,Chapter 01: Overview of Gerontologic
n d n d n d n d
Nursing Meiner: Gerontologic
nd n d n d
Nursing, 6th Edition MULTIPLE
n d n d nd n d
CHOICE
n d
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice
n d n d nd n d n d n d n d nd n d nd n d was published. n d
The nurse would use these standards to:
n d n d nd nd n d n d n d
a. promote the practice of gerontologic nursing within
nd nd n d nd nd nd n d the acute care setting.
n d n d n d
b. define the concepts and dimensions of gerontologic nursing practice.
n d nd nd n d nd nd nd nd
c. elevate the practice of gerontologic nd nd n d nd n d nursing.
d. incorporate n d suggested n d interventions n d from n d others who nd n d practice
gerontologic nursing. ANS: D
n d nd n d n d
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
n d n d n d n d n d n d n d n d n d n d n d n d
2010 incorporates the input of gerontologic nurses from across the United States. It was not intended to
n d n d n d nd nd nd nd nd nd nd nd nd nd nd nd nd nd
promote gerontologic nursing practice within acute care settings, define concepts or dimensions of
nd nd nd n d nd nd nd nd nd nd nd nd nd
gerontologic nursing practice, or elevate the practice of gerontologic nursing. DIF: Remembering
nd nd nd nd nd nd nd n d n d n d n d n d
(Knowledge) REF: Page 2 OBJ: 1-1
n d n d n d n d n d n d
TOP: N/A MSC: Safe and Effective Care Environment
nd nd nd n d nd n d nd
2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
nd n d n d nd n d nd nd nd nd n d nd n d nd nd n d nd a nurse
nd
needs to first:
nd n d n d n d n d
a. recognize that nurses nd nd n d must act as advocates
nd n d n d n d for n d aging patients. nd
b. accept that this population represents a substantial portion of those requiring nursing care.
nd nd nd nd nd n d nd nd nd nd nd nd
c. self-reflect and formulate one‟s personal view of aging and the older patient.
nd n d n d n d nd nd nd n d nd n d nd
d. recognize n d ageism n d as n d a n d form n d of n d bigotry
shared by many Americans. ANS: C
n d n d n d nd n d n d
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d
older population as a whole. With nurses being members of a society holding such views,
n d n d n d n d nd n d n d n d n d n d n d n d n d n d n d
it is critical that the individual nurse self- reflect on personal feelings and determine whether
n d n d n d n d n d n d n d n d nd n d n d n d n d n d n d
such feelings will affect the nursing care that he or she provides to the aging patient.
n d n d n d n d n d n d n d n d n d n d n d n d nd n d n d n d
n dActing as an advocate is an important nursing role in all settings. Simply accepting a fact
n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d
n does not help end ageism, nor does recognizing ageism as a form of bigotry.
d n d n d n d n d n d n d n d n d n d n d n d n d n d
DIF: Applying (Application) REF: N/A OBJ: 1-9
nd nd nd nd nd nd
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
nd nd nd nd nd nd nd
3. When discussing factors that have helped to increase the number of healthy, independent
n d n d nd nd nd n d nd n d n d n d nd n d
older Americans, the nurse includes the importance of:
n d n d nd n d n d n d n d n d
a. increased availability of in-home care services.
n d nd nd nd nd
b. government support of retired citizens. nd nd nd nd
c. effective antibiotic therapies. nd nd
d. the development of life-
nd nd nd
extending therapies. ANS: C nd n d n d
The health and ultimate autonomy of older Americans has been positively impacted by the
n d n d n d n d n d n d n d n d n d n d n d n d n d
development of antibiotics, better sanitation, and vaccines. These public health measures have
n d n d nd nd n d n d n d n d n d n d n d n d
been more instrumental in increasing the numbers of healthy, independent older Americans than
n d n d n d n d n d nd n d n d n d n d n d n d n d
have in-home care services, government programs, or life-extending therapies.
n d n d n d n d n d n d n d nd n d
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
nd nd n d nd nd nd nd
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
nd nd nd nd nd nd nd nd
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the
nd n d n d nd nd n d nd n d nd n d nd nd nd nd n d
patient‟s:
nd
a. nonrelated caretaker. nd
b. paid caregiver. n d
c. family member. nd
,d. intuitional representative.
