, Chapter 01: Overview of Gerontologic
f d f d f d f d
Nursing Meiner: Gerontologic Nursing,
fd f d f d f d
6th Edition MULTIPLE CHOICE
f d fd f d f d
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
f d fd fd f d f d fd fd fd fd fd f d fd
The nurse would use these standards to:
f d fd fd fd f d f d f d
a. promote the practice of gerontologic nursing within the acute care setting.
fd fd fd fd fd fd f d fd fd fd
b. define the concepts and dimensions of gerontologic nursing practice.
fd fd fd fd fd fd fd fd
c. elevate the practice of gerontologic nursing.
fd fd f d fd f d
d. incorporate f d suggested f d interventions f d from f d others who fd f d practice
gerontologic nursing. ANS: D
f d fd f d f d
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
f d f d f d f d f d f d f d f d f d f d f d f d f d
incorporates the input of gerontologic nurses from across the United States. It was not intended to promote
f d f d fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
gerontologic nursing practice within acute care settings, define concepts or dimensions of gerontologic nursing
fd fd f d fd fd fd fd fd fd fd fd fd fd fd
practice, or elevate the practice of gerontologic nursing. DIF: Remembering (Knowledge) REF: Page
fd fd fd fd fd f d f d f d f d f d f d f d f d
2 OBJ: 1-1
f d f d f d
TOP: N/A MSC: Safe and Effective Care Environment
fd fd fd fd fd f d fd
2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
fd f d f d fd f d fd fd fd fd fd fd fd fd fd f d fd a nurse
fd
needs to first:
fd fd f d f d f d
a. recognize that nurses must act as advocates for aging patients.
fd fd f d fd fd fd fd f d fd
b. accept that this population represents a substantial portion of those requiring nursing care.
fd fd fd fd fd fd fd fd fd fd fd fd
c. self-reflect and formulate one‟s personal view of aging and the older patient.
fd fd fd fd fd fd fd fd fd fd fd
d. recognize f d ageism f d as f d a f d form f d of f d bigotry
shared by many Americans. ANS: C
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Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d
older population as a whole. With nurses being members of a society holding such views, it
f d f d f d f d fd f d f d f d f d f d f d f d f d f d f d f d
is critical that the individual nurse self- reflect on personal feelings and determine whether such
f d f d f d f d f d f d f d fd f d f d f d f d f d f d f d
feelings will affect the nursing care that he or she provides to the aging patient. Acting as
f d f d f d f d f d f d f d f d f d f d f d fd f d f d f d f d f d
an advocate is an important nursing role in all settings. Simply accepting a fact
f d f d f d f d does not f d f d f d f d f d f d f d f d f d f d f d f d
help end ageism, nor does recognizing ageism as a form of bigotry.
f d f d f d f d f d f d f d f d f d f d f d f d
DIF: Applying (Application) REF: N/A OBJ: 1-9
fd fd fd fd fd fd
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
fd fd fd fd fd fd fd
3. When discussing factors that have helped to increase the number of healthy, independent
f d f d fd fd fd f d fd f d fd f d fd f d
fdolder Americans, the nurse includes the importance of:
f d fd f d f d f d f d f d
a. increased availability of in-home care services.
fd fd fd fd fd
b. government support of retired citizens. fd fd fd fd
c. effective antibiotic therapies. fd fd
d. the development of life-
fd fd fd
extending therapies. ANS: C fd f d f d
The health and ultimate autonomy of older Americans has been positively impacted by the
f d f d f d f d f d f d f d f d f d f d f d f d f d
development of antibiotics, better sanitation, and vaccines. These public health measures have been
f d f d fd fd f d f d f d f d f d f d f d f d f d
more instrumental in increasing the numbers of healthy, independent older Americans than have
f d f d f d f d fd f d f d f d f d f d f d f d f d
in-home care services, government programs, or life-extending therapies.
f d f d f d f d f d f d fd f d
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
fd fd f d fd fd fd fd
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
fd fd fd fd fd fd fd fd
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the
fd fd f d fd fd f d fd fd fd fd fd fd fd fd fd
patient‟s:
fd
a. nonrelated caretaker. fd
b. paid caregiver. fd
c. family member. fd
,d. intuitional representative.
