,Chapter 01: Overview of Gerontologic Nursing
Meiner: Gerontologic Nursing, 5th Edition
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use these ANS: C
standards to: Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at home
a. promote the practice of gerontologic nursing within the acute care setting. or with family members.
DIF: Applying (Application) REF: N/A OBJ: 3-3
b. define the concepts and dimensions of gerontologic nursing practice. TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the priority
c. elevate the practice of gerontologic nursing. criterion for continued independence to be the patient’s:
d. incorporate suggested interventions from others who practice gerontologic nursing. a. age.
ANS: D b. financial status.
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of
gerontologic nurses from across the United States. It was not intended to promote gerontologic nursing practice within acute c. gender.
care settings, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1 d. functional status.
TOP: N/A MSC: Safe and Effective Care Environment ANS: D
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first: Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two
a. recognize that nurses must act as advocates for aging patients. conditions that increase the likelihood of institutionalization.
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-6
b. accept that this population represents a substantial portion of those requiring nursing care. TOP: Nursing Process: Planning MSC: Physiologic Integrity
6. A nurse working with the older adult population is most likely to assess a need for a financial social service’s referral for
c. self-reflect and formulate one’s personal view of aging and the older patient. a(n):
d. recognize ageism as a form of bigotry shared by many Americans. a. white male.
ANS: C b. black female.
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older population as a whole. With
nurses being members of a society holding such views, it is critical that the individual nurse self-reflect on personal feelings c. Hispanic male.
and determine whether such feelings will affect the nursing care that he or she provides to the aging patient. Acting as an
advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does recognizing d. Asian American female.
ageism as a form of bigotry. ANS: B
DIF: Applying (Application) REF: N/A OBJ: 1-9 The poverty rate among older black women is substantially higher than that seen among males or females of other ethnic
TOP: Teaching-Learning MSC: Safe and Effective Care Environment groups. White males had the least poverty.
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the nurse DIF: Applying (Application) REF: N/A OBJ: 1-4
includes the importance of: TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
a. increased availability of in-home care services. 7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an older
patient reflects an understanding of the general health status of this population?
b. government support of retired citizens. a. “I’ll need to document well regarding the medications the patient is currently prescribed.”
c. effective antibiotic therapies. b. “I would like to understand how supportive the patient’s family members are.”
d. the development of life-extending therapies. c. “Most older patients are being treated for a variety of chronic health care issues.”
ANS: C
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics, better d. “It will be interesting to see whether this patient sees herself as being healthy.”
sanitation, and vaccines. These public health measures have been more instrumental in increasing the numbers of healthy, ANS: D
independent older Americans than have in-home care services, government programs, or life-extending therapies. It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patient’s
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 sense of wellness and independence when conducting a health and history assessment. An assessment of medication use and
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance family support is important for any patient. Many older adults do have chronic health conditions, but their perception is more
4. Based on current data, when presenting an older adult’s discharge teaching plan, the nurse includes the patient’s: important than a single number.
a. nonrelated caretaker. DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
b. paid caregiver. 8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur.
The family expresses concern about the patient’s pending transfer to a subacute care facility. What response by the nurse is
c. family member. best?
d. intuitional representative. a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
b. “Your dad will be much happier in a more serene, private environment.”
c. “The subacute facility will focus on helping your dad maintain his independence.”
,d. “Insurance, including Medicare, will cover only a limited amount of time here.” c. Medications and current medical problems
ANS: C d. Results of the Mini Mental State examination
The transfer of the patient to a subacute facility is based on the need to maintain the patient’s level of function and
independence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The patient ANS: A
may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance only pays for The nurse is encouraged to view older patients as individuals and consider their baseline physical and cognitive functional
a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfer. status as a standard by which to compare the patient’s current status. The other information is also important, but the basis of
DIF: Applying (Application) REF: N/A OBJ: 1-6 individualized care begins with the patient’s strengths and weaknesses.
