Gerontologic fNursing f6th fEdition fMeiner fTest
fBank
, Gerontologic fNursing f6th fEdition fMeiner fTest
fBank
Chapter f01: fOverview fof fGerontologic fNursing
fMeiner: fGerontologic fNursing, f6th fEdition
MULTIPLE fCHOICE
1. In f2010, fthe frevised fStandards fand fScope fof fGerontological fNursing fPractice
fwasfpublished. fThe fnurse fwould fuse fthese fstandards fto
a. promote fthe fpractice fof fgerontologic fnursing fwithin fthe facute fcare fsetting.
b. define fthe fconcepts fand fdimensions fof fgerontologic fnursing fpractice.
c. elevate fthe fpractice fof fgerontologic fnursing.
d. incorporate fthe fconcepts fof fhealth fpromotion, fhealth fmaintenance,
fdiseasefprevention, fand fself-care
ANS: f D
The fcurrent fpublishing fof fthe fStandards fand fScope fof fGerontological fNursing fPractice fin
f2010 fincorporates fthe finput fof fgerontologic fnurses ffrom facross fthe fUnited fStates fand
fincludes fcomprehensive fconcepts fand fdimensions fimportant fto fthose fpracticing
fgerontologicfnursing. fIt fwas fnot fintended fto fpromote fgerontologic fnursing fpractice fwithin
facute fcare fsettings, fdefine fconcepts for fdimensions fof fgerontologic fnursing fpractice, for
felevate fthe fpractice fof fgerontologic f nursing.
DIF: Remembering OBJ: 1-1 TOP: N/A
fMSC: f Safe fand fEffective fCare fEnvironment
2. When fattempting fto fminimize fthe feffect fof fageism fon fthe fpractice fof fnursing folder fadults,
fafnurse fneeds fto ffirst
a. recognize fthat fnurses fmust fact fas fadvocates ffor faging fpatients.
b. accept fthat fthis fpopulation frepresents fa fsubstantial fportion fof fthose
frequiringfnursing fcare.
c. self-reflect fand fformulate fone‟s fpersonal fview fof faging fand fthe folder fpatient.
d. recognize fageism fas fa fform fof fbigotry fshared fby fmany fAmericans.
ANS: f C
Ageism fis fan fever-increasing fprejudicial fview fof fthe feffects fof fthe faging fprocess fand fof
fthe folder fpopulation fas fa fwhole. fWith fnurses fbeing fmembers fof fa fsociety fholding fsuch
fviews, fitfis fcritical fthat fthe findividual fnurse fself-reflects fon fpersonal ffeelings fand
fdetermines fwhetherfsuch ffeelings fwill faffect fthe fnursing fcare fthat fhe for fshe fprovides fto fthe
faging fpatient. fActingfas fan fadvocate fis fan fimportant fnursing frole fin fall fsettings. fSimply
faccepting fa ffact fdoes fnot fhelp fend fageism, fnor fdoes frecognizing fageism fas fa fform fof
fbigotry.
DIF: Applying OBJ: 1-6 TOP: Integrated fProcess: fTeaching-
LearningfMSC: f Safe fand fEffective fCare fEnvironment
3. The fnurse fplanning fcare ffor fan folder fadult fwho fhas frecently fbeen fdiagnosed fwith
frheumatoidfarthritis fviews fthe fpriority fcriterion ffor fcontinued findependence fto fbe fthe
fpatient‟s
a. age.
b. financial fstatus.
c. gender.
d. functional fstatus.
, Gerontologic fNursing f6th fEdition fMeiner fTest
fBank
ANS:
Maintaining
f D fthe ffunctional fstatus fof folder fadults f(especially fthose fwith fchronic fhealth
fconditions) fmay favert fthe fonset fof fphysical ffrailty fand fcognitive fimpairment, ftwo
fconditionsfthat fincrease fthe flikelihood fof finstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: Nursing fProcess: fPlanning MSC: f Physiologic fIntegrity
4. A fnurse fworking fwith fthe folder fadult fpopulation fis fmost flikely fto fassess fa fneed ffor
faffinancial fsocial fservice‟s f referral ffor fwhich fperson?
a. White fmale
b. Black ffemale
c. Hispanic fmale
d. Asian fAmerican ffemale
ANS: f B
The fpoverty frate famong folder fwomen fis fsubstantially fhigher fthan fthat fseen famong fmen.
fThefpoverty frates ffor fpeople fof fcolor fis fhigher fthan fthat fof fwhites.
