Test Bank
Toward Healthy Aging: Human Needs And Nursing
Response
By Theris A. Touhy
11th Edition
, TABLE OF CONTENT
i i
Part 1 Foundations For Clinical Judgment To Promote Healthy Aging
1 Gerontological Nursing Across The Continuum Of Care
2 Aging, Health, And Wellness In A Global
Community 3 Theories Of Aging
4 Providing Cross-Cultural Care
5 Economics And Health Care In Late Life
6 Promoting Excellence In Long- Term
Care
Part 2 Foundations For Taking Action
7 Therapeutic Communication With Older Adults 8
Cognitive Health And Learning
9 Recognizing And Analyzing Cues To Maximize Outcomes
10 Using Laboratory Data In Clinical Judgment
11 Safe Medication Use
Part 3 Clinical Judgment To Promote Wellness And Function
12 Visual Health
13 Auditoryhealth
14 Healthy Skin
15 Nutritional Health
16 Hydration And Oral
Health 17 Elimination
18 Sleep
19 Activity And Exercise
20 Falls And Fall Risk Reduction 21
Safe And Secure Environments
Part 4 Clinical Judgment To Promote Wellness For Persons With Chronic
Illnesses
22 Living Well With Chronic Illness 23
Vascular Disorders
24 Respiratorydisorders
25 Neurocognitivedisorders
26 Care Of Individuals With Neurocognitive Disorders 27
Endocrine And Immune Disorders 28 Common
Musculoskeletal
Disorders 29 Pain And Comfort
Part 5 Clinical Judgment To Promote Healthy
Aging With Older Adults And
30 Mental Health 31 Ethics, Decision Making, And
Mistreatment 32 Relationships, Roles, And Life
Transitions 33 Intimacy And Sexual Health
34 Loss, Death, And Palliative Care
35 Spiritual Health, Meaning, And Self-Actualization
,Chapter 01: Gerontological Nursing Across The Continuum
Of Care
Touhy: Toward Healthy Aging, 11th Edition
Multiple Choice
1. When Did Serious And Well-Controlled Research Studies On Aging First
Become Available?
a. Only In The Past 60 Years.
b. Since The Turn Of The 20th Century.
c. Following The Great Depression.
d. Since The Year 2000.
Accurate
Answer:-A
Reasoning:->>>Only In The Past 60 Years Have Serious And Carefully Controlled
Research Studies Flourished. Before That, Anecdotal Evidence Was Used To
Illustrate Issues Assumed To Be Universal, Making All The Remaining Options
Incorrect.
Dif: Cognitive Level: Remembering Topic: Integrated
Process: Teaching/Learning Msc: Patient Needs: Health
Promotion And Maintenance
2. The Son Of A Nursing Home Resident Asks A Nursing Attendant: “What Is The
Significance Of Being Certified In Gerontology? I See That You Are, But Not All
Of The Nursing Attendants Are.” What Response Best Answers The Family
Member’s Question?
a. “National Certification As A Gerontological Nursing Attendant Is
A Way To Demonstrate Special Knowledge In Caring For
Older Adults.”
b. “National Certification In Gerontology Is Required For All Nursing
Attendants Who Have Worked In This Setting For 2 Or More
Years.”
c. “National Certification Is Only Available To Nursing
Attendants Who Have A Baccalaureate Degree In Nursing.”
d. “Only Advanced Practice Nursing Attendants, Like
Nursing Attendant Practitioners, Are Certified In
Gerontology.”
Accurate
Answer:-A
Reasoning:->>>National Certification Is A Way To Demonstrate Special
Expertise In Caring For Older Adults. It Is Not Required For Practice In Any
Setting Across The Continuum Of Care, And It Is Not Exclusive
To Nursing Attendants With Baccalaureate Degrees. There Is Both A Generalist
And A Specialist Gerontological Nursing Certification. The Generalist Functions
In A Variety Of Settings Providing Care To Older Adults And Their
Families. The Specialist Has Advanced
Gerontological Education At A Master’s Level.
Dif: Cognitive Level: Understanding
, Topic: Integrated Process: Communication And
Documentation Msc: Patient Needs: Management Of
Care
3. The Major Goal Of The Niche (Nursing Attendants Improving Care
For Healthsystem Elders) Program Includes Which Of The
Following?
a. Improve Outcomes For Hospitalized Older Adults.
b. Increase The Number Of Older Adults Cared For In Hospitals.
c. Increase The Number Of Iatrogenic Complications That Occur
In Hospitalized Older Adults.
d. Decrease 30-Day Readmission Rates For Hospitalized Older Adults.