TOP: Communication and Documentation DIF: Applying (Application) REF: N/A OBJ: 1-6
MSC: Health Promotion and Maintenance TOP: Nursing Process: Assessment MSC: Health Promotion
9. To best assure both the quality of care and the safety of the older adult patient who requires in-home unlicensed assistive 13. The faculty member explains to students that many older Americans continue to work past the “retirement age.” What
personal (UAP) assistance, the geriatric nurse: best explains this trend?
a. evaluates the competency of the UAP staff. a. Feeling healthier longer
b. assumes the roles of case manager and patient advocate. b. Changing financial outlook
c. arranges for the needed UAP provided services. c. Becoming bored in retirement
d. assesses the patient for functional limitations. d. A desire to give back
ANS: A ANS: B
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more As financial situations may have declined as a result of many economic factors, more older adults work past their “retirement
responsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the older age.” The other options may be reasons for some to continue working, but financial necessity is the reason the majority
adult patient. continue to do so.
DIF: Applying (Application) REF: N/A OBJ: 1-2 DIF: Remembering (Knowledge) REF: Page 7 OBJ: 1-3
TOP: Communication and Documentation TOP: Teaching-Learning MSC: Health Promotion
MSC: Safe and Effective Care Environment 14. What information does the faculty member teach students about Medicare?
10. The nurse working with older adults understands what information about certification in gerontologic nursing? a. Covers anyone with end stage renal disease
a. It is mandatory for those in long-term care settings. b. Part A covers some prescription costs
b. It is voluntary and shows clinical expertise in an area.
c. Part B covers inpatient hospital costs
c. It allows nurses to be paid by third-party payers.
d. Part D eliminates the drug “donut hole”
d. It allows nurses to advance their careers in a job. ANS: A
ANS: B Although Medicare is primarily for those over the age of 65, it does cover people of any age with end-stage kidney disease.
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a certain area of practice. It is not Part A covers hospital costs. Part B is medical insurance. The “donut hole“ was fixed by the Affordable Care Act.
mandatory in specific care settings. It does not allow for third-party reimbursement. It may be part of a career ladder DIF: Understanding (Comprehension) REF: Page 9 OBJ: 1-3
program, but that is not true of all work settings. TOP: Teaching-Learning MSC: Health Promotion
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-2 15. A nursing manager notes that many older patients are admitted to the nursing unit for acute problems. What action can
TOP: Teaching-Learning MSC: Safe Effective Care Environment the manager take to most benefit this population?
11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority? a. Provide mandatory education on the needs of the older patient.
a. Serving as a patient advocate b. Provide restorative therapy programs designed for this group.
b. Educating patients about diseases
c. Ensure staffing numbers are adequate for dependent patients.
c. Helping patients remain independent
d. Encourage all nurses to obtain gerontologic certification.
d. Referring patients to home health care ANS: B
ANS: C Many older adults need acute care for sudden illness and injury but live in a state of functional decline, which could possibly
One of the challenges and priorities of the gerontologic nurse is helping patients maintain their independence. be prevented by establishing a restorative therapy program. The other actions will help the older patients cared for in the unit,
DIF: Remembering (Knowledge) REF: Page 10 OBJ: 1-2 but only to limited degrees.
TOP: Nursing Process: Implementation MSC: Health Promotion DIF: Applying (Application) REF: N/A OBJ: 1-4
12. A nurse is caring for an older patient in the emergency department. What information about the patient will be most TOP: Nursing Process: Implementation MSC: Physiologic Integrity: Reduction of Risk Potential
helpful in creating a plan of care? 16. The dean of a new nursing program wishes to ensure graduates are prepared to care for older patients. What document
should guide the dean in designing the curriculum?
a. Baseline physical and cognitive functioning
a. The Nurse Practice Act for that state
b. Living conditions and family support
, TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
b. The American Nurses Association (ANA) code of ethics for nurses
2. The nurse studying the history of gerontologic nursing learns which information about the specialty? (Select all that
c. Healthy People 2020 apply.)
a. The number of older Americans is diminishing.
d. The Recommended Baccalaureate Competencies and Curricular Guidelines
ANS: D b. The geriatric nursing conference group was established in 1962.