DIF: Remembering OBJ: 1-4
TOP: Nursing fProcess: fAssessment MSC: f Safe fand fEffective fCare fEnvironment
5. A fnurse fis fpreparing fto fcomplete fa fhealth fassessment fand fhistory fon fan folder fpatient.
fWhichfstatement freflects fan funderstanding fof fthe fgeneral fhealth fstatus fof fthis fpopulation?
a. “I‟ll fneed fto fdocument fthe fmedications fthe fpatient fis fcurrently fprescribed.”
b. “I fwould flike fto funderstand fhow fsupportive fthe fpatient‟s ffamily fmembers fare.”
c. “Most folder fpatients fareNfbU fR fI fG fB.C
einS
g ftrN
eateT
d ffor fa fvOariety fof fchronic fhealth fcare fissues.”
d. “It fwill fbe finteresting fto fsee fwhether fthis fpatient fsees fherself fas fbeing fhealthy.”
ANS: f D
It fis fa fmisconception fthat fold fage fis fsynonymous fwith fdisease fand fillness. fIn ffact, folder
fadults falready ftend fto fview ftheir fpersonal fhealth fpositively fdespite fthe fpresence fof
fchronicfillness, fdisease, fand fimpairment. fThe fnurse fshould falways fdetermine fthe fpatient‟s
fsense foffwellness fand findependence fwhen fconducting fa fhealth fand fhistory fassessment.
fAn fassessment fof fmedication fuse fand ffamily fsupport fis fimportant ffor fany fpatient. fMany
folderfadults fdo fhave fchronic fhealth fconditions, fbut ftheir fperception fis fmore fimportant
fthan fa fsingle fnumber.
DIF: Applying OBJ: 1-4 TOP: Nursing fProcess:
fAssessmentfMSC: f Health fPromotion fand fMaintenance
6. The fnurse fis fcaring ffor fan folder fadult fwho fhas fbeen fadmitted fto fan facute fcare fhospital
ffor ftreatment fof fa ffractured ffemur. fThe ffamily fexpresses fconcern fabout ftheir ffather‟s
fpendingftransfer fto fa fsubacute fcare ffacility. fWhat fresponse f by fthe fnurse fis fbest?
a. “Acute fcare ffacilities flack fthe flong-term fphysical ftherapy fyour fdad frequires.”
b. “Your fdad fwill fbe fmuch fhappier fin fa fmore fserene, fprivate fenvironment.”
c. “The fsubacute ffacility fwill ffocus fon fhelping fyour fdad fto fmaintain
fhisfindependence.”
d. “Insurance, fincluding fMedicare, fwill fcover fonly fa flimited famount fof ftime fhere.”
, Gerontologic fNursing f6th fEdition fMeiner fTest
fBank
ANS:
The
f C ftransfer fof fthe fpatient fto fa fsubacute ffacility fis fbased fon fthe fneed fto fmaintain fthe
patient‟s flevel fof ffunction fand findependence, fa ftask fthe facute fcare ffacility fis fnot fprepared
fto faddress fonce fthe fpatient fis fphysiologically fstable. fThe facute fcare ffacility fmay for fmay
fnot fbe fable fto fprovide flong-term f therapy. fThe fpatient fmay for fmay fnot fbe fhappier fin fthe
fnew fsetting;fthe fnurse fshould fnot fmake fthis fjudgment. fIt fis ftrue fthat finsurance fonly fpays ffor
fa flimited famount fof ftime fin fan facute fcare ffacility, fbut fthis fis fnot fthe fbest freason ffor fthe
fpatient fto ftransfer.
DIF: Applying OBJ: 1-4
TOP: Integrated fProcess: fCommunication fand
fDocumentationfMSC: f Health fPromotion fand fMaintenance
7. To fbest fassure fboth fthe fquality fof fcare fand fthe fsafety fof fthe folder fadult fpatient fwho
frequiresfin-home funlicensed fassistive fpersonal f(UAP) fassistance, fwhich faction fby fthe
fgerontologic fnurse fis fbest?
a. Evaluates fthe fcompetency fof fthe fUAP fstaff.
b. Assumes fthe froles fof fcase fmanager fand fpatient fadvocate.
c. Arranges ffor fthe fneeded fUAP fprovided fservices.
d. Assesses fthe fpatient ffor ffunctional flimitations.
