Gero GERONTOLOGICAL
NURSING & HEALTHY AGING
5TH EDITION TOUHY
QUESTIONS AND ANSWERS
The nurse prepares to transfer an older adult to a long-term care facility and
calls the facility to give a report. Which nursing actions are the responsibilities
of the transferring nurse and the receiving nurse?
a.Incorporating patient goals into the plan
b.Ensuring the patient is stable for transfer
c.Supplying patient documents for planning
d.Providing continuity of care during the transfer - ANS: D
A shared responsibility of the sending and the receiving nurses or care team is
to regard the transition as a transfer versus a discharge and to provide
continuous and consistent nursing care throughout the transfer phase. To
accomplish this, the two nurses or groups must have clear, comprehensive
communication. The receiving nurse incorporates patient goals into the plan.
The sending nurse ensures that the patient is stable for the transfer to prevent
decompensation during the trip or shortly after arrival at the new facility. The
sending nurse is responsible for providing clear, comprehensive, and complete
patient documentation.
TOUHY 4TH ED TESTBANK
The nurse assesses a resident who was transferred yesterday from an acute care
hospital. Which should the nurse assess to determine whether this individual is
under stress from the transfer?
a.Length of the residents stay in the acute care facility
b.Availability of disposition options before the transfer
c.Presence of familiar people throughout the transfer
d.Tour of the new facility shortly after transfer - ANS: B
,To help assess the resident for stress, the nurse reviews the sequence of events
that led to the relocation including whether the resident had relocation options
and what those options were before relocation. If the resident played an active
role in the choice of facilities and had several available options, then the
resident is likely to experience less stress upon relocation. The length of stay in
the acute care facility is an unreliable index of stress in a resident who has been
recently relocated. The presence of familiar people is an unreliable predictor of
relocation stress. Touring the new facility is an unreliable predictor of relocation
stress; if the tour is conducted too soon or when the resident is in pain, tired, or
distracted, then the resident is unlikely to benefit from the tour.
TOUHY 4TH ED TESTBANK
Which is characteristic of relocation stress syndrome in a resident of a long-
term care facility?
a. Agitation
b. Apprehension
c. Caring family
d. Hallucinations - ANS: B
Apprehension is a major defining characteristic of stress relocation syndrome.
Agitation is uncharacteristic of stress relocation syndrome. An inadequate
support system is characteristic of this syndrome. Hallucinations are
uncharacteristic of this syndrome.
TOUHY 4TH ED TESTBANK
A nurse completing a hospital discharge to home understands that which of the
following interventions is most important before discharge.
a. Medication reconciliation
b. Providing a list of community resources
c. Contacting a durable medical equipment facility
d. Educating the client on appropriate range-of-motion exercises - ANS: A
Medication reconciliation is the most important intervention to complete before
discharge. Medication discrepancies are the most prevalent adverse event after
hospital discharge and the most challenging component of a successful hospital-
to-home transition. Nurses attention to an accurate prehospital medication list,
medication reconciliation during hospitalization and at discharge, and patient
and family education about medications are required to enhance safety.
Educating the client on appropriate range-of-motion exercises, providing a list
,of community resources, and contacting a durable medical equipment facility
are all important and should be completed as well, but medication reconciliation
should be the priority.
TOUHY 4TH ED TESTBANK
A family is touring selected nursing homes in preparation for their mothers
future. Which qualities of a nursing home should the family include if they
decide on a person-centered nursing home? (Select all that apply.)
a. Staff members cover all nursing units.
b. Residents and families have a council.
c. Residents choose stimulating activities.
d. Staff members respond to residents needs.
e. Group activities are scheduled on the hour.
f. Staff members help residents stay well-groomed. - ANS: B, C, D, F
A characteristic of a person-centered culture is family and resident councils to
discuss resident issues, needs, and solutions. A second characteristic of a
person-centered culture is residents choosing their own activities to suit their
interests. A third characteristic of a person-centered culture is a responsive staff
that promptly meets resident needs. A fourth characteristic of a person-centered
culture is assisting residents to maintain their appearance and to stay well-
groomed. Consistent nursing assignments are a characteristic of a person-
centered culture. Predetermined schedules are characteristic of an institution-
centered culture.
TOUHY 4TH ED TESTBANK
Which home modification interventions are designed to enhance the ability of
older adults to remain in their homes? (Select all that apply.)
a. A 36-inch-wide doorway
b. Entryways with less than two steps
c. Electrical outlets at chest level
d. A bathroom on the first floor - ANS: A, D
, Many state and local governments are assessing the community and designing
interventions to enhance the ability of older people to remain in their homes and
familiar environments. Home design features such as 36-inch-wide doorways
and hallways, a bathroom on the first floor, an entry with no steps, outlets at
wheelchair level, and reinforced walls in bathrooms to support grab bars.
TOUHY 4TH ED TESTBANK
An elder-friendly community includes components that: (Select all that apply.)
a.Address basic needs
b.Optimize physical health
c.Provide financial assistance
d.Maximize independence
e.Provide social engagement - ANS: A, B, D, E
Components of an elder-friendly community include addressing basic needs,
optimizing physical health and well being, maximizing independence for the
frail and disabled, and providing social and civic engagement. Elder-friendly
communities do not provide financial assistance.
TOUHY 4TH ED TESTBANK
Which of the following is a true statement about gerontological nursing for
patients of different races and ethnic backgrounds?
a.The fact that a nurse is white has no bearing on the nurses ability to care for
minority patients or patients of color.
b.An encyclopedic accumulation of details of a particular culture is the best
preparation for caring for persons from that culture.
c.A nurse who works in Illinois does not need to be as concerned about
sensitivity to multiple cultures as the nurse who works in California.
d.Facial expressions, body language, posture, and touch are important elements
of communication between a nurse and a patient from a different ethnicity. -
ANS: D
Facial expressions, body language, posture, and touch become more important
as language barriers limit the effectiveness of verbal exchanges. They also have
NURSING & HEALTHY AGING
5TH EDITION TOUHY
QUESTIONS AND ANSWERS
The nurse prepares to transfer an older adult to a long-term care facility and
calls the facility to give a report. Which nursing actions are the responsibilities
of the transferring nurse and the receiving nurse?
a.Incorporating patient goals into the plan
b.Ensuring the patient is stable for transfer
c.Supplying patient documents for planning
d.Providing continuity of care during the transfer - ANS: D
A shared responsibility of the sending and the receiving nurses or care team is
to regard the transition as a transfer versus a discharge and to provide
continuous and consistent nursing care throughout the transfer phase. To
accomplish this, the two nurses or groups must have clear, comprehensive
communication. The receiving nurse incorporates patient goals into the plan.
The sending nurse ensures that the patient is stable for the transfer to prevent
decompensation during the trip or shortly after arrival at the new facility. The
sending nurse is responsible for providing clear, comprehensive, and complete
patient documentation.
TOUHY 4TH ED TESTBANK
The nurse assesses a resident who was transferred yesterday from an acute care
hospital. Which should the nurse assess to determine whether this individual is
under stress from the transfer?
a.Length of the residents stay in the acute care facility
b.Availability of disposition options before the transfer
c.Presence of familiar people throughout the transfer
d.Tour of the new facility shortly after transfer - ANS: B
,To help assess the resident for stress, the nurse reviews the sequence of events
that led to the relocation including whether the resident had relocation options
and what those options were before relocation. If the resident played an active
role in the choice of facilities and had several available options, then the
resident is likely to experience less stress upon relocation. The length of stay in
the acute care facility is an unreliable index of stress in a resident who has been
recently relocated. The presence of familiar people is an unreliable predictor of
relocation stress. Touring the new facility is an unreliable predictor of relocation
stress; if the tour is conducted too soon or when the resident is in pain, tired, or
distracted, then the resident is unlikely to benefit from the tour.