Accurate Answer:-A
Reasoning:->>>The Goal Of Niche Is To Improve Outcomes For Hospitalized
Older Adults. Although Option D Is A Good Outcome For Hospitalized Older
Adults, It Is Not One Of The Major Goals Of Niche, Which Are Broader.
Options B And C Are Not Goals That Would Improve Care For Older Adults
But Would Be Negative Outcomes Themselves.
Dif: Cognitive Level: Understanding Topic: Integrated
Process: Teaching/Learning Msc: Patient Needs: Health
Promotion And Maintenance
Multiple Response
1. What Is The Impact Of The Hospital Readmission Reduction Program
(Hrrp) On Avoidable Readmissions? (Choose All That Apply.)
a. Readmission Rates For The Selected Conditions Have Dropped Nationwide.
b. Many Hospitals Have Instituted System-Wide Interventions To Prevent Readmissions.
c. Hospitals Are Keeping Hospital Patients Longer To Avoid Readmissions.
d. Potentially Avoidable Hospitalizations Among Nursing Home Residents Is Increasing.
e. Hospitals Have A Financial Incentive To Develop Programs To Reduce Readmissions.
Accurate Answer:-A, B, E
Reasoning:->>>The Hospital Readmission Reduction Program (Hrrp) Was
Established As A Provision In The Affordable Care Act (Aca) Requiring Medicare
To Reduce Payments To Hospitals With Relatively High Readmission Rates For
Selected Conditions For Hospital Patients In Traditional Medicare. Since The
Hrrp, Readmission Rates For The Selected Conditions Have Dropped Nationwide
But Estimates Are That In 2018, About 80% Of Hospitals Evaluated By Cms Will
Face Penalties Totaling $564 Million (Advisory Board, 2017). Additionally, The
Hrrp Has Been The Impetus For Many Hospitals To Institute System-Wide
Interventions To Prevent Readmissions That Have Also Contributed To The
Decline In Readmission Rates. The Rate Of Potentially Avoidable
Hospitalizations Among Snf Residents Has Fallen By Nearly A Third In Recent
Years As A Result Of Many Quality Improvement Initiatives.
Dif: Cognitive Level: Understanding Topic: Integrated
Process: Teaching/Learning Msc: Patient Needs: Health
Promotion And Maintenance
2. Which Of The Following Are True Statements About The Current Health Care Workforce?
Toward Healthy Aging: Human Needs And Nursing
Response
By Theris A. Touhy
11th Edition
, TABLE OF CONTENT
i i
Part 1 Foundations For Clinical Judgment To Promote Healthy Aging
1 Gerontological Nursing Across The Continuum Of Care
2 Aging, Health, And Wellness In A Global
Community 3 Theories Of Aging
4 Providing Cross-Cultural Care
5 Economics And Health Care In Late Life
6 Promoting Excellence In Long- Term
Care
Part 2 Foundations For Taking Action
7 Therapeutic Communication With Older Adults 8
Cognitive Health And Learning
9 Recognizing And Analyzing Cues To Maximize Outcomes
10 Using Laboratory Data In Clinical Judgment
11 Safe Medication Use
Part 3 Clinical Judgment To Promote Wellness And Function
12 Visual Health
13 Auditoryhealth
14 Healthy Skin
15 Nutritional Health
16 Hydration And Oral
Health 17 Elimination
18 Sleep
19 Activity And Exercise
20 Falls And Fall Risk Reduction 21
Safe And Secure Environments
Part 4 Clinical Judgment To Promote Wellness For Persons With Chronic
Illnesses
22 Living Well With Chronic Illness 23
Vascular Disorders
24 Respiratorydisorders
25 Neurocognitivedisorders
26 Care Of Individuals With Neurocognitive Disorders 27
Endocrine And Immune Disorders 28 Common
Musculoskeletal
Disorders 29 Pain And Comfort
Part 5 Clinical Judgment To Promote Healthy
Aging With Older Adults And
30 Mental Health 31 Ethics, Decision Making, And
Mistreatment 32 Relationships, Roles, And Life
Transitions 33 Intimacy And Sexual Health
34 Loss, Death, And Palliative Care
35 Spiritual Health, Meaning, And Self-Actualization
,Chapter 01: Gerontological Nursing Across The Continuum
Of Care
Touhy: Toward Healthy Aging, 11th Edition
Multiple Choice
1. When Did Serious And Well-Controlled Research Studies On Aging First
Become Available?
a. Only In The Past 60 Years.
b. Since The Turn Of The 20th Century.
c. Following The Great Depression.
d. Since The Year 2000.
