TEST BANK
Ebersole and Hess' Gerontological Nursing & Healthy Aging, 6th Edition
Authors: Theris A. Touhy and Kathleen F Jett
,TABLE OF CONTENT
Chapter 01: Gerontological Nursing and Promotion of Healthy Aging....................................................... 3
Chapter 02: Introduction to Healthy Aging................................................................................................ 10
Chapter 03: Making Clinical Judgments in the Cross-Cultural Setting with Older Adults ....................... 17
Chapter 04: Biological Theories and Age-Related Cues ........................................................................... 24
Chapter 05: Clinical Judgment to Promote Psychosocial, Spiritual, and Cognitive Health ...................... 31
Chapter 06: Gerontological Nursing Across the Continuum of Care ........................................................ 38
Chapter 07: Economic and Legal Issues Affecting Clinical Judgment ...................................................... 45
Chapter 08: Recognizing and Analyzing Cues in Gerontological Nursing ............................................... 52
Chapter 09: Clinical Judgment to Promote Safe Medication Use .............................................................. 60
Chapter 10: Clinical Judgment to Promote Nutritional Health .................................................................. 67
Chapter 11: Clinical Judgment to Promote Hydration and Oral Health .................................................... 72
Chapter 12: Clinical Judgment to Promote Bowel and Bladder Health ..................................................... 79
Chapter 13: Clinical Judgment to Promote Healthy Rest, Sleep, and Activity .......................................... 86
Chapter 14: Clinical Judgment to Promote Healthy Skin .......................................................................... 93
Chapter 15: Clinical Judgment to Reduce Fall Risk and Injuries ............................................................ 100
Chapter 16: Clinical Judgment to Promote Safe Environments ............................................................... 107
Chapter 17: Living With Chronic Illness ................................................................................................. 112
Chapter 18: Clinical Judgment to Promote Relief from Pain................................................................... 118
Chapter 19: Clinical Judgment to Enhance Hearing and Vision .............................................................. 124
Chapter 20: Metabolic Disorders ............................................................................................................. 129
Chapter 21: Bone and Joint Problems ...................................................................................................... 136
Chapter 22: Cardiovascular and Respiratory Disorders ........................................................................... 143
Chapter 23: Neurological Disorders ......................................................................................................... 150
Chapter 24: Clinical Judgment to Promote Mental Health ...................................................................... 155
Chapter 25: Clinical Judgment in Care of Individuals With Neurocognitive Disorders ......................... 163
Chapter 26: Clinical Judgment to Promote Healthy Relationships, Roles, and Transitions .................... 169
Chapter 27: Clinical Judgment to Promote Caregiver Health .................................................................. 175
Chapter 28: Loss, Death, and Palliative Care........................................................................................... 181
,Chapter 01: Gerontological Nursing and Promotion of Healthy Aging
Touhy: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition
MULTIPLE CHOICE
1. Which statement best relates information regarding characteristics of acute care for the elderly
(ACE) units?
a. They are seldom a part of a hospital facility.
b. They facilitate admission to nursing home situations. Association (ANA) offered a
certification program.
c. They support promotion of health and support for maximal independence.
d. Their purpose is to rehabilitate any hospital incurred functional disability.
ANS: C
ACE units are distinct areas of a hospital specifically designed to reduce the incidence of
functional disability of older adults occurring during hospitalization for acute medical illness
by proactively identifying and managing geriatric syndromes to help maintain the patient’s
function, reducing admission to nursing homes, and lowering the cost of hospitalizations.
PTS: 1 DIF: Remember REF: 6
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
2. Which gerontological nursing organization welcomes nurses from all educational
backgrounds?
a. The National Gerontological Nursing Association (NGNA)
b. The National Conference of Gerontological Nurse Practitioners (NCGNP)
c. The National Association of Directors of Nursing Administration in Long-Term
Care (NADONA/LTC)
d. The American Society on Aging (ASA)
ANS: A
The NGNA was formed specifically for all levels of nursing personnel: registered nurses
(RNs), licensed practical nurses (LPNs), licensed vocational nurses (LVNs), and certified
nursing assistants (CNAs). The NCGNP is, as its name implies, limited to nurse practitioners.
The NADONA/LTC is, as its name implies, limited to directors and assistant directors of
nursing. The ASA is an interdisciplinary organization not limited to nurses.
PTS: 1 DIF: Remember REF: 3 | 4
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
3. Which statement accurately describes gerontological nursing education?
a. Gerontological nursing content has long been integrated into the curriculum of the
typical school of nursing.
b. Undergraduate nursing programs extensively cover gerontological nursing in
dedicated courses, comparable with the coverage of psychiatric nursing.
c. The Hartford Foundation has funded significant work regarding the specialty of
gerontological nursing.
d. Accreditation of a nursing program guarantees that appropriate amounts of
gerontological nursing content are included in the curriculum.
