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Gerontologic Nursing 6th Edition by Sue E. Meiner Jennifer J. Yeager Test Bank

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, Stuvia.com ss- ssThe ssMarketplace ssto ssBuy ssand ssSell ssyour
Study Material



Chapter ss01: ssOverview ssof ssGerontologic
ssNursing ssMeiner: ssGerontologic ssNursing, ss5th

ssEdition ssMULTIPLE ssCHOICE

1. In ss2010, ssthe ssrevised ssStandards ssand ssScope ssof ssGerontological ssNursing ssPractice sswas sspublished. ssThe ssnurse sswould
ssuse ssthese ssstandards ssto:


a. promote ssthe sspractice ssof ssgerontologic ssnursing sswithin ssthe ssacute sscare sssetting.

b. define ssthe ssconcepts ssand ssdimensions ssof ssgerontologic ssnursing sspractice.

c. elevate ssthe sspractice ssof ssgerontologic ssnursing.

d. incorporate sssuggested ssinterventions ssfrom ssothers sswho sspractice ssgerontologic
ssnursing. ssANS: ssD
The sscurrent sspublishing ssof ssthe ssStandards ssand ssScope ssof ssGerontological ssNursing ssPractice ssin ss2010 ssincorporates ssthe
ssinput ssof ssgerontologic ssnurses ssfrom ssacross ssthe ssUnited ssStates. ssIt sswas ssnot ssintended ssto sspromote ssgerontologic ssnursing

sspractice sswithin ssacute sscare sssettings, ssdefine ssconcepts ssor ssdimensions ssof ssgerontologic ssnursing sspractice, ssor sselevate ssthe

sspractice ssof ssgerontologic ssnursing. ssDIF: ssRemembering ss(Knowledge) ssREF: ssPage ss2 ssOBJ: ss1-1

TOP: ssN/A ssMSC: ssSafe ssand ssEffective ssCare ssEnvironment
2. When ssattempting ssto ssminimize ssthe sseffect ssof ssageism sson ssthe sspractice ssof ssnursing ssolder ssadults, ssa ssnurse ssneeds ssto ssfirst:
a. recognize ssthat ssnurses ssmust ssact ssas ssadvocates ssfor ssaging sspatients.

b. accept ssthat ssthis sspopulation ssrepresents ssa sssubstantial ssportion ssof ssthose ssrequiring ssnursing sscare.

c. self-reflect ssand ssformulate ssone‟s sspersonal ssview ssof ssaging ssand ssthe ssolder sspatient.

d. recognize ssageism ssas ssa ssform ssof ssbigotry ssshared ssby ssmany
ssAmericans. ssANS: ssC
Ageism ssis ssan ssever-increasing ssprejudicial ssview ssof ssthe sseffects ssof ssthe ssaging ssprocess ssand ssof ssthe ssolder sspopulation ssas ssa
sswhole. ssWith ssnurses ssbeing ssmembers ssof ssa sssociety ssholding sssuch ssviews, ssit ssis sscritical ssthat ssthe ssindividual ssnurse ssself-

reflect sson sspersonal ssfeelings ssand ssdetermine sswhether sssuch ssfeelings sswill ssaffect ssthe ssnursing sscare ssthat sshe ssor ssshe
ssprovides ssto ssthe ssaging sspatient. ssActing ssas ssan ssadvocate ssis ssan ssimportant ssnursing ssrole ssin ssall sssettings. ssSimply

ssaccepting ssa ssfact ssdoes ssnot sshelp ssend ssageism, ssnor ssdoes ssrecognizing ssageism ssas ssa ssform ssof ssbigotry.

