TESTBANK
TOWARD HEALTH AGING:
All Chapters (1-35) Covered.
,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?
(Choose all that apply.)
, a. Approximately 10% of registered nursing attendants (RNs) are
certified in gerontological nursing.
b. The number of geriatricians is expected to increase about 50% over
the next 25 years.
c. The professions of social work, physical therapy, and psychiatry are
demonstrating the same trends as nursing.
d. The world’s older population is expected to grow to at least 1.3 billion in
the next 20 years.
e. It is anticipated that there will be a need for approximately
3million additional direct care and professional health care
workers by the year 2030.
ACCURATE ANSWER:-C, D, E
EASONING:->>>Less than 1% of RNs are certified in gerontological nursing.
Geriatric medicine faces similar challenges with about 7000 prepared
geriatricians, 1 for every 2546 older Americans; and this number is falling with
the trend predicted to be less than 5000 by 2040 (IOM, 2008). By 2040 the number
of older adults in the world will be at least 1.3 billion. Other professions such as
social work, physical therapy, and psychiatry have similar shortages. It is
estimated that by 2030 nearly 3 million additional health care professionals and
direct care workers will be needed to meet the care needs of a growing older
adult population. Healthy People 2030 has addressed this concern..
DIF: Cognitive Level: Understanding TOPIC: Integrated
Process: Teaching/Learning MSC: Patient Needs: Health
Promotion and Maintenance
3. Best practice recommendations for nursing education in relation to gerontology
include which of the following? (Choose all that apply.)
a. Provision of a “stand-alone” course in gerontological nursing
b. Integration of gerontological content throughout the curriculum
c. Replacement of acute care pediatric clinical experiences with
gerontological clinical experiences
d. Recruitment of nursing attendants with Master and Doctoral
degrees and a specialty in gerontology to faculty roles
e. Requiring all undergraduate nursing students to obtain gerontological
certification as a requirement for graduation
ACCURATE ANSWER:-A, B, D
REASONING:->>>Best practices include providing a stand-alone gerontological
nursing course as well as integrating gerontology throughout the curriculum.
Recruitment of nursing attendants with a specialty in gerontology and a Master
or Doctoral degree to faculty roles is a critical step in making sure that the next
generation of nursing attendants is prepared to care for older adults. Best
practices do not recommend removing pediatric clinical experiences and
replacing them with gerontological experiences. Nursing certification is only
available to practicing nursing attendants who meet specific education and
practice requirements. It is not applicable to nursing students.
DIF: Cognitive Level: Understanding TOPIC: Integrated
Process: Teaching/Learning MSC: Patient Needs: Health
Promotion and Maintenance
TOWARD HEALTH AGING:
All Chapters (1-35) Covered.
,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?
(Choose all that apply.)
, a. Approximately 10% of registered nursing attendants (RNs) are
certified in gerontological nursing.
b. The number of geriatricians is expected to increase about 50% over
the next 25 years.
c. The professions of social work, physical therapy, and psychiatry are
demonstrating the same trends as nursing.
d. The world’s older population is expected to grow to at least 1.3 billion in
the next 20 years.
e. It is anticipated that there will be a need for approximately
3million additional direct care and professional health care
workers by the year 2030.
ACCURATE ANSWER:-C, D, E
EASONING:->>>Less than 1% of RNs are certified in gerontological nursing.
Geriatric medicine faces similar challenges with about 7000 prepared
geriatricians, 1 for every 2546 older Americans; and this number is falling with
the trend predicted to be less than 5000 by 2040 (IOM, 2008). By 2040 the number
of older adults in the world will be at least 1.3 billion. Other professions such as
social work, physical therapy, and psychiatry have similar shortages. It is
estimated that by 2030 nearly 3 million additional health care professionals and
direct care workers will be needed to meet the care needs of a growing older
adult population. Healthy People 2030 has addressed this concern..
DIF: Cognitive Level: Understanding TOPIC: Integrated
Process: Teaching/Learning MSC: Patient Needs: Health
Promotion and Maintenance
3. Best practice recommendations for nursing education in relation to gerontology
include which of the following? (Choose all that apply.)
a. Provision of a “stand-alone” course in gerontological nursing
b. Integration of gerontological content throughout the curriculum
c. Replacement of acute care pediatric clinical experiences with
gerontological clinical experiences
d. Recruitment of nursing attendants with Master and Doctoral
degrees and a specialty in gerontology to faculty roles
e. Requiring all undergraduate nursing students to obtain gerontological
certification as a requirement for graduation
ACCURATE ANSWER:-A, B, D
REASONING:->>>Best practices include providing a stand-alone gerontological
nursing course as well as integrating gerontology throughout the curriculum.
Recruitment of nursing attendants with a specialty in gerontology and a Master
or Doctoral degree to faculty roles is a critical step in making sure that the next
generation of nursing attendants is prepared to care for older adults. Best
practices do not recommend removing pediatric clinical experiences and
replacing them with gerontological experiences. Nursing certification is only
available to practicing nursing attendants who meet specific education and
practice requirements. It is not applicable to nursing students.
DIF: Cognitive Level: Understanding TOPIC: Integrated
Process: Teaching/Learning MSC: Patient Needs: Health
Promotion and Maintenance
