Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 6th Edition by Touhy Chapter 1-28|ISBN: 9780323698047 A+

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FOR Ebersole and Hess Gerontological Nursi
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ng and Healthy Aging 6th Edition by Touhy
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,Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 6th Edition by Touhy
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Chapter 01: Gerontological Nursing and Promotion of Healthy Aging
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Touhy: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition
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MULTIPLE CHOICE ki




1. Which statement best relates information regarding characteristics of acute care for the elder
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ly (ACE) units?
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a. They are seldom a part of a hospital facility. ki ki ki ki ki ki ki ki




b. They facilitate admission to nursing home situations. Association (ANA) offered a
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certification program. ki




c. They support promotion of health and support for maximal independence. ki ki ki ki ki ki ki ki ki




d. Their purpose is to rehabilitate any hospital incurred functional disability. ki ki ki ki ki ki ki ki ki




ANS: C ki




ACE units are distinct areas of a hospital specifically designed to reduce the incidence of func
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tional disability of older adults occurring during hospitalization for acute medical illness by pr
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oactively identifying and managing geriatric syndromes to help maintain the patient’s functi
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on, reducing admission to nursing homes, and lowering the cost of hospitalizations.
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PTS: 1 DIF: Remember REF: 6 k i




TOP: Nursing Process: Assessment k i k i ki ki MSC: Health Promotion and Maintenance k i ki ki ki




2. Which gerontological nursing organization welcomes nurses from all educationa
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l backgrounds?
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a. The National Gerontological Nursing Association (NGNA) ki ki ki ki ki




b. The National Conference of Gerontological Nurse Practitioners (NCGNP)
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c. The National Association of Directors of Nursing Administration in Long-
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Term Care (NADONA/LTC) ki ki




d. The American Society on Aging (ASA) ki ki ki ki ki




ANS: A ki




The NGNA was formed specifically for all levels of nursing personnel: registered nurses (RNs
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), licensed practical nurses (LPNs), licensed vocational nurses (LVNs), and certified nursing a
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ssistants (CNAs). The NCGNP is, as its name implies, limited to nurse practitioners. The NADO
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NA/LTC is, as its name implies, limited to directors and assistant directors of nursing. The ASA
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is an interdisciplinary organization not limited to nurses.
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PTS: 1 DIF: Remember REF: 3 | 4 k i ki ki




TOP: Nursing Process: Assessment k i k i ki ki MSC: Health Promotion and Maintenance k i ki ki ki




3. Which statement accurately describes gerontological nursing education?
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a. Gerontological nursing content has long been integrated into the curriculum of th ki ki ki ki ki ki ki ki ki ki ki




e typical school of nursing. ki ki ki ki




b. Undergraduate nursing programs extensively cover gerontological nursing i ki ki ki ki ki ki ki




n dedicated courses, comparable with the coverage of psychiatric nursing.
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c. The Hartford Foundation has funded significant work regarding the specialty o
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f gerontological nursing. ki ki




d. Accreditation of a nursing program guarantees that appropriate amounts ki ki ki ki ki ki ki ki ki




of gerontological nursing content are included in the curriculum.
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,Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 6th Edition by Touhy
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ANS: C ki




The most significant influence in enhancing the specialty of gerontological nursing has been t
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he work of The Hartford Institute for Geriatric Nursing, established in 1996 and funded by th
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e John A. Hartford Foundation. Only recently has gerontological nursing content begun to ap
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pear in nursing school curricula. Most nursing schools still do not have such courses. At prese
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nt, no minimum requirements exist for the coverage of care of older adults.
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PTS: 1 DIF: Remember REF: 3 k i




TOP:Teaching/Learning MSC: Health Promotion and Maintenance
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4. Based on current demographic data, which of the following statements identifies a predictiv
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e trend regarding the health care needs of society?
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a. Most nurses will not need to care for older persons. ki ki ki ki ki ki ki ki ki




b. More nursing services will be required to serve the needs of the population olde ki ki ki ki ki ki ki ki ki ki ki ki ki




r than 85 years of age. ki ki ki ki ki




c. Fewer nurses will be needed to care for older adults since the older population is ki ki ki ki ki ki ki ki ki ki ki ki ki ki k




healthier. i




d. Older adults expect their quality of life to be less than that of earlier generations at
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their ages. ki ki




ANS: B ki




Gerontological nursing will be the most needed specialty in nursing as the number of older a ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki




dults continues to increase and the need for our specialized knowledge becomes even more
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critical in every specialty and every health care setting. Most nurses can expect to care for old
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er people during the course of their careers. By 2050, the United Nations predicts that more A
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mericans will be over the age of 60 years than those under the age of 15 years. Older people a
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re better educated and more affluent and expect a higher quality of life than their elders had
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at their age.
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PTS: 1 DIF: Remember REF: 4 | 5 k i ki ki