DIF: ssApplying ss(Application) ssREF: ssN/A ssOBJ: ss1-9
TOP: ssTeaching-Learning ssMSC: ssSafe ssand ssEffective ssCare ssEnvironment
3. When ssdiscussing ssfactors ssthat sshave sshelped ssto ssincrease ssthe ssnumber ssof sshealthy, ssindependent ssolder ssAmericans,
ssthe ssnurse ssincludes ssthe ssimportance ssof:


a. increased ssavailability ssof ssin-home sscare ssservices.

b. government sssupport ssof ssretired sscitizens.

c. effective ssantibiotic sstherapies.

d. the ssdevelopment ssof sslife-extending
sstherapies. ssANS: ssC
The sshealth ssand ssultimate ssautonomy ssof ssolder ssAmericans sshas ssbeen sspositively ssimpacted ssby ssthe ssdevelopment ssof
ssantibiotics, ssbetter sssanitation, ssand ssvaccines. ssThese sspublic sshealth ssmeasures sshave ssbeen ssmore ssinstrumental ssin

ssincreasing ssthe ssnumbers ssof sshealthy, ssindependent ssolder ssAmericans ssthan sshave ssin-home sscare ssservices, ssgovernment

ssprograms, ssor sslife-extending sstherapies.

DIF: ssRemembering ss(Knowledge) ssREF: ssPage ss2 ssOBJ: ss3-3
TOP: ssNursing ssProcess: ssImplementation ssMSC: ssHealth ssPromotion ssand ssMaintenance
4. Based sson sscurrent ssdata, sswhen sspresenting ssan ssolder ssadult‟s ssdischarge ssteaching ssplan, ssthe ssnurse ssincludes ssthe sspatient‟s:
a. nonrelated sscaretaker.

b. paid sscaregiver.

c. family ssmember.

d. intuitional ssrepresentative.

, Stuvia.com ss- ssThe ssMarketplace ssto ssBuy ssand ssSell ssyour
Study Material



ANS: ssC
Less ssthan ss4% ssof ssolder ssadults sslive ssin ssa ssformal sshealth sscare ssenvironment. ssThe ssmajority ssof ssthe ssgeriatric sspopulation
sslives ssat sshome ssor sswith ssfamily ssmembers.

DIF: ssApplying ss(Application) ssREF: ssN/A ssOBJ: ss3-3
TOP: ssNursing ssProcess: ssPlanning ssMSC: ssSafe ssand ssEffective ssCare ssEnvironment
5. The ssnurse ssplanning sscare ssfor ssan ssolder ssadult sswho sshas ssrecently ssbeen ssdiagnosed sswith ssrheumatoid ssarthritis ssviews
ssthe sspriority sscriterion ssfor sscontinued ssindependence ssto ssbe ssthe sspatient‟s:


a. age.

b. financial ssstatus.

c. gender.

d. functional
ssstatus. ssANS: ssD
Maintaining ssthe ssfunctional ssstatus ssof ssolder ssadults ssmay ssavert ssthe ssonset ssof ssphysical ssfrailty ssand sscognitive ssimpairment,
sstwo ssconditions ssthat ssincrease ssthe sslikelihood ssof ssinstitutionalization.

DIF: ssRemembering ss(Knowledge) ssREF: ssPage ss8 ssOBJ: ss1-6
ssTOP: ssNursing ssProcess: ssPlanning ssMSC: ssPhysiologic

ssIntegrity

6. A ssnurse ssworking sswith ssthe ssolder ssadult sspopulation ssis ssmost sslikely ssto ssassess ssa ssneed ssfor ssa ssfinancial sssocial ssservice‟s
ssreferral ssfor ssa(n):


a. white ssmale.

b. black ssfemale.

c. Hispanic ssmale.

d. Asian ssAmerican
female. ssANS: ssB
ss

The sspoverty ssrate ssamong ssolder ssblack sswomen ssis sssubstantially sshigher ssthan ssthat ssseen ssamong ssmales ssor ssfemales ssof ssother
ssethnic ssgroups. ssWhite ssmales sshad ssthe ssleast sspoverty.

