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