,Chapter 01: Overview of Gerontologicd d d d d d d d
Nursing Meiner: Gerontologic Nursing,
dd d d d d d d
6th Edition MULTIPLE CHOICE
d d dd d d d d
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
d d d d d d d d d d d d d d d d d d d d d d d d
The nurse would use these standards to:
d d d d d d dd d d d d d d
a. promote the practice of gerontologic nursing within the acute care setting.
d d d d d d d d d d d d d d d d d d d d
b. define the concepts and dimensions of gerontologic nursing practice.
d d d d d d d d d d d d d d d d
c. elevate the practice of gerontologic nursing.
d d d d d d d d d d
d. incorporate suggested d d d d interventions from others who practice d d d d dd d d
gerontologic nursing. ANS: D
d d dd d d d d
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
d d d d d d d d d d d d d d d d d d d d d d d d d d
incorporates the input of gerontologic nurses from across the United States. It was not intended to promote
d d d d dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd
gerontologic nursing practice within acute care settings, define concepts or dimensions of gerontologic nursing
dd dd d d dd dd dd dd dd dd dd dd dd dd dd
practice, or elevate the practice of gerontologic nursing. DIF: Remembering (Knowledge) REF: Page
dd dd dd dd dd d d d d d d d d d d d d d d d d
2 OBJ: 1-1
d d d d d d
TOP: N/A MSC: Safe and Effective Care Environment
d d d d d d d d d d d d d d
2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d a nurse
d d
needs to first:
d d d d d d d d d d
a. recognize that nurses must act as advocates for aging patients.
d d d d d d d d d d d d d d d d d d
b. accept that this population represents a substantial portion of those requiring nursing care.
d d d d d d d d d d d d d d d d d d d d d d d d
c. self-reflect and formulate one‟s personal view of aging and the older patient.
d d d d d d d d d d d d d d d d d d d d d d
d. recognize d d ageism as a form of bigotry shared d d d d d d d d d d d d
by many Americans. ANS: C
d d d d dd d d d d
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
older population as a whole. With nurses being members of a society holding such views, it is
d d d d d d d d dd d d d d d d d d d d d d d d d d d d d d d d d d
critical that the individual nurse self- reflect on personal feelings and determine whether such
d d d d d d d d d d d d dd d d d d d d d d d d d d d d
feelings will affect the nursing care that he or she provides to the aging patient. Acting as an
d d d d d d d d d d d d d d d d d d d d d d dd d d d d d d d d d d d d
advocate is an important nursing role in all settings. Simply accepting a fact
d d d d d d d ddoes not help d d d d d d d d d d d d d d d d d d d d d d d d
end ageism, nor does recognizing ageism as a form of bigotry.
d d d d d d d d d d d d d d d d d d d d d d
DIF: Applying (Application) REF: N/A OBJ: 1-9
dd d d d d d d d d d d
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
dd d d d d d d d d d d d d
3. When discussing factors that have helped to increase the number of healthy, independent
d d d d d d d d d d d d d d d d d d d d d d d d
older Americans, the nurse includes the importance of:
d d d d dd d d d d d d d d d d
a. increased availability of in-home care services. d d d d dd dd d d
b. government support of retired citizens. d d dd d d d d
c. effective antibiotic therapies. dd dd
d. the development of life-
dd dd dd
extending therapies. ANS: C dd d d d d
The health and ultimate autonomy of older Americans has been positively impacted by the
d d d d d d d d d d d d d d d d d d d d d d d d d d
development of antibiotics, better sanitation, and vaccines. These public health measures have been
d d d d dd d d d d d d d d d d d d d d d d d d d d
more instrumental in increasing the numbers of healthy, independent older Americans than have
d d d d d d d d dd d d d d d d d d d d d d d d d d
in-home care services, government programs, or life-extending therapies.
d d d d d d d d d d d d dd d d
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
d d d d d d d d dd d d d d
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
dd d d d d d d dd d d d d d d
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the
dd d d d d d d d d d d d d d d d d d d d d d d d d d d d d
patient‟s:
dd
a. nonrelated caretaker. d d
b. paid caregiver. d d
c. family member. d d
,d. intuitional representative.
dd
, ANS: C d d
Less than 4% of older adults live in a formal health care environment. The majority of the
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dgeriatric population lives at home or with family members.
d d d d dd d d d d d d d d d d
DIF: Applying (Application) REF: N/A OBJ: 3-3
dd d d d d d d d d d d
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
dd d d d d d d d d d d d d d d d d
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d darthritis views the priority criterion for continued independence to be the patient‟s:
d d d d dd d d d d d d d d d d d d d d d d
a. age.
b. financial status. d d
c. gender.
d. functional
ddstatus. ANS: d d
D
d d
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dimpairment, two conditions that increase the likelihood of institutionalization.