TOUHY 4TH ED TESTBANK
Which is characteristic of relocation stress syndrome in a resident of a long-
term care facility?
a. Agitation
b. Apprehension
c. Caring family
d. Hallucinations - ANS: B
Apprehension is a major defining characteristic of stress relocation syndrome.
Agitation is uncharacteristic of stress relocation syndrome. An inadequate
support system is characteristic of this syndrome. Hallucinations are
uncharacteristic of this syndrome.
TOUHY 4TH ED TESTBANK
A nurse completing a hospital discharge to home understands that which of the
following interventions is most important before discharge.
a. Medication reconciliation
b. Providing a list of community resources
c. Contacting a durable medical equipment facility
d. Educating the client on appropriate range-of-motion exercises - ANS: A
Medication reconciliation is the most important intervention to complete before
discharge. Medication discrepancies are the most prevalent adverse event after
hospital discharge and the most challenging component of a successful hospital-
to-home transition. Nurses attention to an accurate prehospital medication list,
medication reconciliation during hospitalization and at discharge, and patient
and family education about medications are required to enhance safety.
Educating the client on appropriate range-of-motion exercises, providing a list
,of community resources, and contacting a durable medical equipment facility
are all important and should be completed as well, but medication reconciliation
should be the priority.
TOUHY 4TH ED TESTBANK
A family is touring selected nursing homes in preparation for their mothers
future. Which qualities of a nursing home should the family include if they
decide on a person-centered nursing home? (Select all that apply.)
a. Staff members cover all nursing units.
b. Residents and families have a council.
c. Residents choose stimulating activities.
d. Staff members respond to residents needs.
e. Group activities are scheduled on the hour.
f. Staff members help residents stay well-groomed. - ANS: B, C, D, F
A characteristic of a person-centered culture is family and resident councils to
discuss resident issues, needs, and solutions. A second characteristic of a
person-centered culture is residents choosing their own activities to suit their
interests. A third characteristic of a person-centered culture is a responsive staff
that promptly meets resident needs. A fourth characteristic of a person-centered
culture is assisting residents to maintain their appearance and to stay well-
groomed. Consistent nursing assignments are a characteristic of a person-
centered culture. Predetermined schedules are characteristic of an institution-
centered culture.
TOUHY 4TH ED TESTBANK
Which home modification interventions are designed to enhance the ability of
older adults to remain in their homes? (Select all that apply.)
a. A 36-inch-wide doorway
b. Entryways with less than two steps
c. Electrical outlets at chest level
d. A bathroom on the first floor - ANS: A, D
, Many state and local governments are assessing the community and designing
interventions to enhance the ability of older people to remain in their homes and
familiar environments. Home design features such as 36-inch-wide doorways
and hallways, a bathroom on the first floor, an entry with no steps, outlets at
wheelchair level, and reinforced walls in bathrooms to support grab bars.
TOUHY 4TH ED TESTBANK
An elder-friendly community includes components that: (Select all that apply.)
a.Address basic needs
b.Optimize physical health
c.Provide financial assistance
d.Maximize independence
e.Provide social engagement - ANS: A, B, D, E
Components of an elder-friendly community include addressing basic needs,
optimizing physical health and well being, maximizing independence for the
frail and disabled, and providing social and civic engagement. Elder-friendly
communities do not provide financial assistance.
TOUHY 4TH ED TESTBANK
Which of the following is a true statement about gerontological nursing for
patients of different races and ethnic backgrounds?
a.The fact that a nurse is white has no bearing on the nurses ability to care for
minority patients or patients of color.
b.An encyclopedic accumulation of details of a particular culture is the best
preparation for caring for persons from that culture.
c.A nurse who works in Illinois does not need to be as concerned about
sensitivity to multiple cultures as the nurse who works in California.
d.Facial expressions, body language, posture, and touch are important elements
of communication between a nurse and a patient from a different ethnicity. -
ANS: D
Facial expressions, body language, posture, and touch become more important
as language barriers limit the effectiveness of verbal exchanges. They also have
