TEST BANK
w
,Chapter 01: Overview of Gerontologic Nursing
w w w w w
Meiner: Gerontologic Nursing, 5th Edition
w w w w w
MULTIPLE CHOICE w
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
w w w w w w w w w w w
wpublished. The nurse would use these standards to:
w w w w w w w
a. promote the practice of gerontologic nursing within the acute care setting.
w w w w w w w w w w
b. define the concepts and dimensions of gerontologic nursing practice.
w w w w w w w w
c. elevate the practice of gerontologic nursing.
w w w w w
d. incorporate suggested interventions from others who practice gerontologic nursing.
w w w w w w w w
ANS: w D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
w w w w w w w w w w w w
2010 incorporates the input of gerontologic nurses from across the United States. It was
w w w w w w w w w w w w w w
not intended to promote gerontologic nursing practice within acute care settings, define
w w w w w w w w w w w w
concepts or dimensions of gerontologic nursing practice, or elevate the practice of
w w w w w w w w w w w w
gerontologic nursing.
w w
DIF: Remembering (Knowledge) REF: Page 2 OBJ: w w w w 1-
1 TOP: N/A
w MSC: Safe and Effective Care Environment
w w w w w w
2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
w w w w w w w w w w w w w w
wa nurse needs to first:
w w w w
a. recognize that nurses must act as advocates for aging patients.
w w w w w w w w w
b. accept that this population represents a substantial portion of those
w w w w w w w w w
requiring nursing care.
w w w
c. self-reflect and formulate one’s personal view of aging and the older patient.
w w w w w w w w w w w
d. recognize ageism as a form of bigotry shared by many Americans.
w w w w w w w w w w
ANS: w C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
w w w w w w w w w w w w w w w
older population as a whole. With nurses being members of a society holding such views, it
w w w w w w w w w w w w w w w w
is critical that the individual nurse self-reflect on personal feelings and determine whether
w w w w w w w w w w w w w
such feelings will affect the nursing care that he or she provides to the aging patient. Acting
w w w w w w w w w w w w w w w w w
as an advocate is an important nursing role in all settings. Simply accepting a fact does not
w w w w w w w w w w w w w w w w w
help end ageism, nor does recognizing ageism as a form of bigotry.
w w w w w w w w w w w w
DIF: Applying (Application) w REF: N/A OBJ: 1-9 w w w w
TOP: Teaching-Learning w MSC: Safe and Effective Care Environment
w w w w w
3. When discussing factors that have helped to increase the number of healthy, independent
w w w w w w w w w w w w
wolder Americans, the nurse includes the importance of:
w w w w w w w
a. increased availability of in-home care services. w w w w w
b. government support of retired citizens. w w w w
c. effective antibiotic therapies. w w
d. the development of life-extending therapies.
w w w w
ANS: w C
, The health and ultimate autonomy of older Americans has been positively impacted by the
w w w w w w w w w w w w w
development of antibiotics, better sanitation, and vaccines. These public health measures
w w w w w w w w w w w
have been more instrumental in increasing the numbers of healthy, independent older
w w w w w w w w w w w w
Americans than have in-home care services, government programs, or life-extending
w w w w w w w w w w
therapies.
w
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 w w w w w w
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
w w w w w w w
4. Based on current data, when presenting an older adult’s discharge teaching plan, the
w w w w w w w w w w w w
wnurse includes the patient’s:
w w w
a. nonrelated caretaker. w
b. paid caregiver. w
c. family member. w
d. intuitional representative. w
ANS: w C
Less than 4% of older adults live in a formal health care environment. The majority of the
w w w w w w w w w w w w w w w w
geriatric population lives at home or with family members.
w w w w w w w w w
DIF: Applying (Application) w REF: N/A w w OBJ: 3-3 w w
TOP: Nursing Process: Planning
w w w MSC: Safe and Effective Care Environment
w w w w w
5. The nurse planning care for an older adult who has recently been diagnosed with
w w w w w w w w w w w w w
wrheumatoid arthritis views the priority criterion for continued independence to be the
w w w w w w w w w w w
wpatient’s:
a. age.
b. financial status. w
c. gender.
d. functional status. w
ANS: w D
Maintaining the functional status of older adults may avert the onset of physical frailty and
w w w w w w w w w w w w w w
cognitive impairment, two conditions that increase the likelihood of institutionalization.