, ANS: C
The most significant influence in enhancing the specialty of gerontological nursing has been
the work of The Hartford Institute for Geriatric Nursing, established in 1996 and funded by
the John A. Hartford Foundation. Only recently has gerontological nursing content begun to
appear in nursing school curricula. Most nursing schools still do not have such courses. At
present, no minimum requirements exist for the coverage of care of older adults.
PTS: 1 DIF: Remember REF: 3 TOP: Teaching/Learning
MSC: Health Promotion and Maintenance
4. Based on current demographic data, which of the following statements identifies a predictive
trend regarding the health care needs of society?
a. Most nurses will not need to care for older persons.
b. More nursing services will be required to serve the needs of the population older
than 85 years of age.
c. Fewer nurses will be needed to care for older adults since the older population is
healthier.
d. Older adults expect their quality of life to be less than that of earlier generations at
their ages.
ANS: B
Gerontological nursing will be the most needed specialty in nursing as the number of older
adults continues to increase and the need for our specialized knowledge becomes even more
critical in every specialty and every health care setting. Most nurses can expect to care for
older people during the course of their careers. By 2050, the United Nations predicts that more
Americans will be over the age of 60 years than those under the age of 15 years. Older people
are better educated and more affluent and expect a higher quality of life than their elders had
at their age.
PTS: 1 DIF: Remember REF: 4 | 5
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
5. What is the primary purpose of geriatric nursing certifications?
a. Assuring the basic competency of the geriatric nurse
b. Raising the level of professionalism for the geriatric facility
c. Addressing the current shortage of specialized geriatric nurses
d. Demonstrating commitment to the special needs of the geriatric client
ANS: D
Certification assures the public of nurses’ commitment to specialized education and
qualification for the care of older adults. None of the other options accurately identify the
primary purpose of geriatric nursing certification.
PTS: 1 DIF: Remember REF: 10 | 11 TOP: Teaching/Learning
MSC: Safe, Effective Care Environment
6. An older adult client is transferred to a hospice facility with end-stage disease. Which is a
suitable nursing intervention for this older adult and his family according to the goals of
hospice?
a. Decrease the analgesic dose to prevent sedation.
b. Provide a basin and towels for morning self-care.
Ebersole and Hess' Gerontological Nursing & Healthy Aging, 6th Edition
Authors: Theris A. Touhy and Kathleen F Jett
,TABLE OF CONTENT
Chapter 01: Gerontological Nursing and Promotion of Healthy Aging....................................................... 3
Chapter 02: Introduction to Healthy Aging................................................................................................ 10
Chapter 03: Making Clinical Judgments in the Cross-Cultural Setting with Older Adults ....................... 17
Chapter 04: Biological Theories and Age-Related Cues ........................................................................... 24
Chapter 05: Clinical Judgment to Promote Psychosocial, Spiritual, and Cognitive Health ...................... 31
Chapter 06: Gerontological Nursing Across the Continuum of Care ........................................................ 38
Chapter 07: Economic and Legal Issues Affecting Clinical Judgment ...................................................... 45
Chapter 08: Recognizing and Analyzing Cues in Gerontological Nursing ............................................... 52
Chapter 09: Clinical Judgment to Promote Safe Medication Use .............................................................. 60
Chapter 10: Clinical Judgment to Promote Nutritional Health .................................................................. 67
Chapter 11: Clinical Judgment to Promote Hydration and Oral Health .................................................... 72
Chapter 12: Clinical Judgment to Promote Bowel and Bladder Health ..................................................... 79
Chapter 13: Clinical Judgment to Promote Healthy Rest, Sleep, and Activity .......................................... 86
Chapter 14: Clinical Judgment to Promote Healthy Skin .......................................................................... 93
Chapter 15: Clinical Judgment to Reduce Fall Risk and Injuries ............................................................ 100
Chapter 16: Clinical Judgment to Promote Safe Environments ............................................................... 107
Chapter 17: Living With Chronic Illness ................................................................................................. 112
Chapter 18: Clinical Judgment to Promote Relief from Pain................................................................... 118
Chapter 19: Clinical Judgment to Enhance Hearing and Vision .............................................................. 124
Chapter 20: Metabolic Disorders ............................................................................................................. 129
Chapter 21: Bone and Joint Problems ...................................................................................................... 136
Chapter 22: Cardiovascular and Respiratory Disorders ........................................................................... 143
Chapter 23: Neurological Disorders ......................................................................................................... 150
Chapter 24: Clinical Judgment to Promote Mental Health ...................................................................... 155
Chapter 25: Clinical Judgment in Care of Individuals With Neurocognitive Disorders ......................... 163
Chapter 26: Clinical Judgment to Promote Healthy Relationships, Roles, and Transitions .................... 169
Chapter 27: Clinical Judgment to Promote Caregiver Health .................................................................. 175
Chapter 28: Loss, Death, and Palliative Care........................................................................................... 181
,Chapter 01: Gerontological Nursing and Promotion of Healthy Aging
Touhy: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition
MULTIPLE CHOICE
1. Which statement best relates information regarding characteristics of acute care for the elderly
(ACE) units?