ANS: f A
As fmore fcare ftraditionally fprovided fby fprofessional fnurses fis fbeing ftransferred fto fUAP,
fthefnurse fmust fassume fmore fresponsibility ffor feducating, ftraining, fand fevaluating fthe
fcompetency fof fUAP fstaff fto fprovide fsafe, feffective fcare ffor fthe folder fadult fpatient.
DIF: Applying OBJ:Nf1R -5
TOP: Integrated fProcess: fCommunication fand fDocumentation
MSC: f Safe fand fEffective fCare fEnvironment
8. The fnurse fworking fwith folder fadults funderstands fwhat finformation fabout fcertification
finfgerontologic fnursing?
a. It fis fmandatory ffor fthose fin flong-term fcare fsettings.
b. It fis fvoluntary fand fshows fclinical fexpertise fin fan farea.
c. It fallows fnurses fto fbe fpaid fby fthird-party fpayers.
d. It fallows fnurses fto fadvance ftheir fcareers fin fa fjob.
ANS: f B
Certification fis fvoluntary fand fshows fthat fa fnurse fhas fadditional fknowledge fand fexpertise fin
fafcertain farea fof fpractice. fIt fis fnot fmandatory fin fspecific fcare fsettings. fIt fdoes fnot fallow ffor
fthird-party freimbursement. fIt fmay fbe fpart fof fa fcareer fladder fprogram, fbut fthat fis fnot ftrue
fof fall fwork fsettings.
DIF: Remembering OBJ: 1-2
fTOP: Integrated fProcess: fTeaching-Learning
MSC: f Safe fand fEffective fCare fEnvironment
9. A fnurse fworks fin fa fgerontologic fclinic. fWhat faction fby fthe fnurse ftakes fhighest fpriority?
a. Serving fas fa fpatient fadvocate
b. Educating fpatients fabout fdiseases
fBank
, Gerontologic fNursing f6th fEdition fMeiner fTest
fBank
Chapter f01: fOverview fof fGerontologic fNursing
fMeiner: fGerontologic fNursing, f6th fEdition
MULTIPLE fCHOICE
1. In f2010, fthe frevised fStandards fand fScope fof fGerontological fNursing fPractice
fwasfpublished. fThe fnurse fwould fuse fthese fstandards fto
a. promote fthe fpractice fof fgerontologic fnursing fwithin fthe facute fcare fsetting.
b. define fthe fconcepts fand fdimensions fof fgerontologic fnursing fpractice.
c. elevate fthe fpractice fof fgerontologic fnursing.
d. incorporate fthe fconcepts fof fhealth fpromotion, fhealth fmaintenance,
fdiseasefprevention, fand fself-care
ANS: f D
The fcurrent fpublishing fof fthe fStandards fand fScope fof fGerontological fNursing fPractice fin
f2010 fincorporates fthe finput fof fgerontologic fnurses ffrom facross fthe fUnited fStates fand
fincludes fcomprehensive fconcepts fand fdimensions fimportant fto fthose fpracticing
fgerontologicfnursing. fIt fwas fnot fintended fto fpromote fgerontologic fnursing fpractice fwithin
facute fcare fsettings, fdefine fconcepts for fdimensions fof fgerontologic fnursing fpractice, for
felevate fthe fpractice fof fgerontologic f nursing.
DIF: Remembering OBJ: 1-1 TOP: N/A
fMSC: f Safe fand fEffective fCare fEnvironment
2. When fattempting fto fminimize fthe feffect fof fageism fon fthe fpractice fof fnursing folder fadults,
fafnurse fneeds fto ffirst
a. recognize fthat fnurses fmust fact fas fadvocates ffor faging fpatients.
b. accept fthat fthis fpopulation frepresents fa fsubstantial fportion fof fthose
frequiringfnursing fcare.
c. self-reflect fand fformulate fone‟s fpersonal fview fof faging fand fthe folder fpatient.
d. recognize fageism fas fa fform fof fbigotry fshared fby fmany fAmericans.
