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Chapter 01: Overview of Gerontologic Nursin
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g Meiner: Gerontologic Nursing, 7th Edition
vg vg vg vg vg v
gMULTIPLE CHOICE vg
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use
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these standards to: vg vg
a. promote the practice of gerontologic nursing within the acute care setting.
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b. define the concepts and dimensions of gerontologic nursing practice.
vg vg vg vg vg vg vg vg
c. elevate the practice of gerontologic nursing. vg vg vg vg vg
d. incorporate suggested interventions from others who practice gerontologic nursi
vg vg vg vg vg vg vg vg
ng. ANS: D vg vg
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
of gerontologic nurses from across the United States. It was not intended to promote gerontologic nursing practice with
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
in acute care settings, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of geronto
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logic nursing. DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1
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TOP: N/A MSC: Safe and Effective Care Environment
vg vg vg vg vg vg vg
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
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.
vg vg vg vg vg vg vg vg vg vg vg vg
c. self-reflect and formulate one‟s personal view of aging and the older patient.
vg vg vg vg vg vg vg vg vg vg vg
d. recognize ageism as a form of bigotry shared by many America
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ns. ANS: Cvg vg
Ageism is an ever- vg vg vg
increasing prejudicial view of the effects of the aging process and of the older population as a whole. With nurses bein
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
g members of a society holding such views, it is critical that the individual nurse self-
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she provides to
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
the aging patient. Acting as an advocate is an important nursing role in all settings. Simply accepting a fact does not
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg v
ghelp end ageism, nor does recognizing ageism as a form of bigotry.
vg vg vg vg vg vg vg vg vg vg vg
DIF: Applying (Application) REF: N/A OBJ: 1-9
vg vg vg vg vg vg
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
vg vg vg vg vg vg vg
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
nurse includes the importance of:
vg vg vg vg
a. increased availability of in-home care services. vg vg vg vg vg
b. government support of retired citizens. vg vg vg vg
c. effective antibiotic therapies. vg vg
d. the development of life- vg vg vg
extending therapies. ANS: C vg vg vg
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics,
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
better sanitation, and vaccines. These public health measures have been more instrumental in increasing the numbers o
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
f healthy, independent older Americans than have in-home care services, government programs, or life-
vg vg vg vg vg vg vg vg vg vg vg vg vg
extending therapies. vg
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
vg vg vg vg vg vg vg
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
vg vg vg vg vg vg vg vg
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the patient‟s:
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
a. nonrelated caretaker. vg
b. paid caregiver. vg
c. family member. vg
d. intuitional representative. vg
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ANS: C vg
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
home or with family members.
vg vg vg vg
DIF: Applying (Application) REF: N/A OBJ: 3-3
vg vg vg vg vg vg
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
vg vg vg vg vg vg vg vg vg
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the p
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riority criterion for continued independence to be the patient‟s:
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a. age.
b. financial status. vg
c. gender.
d. functional status. vg
ANS: D
vg vg
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two
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conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-
vg vg vg vg vg vg vg
6 TOP: Nursing Process: Planning MSC: Physiologic Integ
vg vg vg vg vg vg vg
rity
6. A nurse working with the older adult population is most likely to assess a need for a financial social service‟s refe
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
rral for a(n): vg vg
a. white male. vg
b. black female. vg
c. Hispanic male. vg
d. Asian American female vg vg
. ANS: B
vg vg
The poverty rate among older black women is substantially higher than that seen among males or females of other ethn
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ic groups. White males had the least poverty.
vg vg vg vg vg vg vg
DIF: Applying (Application) REF: N/A OBJ: 1-4
vg vg vg vg vg vg
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
vg vg vg vg vg vg vg vg vg
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.”
vg vg vg vg vg vg vg vg vg vg vg vg
b. “I would like to understand how supportive the patient‟s family members are.”
vg vg vg vg vg vg vg vg vg vg vg
c. “Most older patients are being treated for a variety of chronic health care issues.”
vg vg vg vg vg vg vg vg vg vg vg vg vg
d. “It will be interesting to see whether this patient sees herself as being healt
vg vg vg vg vg vg vg vg vg vg vg vg vg
hy.” ANS: D vg vg
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the pati
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ent‟s sense of wellness and independence when conducting a health and history assessment. An assessment of medicati
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
on use and family support is important for any patient. Many older adults do have chronic health conditions, but their
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perception is more important than a single number.