fd
, ANS: C fd
Less than 4% of older adults live in a formal health care environment. The majority of the
fd f d fd fd fd fd f d fd f d fd f d f d f d f d f d f d
fd geriatric population lives at home or with family members.
fd f d fd f d f d f d f d f d
DIF: Applying (Application) REF: N/A OBJ: 3-3
fd fd fd fd fd fd
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
fd fd fd fd fd fd fd fd fd
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
f d fd f d f d fd f d fd fd fd f d f d fd fd f d
f darthritis views the priority criterion for continued independence to be the patient‟s:
fd f d fd f d f d f d f d f d f d f d f d
a. age.
b. financial status. fd
c. gender.
d. functional
status. ANS:
fd fd
fd D
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
f d fd fd fd f d fd fd f d fd f d fd fd fd f d fd
fd impairment, two conditions that increase the likelihood of institutionalization.
fd fd f d f d f d f d f d f d
DIF: Remembering (Knowledge) REF: Page 8
f d f d f d f d f d
f dOBJ: 1-6 TOP: Nursing Process: Planning MSC:
f d fd fd fd fd fd
fdPhysiologic Integrity fd
6. A nurse working with the older adult population is most likely to assess a need for a
f d f d f d f d fd f d fd f d f d f d f d f d fd fd f d f d
f dfinancial social service‟s referral for a(n):
f d fd fd f d f d
a. white male. fd
b. black female. f d
c. Hispanic male. fd
d. Asian
fd American female. fd
f dANS: B f d
The poverty rate among older black women is substantially higher than that seen among males or
f d f d fd fd f d fd f d fd fd fd f d fd f d f d fd
fd females of other ethnic groups. White males had the least poverty.
f d fd fd f d f d f d f d f d f d f d
DIF: Applying (Application) REF: N/A OBJ: 1-4
fd fd fd fd fd fd
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
fd fd fd fd fd fd fd fd fd
7. Which of the following statements made by a nurse preparing to complete a health
f d f d f d f d fd fd fd fd f d f d fd f d fd
f dassessment and history on an older patient reflects an understanding of the general health
f d fd fd fd f d f d f d f d f d f d f d f d f d
f dstatus of this population? f d f d f d
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
fd fd fd f d fd f d fd fd fd fd fd fd
b. “I would like to understand how supportive the patient‟s family members are.”
fd fd fd fd fd fd fd fd fd fd fd
c. “Most older patients are being treated for a variety of chronic health care issues.”
fd f d fd f d fd fd fd fd f d fd fd f d fd
d. “It f d will f d be f d interesting f d to f d see f d whether f d this f d patient f d sees
f dherself as being healthy.” ANS: D
f d f d fd f d f d
It is a misconception that old age is synonymous with disease and illness. The nurse should
f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d
f dalways determine the patient‟s sense of wellness and independence when conducting a health and
f d f d fd f d f d f d f d f d f d f d f d f d f d
f dhistory assessment. An assessment of medication use and family support is important for any
f d f d f d f d fd f d f d f d f d fd fd fd f d
fd patient. Many older adults do have chronic health conditions, but their perception is more
fd f d f d f d f d fd fd f d fd f d f d f d f d
f dimportant than a single number. f d f d f d f d
DIF: Applying (Application) REF: N/A OBJ: 1-4
fd fd fd fd fd fd
TOP: Nursing Process: Assessment MSC: Health Promotion
fd fd fd fd fd fd
8. The nurse is caring for an older adult who has been admitted to an acute care hospital
f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d
f dfor treatment of a fractured femur. The family expresses concern about the patient‟s pending
f d f d f d fd f d f d f d f d f d f d f d f d f d
f dtransfer to a subacute care facility. What response by the nurse is best?
f d f d f d f d f d f d f d f d f d f d f d f d
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
fd fd fd fd fd fd fd fd fd fd fd
b. “Your dad will be much happier in a more serene, private environment.”
fd fd fd f d f d f d fd fd fd f d fd
c. “The subacute facility will focus on helping your dad maintain his independence.”