a. They are seldom a part of a hospital facility.
b. They facilitate admission to nursing home situations. Association (ANA) offered a
certification program.
c. They support promotion of health and support for maximal independence.
d. Their purpose is to rehabilitate any hospital incurred functional disability.
ANS: C
ACE units are distinct areas of a hospital specifically designed to reduce the incidence of
functional disability of older adults occurring during hospitalization for acute medical illness
by proactively identifying and managing geriatric syndromes to help maintain the patient’s
function, reducing admission to nursing homes, and lowering the cost of hospitalizations.
PTS: 1 DIF: Remember REF: 6
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
2. Which gerontological nursing organization welcomes nurses from all educational
backgrounds?
a. The National Gerontological Nursing Association (NGNA)
b. The National Conference of Gerontological Nurse Practitioners (NCGNP)
c. The National Association of Directors of Nursing Administration in Long-Term
Care (NADONA/LTC)
d. The American Society on Aging (ASA)
ANS: A
The NGNA was formed specifically for all levels of nursing personnel: registered nurses
(RNs), licensed practical nurses (LPNs), licensed vocational nurses (LVNs), and certified
nursing assistants (CNAs). The NCGNP is, as its name implies, limited to nurse practitioners.
The NADONA/LTC is, as its name implies, limited to directors and assistant directors of
nursing. The ASA is an interdisciplinary organization not limited to nurses.
PTS: 1 DIF: Remember REF: 3 | 4
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
3. Which statement accurately describes gerontological nursing education?
a. Gerontological nursing content has long been integrated into the curriculum of the
typical school of nursing.
b. Undergraduate nursing programs extensively cover gerontological nursing in
dedicated courses, comparable with the coverage of psychiatric nursing.
c. The Hartford Foundation has funded significant work regarding the specialty of
gerontological nursing.
d. Accreditation of a nursing program guarantees that appropriate amounts of
gerontological nursing content are included in the curriculum.
, ANS: C
The most significant influence in enhancing the specialty of gerontological nursing has been
the work of The Hartford Institute for Geriatric Nursing, established in 1996 and funded by
the John A. Hartford Foundation. Only recently has gerontological nursing content begun to
appear in nursing school curricula. Most nursing schools still do not have such courses. At
present, no minimum requirements exist for the coverage of care of older adults.
PTS: 1 DIF: Remember REF: 3 TOP: Teaching/Learning
MSC: Health Promotion and Maintenance
4. Based on current demographic data, which of the following statements identifies a predictive
trend regarding the health care needs of society?
a. Most nurses will not need to care for older persons.
b. More nursing services will be required to serve the needs of the population older
than 85 years of age.
c. Fewer nurses will be needed to care for older adults since the older population is
healthier.
d. Older adults expect their quality of life to be less than that of earlier generations at
their ages.
ANS: B
Gerontological nursing will be the most needed specialty in nursing as the number of older
adults continues to increase and the need for our specialized knowledge becomes even more
critical in every specialty and every health care setting. Most nurses can expect to care for
older people during the course of their careers. By 2050, the United Nations predicts that more
Americans will be over the age of 60 years than those under the age of 15 years. Older people
are better educated and more affluent and expect a higher quality of life than their elders had
at their age.
PTS: 1 DIF: Remember REF: 4 | 5
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
5. What is the primary purpose of geriatric nursing certifications?
a. Assuring the basic competency of the geriatric nurse
b. Raising the level of professionalism for the geriatric facility
c. Addressing the current shortage of specialized geriatric nurses
d. Demonstrating commitment to the special needs of the geriatric client
ANS: D
Certification assures the public of nurses’ commitment to specialized education and
qualification for the care of older adults. None of the other options accurately identify the
primary purpose of geriatric nursing certification.
PTS: 1 DIF: Remember REF: 10 | 11 TOP: Teaching/Learning
MSC: Safe, Effective Care Environment
6. An older adult client is transferred to a hospice facility with end-stage disease. Which is a
suitable nursing intervention for this older adult and his family according to the goals of
hospice?
a. Decrease the analgesic dose to prevent sedation.
b. Provide a basin and towels for morning self-care.