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DIF: Applying (Application) REF: N/A OBJ: 1-4
vg vg vg vg vg vg
TOP: Nursing Process: Assessment MSC: Health Promotion
vg vg vg vg vg vg
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
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by the nurse is best?
vg vg vg vg
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
vg vg vg vg vg vg vg vg vg vg vg
b. “Your dad will be much happier in a more serene, private environment.”
vg vg vg vg vg vg vg vg vg vg vg
c. “The subacute facility will focus on helping your dad maintain his independence.”
vg vg vg vg vg vg vg vg vg vg vg
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d. “Insurance, including Medicare, will cover only a limited amount of time he
vg vg vg vg vg vg vg vg vg vg vg
re.” ANS: C vg vg
The transfer of the patient to a subacute facility is based on the need to maintain the patient‟s level of function and in
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
dependence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The pati
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ent may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance o
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
nly pays for a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfe
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
r.
DIF: Applying (Application) REF: N/A OBJ: 1-
vg vg vg vg vg vg
6 TOP: Communication and Documentation
vg vg vg vg
MSC: Health Promotion and Maintenance
vg vg vg vg
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:
vg vg vg vg vg vg vg vg
a. evaluates the competency of the UAP staff. vg vg vg vg vg vg
b. assumes the roles of case manager and patient advocate.
vg vg vg vg vg vg vg vg
c. arranges for the needed UAP provided services. vg vg vg vg vg vg
d. assesses the patient for functional limitation vg vg vg vg vg
s. ANS: A
vg vg
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more resp
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
onsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the older
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
adult patient. vg
DIF: Applying (Application) REF: N/A OBJ: 1-
vg vg vg vg vg vg
2 TOP: Communication and Documentation
vg vg vg vg
MSC: Safe and Effective Care Environment
vg vg vg vg vg
10. The nurse working with older adults understands what information about certification in gerontologic nursing?
vg vg vg vg vg vg vg vg vg vg vg vg vg
a. It is mandatory for those in long-term care settings.
vg vg vg vg vg vg vg vg
b. It is voluntary and shows clinical expertise in an area.
vg vg vg vg vg vg vg vg vg
c. It allows nurses to be paid by third-party payers.
vg vg vg vg vg vg vg vg
d. It allows nurses to advance their careers in a j
vg vg vg vg vg vg vg vg vg
ob. ANS: B vg vg
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a certain area of practice. It
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
is not mandatory in specific care settings. It does not allow for third-
vg vg vg vg vg vg vg vg vg vg vg vg vg
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
vg vg vg vg vg vg vg
TOP: Teaching-Learning MSC: Safe Effective Care Environment
vg vg vg vg vg vg
11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
a. Serving as a patient advocate vg vg vg vg
b. Educating patients about diseases vg vg vg
c. Helping patients remain independent vg vg vg
d. Referring patients to home health car vg vg vg vg vg
e ANS: C
vg vg
One of the challenges and priorities of the gerontologic nurse is helping patients maintain their independenc
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
e. DIF: Remembering (Knowledge) REF: Page 10 OBJ: 1-2
vg vg vg vg vg vg vg vg
TOP: Nursing Process: Implementation MSC: Health Promotion
vg vg vg vg vg vg
12. A nurse is caring for an older patient in the emergency department. What information about the patient will b
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
e most helpful in creating a plan of care?
vg vg vg vg vg vg vg vg
a. Baseline physical and cognitive functioning vg vg vg vg
b. Living conditions and family support vg vg vg vg
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Chapter 01: Overview of Gerontologic Nursin
vg vg vg vg vg
g Meiner: Gerontologic Nursing, 7th Edition
vg vg vg vg vg v
gMULTIPLE CHOICE vg
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
these standards to: vg vg
a. promote the practice of gerontologic nursing within the acute care setting.
vg vg vg vg vg vg vg vg vg vg
b. define the concepts and dimensions of gerontologic nursing practice.
vg vg vg vg vg vg vg vg
c. elevate the practice of gerontologic nursing. vg vg vg vg vg
d. incorporate suggested interventions from others who practice gerontologic nursi
vg vg vg vg vg vg vg vg
ng. ANS: D vg vg
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
of gerontologic nurses from across the United States. It was not intended to promote gerontologic nursing practice with
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
in acute care settings, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of geronto
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
logic nursing. DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1
vg vg vg vg vg vg vg vg vg
TOP: N/A MSC: Safe and Effective Care Environment
vg vg vg vg vg vg vg
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
a. recognize that nurses must act as advocates for aging patients.
vg vg vg vg vg vg vg vg vg
b. accept that this population represents a substantial portion of those requiring nursing care.
vg vg vg vg vg vg vg vg vg vg vg vg
c. self-reflect and formulate one‟s personal view of aging and the older patient.
