Test Bank for Evidence-Based Geriatric Nursing Protocols for Best Practice 6th Edition Boltz-100_ Top scores-.pdf

Test Bank for Evidence-Based Geriatric
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Nursing Protocols for Best Practice 6th
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Edition Boltz-100% Top scores-2023-2024
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Chapter 01: Overview of Gerontologic Nursing
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nMeiner: Gerontologic Nursing, 5th Edition n n n n

nMULTIPLE CHOICE n

1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use
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these standards to:
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a. promote the practice of gerontologic nursing within the acute care setting.
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b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. n n n n n




d. incorporate suggested interventions from others who practice gerontologic nursing.
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ANS: D
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The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of
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gerontologic nurses from across the United States. It was not intended to promote gerontologic nursing practice within
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acute care settings, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic
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nursing. DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1
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TOP: N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
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a. recognize that nurses must act as advocates for aging patients.
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b. accept that this population represents a substantial portion of those requiring nursing care.
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c. self-reflect and formulate one‟s personal view of aging and the older patient.
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d. recognize ageism as a form of bigotry shared by many n n n n n n n n n



Americans. ANS: C
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Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older population as a whole.
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With nurses being members of a society holding such views, it is critical that the individual nurse self-reflect on personal
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feelings and determine whether such feelings will affect the nursing care that he or she provides to the aging patient.
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Acting as an advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
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does recognizing ageism as a form of bigotry.
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DIF: Applying (Application) REF: N/A OBJ: 1-9
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TOP: Teaching-Learning MSC: Safe and Effective Care Environment
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3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the
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nurse includes the importance of:
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a. increased availability of in-home care services. n n n n n



b. government support of retired citizens. n n n n




c. effective antibiotic therapies. n n




d. the development of life-extending therapies.
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ANS: C
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The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics,
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better sanitation, and vaccines. These public health measures have been more instrumental in increasing the numbers of
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healthy, independent older Americans than have in-home care services, government programs, or life-extending therapies.
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DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
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TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
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4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the patient‟s:
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a. nonrelated caretaker. n



b. paid caregiver. n




c. family member. n

,d. intuitional representative.
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,ANS: C n

Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at
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home or with family members.
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DIF: Applying (Application) REF: N/A OBJ: 3-3
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TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the
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priority criterion for continued independence to be the patient‟s:
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a. age.
b. financial status. n




c. gender.

d. functional status. n



ANS: D
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Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two
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conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-6
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TOP: Nursing Process: Planning MSC: Physiologic Integrity
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6. A nurse working with the older adult population is most likely to assess a need for a financial social service‟s referral
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for a(n):
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a. white male. n



b. black female. n




c. Hispanic male. n




d. Asian American female. n n



ANS: B
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The poverty rate among older black women is substantially higher than that seen among males or females of other ethnic
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groups. White males had the least poverty.
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DIF: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
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7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an
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older patient reflects an understanding of the general health status of this population?
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a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
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b. “I would like to understand how supportive the patient‟s family members are.”
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c. “Most older patients are being treated for a variety of chronic health care issues.”
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d. “It will be interesting to see whether this patient sees herself as being
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nhealthy.” ANS: D n n

It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patient‟s
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nsense of wellness and independence when conducting a health and history assessment. An assessment of medication use
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nand family support is important for any patient. Many older adults do have chronic health conditions, but their perception
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nis more important than a single number.
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DIF: Applying (Application) REF: N/A OBJ: 1-4
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TOP: Nursing Process: Assessment MSC: Health Promotion
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8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured
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nfemur. The family expresses concern about the patient‟s pending transfer to a subacute care facility. What response by
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nthe nurse is best?
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a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
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b. “Your dad will be much happier in a more serene, private environment.”
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c. “The subacute facility will focus on helping your dad maintain his independence.”
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, d. “Insurance, including Medicare, will cover only a limited amount of time n n n n n n n n n n



here.” ANS: C
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The transfer of the patient to a subacute facility is based on the need to maintain the patient‟s level of function and
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independence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The
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patient may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance
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only pays for a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfer.
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DIF: Applying (Application) REF: N/A OBJ: 1-6
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TOP: Communication and Documentation
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MSC: Health Promotion and Maintenance
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9. To best assure both the quality of care and the safety of the older adult patient who requires in-home unlicensed
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assistive personal (UAP) assistance, the geriatric nurse:
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a. evaluates the competency of the UAP staff. n n n n n n



b. assumes the roles of case manager and patient advocate.
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c. arranges for the needed UAP provided services. n n n n n n




d. assesses the patient for functional limitations. n n n n n



ANS: A
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As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more
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responsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the
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older adult patient.
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DIF: Applying (Application) REF: N/A OBJ: 1-2
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TOP: Communication and Documentation
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MSC: Safe and Effective Care Environment
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10. The nurse working with older adults understands what information about certification in gerontologic nursing?
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a. It is mandatory for those in long-term care settings.
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b. It is voluntary and shows clinical expertise in an area.
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c. It allows nurses to be paid by third-party payers.
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d. It allows nurses to advance their careers in a
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job. ANS: B
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Certification is voluntary and shows that a nurse has additional knowledge and expertise in a certain area of practice. It is
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not mandatory in specific care settings. It does not allow for third-party reimbursement. It may be part of a career ladder
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program, but that is not true of all work settings.
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DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-2
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TOP: Teaching-Learning MSC: Safe Effective Care Environment
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11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
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a. Serving as a patient advocate n n n n



b. Educating patients about diseases n n n




c. Helping patients remain independent n n n




d. Referring patients to home health care n n n n n



ANS: C
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One of the challenges and priorities of the gerontologic nurse is helping patients maintain their independence.
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DIF: Remembering (Knowledge) REF: Page 10 OBJ: 1-2
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TOP: Nursing Process: Implementation MSC: Health Promotion
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12. A nurse is caring for an older patient in the emergency department. What information about the patient will be
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most helpful in creating a plan of care?
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a. Baseline physical and cognitive functioning n n n n




b. Living conditions and family support n n n n