d d dd d d d d d d d d d d d d
DIF: Remembering (Knowledge) REF: Page 8
d d d d d d d d d d
d dOBJ: 1-6 TOP: Nursing Process: Planning MSC:
d d dd dd dd dd dd
ddPhysiologic Integrity dd
6. A nurse working with the older adult population is most likely to assess a need for a
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dfinancial social service‟s referral for a(n):
d d d d dd d d d d
a. white male. d d
b. black female. d d
c. Hispanic male. d d
d. Asian American dd
dd female. d d ANS:
d dB
The poverty rate among older black women is substantially higher than that seen among males or
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dfemales of other ethnic groups. White males had the least poverty.
d d d d dd d d d d d d d d d d d d d d
DIF: Applying (Application) REF: N/A OBJ: 1-4
dd d d d d d d d d d d
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
dd d d d d dd d d dd d d d d d d
7. Which of the following statements made by a nurse preparing to complete a health assessment
d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dand history on an older patient reflects an understanding of the general health status of this
d d d d dd d d d d d d d d d d d d d d d d d d d d d d d d
d dpopulation?
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
d d d d d d d d dd d d dd d d d d d d d d d d
b. “I would like to understand how supportive the patient‟s family members are.”
d d d d d d d d d d d d d d d d d d d d d d
c. “Most older patients are being treated for a variety of chronic health care issues.”
d d d d d d d d d d d d d d d d d d d d d d d d d d
d. “It d d will be interesting to see whether
d d d d d d d d d d d d this patient sees d d d d
d dherself as being healthy.” ANS: Dd d d d dd d d d d
It is a misconception that old age is synonymous with disease and illness. The nurse should
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dalways determine the patient‟s sense of wellness and independence when conducting a health and
d d d d dd d d d d d d d d d d d d d d d d d d d d
d dhistory assessment. An assessment of medication use and family support is important for any
d d d d d d d d dd d d d d d d d d d d d d d d d d
d dpatient. Many older adults do have chronic health conditions, but their perception is more important
d d d d d d d d d d d d d d d d dd d d d d d d d d d d
d dthan a single number.d d d d d d
DIF: Applying (Application) REF: N/A OBJ: 1-4
dd d d d d d d d d d d
TOP: Nursing Process: Assessment MSC: Health Promotion
dd d d d d dd dd d d
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dtreatment of a fractured femur. The family expresses concern about the patient‟s pending transfer
d d d d dd d d d d d d d d d d d d d d d d d d d d
d dto a subacute care facility. What response by the nurse is best?
d d d d d d d d d d d d d d d d d d d d d d
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
dd d d d d d d dd d d d d d d d d d d d d
b. “Your dad will be much happier in a more serene, private environment.”
d d d d d d d d d d d d d d d d dd d d d d
c. “The subacute facility will focus on helping your dad maintain his independence.”
d d d d d d d d d d d d d d d d d d d d d d
Nursing Meiner: Gerontologic Nursing,
dd d d d d d d
6th Edition MULTIPLE CHOICE
d d dd d d d d
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
d d d d d d d d d d d d d d d d d d d d d d d d
The nurse would use these standards to:
d d d d d d dd d d d d d d
a. promote the practice of gerontologic nursing within the acute care setting.
d d d d d d d d d d d d d d d d d d d d
b. define the concepts and dimensions of gerontologic nursing practice.
d d d d d d d d d d d d d d d d
c. elevate the practice of gerontologic nursing.
d d d d d d d d d d
d. incorporate suggested d d d d interventions from others who practice d d d d dd d d
gerontologic nursing. ANS: D
d d dd d d d d
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
d d d d d d d d d d d d d d d d d d d d d d d d d d
incorporates the input of gerontologic nurses from across the United States. It was not intended to promote
d d d d dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd
gerontologic nursing practice within acute care settings, define concepts or dimensions of gerontologic nursing
dd dd d d dd dd dd dd dd dd dd dd dd dd dd
practice, or elevate the practice of gerontologic nursing. DIF: Remembering (Knowledge) REF: Page
dd dd dd dd dd d d d d d d d d d d d d d d d d
2 OBJ: 1-1
d d d d d d
TOP: N/A MSC: Safe and Effective Care Environment
d d d d d d d d d d d d d d
2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d a nurse
d d
needs to first:
d d d d d d d d d d
a. recognize that nurses must act as advocates for aging patients.
d d d d d d d d d d d d d d d d d d
b. accept that this population represents a substantial portion of those requiring nursing care.
d d d d d d d d d d d d d d d d d d d d d d d d
c. self-reflect and formulate one‟s personal view of aging and the older patient.
d d d d d d d d d d d d d d d d d d d d d d
d. recognize d d ageism as a form of bigotry shared d d d d d d d d d d d d
by many Americans. ANS: C
d d d d dd d d d d
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
older population as a whole. With nurses being members of a society holding such views, it is
d d d d d d d d dd d d d d d d d d d d d d d d d d d d d d d d d d
critical that the individual nurse self- reflect on personal feelings and determine whether such
d d d d d d d d d d d d dd d d d d d d d d d d d d d d
feelings will affect the nursing care that he or she provides to the aging patient. Acting as an
d d d d d d d d d d d d d d d d d d d d d d dd d d d d d d d d d d d d
advocate is an important nursing role in all settings. Simply accepting a fact
d d d d d d d ddoes not help d d d d d d d d d d d d d d d d d d d d d d d d
end ageism, nor does recognizing ageism as a form of bigotry.