w w w w w w w w w w
DIF: Remembering (Knowledge) w REF: Page 8 w OBJ: 1- w w
6 TOP: Nursing Process: Planning
w w w w MSC: Physiologic Integrity
w w
6. A nurse working with the older adult population is most likely to assess a need for a
w w w w w w w w w w w w w w w w
wfinancial social service’s referral for a(n):
w w w w w
a. white male. w
b. black female. w
c. Hispanic male. w
d. Asian American female. w w
ANS: w B
The poverty rate among older black women is substantially higher than that seen among
w w w w w w w w w w w w w
males or females of other ethnic groups. White males had the least poverty.
w w w w w w w w w w w w w
DIF: Applying (Application) w REF: N/A w w OBJ: 1-4 w w
TOP: Nursing Process: Assessment
w w w MSC: Safe and Effective Care Environment
w w w w w
, 7. Which of the following statements made by a nurse preparing to complete a health
w w w w w w w w w w w w w
wassessment and history on an older patient reflects an understanding of the general health
w w w w w w w w w w w w w
wstatus of this population? w w w
a. “I’ll need to document well regarding the medications the patient is
w w w w w w w w w w
currently prescribed.”
w w
b. “I would like to understand how supportive the patient’s family members are.”
w w w w w w w w w w w
c. “Most older patients are being treated for a variety of chronic health care issues.”
w w w w w w w w w w w w w
d. “It will be interesting to see whether this patient sees herself as being healthy.”
w w w w w w w w w w w w w
ANS: w D
It is a misconception that old age is synonymous with disease and illness. The nurse should
w w w w w w w w w w w w w w w
walways determine the patient’s sense of wellness and independence when conducting a
w w w w w w w w w w w
whealth and history assessment. An assessment of medication use and family support is
w w w w w w w w w w w w
wimportant for any patient. Many older adults do have chronic health conditions, but their
w w w w w w w w w w w w w
wperception is more important than a single number. w w w w w w w
DIF: Applying (Application) w REF: N/A OBJ: w w 1-
4 TOP: Nursing Process: Assessment
w w w w MSC: Health Promotion w w
8. The nurse is caring for an older adult who has been admitted to an acute care hospital
w w w w w w w w w w w w w w w w
wfor treatment of a fractured femur. The family expresses concern about the patient’s
w w w w w w w w w w w w
wpending transfer to a subacute care facility. What response by the nurse is best?
w w w w w w w w w w w w w
a. “Acute care facilities lack the long-term physical therapy support your
w w w w w w w w w
dad requires.”
w w
b. “Your dad will be much happier in a more serene, private environment.”
w w w w w w w w w w w
c. “The subacute facility will focus on helping your dad maintain his independence.”
w w w w w w w w w w w
d. “Insurance, including Medicare, will cover only a limited amount of time here.”
w w w w w w w w w w w
ANS: w C
The transfer of the patient to a subacute facility is based on the need to maintain the
w w w w w w w w w w w w w w w w
patient’s level of function and independence, a task the acute care facility is not prepared
w w w w w w w w w w w w w w w
to address once the patient is physiologically stable. The patient may or may not be
w w w w w w w w w w w w w w w
happier in the new setting; the nurse should not make this judgment. It is true that
w w w w w w w w w w w w w w w w
insurance only pays for a limited amount of time in an acute care facility, but this is not the
w w w w w w w w w w w w w w w w w w w
best reason for the patient to transfer.
w w w w w w w
DIF: Applying (Application) REF: w w N/A OBJ: w 1-
6 TOP: Communication and Documentation
w w w w
MSC: Health Promotion and Maintenance
w w w w
9. To best assure both the quality of care and the safety of the older adult patient who requires
w w w w w w w w w w w w w w w w w
win- home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
w w w w w w w w w
a. evaluates the competency of the UAP staff. w w w w w w
b. assumes the roles of case manager and patient advocate.
w w w w w w w w
c. arranges for the needed UAP provided services. w w w w w w
d. assesses the patient for functional limitations. w w w w w
ANS: w A
As more care traditionally provided by professional nurses is being transferred to UAP, the
w w w w w w w w w w w w w
nurse must assume more responsibility for educating, training, and evaluating the
w w w w w w w w w w w
competency of UAP staff to provide safe, effective care for the older adult patient.
w w w w w w w w w w w w w w
w
,Chapter 01: Overview of Gerontologic Nursing
w w w w w
Meiner: Gerontologic Nursing, 5th Edition
w w w w w
MULTIPLE CHOICE w
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was
w w w w w w w w w w w
wpublished. The nurse would use these standards to:
w w w w w w w
a. promote the practice of gerontologic nursing within the acute care setting.
w w w w w w w w w w
b. define the concepts and dimensions of gerontologic nursing practice.
w w w w w w w w
c. elevate the practice of gerontologic nursing.
w w w w w
d. incorporate suggested interventions from others who practice gerontologic nursing.
w w w w w w w w
ANS: w D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in
w w w w w w w w w w w w
2010 incorporates the input of gerontologic nurses from across the United States. It was
w w w w w w w w w w w w w w
not intended to promote gerontologic nursing practice within acute care settings, define
w w w w w w w w w w w w
concepts or dimensions of gerontologic nursing practice, or elevate the practice of
w w w w w w w w w w w w
gerontologic nursing.
w w
DIF: Remembering (Knowledge) REF: Page 2 OBJ: w w w w 1-
1 TOP: N/A
w MSC: Safe and Effective Care Environment
w w w w w w
2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
w w w w w w w w w w w w w w
wa nurse needs to first:
w w w w
a. recognize that nurses must act as advocates for aging patients.
w w w w w w w w w
b. accept that this population represents a substantial portion of those
w w w w w w w w w
requiring nursing care.
w w w
c. self-reflect and formulate one’s personal view of aging and the older patient.
w w w w w w w w w w w
d. recognize ageism as a form of bigotry shared by many Americans.
w w w w w w w w w w
ANS: w C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
w w w w w w w w w w w w w w w
older population as a whole. With nurses being members of a society holding such views, it
w w w w w w w w w w w w w w w w
is critical that the individual nurse self-reflect on personal feelings and determine whether
w w w w w w w w w w w w w
such feelings will affect the nursing care that he or she provides to the aging patient. Acting
w w w w w w w w w w w w w w w w w
as an advocate is an important nursing role in all settings. Simply accepting a fact does not
w w w w w w w w w w w w w w w w w
help end ageism, nor does recognizing ageism as a form of bigotry.
w w w w w w w w w w w w
DIF: Applying (Application) w REF: N/A OBJ: 1-9 w w w w
TOP: Teaching-Learning w MSC: Safe and Effective Care Environment
w w w w w
3. When discussing factors that have helped to increase the number of healthy, independent
w w w w w w w w w w w w
wolder Americans, the nurse includes the importance of:
w w w w w w w
a. increased availability of in-home care services. w w w w w
b. government support of retired citizens. w w w w
c. effective antibiotic therapies. w w
d. the development of life-extending therapies.
w w w w
ANS: w C
, The health and ultimate autonomy of older Americans has been positively impacted by the
w w w w w w w w w w w w w
development of antibiotics, better sanitation, and vaccines. These public health measures
w w w w w w w w w w w
have been more instrumental in increasing the numbers of healthy, independent older
w w w w w w w w w w w w
Americans than have in-home care services, government programs, or life-extending
w w w w w w w w w w
therapies.
w
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 w w w w w w
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
w w w w w w w
4. Based on current data, when presenting an older adult’s discharge teaching plan, the
w w w w w w w w w w w w
wnurse includes the patient’s:
w w w
a. nonrelated caretaker. w
b. paid caregiver. w
c. family member. w
d. intuitional representative. w
ANS: w C
Less than 4% of older adults live in a formal health care environment. The majority of the
w w w w w w w w w w w w w w w w
geriatric population lives at home or with family members.
w w w w w w w w w
DIF: Applying (Application) w REF: N/A w w OBJ: 3-3 w w
TOP: Nursing Process: Planning
w w w MSC: Safe and Effective Care Environment
w w w w w
5. The nurse planning care for an older adult who has recently been diagnosed with
w w w w w w w w w w w w w
wrheumatoid arthritis views the priority criterion for continued independence to be the
w w w w w w w w w w w
wpatient’s:
a. age.
b. financial status. w
c. gender.
d. functional status. w
ANS: w D
Maintaining the functional status of older adults may avert the onset of physical frailty and
w w w w w w w w w w w w w w
cognitive impairment, two conditions that increase the likelihood of institutionalization.