nd
, ANS: C nd
Less than 4% of older adults live in a formal health care environment. The majority of the
n d n d n d nd n d n d n d nd n d nd n d n d n d n d n d n d
nd geriatric population lives at home or with family members.
n d n d nd n d n d n d n d n d
DIF: Applying (Application) REF: N/A OBJ: 3-3
nd nd nd nd nd nd
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
nd nd nd nd nd nd nd nd nd
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
n d nd n d n d nd n d n d nd n d n d n d n d n d n d
n darthritis views the priority criterion for continued independence to be the patient‟s:
n d n d nd n d n d n d n d n d n d n d n d
a. age.
b. financial status. n d
c. gender.
d. functional
nd status. ANS: nd
nd D
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
n d n d n d nd n d n d n d n d nd n d nd nd nd n d n d
n dimpairment, two conditions that increase the likelihood of institutionalization.
nd nd n d n d n d n d n d n d
DIF: Remembering (Knowledge) REF: Page 8
n d n d n d n d n d
n dOBJ: 1-6 TOP: Nursing Process: Planning MSC:
n d nd nd nd nd nd
ndPhysiologic Integrity nd
6. A nurse working with the older adult population is most likely to assess a need for a
n d n d n d n d n d n d nd n d n d n d n d n d n d nd n d n d
n dfinancial social service‟s referral for a(n):
n d n d nd n d n d
a. white male. nd
b. black n d female.
c. Hispanic male. nd
d. Asian
nd American female. nd
n dANS: B n d
The poverty rate among older black women is substantially higher than that seen among males
n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d or
nd females of other ethnic groups. White males had the least poverty.
n d nd nd n d n d n d n d n d n d n d
DIF: Applying (Application) REF: N/A OBJ: 1-4
nd nd nd nd nd nd
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
nd nd nd nd nd nd nd nd nd
7. Which of the following statements made by a nurse preparing to complete a health
n d n d n d n d n d nd n d n d n d n d n d n d n d
n dassessment and history on an older patient reflects an understanding of the general health
n d n d n d nd n d n d n d n d n d n d n d n d n d
n dstatus of this population?
n d n d n d
a. “I‟ll need to documentnd n d nd n d well regarding nd n d the medications the patient is currently prescribed.”
nd nd nd nd nd n d
b. “I would like to understand how supportive the patient‟s family members are.”
nd nd nd nd nd nd nd nd nd n d nd
c. “Most older nd n d patients are being treated for a variety
nd n d nd n d n d nd n d of chronic health
nd nd n d care issues.” nd
d. “It n d will n d be n d interesting n d to n d see n d whether n d this n d patient n d sees
n dherself as being healthy.” ANS: D
n d n d nd n d n d
It is a misconception that old age is synonymous with disease and illness. The nurse should
n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d
n dalways determine the patient‟s sense of wellness and independence when conducting a health
n d n d nd n d n d n d n d n d n d n d n d n d
n dand history assessment. An assessment of medication use and family support is important for
n d n d n d n d n d nd n d n d n d n d nd n d nd
n dany patient. Many older adults do have chronic health conditions, but their perception is more
n d nd n d n d n d n d n d n d n d nd n d n d n d n d
n dimportant than a single number. n d n d n d n d
DIF: Applying (Application) REF: N/A OBJ: 1-4
nd nd nd nd nd nd
TOP: Nursing Process: Assessment MSC: Health Promotion
nd nd nd nd nd nd
8. The nurse is caring for an older adult who has been admitted to an acute care hospital
n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d
n dfor treatment of a fractured femur. The family expresses concern about the patient‟s pending
n d n d n d nd n d n d n d n d n d n d n d n d n d
n dtransfer to a subacute care facility. What response by the nurse is best?
n d n d n d n d n d n d n d n d n d n d n d n d
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
nd n d n d n d nd nd nd nd nd nd nd
b. “Your dad will be n d nd nd n d much n d happier in a more serene, n d n d nd nd n d private n d environment.”
c. “The subacute facility will focus on helping your dad maintain his independence.”
