MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The nurse would use these standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic nursing. ANS:
D
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 care settings, define concepts
or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-1 TOP:
N/A MSC: Safe and Effective Care Environment
,2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
anurse needs to first:
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring nursing
care.
c. self-reflect and formulate ones personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
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 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 ageism as a form of bigotry. DIF: Applying (Application) REF: N/A
OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent
older
Americans, the nurse includes the importance of:
a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
d. the development of life-extending therapies.
ANS: C
The health and ultimate autonomy of older Americans has been positively impacted by the
development of antibiotics, better sanitation, and vaccines. These public health measures have
been more instrumental in increasing the numbers of healthy, independent older Americans
than have in-home care services, government programs, or life-extending therapies. DIF:
Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
,4. Based on current data, when presenting an older adults discharge teaching plan, the
nurseincludes the patients:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
ANS: C
Less than 4% of older adults live in a formal health care environment. The majority of the
geriatric population lives at home or with family members.
DIF: Applying (Application) REF: N/A OBJ: 3-3
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
rheumatoidarthritis views the priority criterion for continued independence to be the patients:
a. age.
b. financial status.
c. gender.
d. functional status.
ANS: D
Maintaining the functional status of older adults may avert the onset of physical frailty and
cognitive impairment, two conditions that increase the likelihood of institutionalization.
DIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
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 services referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American female.
ANS: B
The poverty rate among older black women is substantially higher than that seen among males
or females of other ethnic groups. White males had the least poverty.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
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?
a. Ill need to document well regarding the medications the patient is currently prescribed.
b. I would like to understand how supportive the patients family members are.
c. Most older patients are being treated for a variety of chronic health care issues.
d. It will be interesting to see whether this patient sees herself as being healthy. ANS: D
It is a misconception that old age is synonymous with disease and illness. The nurse should
always determine the patients sense of wellness and independence when conducting a health
and history assessment. An assessment of medication use and family support is important for
any patient. Many older adults do have chronic health conditions, but their perception is more
important than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
, 8. The Bnurse Bis Bcaring Bfor Ban Bolder Badult Bwho Bhas Bbeen Badmitted Bto Ban Bacute Bcare
Bhospital Bfor B treatment Bof Ba Bfractured Bfemur. BThe Bfamily Bexpresses Bconcern Babout Bthe
Bpatients Bpending Btransfer Bto Ba Bsubacute Bcare Bfacility. BWhat Bresponse Bby Bthe Bnurse Bis Bbest?
a. Acute Bcare Bfacilities Black Bthe Blong-term Bphysical Btherapy Bsupport Byour Bdad Brequires.
b. Your Bdad Bwill Bbe Bmuch Bhappier Bin Ba Bmore Bserene, Bprivate Benvironment.
c. The Bsubacute Bfacility Bwill Bfocus Bon Bhelping Byour Bdad Bmaintain Bhis Bindependence.
d. Insurance, Bincluding BMedicare, Bwill Bcover Bonly Ba Blimited Bamount Bof Btime
Bhere. BANS: BC
The Btransfer Bof Bthe Bpatient Bto Ba Bsubacute Bfacility Bis Bbased Bon Bthe Bneed Bto Bmaintain Bthe
Bpatients Blevel Bof Bfunction Band Bindependence, Ba Btask Bthe Bacute Bcare Bfacility Bis Bnot Bprepared
Bto Baddress Bonce B the Bpatient Bis Bphysiologically Bstable. BThe Bpatient Bmay Bor Bmay Bnot Bbe
Bhappier Bin Bthe Bnew Bsetting; B the Bnurse Bshould Bnot Bmake Bthis Bjudgment. BIt Bis Btrue Bthat
Binsurance Bonly Bpays Bfor Ba
limited Bamount Bof Btime Bin Ban Bacute Bcare Bfacility, Bbut Bthis Bis Bnot Bthe Bbest Breason Bfor Bthe
Bpatient Bto Btransfer. B DIF:
Applying B(Application) BREF: BN/A BOBJ: B1-6
TOP: BCommunication Band BDocumentation B MSC:
Health BPromotion Band BMaintenance
9. To Bbest Bassure Bboth Bthe Bquality Bof Bcare Band Bthe Bsafety Bof Bthe Bolder Badult Bpatient
Bwho Brequires Bin Bhome Bunlicensed Bassistive Bpersonal B(UAP) Bassistance, Bthe Bgeriatric
Bnurse:
a. evaluates Bthe Bcompetency Bof Bthe BUAP Bstaff.
b. assumes Bthe Broles Bof Bcase Bmanager Band Bpatient Badvocate.
c. arranges Bfor Bthe Bneeded BUAP Bprovided Bservices.
d. assesses Bthe Bpatient Bfor Bfunctional
Blimitations. BANS: BA
As Bmore Bcare Btraditionally Bprovided Bby Bprofessional Bnurses Bis Bbeing Btransferred Bto BUAP, Bthe
Bnurse Bmust Bassume Bmore Bresponsibility Bfor Beducating, Btraining, Band Bevaluating Bthe
Bcompetency Bof BUAP Bstaff Bto Bprovide Bsafe, Beffective Bcare Bfor Bthe Bolder Badult Bpatient.