DIF: ssApplying ss(Application) ssREF: ssN/A ssOBJ: ss1-4
TOP: ssNursing ssProcess: ssAssessment ssMSC: ssSafe ssand ssEffective ssCare ssEnvironment
7. Which ssof ssthe ssfollowing ssstatements ssmade ssby ssa ssnurse sspreparing ssto sscomplete ssa sshealth ssassessment ssand sshistory
sson ssan ssolder sspatient ssreflects ssan ssunderstanding ssof ssthe ssgeneral sshealth ssstatus ssof ssthis sspopulation?


a. “I‟ll ssneed ssto ssdocument sswell ssregarding ssthe ssmedications ssthe sspatient ssis sscurrently ssprescribed.”

b. “I sswould sslike ssto ssunderstand sshow sssupportive ssthe sspatient‟s ssfamily ssmembers ssare.”

c. “Most ssolder sspatients ssare ssbeing sstreated ssfor ssa ssvariety ssof sschronic sshealth sscare ssissues.”

d. “It sswill ssbe ssinteresting ssto sssee sswhether ssthis sspatient sssees ssherself ssas ssbeing
sshealthy.” ssANS: ssD
It ssis ssa ssmisconception ssthat ssold ssage ssis sssynonymous sswith ssdisease ssand ssillness. ssThe ssnurse ssshould ssalways ssdetermine ssthe
sspatient‟s sssense ssof sswellness ssand ssindependence sswhen ssconducting ssa sshealth ssand sshistory ssassessment. ssAn ssassessment ssof

ssmedication ssuse ssand ssfamily sssupport ssis ssimportant ssfor ssany sspatient. ssMany ssolder ssadults ssdo sshave sschronic sshealth

ssconditions, ssbut sstheir ssperception ssis ssmore ssimportant ssthan ssa sssingle ssnumber.

DIF: ssApplying ss(Application) ssREF: ssN/A ssOBJ: ss1-4
TOP: ssNursing ssProcess: ssAssessment ssMSC: ssHealth ssPromotion
8. The ssnurse ssis sscaring ssfor ssan ssolder ssadult sswho sshas ssbeen ssadmitted ssto ssan ssacute sscare sshospital ssfor sstreatment ssof ssa
ssfractured ssfemur. ssThe ssfamily ssexpresses ssconcern ssabout ssthe sspatient‟s sspending sstransfer ssto ssa sssubacute sscare ssfacility.

ssWhat ssresponse ssby ssthe ssnurse ssis ssbest?


a. “Acute sscare ssfacilities sslack ssthe sslong-term ssphysical sstherapy sssupport ssyour ssdad ssrequires.”

b. “Your ssdad sswill ssbe ssmuch sshappier ssin ssa ssmore ssserene, ssprivate ssenvironment.”

c. “The sssubacute ssfacility sswill ssfocus sson sshelping ssyour ssdad ssmaintain sshis ssindependence.”

, Stuvia.com ss- ssThe ssMarketplace ssto ssBuy ssand ssSell ssyour
Study Material




d. “Insurance, ssincluding ssMedicare, sswill sscover ssonly ssa sslimited ssamount ssof sstime
sshere.” ssANS: ssC
The sstransfer ssof ssthe sspatient ssto ssa sssubacute ssfacility ssis ssbased sson ssthe ssneed ssto ssmaintain ssthe sspatient‟s sslevel ssof ssfunction
ssand ssindependence, ssa sstask ssthe ssacute sscare ssfacility ssis ssnot ssprepared ssto ssaddress ssonce ssthe sspatient ssis ssphysiologically

ssstable. ssThe sspatient ssmay ssor ssmay ssnot ssbe sshappier ssin ssthe ssnew sssetting; ssthe ssnurse ssshould ssnot ssmake ssthis ssjudgment. ssIt ssis

sstrue ssthat ssinsurance ssonly sspays ssfor ssa sslimited ssamount ssof sstime ssin ssan ssacute sscare ssfacility, ssbut ssthis ssis ssnot ssthe ssbest

ssreason ssfor ssthe sspatient ssto sstransfer.