Accurate
Answer:-A
Reasoning:->>>Only In The Past 60 Years Have Serious And Carefully Controlled
Research Studies Flourished. Before That, Anecdotal Evidence Was Used To
Illustrate Issues Assumed To Be Universal, Making All The Remaining Options
Incorrect.
Dif: Cognitive Level: Remembering Topic: Integrated
Process: Teaching/Learning Msc: Patient Needs: Health
Promotion And Maintenance
2. The Son Of A Nursing Home Resident Asks A Nursing Attendant: “What Is The
Significance Of Being Certified In Gerontology? I See That You Are, But Not All
Of The Nursing Attendants Are.” What Response Best Answers The Family
Member’s Question?
a. “National Certification As A Gerontological Nursing Attendant Is
A Way To Demonstrate Special Knowledge In Caring For
Older Adults.”
b. “National Certification In Gerontology Is Required For All Nursing
Attendants Who Have Worked In This Setting For 2 Or More
Years.”
c. “National Certification Is Only Available To Nursing
Attendants Who Have A Baccalaureate Degree In Nursing.”
d. “Only Advanced Practice Nursing Attendants, Like
Nursing Attendant Practitioners, Are Certified In
Gerontology.”
Accurate
Answer:-A
Reasoning:->>>National Certification Is A Way To Demonstrate Special
Expertise In Caring For Older Adults. It Is Not Required For Practice In Any
Setting Across The Continuum Of Care, And It Is Not Exclusive
To Nursing Attendants With Baccalaureate Degrees. There Is Both A Generalist
And A Specialist Gerontological Nursing Certification. The Generalist Functions
In A Variety Of Settings Providing Care To Older Adults And Their
Families. The Specialist Has Advanced
Gerontological Education At A Master’s Level.
Dif: Cognitive Level: Understanding
, Topic: Integrated Process: Communication And
Documentation Msc: Patient Needs: Management Of
Care
3. The Major Goal Of The Niche (Nursing Attendants Improving Care
For Healthsystem Elders) Program Includes Which Of The
Following?
a. Improve Outcomes For Hospitalized Older Adults.
b. Increase The Number Of Older Adults Cared For In Hospitals.
c. Increase The Number Of Iatrogenic Complications That Occur
In Hospitalized Older Adults.
d. Decrease 30-Day Readmission Rates For Hospitalized Older Adults.
Accurate Answer:-A
Reasoning:->>>The Goal Of Niche Is To Improve Outcomes For Hospitalized
Older Adults. Although Option D Is A Good Outcome For Hospitalized Older
Adults, It Is Not One Of The Major Goals Of Niche, Which Are Broader.
Options B And C Are Not Goals That Would Improve Care For Older Adults
But Would Be Negative Outcomes Themselves.
Dif: Cognitive Level: Understanding Topic: Integrated
Process: Teaching/Learning Msc: Patient Needs: Health
Promotion And Maintenance
Multiple Response
1. What Is The Impact Of The Hospital Readmission Reduction Program
(Hrrp) On Avoidable Readmissions? (Choose All That Apply.)
a. Readmission Rates For The Selected Conditions Have Dropped Nationwide.
b. Many Hospitals Have Instituted System-Wide Interventions To Prevent Readmissions.
c. Hospitals Are Keeping Hospital Patients Longer To Avoid Readmissions.
d. Potentially Avoidable Hospitalizations Among Nursing Home Residents Is Increasing.
e. Hospitals Have A Financial Incentive To Develop Programs To Reduce Readmissions.
Accurate Answer:-A, B, E
Reasoning:->>>The Hospital Readmission Reduction Program (Hrrp) Was
Established As A Provision In The Affordable Care Act (Aca) Requiring Medicare
To Reduce Payments To Hospitals With Relatively High Readmission Rates For
Selected Conditions For Hospital Patients In Traditional Medicare. Since The
Hrrp, Readmission Rates For The Selected Conditions Have Dropped Nationwide
But Estimates Are That In 2018, About 80% Of Hospitals Evaluated By Cms Will
Face Penalties Totaling $564 Million (Advisory Board, 2017). Additionally, The
Hrrp Has Been The Impetus For Many Hospitals To Institute System-Wide
Interventions To Prevent Readmissions That Have Also Contributed To The
Decline In Readmission Rates. The Rate Of Potentially Avoidable
Hospitalizations Among Snf Residents Has Fallen By Nearly A Third In Recent
Years As A Result Of Many Quality Improvement Initiatives.
Dif: Cognitive Level: Understanding Topic: Integrated
Process: Teaching/Learning Msc: Patient Needs: Health
Promotion And Maintenance
2. Which Of The Following Are True Statements About The Current Health Care Workforce?
