Test Bank for Gerontologic Nursing, 6th Edition by Sue E. Meiner Jennifer J. Yeager Chapter 1-29 | All Chapters

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Chapter 01: Overview of Gerontologic Nursin
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g Meiner: Gerontologic Nursing, 6th Edition
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MULTIPLE CHOICE cx

1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use t
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hese standards to:
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a. promote the practice of gerontologic nursingtowithin
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acute Study
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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.
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d. incorporate suggested interventions from others who practice gerontologic nursin
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g. ANS: D
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The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input o
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f 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 gerontolog
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ic 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 America
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ns. ANS: C cx cx

Ageism is an ever- cx cx cx

increasing prejudicial view of the effects of the aging process and of the older population as a whole. With nurses being
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members of a society holding such views, it is critical that the individual nurse self-
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reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she provides to
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the aging patient. Acting as an advocate is an important nursing role in all settings. Simply accepting a fact does not h
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elp end ageism, nor 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 n
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urse includes the importance of:
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a. increased availability of in-home care services. cx cx cx cx cx




b. government support of retired citizens. cx cx cx cx




c. effective antibiotic therapies. cx cx




d. the development of life-cx cx cx



extending therapies. ANS: C cx cx cx

The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics, b
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etter 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-
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extending therapies. cx

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. cx




b. paid caregiver. cx




c. family member. cx




d. intuitional representative. cx




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ANS: C cx

Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at h
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ome 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 pri
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ority criterion for continued independence to be the patient‟s:
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a. age.

b. financial status. cx




c. gender.

d. functional status. cx



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




b. black female. cx




c. Hispanic male. cx




d. Asian American female. cx cx



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 ethni
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c 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 healt
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hy.” ANS: D cx cx

It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patie
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nt‟s sense of wellness and independence when conducting a health and history assessment. An assessment of medicatio
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n use and family support is important for any patient. Many older adults do have chronic health conditions, but their per
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ception is 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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femur. The family expresses concern about the patient‟s pending transfer to a subacute care facility. What response by
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the 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 her
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e.” ANS: Ccx cx

The transfer of the patient to a subacute facility is based on the need to maintain the patient‟s level of function and ind
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ependence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The patien
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t may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance only
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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-
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6 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-
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home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
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a. evaluates the competency of the UAP staff. cx cx cx cx cx cx




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




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



. ANS: A
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As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more respo
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nsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the older ad
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ult patient.
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DIF: Applying (Application) REF: N/A OBJ: 1-
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2 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 jo
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b. 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
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is not mandatory in specific care settings. It does not allow for third-
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party reimbursement. It may be part of a career ladder 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 cx cx cx cx




b. Educating patients about diseases cx cx cx




c. Helping patients remain independent cx cx cx




d. Referring patients to home health car cx cx cx cx cx



e ANS: C
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One of the challenges and priorities of the gerontologic nurse is helping patients maintain their independenc
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e. 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 cx cx cx cx




b. Living conditions and family support cx cx cx cx




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