fd fd fd fd fd fd fd fd fd fd fd
f d f d f d f d
Nursing Meiner: Gerontologic Nursing,
fd f d f d f d
6th Edition MULTIPLE CHOICE
f d fd f d f d
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
f d fd fd f d f d fd fd fd fd fd f d fd
The nurse would use these standards to:
f d fd fd fd f d f d f d
a. promote the practice of gerontologic nursing within the acute care setting.
fd fd fd fd fd fd f d fd fd fd
b. define the concepts and dimensions of gerontologic nursing practice.
fd fd fd fd fd fd fd fd
c. elevate the practice of gerontologic nursing.
fd fd f d fd f d
d. incorporate f d suggested f d interventions f d from f d others who fd f d practice
gerontologic nursing. ANS: D
f d fd f d f d
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
f d f d f d f d f d f d f d f d f d f d f d f d f d
incorporates the input of gerontologic nurses from across the United States. It was not intended to promote
f d f d fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
gerontologic nursing practice within acute care settings, define concepts or dimensions of gerontologic nursing
fd fd f d fd fd fd fd fd fd fd fd fd fd fd
practice, or elevate the practice of gerontologic nursing. DIF: Remembering (Knowledge) REF: Page
fd fd fd fd fd f d f d f d f d f d f d f d f d
2 OBJ: 1-1
f d f d f d
TOP: N/A MSC: Safe and Effective Care Environment
fd fd fd fd fd f d fd
2. When attempting to minimize the effect of ageism on the practice of nursing older adults,
fd f d f d fd f d fd fd fd fd fd fd fd fd fd f d fd a nurse
fd
needs to first:
fd fd f d f d f d
a. recognize that nurses must act as advocates for aging patients.
fd fd f d fd fd fd fd f d fd
b. accept that this population represents a substantial portion of those requiring nursing care.
fd fd fd fd fd fd fd fd fd fd fd fd
c. self-reflect and formulate one‟s personal view of aging and the older patient.
fd fd fd fd fd fd fd fd fd fd fd
d. recognize f d ageism f d as f d a f d form f d of f d bigotry
shared by many Americans. ANS: C
f d f d f d fd f d f d
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the
f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d
older population as a whole. With nurses being members of a society holding such views, it
f d f d f d f d fd f d f d f d f d f d f d f d f d f d f d f d
is critical that the individual nurse self- reflect on personal feelings and determine whether such
f d f d f d f d f d f d f d fd f d f d f d f d f d f d f d
feelings will affect the nursing care that he or she provides to the aging patient. Acting as
f d f d f d f d f d f d f d f d f d f d f d fd f d f d f d f d f d
an advocate is an important nursing role in all settings. Simply accepting a fact
f d f d f d f d does not f d f d f d f d f d f d f d f d f d f d f d f d
help end ageism, nor does recognizing ageism as a form of bigotry.
f d f d f d f d f d f d f d f d f d f d f d f d
DIF: Applying (Application) REF: N/A OBJ: 1-9
fd fd fd fd fd fd
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
fd fd fd fd fd fd fd
3. When discussing factors that have helped to increase the number of healthy, independent
f d f d fd fd fd f d fd f d fd f d fd f d
fdolder Americans, the nurse includes the importance of:
f d fd f d f d f d f d f d
a. increased availability of in-home care services.
fd fd fd fd fd
b. government support of retired citizens. fd fd fd fd
c. effective antibiotic therapies. fd fd
d. the development of life-
fd fd fd
extending therapies. ANS: C fd f d f d
The health and ultimate autonomy of older Americans has been positively impacted by the
f d f d f d f d f d f d f d f d f d f d f d f d f d
development of antibiotics, better sanitation, and vaccines. These public health measures have been
f d f d fd fd f d f d f d f d f d f d f d f d f d
more instrumental in increasing the numbers of healthy, independent older Americans than have
f d f d f d f d fd f d f d f d f d f d f d f d f d
in-home care services, government programs, or life-extending therapies.
f d f d f d f d f d f d fd f d
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
fd fd f d fd fd fd fd
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
fd fd fd fd fd fd fd fd
4. Based on current data, when presenting an older adult‟s discharge teaching plan, the nurse includes the
fd fd f d fd fd f d fd fd fd fd fd fd fd fd fd
patient‟s:
fd
a. nonrelated caretaker. fd
b. paid caregiver. fd
c. family member. fd
,d. intuitional representative.