ANS: f C
Ageism fis fan fever-increasing fprejudicial fview fof fthe feffects fof fthe faging fprocess fand fof
fthe folder fpopulation fas fa fwhole. fWith fnurses fbeing fmembers fof fa fsociety fholding fsuch
fviews, fitfis fcritical fthat fthe findividual fnurse fself-reflects fon fpersonal ffeelings fand
fdetermines fwhetherfsuch ffeelings fwill faffect fthe fnursing fcare fthat fhe for fshe fprovides fto fthe
faging fpatient. fActingfas fan fadvocate fis fan fimportant fnursing frole fin fall fsettings. fSimply
faccepting fa ffact fdoes fnot fhelp fend fageism, fnor fdoes frecognizing fageism fas fa fform fof
fbigotry.
DIF: Applying OBJ: 1-6 TOP: Integrated fProcess: fTeaching-
LearningfMSC: f Safe fand fEffective fCare fEnvironment
3. The fnurse fplanning fcare ffor fan folder fadult fwho fhas frecently fbeen fdiagnosed fwith
frheumatoidfarthritis fviews fthe fpriority fcriterion ffor fcontinued findependence fto fbe fthe
fpatient‟s
a. age.
b. financial fstatus.
c. gender.
d. functional fstatus.
, Gerontologic fNursing f6th fEdition fMeiner fTest
fBank
ANS:
Maintaining
f D fthe ffunctional fstatus fof folder fadults f(especially fthose fwith fchronic fhealth
fconditions) fmay favert fthe fonset fof fphysical ffrailty fand fcognitive fimpairment, ftwo
fconditionsfthat fincrease fthe flikelihood fof finstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: Nursing fProcess: fPlanning MSC: f Physiologic fIntegrity
4. A fnurse fworking fwith fthe folder fadult fpopulation fis fmost flikely fto fassess fa fneed ffor
faffinancial fsocial fservice‟s f referral ffor fwhich fperson?
a. White fmale
b. Black ffemale
c. Hispanic fmale
d. Asian fAmerican ffemale
ANS: f B
The fpoverty frate famong folder fwomen fis fsubstantially fhigher fthan fthat fseen famong fmen.
fThefpoverty frates ffor fpeople fof fcolor fis fhigher fthan fthat fof fwhites.
DIF: Remembering OBJ: 1-4
TOP: Nursing fProcess: fAssessment MSC: f Safe fand fEffective fCare fEnvironment
5. A fnurse fis fpreparing fto fcomplete fa fhealth fassessment fand fhistory fon fan folder fpatient.
fWhichfstatement freflects fan funderstanding fof fthe fgeneral fhealth fstatus fof fthis fpopulation?
a. “I‟ll fneed fto fdocument fthe fmedications fthe fpatient fis fcurrently fprescribed.”
b. “I fwould flike fto funderstand fhow fsupportive fthe fpatient‟s ffamily fmembers fare.”
c. “Most folder fpatients fareNfbU fR fI fG fB.C
einS
g ftrN
eateT
d ffor fa fvOariety fof fchronic fhealth fcare fissues.”
d. “It fwill fbe finteresting fto fsee fwhether fthis fpatient fsees fherself fas fbeing fhealthy.”
ANS: f D
It fis fa fmisconception fthat fold fage fis fsynonymous fwith fdisease fand fillness. fIn ffact, folder
fadults falready ftend fto fview ftheir fpersonal fhealth fpositively fdespite fthe fpresence fof
fchronicfillness, fdisease, fand fimpairment. fThe fnurse fshould falways fdetermine fthe fpatient‟s
fsense foffwellness fand findependence fwhen fconducting fa fhealth fand fhistory fassessment.
fAn fassessment fof fmedication fuse fand ffamily fsupport fis fimportant ffor fany fpatient. fMany
folderfadults fdo fhave fchronic fhealth fconditions, fbut ftheir fperception fis fmore fimportant
fthan fa fsingle fnumber.