The Recommended Baccalaureate Competencies and Curricular Guidelines for the Nursing Care of Older Adults is an
updated version of The Essentials of Baccalaureate Education for Professional Nursing Practice. This document was first c. The gerontologic clinical nurse specialist certification was offered in 1989.
published by the American Association of Colleges of Nursing (AACN) in 2008 and was updated in 2010. The other three d. There were no writings about the care of older persons until World War II.
documents do not have information about curricular requirements to prepare students to care for the older population.
DIF: Applying (Application) REF: N/A OBJ: 1-2 e. The first Standards of Practice for Geriatric Nursing was written in 1969.
TOP: Teaching-Learning MSC: Health Promotion
ANS: B, C, E
17. A nurse wants to plan a community event at a retirement center. What topic would most likely be best received?
The geriatric nursing conference group was established in 1962, the gerontologic clinical nurse specialist certification was
a. Heart healthy living first offered in 1989, and the first Standards of Practice for Geriatric Nursing was written in 1969. The population of older
Americans is the fastest-growing subset of the population. Writings about care of the aged can be found from as early as
b. Financial planning 1900.
DIF: Remembering (Knowledge) REF: Page 2-3 OBJ: 1-2
c. Avoiding scams
TOP: Teaching-Learning MSC: Nursing Process: Assessment
d. Ethnic cooking classes 3. The student asks the gerontologic clinic nurse why so many older people are women. What information does the nurse
provide? (Select all that apply.)
ANS: A
Older adults are demanding more programs and services aimed at health maintenance and promotion and disease and a. Reduced maternal mortality
disability prevention. Based on this information, the heart healthy living presentation would be best received.
b. Decreased deaths from infectious diseases
DIF: Applying (Application) REF: N/A OBJ: 1-3
TOP: Teaching-Learning MSC: Health Promotion c. More deaths from chronic disease in men
18. What does the bedside nurse understand about his or her role in nursing research?
a. Research is only done by doctorally prepared nurses. d. More deaths in war occur in men
b. All nurses have a role in delivering research-based care. e. Women tend to smoke and drink less than men
ANS: A, C, D
c. A bedside nurse can be part of a hospital research team. A decrease in maternal mortality, decreased deaths from infectious diseases, and more chronic illness in men account for the
d. The bedside nurse can collect data if the nurse has been properly trained. disparity in genders as people age.
DIF: Understanding (Comprehension) REF: Page 6 OBJ: 1-5
ANS: B TOP: Teaching-Learning MSC: Health Promotion
All nurses are charged to deliver patient-centered care based on evidence-based practice, research, quality improvement, and 4. The gerontologic nurse plans community programming for older women, noting what facts about this population
informatics. The bedside nurse is part of an interdisciplinary team that is responsible for redesigning the health care structure subgroup? (Select all that apply.)
of the future.
DIF: Understanding (Comprehension) REF: Page 13 TOP: Teaching-Learning a. More likely to live alone
MSC: Safe Effective Care Environment: Management of Care b. Increased chance of living in poverty
MULTIPLE RESPONSE
1. The clinic nurse caring for an older diabetic patient with a sixth grade education anticipates that the patient may experience c. Taking care of a spouse
difficulty (Select all that apply.)
d. Suffering many chronic diseases
a. recognizing the importance of keeping clinic appointments.
b. following a low-carbohydrate diet. e. Living with extended families
ANS: A, B, D
c. paying for insulin and syringes. Older women have a greater chance than men of living alone and in poverty. They also have a greater degree of functional
d. deciding on a primary health care provider. impairment and chronic disease.
DIF: Remembering (Knowledge) REF: Page 6 OBJ: 1-5
e. naming a health care surrogate. TOP: Nursing Process: Analysis MSC: Health Promotion
5. The nurse knows that the most common causes of death in the older population result from which diseases? (Select all that
ANS: A, B, C apply.)
Even though the educational level of the older population has steadily increased, as a population they are less educated than
the general population. This deficiency can account for a lack of understanding regarding the need for medical care and the a. Cerebrovascular disease
importance of following a treatment plan. These patients may also have fewer financial resources to devote to health care b. End-stage kidney disease
issues.