nd nd nd nd nd nd n d n d nd n d n d
n d n d n d n d
Nursing Meiner: Gerontologic
nd n d n d
Nursing, 6th Edition MULTIPLE
n d n d nd n d
CHOICE
n d
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice
n d n d nd n d n d n d n d nd n d nd n d was published. n d
The nurse would use these standards to:
n d n d nd nd n d n d n d
a. promote the practice of gerontologic nursing within
nd nd n d nd nd nd n d the acute care setting.
n d n d n d
b. define the concepts and dimensions of gerontologic nursing practice.
n d nd nd n d nd nd nd nd
c. elevate the practice of gerontologic nd nd n d nd n d nursing.
d. incorporate n d suggested n d interventions n d from n d others who nd n d practice
gerontologic nursing. ANS: D
n d nd n d n d
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
n d n d n d n d n d n d n d n d n d n d n d n d
2010 incorporates the input of gerontologic nurses from across the United States. It was not intended to
n d n d n d nd nd nd nd nd nd nd nd nd nd nd nd nd nd
promote gerontologic nursing practice within acute care settings, define concepts or dimensions of
nd nd nd n d nd nd nd nd nd nd nd nd nd
gerontologic nursing practice, or elevate the practice of gerontologic nursing. DIF: Remembering
nd nd nd nd nd nd nd n d n d n d n d n d
(Knowledge) REF: Page 2 OBJ: 1-1
n d n d n d n d n d n d
TOP: N/A MSC: Safe and Effective Care Environment
nd nd nd n d nd n d nd
2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
nd n d n d nd n d nd nd nd nd n d nd n d nd nd n d nd a nurse
nd
needs to first:
nd n d n d n d n d
a. recognize that nurses nd nd n d must act as advocates
nd n d n d n d for n d aging patients. nd
b. accept that this population represents a substantial portion of those requiring nursing care.
nd nd nd nd nd n d nd nd nd nd nd nd
c. self-reflect and formulate one‟s personal view of aging and the older patient.
nd n d n d n d nd nd nd n d nd n d nd
d. recognize n d ageism n d as n d a n d form n d of n d bigotry
shared by many Americans. ANS: C
n d n d n d nd n d n d
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d
older population as a whole. With nurses being members of a society holding such views,
n d n d n d n d nd n d n d n d n d n d n d n d n d n d n d
it is critical that the individual nurse self- reflect on personal feelings and determine whether
n d n d n d n d n d n d n d n d nd n d n d n d n d n d n d
such feelings will affect the nursing care that he or she provides to the aging patient.
n d n d n d n d n d n d n d n d n d n d n d n d nd n d n d n d
n dActing as an advocate is an important nursing role in all settings. Simply accepting a fact
n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d
n does not help end ageism, nor does recognizing ageism as a form of bigotry.
d n d n d n d n d n d n d n d n d n d n d n d n d n d
DIF: Applying (Application) REF: N/A OBJ: 1-9
nd nd nd nd nd nd
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
nd nd nd nd nd nd nd
3. When discussing factors that have helped to increase the number of healthy, independent
n d n d nd nd nd n d nd n d n d n d nd n d
older Americans, the nurse includes the importance of:
n d n d nd n d n d n d n d n d
a. increased availability of in-home care services.
n d nd nd nd nd
b. government support of retired citizens. nd nd nd nd
c. effective antibiotic therapies. nd nd
d. the development of life-
nd nd nd
extending therapies. ANS: C nd n d n d
The health and ultimate autonomy of older Americans has been positively impacted by the
n d n d n d n d n d n d n d n d n d n d n d n d n d
development of antibiotics, better sanitation, and vaccines. These public health measures have
n d n d nd nd n d n d n d n d n d n d n d n d
been more instrumental in increasing the numbers of healthy, independent older Americans than
n d n d n d n d n d nd n d n d n d n d n d n d n d
have in-home care services, government programs, or life-extending therapies.
n d n d n d n d n d n d n d nd n d
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
nd nd n d nd nd nd nd
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
nd nd nd nd nd nd nd nd
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the
nd n d n d nd nd n d nd n d nd n d nd nd nd nd n d
patient‟s:
nd
a. nonrelated caretaker. nd
b. paid caregiver. n d
c. family member. nd
,d. intuitional representative.