DIF: BApplying B(Application) BREF: BN/A BOBJ: B1-2 BTOP:
Communication Band BDocumentation
B MSC: BSafe Band BEffective BCare
BEnvironment
10. The Bnurse Bworking Bwith Bolder Badults Bunderstands Bwhat Binformation Babout
Bcertification Bingerontologic Bnursing?
a. It Bis Bmandatory Bfor Bthose Bin Blong-term Bcare Bsettings.
b. It Bis Bvoluntary Band Bshows Bclinical Bexpertise Bin Ban Barea.
c. It Ballows Bnurses Bto Bbe Bpaid Bby Bthird-party Bpayers.
d. It Ballows Bnurses Bto Badvance Btheir Bcareers Bin Ba
Bjob. BANS: BB
Certification Bis Bvoluntary Band Bshows Bthat Ba Bnurse Bhas Badditional Bknowledge Band Bexpertise Bin
Ba Bcertain Barea Bof Bpractice. BIt Bis Bnot Bmandatory Bin Bspecific Bcare Bsettings. BIt Bdoes Bnot Ballow
Bfor Bthird Bparty Breimbursement. BIt Bmay Bbe Bpart Bof Ba Bcareer Bladder Bprogram, Bbut Bthat Bis Bnot
Btrue Bof Ball Bwork Bsettings.
DIF: BRemembering B(Knowledge) BREF: Bmsc: B2 BOBJ: B1-2
TOP: BTeaching-Learning BMSC: BSafe BEffective BCare BEnvironment
11. A Bnurse Bworks Bin Ba Bgerontologic Bclinic. BWhat Baction Bby Bthe Bnurse Btakes
Bhighest Bpriority?a. BServing Bas Ba Bpatient Badvocate
b. Educating Bpatients Babout Bdiseases
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The nurse would use these standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic nursing. ANS:
D
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 care settings, define concepts
or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-1 TOP:
N/A MSC: Safe and Effective Care Environment
,2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
anurse needs to first:
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring nursing
care.
c. self-reflect and formulate ones personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
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 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 ageism as a form of bigotry. DIF: Applying (Application) REF: N/A
OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent
older
Americans, the nurse includes the importance of:
a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
d. the development of life-extending therapies.
ANS: C
The health and ultimate autonomy of older Americans has been positively impacted by the
development of antibiotics, better sanitation, and vaccines. These public health measures have
been more instrumental in increasing the numbers of healthy, independent older Americans
than have in-home care services, government programs, or life-extending therapies. DIF:
Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
,4. Based on current data, when presenting an older adults discharge teaching plan, the
nurseincludes the patients:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
ANS: C
Less than 4% of older adults live in a formal health care environment. The majority of the
geriatric population lives at home or with family members.
DIF: Applying (Application) REF: N/A OBJ: 3-3
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
rheumatoidarthritis views the priority criterion for continued independence to be the patients:
a. age.
b. financial status.
c. gender.
d. functional status.
ANS: D
Maintaining the functional status of older adults may avert the onset of physical frailty and
cognitive impairment, two conditions that increase the likelihood of institutionalization.
DIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
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 services referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American female.
ANS: B
The poverty rate among older black women is substantially higher than that seen among males
or females of other ethnic groups. White males had the least poverty.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
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?
a. Ill need to document well regarding the medications the patient is currently prescribed.
b. I would like to understand how supportive the patients family members are.
c. Most older patients are being treated for a variety of chronic health care issues.
d. It will be interesting to see whether this patient sees herself as being healthy. ANS: D
It is a misconception that old age is synonymous with disease and illness. The nurse should
always determine the patients sense of wellness and independence when conducting a health
and history assessment. An assessment of medication use and family support is important for
any patient. Many older adults do have chronic health conditions, but their perception is more
important than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
, 8. The Bnurse Bis Bcaring Bfor Ban Bolder Badult Bwho Bhas Bbeen Badmitted Bto Ban Bacute Bcare
Bhospital Bfor B treatment Bof Ba Bfractured Bfemur. BThe Bfamily Bexpresses Bconcern Babout Bthe
Bpatients Bpending Btransfer Bto Ba Bsubacute Bcare Bfacility. BWhat Bresponse Bby Bthe Bnurse Bis Bbest?