d d d d d d d d d d d d d d d d d d d d d d
DIF: Applying (Application) REF: N/A OBJ: 1-9
dd d d d d d d d d d d
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
dd d d d d d d d d d d d d
3. When discussing factors that have helped to increase the number of healthy, independent
d d d d d d d d d d d d d d d d d d d d d d d d
older Americans, the nurse includes the importance of:
d d d d dd d d d d d d d d d d
a. increased availability of in-home care services. d d d d dd dd d d
b. government support of retired citizens. d d dd d d d d
c. effective antibiotic therapies. dd dd
d. the development of life-
dd dd dd
extending therapies. ANS: C dd d d d d
The health and ultimate autonomy of older Americans has been positively impacted by the
d d d d d d d d d d d d d d d d d d d d d d d d d d
development of antibiotics, better sanitation, and vaccines. These public health measures have been
d d d d dd d d d d d d d d d d d d d d d d d d d d
more instrumental in increasing the numbers of healthy, independent older Americans than have
d d d d d d d d dd d d d d d d d d d d d d d d d d
in-home care services, government programs, or life-extending therapies.
d d d d d d d d d d d d dd d d
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
d d d d d d d d dd d d d d
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
dd d d d d d d dd d d d d d d
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the
dd d d d d d d d d d d d d d d d d d d d d d d d d d d d d
patient‟s:
dd
a. nonrelated caretaker. d d
b. paid caregiver. d d
c. family member. d d
,d. intuitional representative.
dd
, ANS: C d d
Less than 4% of older adults live in a formal health care environment. The majority of the
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dgeriatric population lives at home or with family members.
d d d d dd d d d d d d d d d d
DIF: Applying (Application) REF: N/A OBJ: 3-3
dd d d d d d d d d d d
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
dd d d d d d d d d d d d d d d d d
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d darthritis views the priority criterion for continued independence to be the patient‟s:
d d d d dd d d d d d d d d d d d d d d d d
a. age.
b. financial status. d d
c. gender.
d. functional
ddstatus. ANS: d d
D
d d
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dimpairment, two conditions that increase the likelihood of institutionalization.
d d dd d d d d d d d d d d d d
DIF: Remembering (Knowledge) REF: Page 8
d d d d d d d d d d
d dOBJ: 1-6 TOP: Nursing Process: Planning MSC:
d d dd dd dd dd dd
ddPhysiologic Integrity dd
6. A nurse working with the older adult population is most likely to assess a need for a
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dfinancial social service‟s referral for a(n):
d d d d dd d d d d
a. white male. d d
b. black female. d d
c. Hispanic male. d d
d. Asian American dd
dd female. d d ANS:
d dB
The poverty rate among older black women is substantially higher than that seen among males or
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dfemales of other ethnic groups. White males had the least poverty.
d d d d dd d d d d d d d d d d d d d d
DIF: Applying (Application) REF: N/A OBJ: 1-4
dd d d d d d d d d d d
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
dd d d d d dd d d dd d d d d d d
7. Which of the following statements made by a nurse preparing to complete a health assessment
d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dand history on an older patient reflects an understanding of the general health status of this
d d d d dd d d d d d d d d d d d d d d d d d d d d d d d d
d dpopulation?
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
d d d d d d d d dd d d dd d d d d d d d d d d
b. “I would like to understand how supportive the patient‟s family members are.”
d d d d d d d d d d d d d d d d d d d d d d
c. “Most older patients are being treated for a variety of chronic health care issues.”
d d d d d d d d d d d d d d d d d d d d d d d d d d
d. “It d d will be interesting to see whether
d d d d d d d d d d d d this patient sees d d d d
d dherself as being healthy.” ANS: Dd d d d dd d d d d
It is a misconception that old age is synonymous with disease and illness. The nurse should
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dalways determine the patient‟s sense of wellness and independence when conducting a health and
d d d d dd d d d d d d d d d d d d d d d d d d d d
d dhistory assessment. An assessment of medication use and family support is important for any
d d d d d d d d dd d d d d d d d d d d d d d d d d
d dpatient. Many older adults do have chronic health conditions, but their perception is more important
d d d d d d d d d d d d d d d d dd d d d d d d d d d d
d dthan a single number.d d d d d d
DIF: Applying (Application) REF: N/A OBJ: 1-4
dd d d d d d d d d d d
TOP: Nursing Process: Assessment MSC: Health Promotion
dd d d d d dd dd d d
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
d dtreatment of a fractured femur. The family expresses concern about the patient‟s pending transfer
d d d d dd d d d d d d d d d d d d d d d d d d d d
d dto a subacute care facility. What response by the nurse is best?
d d d d d d d d d d d d d d d d d d d d d d
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
dd d d d d d d dd d d d d d d d d d d d d
b. “Your dad will be much happier in a more serene, private environment.”
d d d d d d d d d d d d d d d d dd d d d d
c. “The subacute facility will focus on helping your dad maintain his independence.”
d d d d d d d d d d d d d d d d d d d d d d
