TEST BANK for
TOWARD HEALTHY AGING: HUMAN NEEDS AND
NURSING RESPONSE 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 Outcome
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
30 Mental Health
PART 5 Clinical Judgment to Promote Healthy
Aging With Older Adults and Families
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 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 Outcome
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
30 Mental Health
PART 5 Clinical Judgment to Promote Healthy
Aging With Older Adults and Families
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?