a. Acute Bcare Bfacilities Black Bthe Blong-term Bphysical Btherapy Bsupport Byour Bdad Brequires.
b. Your Bdad Bwill Bbe Bmuch Bhappier Bin Ba Bmore Bserene, Bprivate Benvironment.
c. The Bsubacute Bfacility Bwill Bfocus Bon Bhelping Byour Bdad Bmaintain Bhis Bindependence.
d. Insurance, Bincluding BMedicare, Bwill Bcover Bonly Ba Blimited Bamount Bof Btime
Bhere. BANS: BC
The Btransfer Bof Bthe Bpatient Bto Ba Bsubacute Bfacility Bis Bbased Bon Bthe Bneed Bto Bmaintain Bthe
Bpatients Blevel Bof Bfunction Band Bindependence, Ba Btask Bthe Bacute Bcare Bfacility Bis Bnot Bprepared
Bto Baddress Bonce B the Bpatient Bis Bphysiologically Bstable. BThe Bpatient Bmay Bor Bmay Bnot Bbe
Bhappier Bin Bthe Bnew Bsetting; B the Bnurse Bshould Bnot Bmake Bthis Bjudgment. BIt Bis Btrue Bthat
Binsurance Bonly Bpays Bfor Ba
limited Bamount Bof Btime Bin Ban Bacute Bcare Bfacility, Bbut Bthis Bis Bnot Bthe Bbest Breason Bfor Bthe
Bpatient Bto Btransfer. B DIF:
Applying B(Application) BREF: BN/A BOBJ: B1-6
TOP: BCommunication Band BDocumentation B MSC:
Health BPromotion Band BMaintenance
9. To Bbest Bassure Bboth Bthe Bquality Bof Bcare Band Bthe Bsafety Bof Bthe Bolder Badult Bpatient
Bwho Brequires Bin Bhome Bunlicensed Bassistive Bpersonal B(UAP) Bassistance, Bthe Bgeriatric
Bnurse:
a. evaluates Bthe Bcompetency Bof Bthe BUAP Bstaff.
b. assumes Bthe Broles Bof Bcase Bmanager Band Bpatient Badvocate.
c. arranges Bfor Bthe Bneeded BUAP Bprovided Bservices.
d. assesses Bthe Bpatient Bfor Bfunctional
Blimitations. BANS: BA
As Bmore Bcare Btraditionally Bprovided Bby Bprofessional Bnurses Bis Bbeing Btransferred Bto BUAP, Bthe
Bnurse Bmust Bassume Bmore Bresponsibility Bfor Beducating, Btraining, Band Bevaluating Bthe
Bcompetency Bof BUAP Bstaff Bto Bprovide Bsafe, Beffective Bcare Bfor Bthe Bolder Badult Bpatient.
DIF: BApplying B(Application) BREF: BN/A BOBJ: B1-2 BTOP:
Communication Band BDocumentation
B MSC: BSafe Band BEffective BCare
BEnvironment
10. The Bnurse Bworking Bwith Bolder Badults Bunderstands Bwhat Binformation Babout
Bcertification Bingerontologic Bnursing?
a. It Bis Bmandatory Bfor Bthose Bin Blong-term Bcare Bsettings.
b. It Bis Bvoluntary Band Bshows Bclinical Bexpertise Bin Ban Barea.
c. It Ballows Bnurses Bto Bbe Bpaid Bby Bthird-party Bpayers.
d. It Ballows Bnurses Bto Badvance Btheir Bcareers Bin Ba
Bjob. BANS: BB
Certification Bis Bvoluntary Band Bshows Bthat Ba Bnurse Bhas Badditional Bknowledge Band Bexpertise Bin
Ba Bcertain Barea Bof Bpractice. BIt Bis Bnot Bmandatory Bin Bspecific Bcare Bsettings. BIt Bdoes Bnot Ballow
Bfor Bthird Bparty Breimbursement. BIt Bmay Bbe Bpart Bof Ba Bcareer Bladder Bprogram, Bbut Bthat Bis Bnot
Btrue Bof Ball Bwork Bsettings.
DIF: BRemembering B(Knowledge) BREF: Bmsc: B2 BOBJ: B1-2
TOP: BTeaching-Learning BMSC: BSafe BEffective BCare BEnvironment
11. A Bnurse Bworks Bin Ba Bgerontologic Bclinic. BWhat Baction Bby Bthe Bnurse Btakes
Bhighest Bpriority?a. BServing Bas Ba Bpatient Badvocate
b. Educating Bpatients Babout Bdiseases
