TEST BANK FOR GERONTOLOGIC NURSING 5TH EDITION BY SUE E. MEINER||ALL CHAPTERS||ISBN NO:9780323266024||COMPLETE GUIDE A+

TESTBANK
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,Chapter 01: Overview of Gerontologic
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eNursing Meiner: Gerontologic Nursing,
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e5th Edition
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MULTIPLE CHOICE e




1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice
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ewas published. The nurse would use these standards to:
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a. promote the practice of gerontologic nursing within the acute care setting.
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b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. e e e e e


d. incorporate suggested interventions from others who practice gerontologic nursing. e e e e e e e e




ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing
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Practice in 2010 incorporates the input of gerontologic nurses from across the
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United States. It was not intended to promote gerontologic nursing practice
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ewithin
acute care settings, define concepts or dimensions of gerontologic nursing practice, or
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elevate the practice of gerontologic nursing.
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DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1- e e


1 TOP: N/A
e MSC: Safe and Effective Care Environment e e e e




2. When attempting to minimize the effect of ageism on the practice of nursing
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eolder adults, a nurse needs to first:
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a. recognize that nurses must act as advocates for aging patients. e e e e e e e e e


b. accept that this population represents a substantial portion of
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those requiring nursing care.
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c. self-reflect and formulate one‟s personal view of aging and the older patient. e e e e e e e e e e e


d. recognize ageism as a form of bigotry shared by many Americans. e e e e e e e e e e




ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging
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process and of the older population as a whole. With nurses being members of a
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society holding such views, it is critical that the individual nurse self-reflect on
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personal feelings and determine whether such feelings will affect the nursing care
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that he or she provides to the aging patient. Acting as an advocate is an
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important nursing role in all settings.
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Simply accepting a fact does not help end ageism, nor does recognizing ageism as
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a form of bigotry.
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DIF: Applying (Application) e REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care e e

Environment e




3. When discussing factors that have helped to increase the number of
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ehealthy, independent older Americans, the nurse includes the importance
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eof:
a. increased availability of in-home care services. e e e e e


b. government support of retired citizens. e e e e


c. effective antibiotic therapies. e e


d. the development of life-extending therapies.
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ANS: C

, The health and ultimate autonomy of older Americans has been positively impacted
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eby the development of antibiotics, better sanitation, and vaccines. These public
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ehealth measures have been more instrumental in increasing the numbers of healthy,
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eindependent older Americans than have in-home care services, government
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eprograms, or life-extending therapies. e e e




DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 e e


TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
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4. Based on current data, when presenting an older adult‟s discharge teaching
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e plan, the nurse includes the patient‟s:
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a. nonrelated caretaker. e


b. paid caregiver. e


c. family member. e


d. intuitional representative. e




ANS: C
Less than 4% of older adults live in a formal health care environment. The
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emajority of the geriatric population lives at home or with family members.
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DIF: Applying (Application) e REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning e e MSC: Safe and Effective Care Environment
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5. The nurse planning care for an older adult who has recently been diagnosed with
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erheumatoid arthritis views the priority criterion for continued independence to be
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e the patient‟s:
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a. age.
b. financial status. e


c. gender.
d. functional status. e




ANS: D
Maintaining the functional status of older adults may avert the onset of physical
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e frailty and cognitive impairment, two conditions that increase the likelihood of
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einstitutionalization.

DIF: Remembering (Knowledge) e REF: Page 8 OBJ: 1- e


6 TOP: Nursing Process: Planning
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6. A nurse working with the older adult population is most likely to assess a need
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e for a financial social service‟s referral for a(n):
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a. white male. e


b. black female. e


c. Hispanic male. e


d. Asian American female. e e




ANS: B
The poverty rate among older black women is substantially higher than that seen
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eamong males or females of other ethnic groups. White males had the least
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e poverty.

DIF: Applying (Application) e REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment e e MSC: Safe and Effective Care Environment
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, 7. Which of the following statements made by a nurse preparing to complete a
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health assessment and history on an older patient reflects an understanding of
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the general health status of this population?
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a. “I‟ll need to document well regarding the medications the patient
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is currently prescribed.”
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b. “I would like to understand how supportive the patient‟s family members are.”
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c. “Most older patients are being treated for a variety of chronic health care
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issues.” e


d. “It will be interesting to see whether this patient sees herself as being healthy.”
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ANS: D
It is a misconception that old age is synonymous with disease and illness. The
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nurse should always determine the patient‟s sense of wellness and independence
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when conducting a health and history assessment. An assessment of medication
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use and family support is important for any patient. Many older adults do have
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chronic health conditions, but their perception is more important than a single
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number.
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DIF: Applying (Application) REF: N/A OBJ: e 1-
4 TOP: Nursing Process: Assessment MSC: Health Promotion
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8. The nurse is caring for an older adult who has been admitted to an acute care
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hospital for treatment of a fractured femur. The family expresses concern
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about the patient‟s pending transfer to a subacute care facility. What response
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by the nurse is best?
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a. “Acute care facilities lack the long-term physical therapy e e e e e e e


support your dad requires.”
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b. “Your dad will be much happier in a more serene, private environment.”
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c. “The subacute facility will focus on helping your dad maintain his
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independence.” e


d. “Insurance, including Medicare, will cover only a limited amount of time here.” e e e e e e e e e e e




ANS: C
The transfer of the patient to a subacute facility is based on the need to
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maintain the patient‟s level of function and independence, a task the acute care
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facility is not prepared to address once the patient is physiologically stable.
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The patient may or may not be happier in the new setting; the nurse
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should not make this judgment. It
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is true that insurance only pays for a limited amount of time in an acute care
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facility, but this is not the best reason for the patient to transfer.
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DIF: Applying (Application) REF: e N/A OBJ: 1-
6 TOP: Communication and
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eDocumentation MSC: Health Promotion and e e e


eMaintenance

9. To best assure both the quality of care and the safety of the older adult patient
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who requires in- home unlicensed assistive personal (UAP) assistance, the geriatric
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nurse:
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a. evaluates the competency of the UAP staff. e e e e e e


b. assumes the roles of case manager and patient advocate. e e e e e e e e


c. arranges for the needed UAP provided services. e e e e e e


d. assesses the patient for functional limitations. e e e e e




ANS: A
As more care traditionally provided by professional nurses is being transferred to
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