TOP: Nursing Process: Assessmentk i k i ki ki MSC: Health Promotion and Maintenance k i ki ki ki




5. What is the primary purpose of geriatric nursing certifications?
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a. Assuring the basic competency of the geriatric nurse ki ki ki ki ki ki ki




b. Raising the level of professionalism for the geriatric facility ki ki ki ki ki ki ki ki




c. Addressing the current shortage of specialized geriatric nurses ki ki ki ki ki ki ki




d. Demonstrating commitment to the special needs of the geriatric client ki ki ki ki ki ki ki ki ki




ANS: D ki




Certification assures the public of nurses’ commitment to specialized education and qualifica ki ki ki ki ki ki ki ki ki ki ki




tion for the care of older adults. None of the other options accurately identify the primary purp
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ose of geriatric nursing certification.
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PTS: 1 DIF: Remember REF: 10 | 11 k i ki ki




TOP:Teaching/Learning MSC: Safe, Effective Care Environment
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6. An older adult client is transferred to a hospice facility with end-
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stage disease. Which is a suitable nursing intervention for this older adult and his family a
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ccording to the goals of hospice? ki ki ki ki ki




a. Decrease the analgesic dose to prevent sedation. ki ki ki ki ki ki




b. Provide a basin and towels for morning self-care. ki ki ki ki ki ki ki

, Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 6th Edition by Touhy
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c. Inform family members about strict visiting hours. ki ki ki ki ki ki




d. Facilitate family rituals related to death and dying. ki ki ki ki ki ki ki




ANS: D ki




To promote comfort and dignity, the nurse facilitates the enactment of family wishes, rituals
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, or religious practices related to death and dying. To promote comfort, the gerontological nur
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se administers medications as prescribed and avoids restricting analgesic agents to clients, r
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egardless of the setting or the nurse’s personal views. Although fostering independence is w ki ki ki ki ki ki ki ki ki ki ki ki ki




ithin the scope of the gerontological nursing practice, the nurse should assess the older adult
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and family before assuming that he will want or be able to perform self-
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care. Although hospice can have regular visiting hours, the older adult may need his family at
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the bedside for comfort, strength, or companionship. Thus to provide comfort and promote
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dignity, the gerontological nurse adapts visiting hours to suit the older adult’s needs.
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PTS: 1 DIF: Apply REF: 9 k i




TOP: Nursing Process: Implementation k i k i ki ki MSC: Safe, Effective Care Environment k i ki ki ki




7. A nursing home executive interviews RNs to fill a full-
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time position for direct client care to maintain the standards of elder care. Which nurse sho
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uld the nursing home hire? ki ki ki ki




a. Nurse from a certified college ki ki ki ki




b. Certified gerontological nurse ki ki




c. Nurse with 15 years of experience ki ki ki ki ki




d. Gerontological nurse practitioner ki ki




ANS: B ki




A certified gerontological nurse receives education and training to care for older adults, assur
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ing the nursing home and the public that the nurse has mastered the specialized skills and kno
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wledge to care for older adults according to gerontological nursing standards. A nurse educat
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ed in a certified college does not necessarily have specialty education and training in gerontol
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ogy. A nurse with 15 years of experience might have no experience with gerontology and offe
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rs no proof of specialized knowledge or skills. Although a gerontological nurse practitioner re
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ceives specialized education and training in gerontology, these nurses provide primary care in
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a nursing home.
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PTS: 1 DIF: Apply REF: 9 k i




TOP: Nursing Process: Implementation k i k i ki ki MSC: Safe, Effective Care Environment k i ki ki ki




8. Mezey and Fulmer (2002) justify gerontological nursing research and the work of
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gerontological advanced practice nurses by concluding the following: ki ki ki ki ki ki ki




a. Other scientists devalue gerontological nursing research. ki ki ki ki ki




b. The research influences outcomes from nursing care in a positive way. ki ki ki ki ki ki ki ki ki ki




c. Gerontological care is expensive but required in long-term care. ki ki ki ki ki ki ki ki




d. Gerontological nursing research is well known to practicing nurses. ki ki ki ki ki ki ki ki




ANS: B ki




The practices of advanced practice nurses, who base their practice on nursing research, hav
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e resulted in positive older adult outcomes and cost-
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effectiveness. The scientific community widely accepts the research. Advanced practice nur ki ki ki ki ki ki ki ki ki ki




ses generate positive outcomes and are cost effective in many settings. Mezey and Fulmer b
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elieve the goal of gerontological nursing is to disseminate the knowledge from gerontologic
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al nursing research to all nurses and to have the knowledge applied to their practices.
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