vg vg vg vg vg vg vg vg vg vg vg
d. recognize ageism as a form of bigotry shared by many America
vg vg vg vg vg vg vg vg vg vg
ns. ANS: Cvg vg
Ageism is an ever- vg vg vg
increasing prejudicial view of the effects of the aging process and of the older population as a whole. With nurses bein
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
g members of a society holding such views, it is critical that the individual nurse self-
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she provides to
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
the aging patient. Acting as an advocate is an important nursing role in all settings. Simply accepting a fact does not
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg v
ghelp end ageism, nor does recognizing ageism as a form of bigotry.
vg vg vg vg vg vg vg vg vg vg vg
DIF: Applying (Application) REF: N/A OBJ: 1-9
vg vg vg vg vg vg
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
vg vg vg vg vg vg vg
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
nurse includes the importance of:
vg vg vg vg
a. increased availability of in-home care services. vg vg vg vg vg
b. government support of retired citizens. vg vg vg vg
c. effective antibiotic therapies. vg vg
d. the development of life- vg vg vg
extending therapies. ANS: C vg vg vg
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics,
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
better sanitation, and vaccines. These public health measures have been more instrumental in increasing the numbers o
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
f healthy, independent older Americans than have in-home care services, government programs, or life-
vg vg vg vg vg vg vg vg vg vg vg vg vg
extending therapies. vg
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
vg vg vg vg vg vg vg
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
vg vg vg vg vg vg vg vg
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the patient‟s:
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
a. nonrelated caretaker. vg
b. paid caregiver. vg
c. family member. vg
d. intuitional representative. vg
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ANS: C vg
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
home or with family members.
vg vg vg vg
DIF: Applying (Application) REF: N/A OBJ: 3-3
vg vg vg vg vg vg
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
vg vg vg vg vg vg vg vg vg
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the p
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
riority criterion for continued independence to be the patient‟s:
vg vg vg vg vg vg vg vg
a. age.
b. financial status. vg
c. gender.
d. functional status. vg
ANS: D
vg vg
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
conditions that increase the likelihood of institutionalization.
vg vg vg vg vg vg
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-
vg vg vg vg vg vg vg
6 TOP: Nursing Process: Planning MSC: Physiologic Integ
vg vg vg vg vg vg vg
rity
6. A nurse working with the older adult population is most likely to assess a need for a financial social service‟s refe
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
rral for a(n): vg vg
a. white male. vg
b. black female. vg
c. Hispanic male. vg
d. Asian American female vg vg
. ANS: B
vg vg
The poverty rate among older black women is substantially higher than that seen among males or females of other ethn
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ic groups. White males had the least poverty.
vg vg vg vg vg vg vg
DIF: Applying (Application) REF: N/A OBJ: 1-4
vg vg vg vg vg vg
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
vg vg vg vg vg vg vg vg vg
7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
older patient reflects an understanding of the general health status of this population?
vg vg vg vg vg vg vg vg vg vg vg vg vg
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
vg vg vg vg vg vg vg vg vg vg vg vg
b. “I would like to understand how supportive the patient‟s family members are.”
vg vg vg vg vg vg vg vg vg vg vg
c. “Most older patients are being treated for a variety of chronic health care issues.”
vg vg vg vg vg vg vg vg vg vg vg vg vg
d. “It will be interesting to see whether this patient sees herself as being healt
vg vg vg vg vg vg vg vg vg vg vg vg vg
hy.” ANS: D vg vg
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the pati
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ent‟s sense of wellness and independence when conducting a health and history assessment. An assessment of medicati
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on use and family support is important for any patient. Many older adults do have chronic health conditions, but their
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perception 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
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by 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 he
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re.” ANS: C vg vg
The transfer of the patient to a subacute facility is based on the need to maintain the patient‟s level of function and in
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dependence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The pati
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ent may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance o
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nly pays for a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfe
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r.
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. vg vg vg vg vg vg
b. assumes the roles of case manager and patient advocate.
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c. arranges for the needed UAP provided services. vg vg vg vg vg vg
d. assesses the patient for functional limitation vg vg vg vg vg
s. ANS: A
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As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more resp
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onsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the older
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adult patient. vg
DIF: Applying (Application) REF: N/A OBJ: 1-
vg vg vg vg vg vg
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 j
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ob. ANS: B vg vg
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 vg vg vg vg
b. Educating patients about diseases vg vg vg
c. Helping patients remain independent vg vg vg
d. Referring patients to home health car vg vg vg vg vg
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 b
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e most helpful in creating a plan of care?
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a. Baseline physical and cognitive functioning vg vg vg vg
b. Living conditions and family support vg vg vg vg
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