient‟s
a. age.
b. financial status.
c. gender.
d. functional status.
, Gerontologic #zNursing #z6th #zEdition #zMeiner #zTest
#zBank
ANS: # z # z D
Maintaining #zthe #zfunctional #zstatus #zof #zolder #zadults #z(especially #zthose #zwith #zchronic #zhealth
#zconditions) #zmay #zavert #zthe #zonset #zof #zphysical #zfrailty #zand #zcognitive #zimpairment, #ztwo
#zconditions #zthat #zincrease #zthe #zlikelihood #zof #zinstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: Nursing #zProcess: #zPlanning MSC: # z Physiologic #zIntegrity
4. A #znurse #zworking #zwith #zthe #zolder #zadult #zpopulation #zis #zmost #zlikely#zto #zassess #za
#zneed #zfor #za #zfinancial #zsocial #zservice‟s #zreferral #zfor #zwhich #zperson?
a. White #zmale
b. Black #zfemale
c. Hispanic #zmale
d. Asian #zAmerican #zfemale
ANS: # z B
The #zpoverty #zrate #zamong #zolder #zwomen #zis #zsubstantially #zhigher #zthan #zthat #zseen #zamong #zmen.
#zThe #zpoverty #zrates #zfor #zpeople #zof #zcolor #zis #zhigher #zthan #zthat #zof #zwhites.
DIF: Remembering OBJ: 1-4
TOP: Nursing #zProcess: #zAssessment MSC: # z Safe #zand #zEffective #zCare #zEnvironment
5. A #znurse #zis #zpreparing #zto #zcomplete #za #zhealth #zassessment #zand #zhistory #zon #zan #zolder #zpatient.
#zWhich #zstatement #zreflects #zan #zunderstanding #zof #zthe #zgeneral #zhealth #zstatus #zof #zthis
#zpopulation?
a. “I‟ll #zneed #zto #zdocument #zthe #zmedications #zthe #zpatient #zis #zcurrently #zprescribed.”
b. “I#zwould #zlike #zto #zunderstand #zhow #zsupportive #zthe #zpatient‟s #zfamily#zmembers #zare.”
c. “Most #zolder #zpatients #zareNbUeR g#zI
inS eaG
trN d#zB
teT fo.
r #za #zvOariet y #zof #zchronic #zhealth #zcare #zissues.”
d. “It #zwill #zbe #zinteresting #zto #zsee #zwhether #zthis #zpatient #zsees #zherself #zas #zbeing #zhealthy.”
ANS: # z D
It #zis #za #zmisconception #zthat #zold #zage #zis #zsynonymous #zwith #zdisease #zand #zillness. #zIn #zfact,
#zolder #zadults #zalready #ztend #zto #zview #ztheir #zpersonal #zhealth #zpositively #zdespite #zthe
#zpresence #zof #zchronic #zillness, #zdisease, #zand #zimpairment. #zThe #znurse #zshould #zalways
#zdetermine #zthe #zpatient‟s #zsense #zof #zwellness #zand #zindependence #zwhen #zconducting #za
#zhealth #zand #zhistory #zassessment. #zAn #zassessment #zof #zmedication #zuse #zand #zfamily
#zsupport #zis #zimportant #zfor #zany #zpatient. #zMany #zolder #zadults #zdo #zhave #zchronic #zhealth
#zconditions, #zbut #ztheir #zperception #zis #zmore #zimportant #zthan #za #zsingle #znumber.
DIF: Applying OBJ: 1-4 TOP: Nursing #zProcess:
#zAssessment #zMSC: # z Health #zPromotion #zand #zMaintenance
6. The #znurse #zis #zcaring #zfor #zan #zolder #zadult #zwho #zhas #zbeen #zadmitted #zto #zan #zacute #zcare
#zhospital #zfor #ztreatment #zof #za #zfractured #zfemur. #zThe #zfamily #zexpresses #zconcern #zabout
#ztheir #zfather‟s #zpending #ztransfer #zto #za #zsubacute #zcare #zfacility. #zWhat #zresponse #zby #zthe
#znurse #zis #zbest?
a. “Acute #zcare #zfacilities #zlack #zthe #zlong-term #zphysical #ztherapy #zyour #zdad #zrequires.”
b. “Your #zdad #zwill #zbe #zmuch #zhappier #zin #za #zmore #zserene, #zprivate #zenvironment.”
c. “The #zsubacute #zfacility #zwill #zfocus #zon #zhelping #zyour #zdad #zto
#zmaintain #zhis #zindependence.”
d. “Insurance, #zincluding #zMedicare, #zwill #zcover #zonly #za #zlimited #zamount #zof #ztime #zhere.”