DIF: ssApplying ss(Application) ssREF: ssN/A ssOBJ:
ss1-6 ssTOP: ssCommunication ssand ssDocumentation

MSC: ssHealth ssPromotion ssand ssMaintenance
9. To ssbest ssassure ssboth ssthe ssquality ssof sscare ssand ssthe sssafety ssof ssthe ssolder ssadult sspatient sswho ssrequires ssin-home
ssunlicensed ssassistive sspersonal ss(UAP) ssassistance, ssthe ssgeriatric ssnurse:


a. evaluates ssthe sscompetency ssof ssthe ssUAP ssstaff.

b. assumes ssthe ssroles ssof sscase ssmanager ssand sspatient ssadvocate.

c. arranges ssfor ssthe ssneeded ssUAP ssprovided ssservices.

d. assesses ssthe sspatient ssfor ssfunctional
sslimitations. ssANS: ssA
As ssmore sscare sstraditionally ssprovided ssby ssprofessional ssnurses ssis ssbeing sstransferred ssto ssUAP, ssthe ssnurse ssmust ssassume ssmore
ssresponsibility ssfor sseducating, sstraining, ssand ssevaluating ssthe sscompetency ssof ssUAP ssstaff ssto ssprovide sssafe, sseffective sscare ssfor

ssthe ssolder ssadult sspatient.

DIF: ssApplying ss(Application) ssREF: ssN/A ssOBJ:
ss1-2 ssTOP: ssCommunication ssand ssDocumentation

MSC: ssSafe ssand ssEffective ssCare ssEnvironment
10. The ssnurse ssworking sswith ssolder ssadults ssunderstands sswhat ssinformation ssabout sscertification ssin ssgerontologic ssnursing?
a. It ssis ssmandatory ssfor ssthose ssin sslong-term sscare sssettings.

b. It ssis ssvoluntary ssand ssshows ssclinical ssexpertise ssin ssan ssarea.

c. It ssallows ssnurses ssto ssbe sspaid ssby ssthird-party sspayers.

d. It ssallows ssnurses ssto ssadvance sstheir sscareers ssin ssa
ssjob. ssANS: ssB
Certification ssis ssvoluntary ssand ssshows ssthat ssa ssnurse sshas ssadditional ssknowledge ssand ssexpertise ssin ssa sscertain ssarea ssof
sspractice. ssIt ssis ssnot ssmandatory ssin ssspecific sscare sssettings. ssIt ssdoes ssnot ssallow ssfor ssthird-party ssreimbursement. ssIt ssmay ssbe

sspart ssof ssa sscareer ssladder ssprogram, ssbut ssthat ssis ssnot sstrue ssof ssall sswork sssettings.

DIF: ssRemembering ss(Knowledge) ssREF: ssPage ss2 ssOBJ: ss1-2
TOP: ssTeaching-Learning ssMSC: ssSafe ssEffective ssCare ssEnvironment
11. A ssnurse ssworks ssin ssa ssgerontologic ssclinic. ssWhat ssaction ssby ssthe ssnurse sstakes sshighest sspriority?
a. Serving ssas ssa sspatient ssadvocate

b. Educating sspatients ssabout ssdiseases

c. Helping sspatients ssremain ssindependent

d. Referring sspatients ssto sshome sshealth
sscare ssANS: ssC
One ssof ssthe sschallenges ssand sspriorities ssof ssthe ssgerontologic ssnurse ssis sshelping sspatients ssmaintain sstheir
ssindependence. ssDIF: ssRemembering ss(Knowledge) ssREF: ssPage ss10 ssOBJ: ss1-2

TOP: ssNursing ssProcess: ssImplementation ssMSC: ssHealth ssPromotion
12. A ssnurse ssis sscaring ssfor ssan ssolder sspatient ssin ssthe ssemergency ssdepartment. ssWhat ssinformation ssabout ssthe sspatient
sswill ssbe ssmost sshelpful ssin sscreating ssa ssplan ssof sscare?


a. Baseline ssphysical ssand sscognitive ssfunctioning

b. Living ssconditions ssand ssfamily sssupport

Connected book
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Sue E. Meiner, Jennifer J. Yeager Gerontologic Nursing
Publisher: 2018 ISBN: 9780323498111 Edition: Unknown

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