DIF: Applying OBJ: 1-4 TOP: Nursing fProcess:
fAssessmentfMSC: f Health fPromotion fand fMaintenance
6. The fnurse fis fcaring ffor fan folder fadult fwho fhas fbeen fadmitted fto fan facute fcare fhospital
ffor ftreatment fof fa ffractured ffemur. fThe ffamily fexpresses fconcern fabout ftheir ffather‟s
fpendingftransfer fto fa fsubacute fcare ffacility. fWhat fresponse f by fthe fnurse fis fbest?
a. “Acute fcare ffacilities flack fthe flong-term fphysical ftherapy fyour fdad frequires.”
b. “Your fdad fwill fbe fmuch fhappier fin fa fmore fserene, fprivate fenvironment.”
c. “The fsubacute ffacility fwill ffocus fon fhelping fyour fdad fto fmaintain
fhisfindependence.”
d. “Insurance, fincluding fMedicare, fwill fcover fonly fa flimited famount fof ftime fhere.”
, Gerontologic fNursing f6th fEdition fMeiner fTest
fBank
ANS:
The
f C ftransfer fof fthe fpatient fto fa fsubacute ffacility fis fbased fon fthe fneed fto fmaintain fthe
patient‟s flevel fof ffunction fand findependence, fa ftask fthe facute fcare ffacility fis fnot fprepared
fto faddress fonce fthe fpatient fis fphysiologically fstable. fThe facute fcare ffacility fmay for fmay
fnot fbe fable fto fprovide flong-term f therapy. fThe fpatient fmay for fmay fnot fbe fhappier fin fthe
fnew fsetting;fthe fnurse fshould fnot fmake fthis fjudgment. fIt fis ftrue fthat finsurance fonly fpays ffor
fa flimited famount fof ftime fin fan facute fcare ffacility, fbut fthis fis fnot fthe fbest freason ffor fthe
fpatient fto ftransfer.
DIF: Applying OBJ: 1-4
TOP: Integrated fProcess: fCommunication fand
fDocumentationfMSC: f Health fPromotion fand fMaintenance
7. To fbest fassure fboth fthe fquality fof fcare fand fthe fsafety fof fthe folder fadult fpatient fwho
frequiresfin-home funlicensed fassistive fpersonal f(UAP) fassistance, fwhich faction fby fthe
fgerontologic fnurse fis fbest?
a. Evaluates fthe fcompetency fof fthe fUAP fstaff.
b. Assumes fthe froles fof fcase fmanager fand fpatient fadvocate.
c. Arranges ffor fthe fneeded fUAP fprovided fservices.
d. Assesses fthe fpatient ffor ffunctional flimitations.
ANS: f A
As fmore fcare ftraditionally fprovided fby fprofessional fnurses fis fbeing ftransferred fto fUAP,
fthefnurse fmust fassume fmore fresponsibility ffor feducating, ftraining, fand fevaluating fthe
fcompetency fof fUAP fstaff fto fprovide fsafe, feffective fcare ffor fthe folder fadult fpatient.
DIF: Applying OBJ:Nf1R -5
TOP: Integrated fProcess: fCommunication fand fDocumentation
MSC: f Safe fand fEffective fCare fEnvironment
8. The fnurse fworking fwith folder fadults funderstands fwhat finformation fabout fcertification
finfgerontologic fnursing?
a. It fis fmandatory ffor fthose fin flong-term fcare fsettings.
b. It fis fvoluntary fand fshows fclinical fexpertise fin fan farea.
c. It fallows fnurses fto fbe fpaid fby fthird-party fpayers.
d. It fallows fnurses fto fadvance ftheir fcareers fin fa fjob.
ANS: f B
Certification fis fvoluntary fand fshows fthat fa fnurse fhas fadditional fknowledge fand fexpertise fin
fafcertain farea fof fpractice. fIt fis fnot fmandatory fin fspecific fcare fsettings. fIt fdoes fnot fallow ffor
fthird-party freimbursement. fIt fmay fbe fpart fof fa fcareer fladder fprogram, fbut fthat fis fnot ftrue
fof fall fwork fsettings.
DIF: Remembering OBJ: 1-2
fTOP: Integrated fProcess: fTeaching-Learning
MSC: f Safe fand fEffective fCare fEnvironment
9. A fnurse fworks fin fa fgerontologic fclinic. fWhat faction fby fthe fnurse ftakes fhighest fpriority?
a. Serving fas fa fpatient fadvocate
b. Educating fpatients fabout fdiseases