fd
, ANS: C fd
Less than 4% of older adults live in a formal health care environment. The majority of the
fd f d fd fd fd fd f d fd f d fd f d f d f d f d f d f d
fd geriatric population lives at home or with family members.
fd f d fd f d f d f d f d f d
DIF: Applying (Application) REF: N/A OBJ: 3-3
fd fd fd fd fd fd
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
fd fd fd fd fd fd fd fd fd
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
f d fd f d f d fd f d fd fd fd f d f d fd fd f d
f darthritis views the priority criterion for continued independence to be the patient‟s:
fd f d fd f d f d f d f d f d f d f d f d
a. age.
b. financial status. fd
c. gender.
d. functional
status. ANS:
fd fd
fd D
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
f d fd fd fd f d fd fd f d fd f d fd fd fd f d fd
fd impairment, two conditions that increase the likelihood of institutionalization.
fd fd f d f d f d f d f d f d
DIF: Remembering (Knowledge) REF: Page 8
f d f d f d f d f d
f dOBJ: 1-6 TOP: Nursing Process: Planning MSC:
f d fd fd fd fd fd
fdPhysiologic Integrity fd
6. A nurse working with the older adult population is most likely to assess a need for a
f d f d f d f d fd f d fd f d f d f d f d f d fd fd f d f d
f dfinancial social service‟s referral for a(n):
f d fd fd f d f d
a. white male. fd
b. black female. f d
c. Hispanic male. fd
d. Asian
fd American female. fd
f dANS: B f d
The poverty rate among older black women is substantially higher than that seen among males or
f d f d fd fd f d fd f d fd fd fd f d fd f d f d fd
fd females of other ethnic groups. White males had the least poverty.
f d fd fd f d f d f d f d f d f d f d
DIF: Applying (Application) REF: N/A OBJ: 1-4
fd fd fd fd fd fd
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
fd fd fd fd fd fd fd fd fd
7. Which of the following statements made by a nurse preparing to complete a health
f d f d f d f d fd fd fd fd f d f d fd f d fd
f dassessment and history on an older patient reflects an understanding of the general health
f d fd fd fd f d f d f d f d f d f d f d f d f d
f dstatus of this population? f d f d f d
a. “I‟ll need to document well regarding the medications the patient is currently prescribed.”
fd fd fd f d fd f d fd fd fd fd fd fd
b. “I would like to understand how supportive the patient‟s family members are.”
fd fd fd fd fd fd fd fd fd fd fd
c. “Most older patients are being treated for a variety of chronic health care issues.”
fd f d fd f d fd fd fd fd f d fd fd f d fd
d. “It f d will f d be f d interesting f d to f d see f d whether f d this f d patient f d sees
f dherself as being healthy.” ANS: D
f d f d fd f d f d
It is a misconception that old age is synonymous with disease and illness. The nurse should
f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d
f dalways determine the patient‟s sense of wellness and independence when conducting a health and
f d f d fd f d f d f d f d f d f d f d f d f d f d
f dhistory assessment. An assessment of medication use and family support is important for any
f d f d f d f d fd f d f d f d f d fd fd fd f d
fd patient. Many older adults do have chronic health conditions, but their perception is more
fd f d f d f d f d fd fd f d fd f d f d f d f d
f dimportant than a single number. f d f d f d f d
DIF: Applying (Application) REF: N/A OBJ: 1-4
fd fd fd fd fd fd
TOP: Nursing Process: Assessment MSC: Health Promotion
fd fd fd fd fd fd
8. The nurse is caring for an older adult who has been admitted to an acute care hospital
f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d
f dfor treatment of a fractured femur. The family expresses concern about the patient‟s pending
f d f d f d fd f d f d f d f d f d f d f d f d f d
f dtransfer to a subacute care facility. What response by the nurse is best?
f d f d f d f d f d f d f d f d f d f d f d f d
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
fd fd fd fd fd fd fd fd fd fd fd
b. “Your dad will be much happier in a more serene, private environment.”
fd fd fd f d f d f d fd fd fd f d fd
c. “The subacute facility will focus on helping your dad maintain his independence.”
fd fd fd fd fd fd fd fd fd fd fd