DIF: Analyzing (Analysis) REF: N/A OBJ: 1-4 c. Heart disease
Meiner: Gerontologic Nursing, 5th Edition
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use these ANS: C
standards to: Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at home
a. promote the practice of gerontologic nursing within the acute care setting. or with family members.
DIF: Applying (Application) REF: N/A OBJ: 3-3
b. define the concepts and dimensions of gerontologic nursing practice. TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the priority
c. elevate the practice of gerontologic nursing. criterion for continued independence to be the patient’s:
d. incorporate suggested interventions from others who practice gerontologic nursing. a. age.
ANS: D b. financial status.
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of
gerontologic nurses from across the United States. It was not intended to promote gerontologic nursing practice within acute c. gender.
care settings, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1 d. functional status.
TOP: N/A MSC: Safe and Effective Care Environment ANS: D
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first: Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two
a. recognize that nurses must act as advocates for aging patients. conditions that increase the likelihood of institutionalization.
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-6
b. accept that this population represents a substantial portion of those requiring nursing care. TOP: Nursing Process: Planning MSC: Physiologic Integrity
6. A nurse working with the older adult population is most likely to assess a need for a financial social service’s referral for
c. self-reflect and formulate one’s personal view of aging and the older patient. a(n):
d. recognize ageism as a form of bigotry shared by many Americans. a. white male.
ANS: C b. black female.
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older population as a whole. With
nurses being members of a society holding such views, it is critical that the individual nurse self-reflect on personal feelings c. Hispanic male.
and determine whether such feelings will affect the nursing care that he or she provides to the aging patient. Acting as an
advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does recognizing d. Asian American female.
ageism as a form of bigotry. ANS: B
DIF: Applying (Application) REF: N/A OBJ: 1-9 The poverty rate among older black women is substantially higher than that seen among males or females of other ethnic
TOP: Teaching-Learning MSC: Safe and Effective Care Environment groups. White males had the least poverty.
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the nurse DIF: Applying (Application) REF: N/A OBJ: 1-4
includes the importance of: TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
a. increased availability of in-home care services. 7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an older
patient reflects an understanding of the general health status of this population?
b. government support of retired citizens. a. “I’ll need to document well regarding the medications the patient is currently prescribed.”
c. effective antibiotic therapies. b. “I would like to understand how supportive the patient’s family members are.”
d. the development of life-extending therapies. c. “Most older patients are being treated for a variety of chronic health care issues.”
ANS: C
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics, better d. “It will be interesting to see whether this patient sees herself as being healthy.”
sanitation, and vaccines. These public health measures have been more instrumental in increasing the numbers of healthy, ANS: D
independent older Americans than have in-home care services, government programs, or life-extending therapies. It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patient’s
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 sense of wellness and independence when conducting a health and history assessment. An assessment of medication use and
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance family support is important for any patient. Many older adults do have chronic health conditions, but their perception is more
4. Based on current data, when presenting an older adult’s discharge teaching plan, the nurse includes the patient’s: important than a single number.
a. nonrelated caretaker. DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
b. paid caregiver. 8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur.
The family expresses concern about the patient’s pending transfer to a subacute care facility. What response by the nurse is
c. family member. best?
d. intuitional representative. a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
b. “Your dad will be much happier in a more serene, private environment.”
c. “The subacute facility will focus on helping your dad maintain his independence.”
,d. “Insurance, including Medicare, will cover only a limited amount of time here.” c. Medications and current medical problems
ANS: C d. Results of the Mini Mental State examination
The transfer of the patient to a subacute facility is based on the need to maintain the patient’s level of function and
independence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The patient ANS: A
may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance only pays for The nurse is encouraged to view older patients as individuals and consider their baseline physical and cognitive functional
a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfer. status as a standard by which to compare the patient’s current status. The other information is also important, but the basis of
DIF: Applying (Application) REF: N/A OBJ: 1-6 individualized care begins with the patient’s strengths and weaknesses.