nd
, ANS: C nd
Less than 4% of older adults live in a formal health care environment. The majority of the
n d n d n d nd n d n d n d nd n d nd n d n d n d n d n d n d
nd geriatric population lives at home or with family members.
n d n d nd n d n d n d n d n d
DIF: Applying (Application) REF: N/A OBJ: 3-3
nd nd nd nd nd nd
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
nd nd nd nd nd nd nd nd nd
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
n d nd n d n d nd n d n d nd n d n d n d n d n d n d
n darthritis views the priority criterion for continued independence to be the patient‟s:
n d n d nd n d n d n d n d n d n d n d n d
a. age.
b. financial status. n d
c. gender.
d. functional
nd status. ANS: nd
nd D
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
n d n d n d nd n d n d n d n d nd n d nd nd nd n d n d
n dimpairment, two conditions that increase the likelihood of institutionalization.
nd nd n d n d n d n d n d n d
DIF: Remembering (Knowledge) REF: Page 8
n d n d n d n d n d
n dOBJ: 1-6 TOP: Nursing Process: Planning MSC:
n d nd nd nd nd nd
ndPhysiologic Integrity nd
6. A nurse working with the older adult population is most likely to assess a need for a
n d n d n d n d n d n d nd n d n d n d n d n d n d nd n d n d
n dfinancial social service‟s referral for a(n):
n d n d nd n d n d
a. white male. nd
b. black n d female.
c. Hispanic male. nd
d. Asian
nd American female. nd
n dANS: B n d
The poverty rate among older black women is substantially higher than that seen among males
n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d or
nd females of other ethnic groups. White males had the least poverty.
n d nd nd n d n d n d n d n d n d n d
DIF: Applying (Application) REF: N/A OBJ: 1-4
nd nd nd nd nd nd
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
nd nd nd nd nd nd nd nd nd
7. Which of the following statements made by a nurse preparing to complete a health
n d n d n d n d n d nd n d n d n d n d n d n d n d
n dassessment and history on an older patient reflects an understanding of the general health
n d n d n d nd n d n d n d n d n d n d n d n d n d
n dstatus of this population?
n d n d n d
a. “I‟ll need to documentnd n d nd n d well regarding nd n d the medications the patient is currently prescribed.”
nd nd nd nd nd n d
b. “I would like to understand how supportive the patient‟s family members are.”
nd nd nd nd nd nd nd nd nd n d nd
c. “Most older nd n d patients are being treated for a variety
nd n d nd n d n d nd n d of chronic health
nd nd n d care issues.” nd
d. “It n d will n d be n d interesting n d to n d see n d whether n d this n d patient n d sees
n dherself as being healthy.” ANS: D
n d n d nd n d n d
It is a misconception that old age is synonymous with disease and illness. The nurse should
n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d
n dalways determine the patient‟s sense of wellness and independence when conducting a health
n d n d nd n d n d n d n d n d n d n d n d n d
n dand history assessment. An assessment of medication use and family support is important for
n d n d n d n d n d nd n d n d n d n d nd n d nd
n dany patient. Many older adults do have chronic health conditions, but their perception is more
n d nd n d n d n d n d n d n d n d nd n d n d n d n d
n dimportant than a single number. n d n d n d n d
DIF: Applying (Application) REF: N/A OBJ: 1-4
nd nd nd nd nd nd
TOP: Nursing Process: Assessment MSC: Health Promotion
nd nd nd nd nd nd
8. The nurse is caring for an older adult who has been admitted to an acute care hospital
n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d n d
n dfor treatment of a fractured femur. The family expresses concern about the patient‟s pending
n d n d n d nd n d n d n d n d n d n d n d n d n d
n dtransfer to a subacute care facility. What response by the nurse is best?
n d n d n d n d n d n d n d n d n d n d n d n d
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
nd n d n d n d nd nd nd nd nd nd nd
b. “Your dad will be n d nd nd n d much n d happier in a more serene, n d n d nd nd n d private n d environment.”
c. “The subacute facility will focus on helping your dad maintain his independence.”
nd nd nd nd nd nd n d n d nd n d n d
