ANCC Gerontology Review Questions with Correct Answers

When an older patient is hospitalized, Medicare reimburses for this inpatient care by which of the following mechanisms? A. Medicare B B. Medicare A C. Medicare D D. Medigap Correct Answer B. Medicare A Gerontological nurses are expected to evaluate research to implement evidence-based practice. Which of the following studies provides the strongest evidence to change practice? A. Randomized control clinical trial B. Qualitative phenomenological study C. In-depth case study D. Cohort study Correct Answer A. Randomized control clinical trial A randomized clinical trial is considered the "gold standard" and the highest level of research evidence. The randomized design eliminates selection bias, and the control and experimental groups provide evidence that any differences in outcomes at the end of the study are due to the study intervention and not chance. phenomenological qualitative study and a case study enable understanding of one person's "lived experience" which may or may not be typical of others. Outcomes from a cohort study may reflect differences in age groups found as a result of historical events and not necessarily changes as a result of research interventions The landmark Institute of Medicine (IOM) report entitled "The Future of Nursing" advances which of the following positions? A. Nursing faculty will be required to pursue postdoctoral training B. Nursing curriculum will require advanced aging content C. Physicians will no longer be allowed to direct care in long-term-care facilities D. Nurses should practice to the full extent of their education and training Correct Answer D. Nurses should practice to the full extent of their education and training Nurses should be full partners with other professionals when redesigning the healthcare system, nurses should achieve higher levels of education and have opportunities for seamless academic progression, and nurses should participate in effective workforce planning and policy-making with a better data collection and information infrastructure The biggest risk factor for developing a cognitive impairment is: