Test Bank For Gerontological Nursing 10Th Edition By Eliopoulos

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tion By Meiner
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Chapter 1-29 | All Chapters
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Chapterg01:gOverviewgofgGerontologicgNursin
ggMeiner:gGerontologicgNursing,g6thgEditiong
MULTIPLEgCHOICE
1. Ing2010,gthegrevisedgStandardsgandgScopegofgGerontologicalgNursinggPracticegwasgpublished.gThegnursegwouldgusegt
hesegstandardsgto:
a. promotegthegpracticegofggerontologicgnursinggwithingthegacutegcaregsetting.
b. definegthegconceptsgandgdimensionsgofggerontologicgnursinggpractice.

c. elevategthegpracticegofggerontologicgnursing.
d. incorporategsuggestedginterventionsgfromgothersgwhogpracticeggerontologicgnursin
g.gANS:gD
ThegcurrentgpublishinggofgthegStandardsgandgScopegofgGerontologicalgNursinggPracticeging2010gincorporatesgtheginputgof
ggerontologicgnursesgfromgacrossgthegUnitedgStates.gItgwasgnotgintendedgtogpromoteggerontologicgnursinggpracticegwithinga
cutegcaregsettings,gdefinegconceptsgorgdimensionsgofggerontologicgnursinggpractice,gorgelevategthegpracticegofggerontologicg
nursing.gDIF:gRememberingg(Knowledge)gREF:gPageg2gOBJ:g1-1
TOP:gN/AgMSC:gSafegandgEffectivegCaregEnvironment
2. Whengattemptinggtogminimizegthegeffectgofgageismgongthegpracticegofgnursinggoldergadults,gagnursegneedsgtogfirst:
a. recognizegthatgnursesgmustgactgasgadvocatesgforgaginggpatients.
b. acceptgthatgthisgpopulationgrepresentsgagsubstantialgportiongofgthosegrequiringgnursinggcare.

c. self-reflectgandgformulategone’sgpersonalgviewgofgaginggandgthegoldergpatient.
d. recognizegageismgasgagformgofgbigotrygsharedgbygmanygAmerica
ns.gANS:gC
Ageismgisgangever-
increasinggprejudicialgviewgofgthegeffectsgofgthegaginggprocessgandgofgthegoldergpopulationgasgagwhole.gWithgnursesgbeingg
membersgofgagsocietygholdinggsuchgviews,gitgisgcriticalgthatgthegindividualgnursegself-
reflectgongpersonalgfeelingsgandgdeterminegwhethergsuchgfeelingsgwillgaffectgthegnursinggcaregthatghegorgshegprovidesgtogt
hegaginggpatient.gActinggasgangadvocategisgangimportantgnursinggrolegingallgsettings.gSimplygacceptinggagfactgdoesgnotghel
pgendgageism,gnorgdoesgrecognizinggageismgasgagformgofgbigotry.
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g1-9
TOP:gTeaching-LearninggMSC:gSafegandgEffectivegCaregEnvironment
3. Whengdiscussinggfactorsgthatghaveghelpedgtogincreasegthegnumbergofghealthy,gindependentgoldergAmericans,gthegn
ursegincludesgthegimportancegof:
a. increasedgavailabilitygofgin-homegcaregservices.
b. governmentgsupportgofgretiredgcitizens.

c. effectivegantibioticgtherapies.
d. thegdevelopmentgofglife-
extendinggtherapies.gANS:gC
TheghealthgandgultimategautonomygofgoldergAmericansghasgbeengpositivelygimpactedgbygthegdevelopmentgofgantibiotics,gbe
ttergsanitation,gandgvaccines.gThesegpublicghealthgmeasuresghavegbeengmoreginstrumentalgingincreasinggthegnumbersgofghe
althy,gindependentgoldergAmericansgthanghavegin-homegcaregservices,ggovernmentgprograms,gorglife-extendinggtherapies.
DIF:gRememberingg(Knowledge)gREF:gPageg2gOBJ:g3-3
TOP:gNursinggProcess:gImplementationgMSC:gHealthgPromotiongandgMaintenance
4. Basedgongcurrentgdata,gwhengpresentinggangoldergadult’sgdischargegteachinggplan,gthegnursegincludesgthegpatient’s:
a. nonrelatedgcaretaker.
b. paidgcaregiver.

c. familygmember.
d. intuitionalg representative.

,ANS:gC
Lessgthang4%gofgoldergadultsglivegingagformalghealthgcaregenvironment.gThegmajoritygofgtheggeriatricgpopulationglivesgatgh
omegorgwithgfamilygmembers.
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g3-3
TOP:gNursinggProcess:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
5. Thegnursegplanninggcaregforgangoldergadultgwhoghasgrecentlygbeengdiagnosedgwithgrheumatoidgarthritisgviewsgthegpri
oritygcriteriongforgcontinuedgindependencegtogbegthegpatient’s:
a. age.
b. financialgstatus.

c. gender.
d. functionalgstatus.
gANS:gD
Maintaininggthegfunctionalgstatusgofgoldergadultsgmaygavertgthegonsetgofgphysicalgfrailtygandgcognitivegimpairment,gtwogco
nditionsgthatgincreasegtheglikelihoodgofginstitutionalization.
DIF:gRememberingg(Knowledge)gREF:gPageg8gOBJ:g1-
6gTOP:gNursinggProcess:gPlanninggMSC:gPhysiologicgInteg
rity
6. Agnursegworkinggwithgthegoldergadultgpopulationgisgmostglikelygtogassessgagneedgforgagfinancialgsocialgservice’sgreferr
algforga(n):
a. whitegmale.
b. blackgfemale.

c. Hispanicgmale.
d. AsiangAmericangfemale
.gANS:gB
Thegpovertygrategamonggoldergblackgwomengisgsubstantiallyghighergthangthatgseengamonggmalesgorgfemalesgofgothergethnic
ggroups.gWhitegmalesghadgthegleastgpoverty.
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g1-4
TOP:gNursinggProcess:gAssessmentgMSC:gSafegandgEffectivegCaregEnvironment
7. Whichgofgthegfollowinggstatementsgmadegbygagnursegpreparinggtogcompletegaghealthgassessmentgandghistorygongang
oldergpatientgreflectsgangunderstandinggofgtheggeneralghealthgstatusgofgthisgpopulation?
a. “I’llgneedgtogdocumentgwellgregardinggthegmedicationsgthegpatientgisgcurrentlygprescribed.”
b. “Igwouldglikegtogunderstandghowgsupportivegthegpatient’sgfamilygmembersgare.”

c. “Mostgoldergpatientsgaregbeinggtreatedgforgagvarietygofgchronicghealthgcaregissues.”
d. “Itgwillgbeginterestinggtogseegwhethergthisgpatientgseesgherselfgasgbeingghealth
y.”gANS:gD
Itgisgagmisconceptiongthatgoldgagegisgsynonymousgwithgdiseasegandgillness.gThegnursegshouldgalwaysgdeterminegthegpatien
t’sgsensegofgwellnessgandgindependencegwhengconductinggaghealthgandghistorygassessment.gAngassessmentgofgmedicationg
usegandgfamilygsupportgisgimportantgforganygpatient.gManygoldergadultsgdoghavegchronicghealthgconditions,gbutgtheirgperce
ptiongisgmoregimportantgthangagsinglegnumber.
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g1-4
TOP:gNursinggProcess:gAssessmentgMSC:gHealthgPromotion
8. Thegnursegisgcaringgforgangoldergadultgwhoghasgbeengadmittedgtogangacutegcareghospitalgforgtreatmentgofgagfracturedgfe
mur.gThegfamilygexpressesgconcerngaboutgthegpatient’sgpendinggtransfergtogagsubacutegcaregfacility.gWhatgresponsegbygth
egnursegisgbest?
a. “Acutegcaregfacilitiesglackgtheglong-termgphysicalgtherapygsupportgyourgdadgrequires.”
b. “Yourgdadgwillgbegmuchghappiergingagmoregserene,gprivategenvironment.”

c. “Thegsubacutegfacilitygwillgfocusgonghelpinggyourgdadgmaintainghisgindependence.”