TOP: Communication and Documentation DIF: Applying (Application) REF: N/A OBJ: 1-6
MSC: Health Promotion and Maintenance TOP: Nursing Process: Assessment MSC: Health Promotion
9. To best assure both the quality of care and the safety of the older adult patient who requires in-home unlicensed assistive 13. The faculty member explains to students that many older Americans continue to work past the “retirement age.” What
personal (UAP) assistance, the geriatric nurse: best explains this trend?
a. evaluates the competency of the UAP staff. a. Feeling healthier longer
b. assumes the roles of case manager and patient advocate. b. Changing financial outlook
c. arranges for the needed UAP provided services. c. Becoming bored in retirement
d. assesses the patient for functional limitations. d. A desire to give back
ANS: A ANS: B
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more As financial situations may have declined as a result of many economic factors, more older adults work past their “retirement
responsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the older age.” The other options may be reasons for some to continue working, but financial necessity is the reason the majority
adult patient. continue to do so.
DIF: Applying (Application) REF: N/A OBJ: 1-2 DIF: Remembering (Knowledge) REF: Page 7 OBJ: 1-3
TOP: Communication and Documentation TOP: Teaching-Learning MSC: Health Promotion
MSC: Safe and Effective Care Environment 14. What information does the faculty member teach students about Medicare?
10. The nurse working with older adults understands what information about certification in gerontologic nursing? a. Covers anyone with end stage renal disease
a. It is mandatory for those in long-term care settings. b. Part A covers some prescription costs
b. It is voluntary and shows clinical expertise in an area.
c. Part B covers inpatient hospital costs
c. It allows nurses to be paid by third-party payers.
d. Part D eliminates the drug “donut hole”
d. It allows nurses to advance their careers in a job. ANS: A
ANS: B Although Medicare is primarily for those over the age of 65, it does cover people of any age with end-stage kidney disease.
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a certain area of practice. It is not Part A covers hospital costs. Part B is medical insurance. The “donut hole“ was fixed by the Affordable Care Act.
mandatory in specific care settings. It does not allow for third-party reimbursement. It may be part of a career ladder DIF: Understanding (Comprehension) REF: Page 9 OBJ: 1-3
program, but that is not true of all work settings. TOP: Teaching-Learning MSC: Health Promotion
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-2 15. A nursing manager notes that many older patients are admitted to the nursing unit for acute problems. What action can
TOP: Teaching-Learning MSC: Safe Effective Care Environment the manager take to most benefit this population?
11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority? a. Provide mandatory education on the needs of the older patient.
a. Serving as a patient advocate b. Provide restorative therapy programs designed for this group.
b. Educating patients about diseases
c. Ensure staffing numbers are adequate for dependent patients.
c. Helping patients remain independent
d. Encourage all nurses to obtain gerontologic certification.
d. Referring patients to home health care ANS: B
ANS: C Many older adults need acute care for sudden illness and injury but live in a state of functional decline, which could possibly
One of the challenges and priorities of the gerontologic nurse is helping patients maintain their independence. be prevented by establishing a restorative therapy program. The other actions will help the older patients cared for in the unit,
DIF: Remembering (Knowledge) REF: Page 10 OBJ: 1-2 but only to limited degrees.
TOP: Nursing Process: Implementation MSC: Health Promotion DIF: Applying (Application) REF: N/A OBJ: 1-4
12. A nurse is caring for an older patient in the emergency department. What information about the patient will be most TOP: Nursing Process: Implementation MSC: Physiologic Integrity: Reduction of Risk Potential
helpful in creating a plan of care? 16. The dean of a new nursing program wishes to ensure graduates are prepared to care for older patients. What document
should guide the dean in designing the curriculum?
a. Baseline physical and cognitive functioning
a. The Nurse Practice Act for that state
b. Living conditions and family support
, TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
b. The American Nurses Association (ANA) code of ethics for nurses
2. The nurse studying the history of gerontologic nursing learns which information about the specialty? (Select all that
c. Healthy People 2020 apply.)
a. The number of older Americans is diminishing.
d. The Recommended Baccalaureate Competencies and Curricular Guidelines
ANS: D b. The geriatric nursing conference group was established in 1962.