w w w w w w w w w w
DIF: Remembering (Knowledge) w REF: Page 8 w OBJ: 1- w w
6 TOP: Nursing Process: Planning
w w w w MSC: Physiologic Integrity
w w
6. A nurse working with the older adult population is most likely to assess a need for a
w w w w w w w w w w w w w w w w
wfinancial social service’s referral for a(n):
w w w w w
a. white male. w
b. black female. w
c. Hispanic male. w
d. Asian American female. w w
ANS: w B
The poverty rate among older black women is substantially higher than that seen among
w w w w w w w w w w w w w
males or females of other ethnic groups. White males had the least poverty.
w w w w w w w w w w w w w
DIF: Applying (Application) w REF: N/A w w OBJ: 1-4 w w
TOP: Nursing Process: Assessment
w w w MSC: Safe and Effective Care Environment
w w w w w
, 7. Which of the following statements made by a nurse preparing to complete a health
w w w w w w w w w w w w w
wassessment and history on an older patient reflects an understanding of the general health
w w w w w w w w w w w w w
wstatus of this population? w w w
a. “I’ll need to document well regarding the medications the patient is
w w w w w w w w w w
currently prescribed.”
w w
b. “I would like to understand how supportive the patient’s family members are.”
w w w w w w w w w w w
c. “Most older patients are being treated for a variety of chronic health care issues.”
w w w w w w w w w w w w w
d. “It will be interesting to see whether this patient sees herself as being healthy.”
w w w w w w w w w w w w w
ANS: w D
It is a misconception that old age is synonymous with disease and illness. The nurse should
w w w w w w w w w w w w w w w
walways determine the patient’s sense of wellness and independence when conducting a
w w w w w w w w w w w
whealth and history assessment. An assessment of medication use and family support is
w w w w w w w w w w w w
wimportant for any patient. Many older adults do have chronic health conditions, but their
w w w w w w w w w w w w w
wperception is more important than a single number. w w w w w w w
DIF: Applying (Application) w REF: N/A OBJ: w w 1-
4 TOP: Nursing Process: Assessment
w w w w MSC: Health Promotion w w
8. The nurse is caring for an older adult who has been admitted to an acute care hospital
w w w w w w w w w w w w w w w w
wfor treatment of a fractured femur. The family expresses concern about the patient’s
w w w w w w w w w w w w
wpending transfer to a subacute care facility. What response by the nurse is best?
w w w w w w w w w w w w w
a. “Acute care facilities lack the long-term physical therapy support your
w w w w w w w w w
dad requires.”
w w
b. “Your dad will be much happier in a more serene, private environment.”
w w w w w w w w w w w
c. “The subacute facility will focus on helping your dad maintain his independence.”
w w w w w w w w w w w
d. “Insurance, including Medicare, will cover only a limited amount of time here.”
w w w w w w w w w w w
ANS: w C
The transfer of the patient to a subacute facility is based on the need to maintain the
w w w w w w w w w w w w w w w w
patient’s level of function and independence, a task the acute care facility is not prepared
w w w w w w w w w w w w w w w
to address once the patient is physiologically stable. The patient may or may not be
w w w w w w w w w w w w w w w
happier in the new setting; the nurse should not make this judgment. It is true that
w w w w w w w w w w w w w w w w
insurance only pays for a limited amount of time in an acute care facility, but this is not the
w w w w w w w w w w w w w w w w w w w
best reason for the patient to transfer.
w w w w w w w
DIF: Applying (Application) REF: w w N/A OBJ: w 1-
6 TOP: Communication and Documentation
w w w w
MSC: Health Promotion and Maintenance
w w w w
9. To best assure both the quality of care and the safety of the older adult patient who requires
w w w w w w w w w w w w w w w w w
win- home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
w w w w w w w w w
a. evaluates the competency of the UAP staff. w w w w w w
b. assumes the roles of case manager and patient advocate.
w w w w w w w w
c. arranges for the needed UAP provided services. w w w w w w
d. assesses the patient for functional limitations. w w w w w
ANS: w A
As more care traditionally provided by professional nurses is being transferred to UAP, the
w w w w w w w w w w w w w
nurse must assume more responsibility for educating, training, and evaluating the
w w w w w w w w w w w
competency of UAP staff to provide safe, effective care for the older adult patient.
w w w w w w w w w w w w w w