, d. “Insurance,gincludinggMedicare,gwillgcovergonlygaglimitedgamountgofgtimegher
e.”gANS:gC
Thegtransfergofgthegpatientgtogagsubacutegfacilitygisgbasedgongthegneedgtogmaintaingthegpatient’sglevelgofgfunctiongandginde
pendence,gagtaskgthegacutegcaregfacilitygisgnotgpreparedgtogaddressgoncegthegpatientgisgphysiologicallygstable.gThegpatientg
maygorgmaygnotgbeghappiergingthegnewgsetting;gthegnursegshouldgnotgmakegthisgjudgment.gItgisgtruegthatginsurancegonlygpa
ysgforgaglimitedgamountgofgtimegingangacutegcaregfacility,gbutgthisgisgnotgthegbestgreasongforgthegpatientgtogtransfer.
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g1-
6gTOP:gCommunicationgandgDocumentation
MSC:gHealthgPromotiongandgMaintenance
9. Togbestgassuregbothgthegqualitygofgcaregandgthegsafetygofgthegoldergadultgpatientgwhogrequiresgin-
homegunlicensedgassistivegpersonalg(UAP)gassistance,gtheggeriatricgnurse:
a. evaluatesgthegcompetencygofgthegUAPgstaff.
b. assumesgthegrolesgofgcasegmanagergandgpatientgadvocate.

c. arrangesgforgthegneededgUAPgprovidedgservices.
d. assessesgthegpatientgforgfunctionalglimitation
s.gANS:gA
AsgmoregcaregtraditionallygprovidedgbygprofessionalgnursesgisgbeinggtransferredgtogUAP,gthegnursegmustgassumegmoregresp
onsibilitygforgeducating,gtraining,gandgevaluatinggthegcompetencygofgUAPgstaffgtogprovidegsafe,geffectivegcaregforgthegolder
gadultgpatient.
DIF:gApplyingg(Application)gREF:gN/AgOBJ:g1-
2gTOP:gCommunicationgandgDocumentation
MSC:gSafegandgEffectivegCaregEnvironment
10. Thegnursegworkinggwithgoldergadultsgunderstandsgwhatginformationgaboutgcertificationginggerontologicgnursing?
a. Itgisgmandatorygforgthoseginglong-termgcaregsettings.
b. Itgisgvoluntarygandgshowsgclinicalgexpertisegingangarea.

c. Itgallowsgnursesgtogbegpaidgbygthird-partygpayers.
d. Itgallowsgnursesgtogadvancegtheirgcareersgingagjo
b.gANS:gB
Certificationgisgvoluntarygandgshowsgthatgagnurseghasgadditionalgknowledgegandgexpertisegingagcertaingareagofgpractice.gItgi
sgnotgmandatorygingspecificgcaregsettings.gItgdoesgnotgallowgforg third-
partygreimbursement.gItgmaygbegpartgofgagcareergladdergprogram,gbutgthatgisgnotgtruegofgallgworkgsettings.
DIF:gRememberingg(Knowledge)gREF:gPageg2gOBJ:g1-2
TOP:gTeaching-LearninggMSC:gSafegEffectivegCaregEnvironment
11. Agnursegworksgingaggerontologicgclinic.gWhatgactiongbygthegnursegtakesghighestgpriority?
a. Servinggasgagpatientgadvocate
b. Educatinggpatientsgaboutgdiseases

c. Helpinggpatientsgremaingindependent
d. Referringgpatientsgtoghomeghealthgcar
egANS:gC
Onegofgthegchallengesgandgprioritiesgofgtheggerontologicgnursegisghelpinggpatientsgmaintaingtheirgindependence
.gDIF:gRememberingg(Knowledge)gREF:gPageg10gOBJ:g1-2
TOP:gNursinggProcess:gImplementationgMSC:gHealthgPromotion
12. Agnursegisgcaringgforgangoldergpatientgingthegemergencygdepartment.gWhatginformationgaboutgthegpatientgwillgbeg
mostghelpfulgingcreatinggagplangofgcare?