The Recommended Baccalaureate Competencies and Curricular Guidelines for the Nursing Care of Older Adults is an
updated version of The Essentials of Baccalaureate Education for Professional Nursing Practice. This document was first c. The gerontologic clinical nurse specialist certification was offered in 1989.
published by the American Association of Colleges of Nursing (AACN) in 2008 and was updated in 2010. The other three d. There were no writings about the care of older persons until World War II.
documents do not have information about curricular requirements to prepare students to care for the older population.
DIF: Applying (Application) REF: N/A OBJ: 1-2 e. The first Standards of Practice for Geriatric Nursing was written in 1969.
TOP: Teaching-Learning MSC: Health Promotion
ANS: B, C, E
17. A nurse wants to plan a community event at a retirement center. What topic would most likely be best received?
The geriatric nursing conference group was established in 1962, the gerontologic clinical nurse specialist certification was
a. Heart healthy living first offered in 1989, and the first Standards of Practice for Geriatric Nursing was written in 1969. The population of older
Americans is the fastest-growing subset of the population. Writings about care of the aged can be found from as early as
b. Financial planning 1900.
DIF: Remembering (Knowledge) REF: Page 2-3 OBJ: 1-2
c. Avoiding scams
TOP: Teaching-Learning MSC: Nursing Process: Assessment
d. Ethnic cooking classes 3. The student asks the gerontologic clinic nurse why so many older people are women. What information does the nurse
provide? (Select all that apply.)
ANS: A
Older adults are demanding more programs and services aimed at health maintenance and promotion and disease and a. Reduced maternal mortality
disability prevention. Based on this information, the heart healthy living presentation would be best received.
b. Decreased deaths from infectious diseases
DIF: Applying (Application) REF: N/A OBJ: 1-3
TOP: Teaching-Learning MSC: Health Promotion c. More deaths from chronic disease in men
18. What does the bedside nurse understand about his or her role in nursing research?
a. Research is only done by doctorally prepared nurses. d. More deaths in war occur in men
b. All nurses have a role in delivering research-based care. e. Women tend to smoke and drink less than men
ANS: A, C, D
c. A bedside nurse can be part of a hospital research team. A decrease in maternal mortality, decreased deaths from infectious diseases, and more chronic illness in men account for the
d. The bedside nurse can collect data if the nurse has been properly trained. disparity in genders as people age.
DIF: Understanding (Comprehension) REF: Page 6 OBJ: 1-5
ANS: B TOP: Teaching-Learning MSC: Health Promotion
All nurses are charged to deliver patient-centered care based on evidence-based practice, research, quality improvement, and 4. The gerontologic nurse plans community programming for older women, noting what facts about this population
informatics. The bedside nurse is part of an interdisciplinary team that is responsible for redesigning the health care structure subgroup? (Select all that apply.)
of the future.
DIF: Understanding (Comprehension) REF: Page 13 TOP: Teaching-Learning a. More likely to live alone
MSC: Safe Effective Care Environment: Management of Care b. Increased chance of living in poverty
MULTIPLE RESPONSE
1. The clinic nurse caring for an older diabetic patient with a sixth grade education anticipates that the patient may experience c. Taking care of a spouse
difficulty (Select all that apply.)
d. Suffering many chronic diseases
a. recognizing the importance of keeping clinic appointments.
b. following a low-carbohydrate diet. e. Living with extended families
ANS: A, B, D
c. paying for insulin and syringes. Older women have a greater chance than men of living alone and in poverty. They also have a greater degree of functional
d. deciding on a primary health care provider. impairment and chronic disease.
DIF: Remembering (Knowledge) REF: Page 6 OBJ: 1-5
e. naming a health care surrogate. TOP: Nursing Process: Analysis MSC: Health Promotion
5. The nurse knows that the most common causes of death in the older population result from which diseases? (Select all that
ANS: A, B, C apply.)
Even though the educational level of the older population has steadily increased, as a population they are less educated than
the general population. This deficiency can account for a lack of understanding regarding the need for medical care and the a. Cerebrovascular disease
importance of following a treatment plan. These patients may also have fewer financial resources to devote to health care b. End-stage kidney disease
issues.
DIF: Analyzing (Analysis) REF: N/A OBJ: 1-4 c. Heart disease
