TEST BANK
m.
,Chapterm.01:m.Overviewm.ofm.Gerontologicm.Nursingm.
Meiner:m.Gerontologicm.Nursing,m.5thm.Edition
MULTIPLEm.CHOIC
E
1. Inm.2010,m.them.revisedm.Standardsm.andm.Scopem.ofm.Gerontologicalm.Nursingm.Practicem.wasm.p
ublished.m.Them.nursem.wouldm.usem.thesem.standardsm.to:
a. promotem.them.practicem.ofm.gerontologicm.nursingm.withinm.them.acutem.carem.setting.
b. definem.them.conceptsm.andm.dimensionsm.ofm.gerontologicm.nursingm.practice.
c. elevatem.them.practicem.ofm.gerontologicm.nursing.
d. incorporatem.suggestedm.interventionsm.fromm.othersm.whom.practicem.gerontologicm.nursing.
ANS:m . D
Them.currentm.publishingm.ofm.them.Standardsm.andm.Scopem.ofm.Gerontologicalm.Nursingm.Pract
icem.inm.2010m.incorporatesm.them.inputm.ofm.gerontologicm.nursesm.fromm.acrossm.them.Unitedm.S
tates.m.Itm.wasm.notm.intendedm.tom.promotem.gerontologicm.nursingm.practicem.withinm.acutem.car
em.settings,m.definem.conceptsm.orm.dimensionsm.ofm.gerontologicm.nursingm.practice,m.orm.elevat
em.them.practicem.ofm.gerontologicm.nursing.
DIF: Rememberingm.(Knowledge) REF:m . Pagem.2
OBJ:m . 1-1m.TOP:m . N/A
MSC:m . Safem.andm.Effectivem.Carem.Environment
2. Whenm.attemptingm.tom.minimizem.them.effectm.ofm.ageismm.onm.them.practicem.ofm.nursingm.old
erm.adults,m.am.nursem.needsm.tom.first:
a. recognizem.thatm.nursesm.mustm.actm.asm.advocatesm.form.agingm.patients.
b. acceptm.thatm.thism.populationm.representsm.am.substantialm.portionm.ofm.thosem.r
equiringm.nursingm.care.
c. self-reflectm.andm.formulatem.one‟sm.personalm.viewm.ofm.agingm.andm.them.olderm.patient.
d. recognizem.ageismm.asm.am.formm.ofm.bigotrym.sharedm.bym.manym.Americans.
ANS:m . C
Ageismm.ism.anm.ever-
increasingm.prejudicialm.viewm.ofm.them.effectsm.ofm.them.agingm.processm.andm.ofm.them.olderm.pop
ulationm.asm.am.whole.m.Withm.nursesm.beingm.membersm.ofm.am.societym.holdingm.suchm.views,m.itm.
ism.criticalm.thatm.them.individualm.nursem.self-
reflectm.onm.personalm.feelingsm.andm.determinem.whetherm.suchm.feelingsm.willm.affectm.them.nursi
ngm.carem.thatm.hem.orm.shem.providesm.tom.them.agingm.patient.m.Actingm.asm.anm.advocatem.ism.anm.i
mportantm.nursingm.rolem.inm.allm.settings.m.Simplym.acceptingm.am.factm.doesm.notm.helpm.endm.agei
sm,m.norm.doesm.recognizingm.ageismm.asm.am.formm.ofm.bigotry.
DIF: Applyingm.(Application) REF:m . m . N/A OBJ:m . m . 1-9
TOP:m . Teaching-Learning MSC:m . Safem.andm.Effectivem.Carem.Environment
3. Whenm.discussingm.factorsm.thatm.havem.helpedm.tom.increasem.them.numberm.ofm.healthy,m.indepen
dentm.olderm.Americans,m.them.nursem.includesm.them.importancem.of:
a. increasedm.availabilitym.ofm.in-homem.carem.services.
b. governmentm.supportm.ofm.retiredm.citizens.
c. effectivem.antibioticm.therapies.
d. them.developmentm.ofm.life-extendingm.therapies.
ANS:m . C
, Them.healthm.andm.ultimatem.autonomym.ofm.olderm.Americansm.hasm.beenm.positivelym.impacted
m.bym.them.developmentm.ofm.antibiotics,m.better m.sanitation,m.andm.vaccines. m.Thesem.publicm.heal
thm.measuresm.havem.beenm.morem.instrumentalm.inm.increasingm.them.numbersm.ofm.healthy,m.ind
ependentm.olderm.Americansm.thanm.havem.in-
homem.carem.services,m.governmentm.programs,m.orm.life-extendingm.therapies.
DIF: Rememberingm.(Knowledge) REF:m . m . Pagem.2 OBJ:m . m . 3-3
TOP:m . Nursingm.Process:m.Implementation MSC:m . Healthm.Promotionm.andm.Maintenance
4. Basedm.onm.currentm.data,m.whenm.presentingm.anm.olderm.adult‟sm.dischargem.teachingm.plan,m
.them.nursem.includesm.them.patient‟s:
a. nonrelatedm.caretaker.
b. paidm.caregiver.
c. familym.member.
d. intuitionalm.representative.
ANS:m . C
Lessm.thanm.4%m.ofm.olderm.adultsm.livem.inm.am.formalm.healthm.carem.environment.m.Them.majority
m.ofm.the m.geriatricm.populationm.livesm.atm.homem.orm.withm.familym.members.
DIF: Applyingm.(Application) REF:m . m . N/A OBJ:m . m . 3-3
TOP:m . Nursingm.Process:m.Planning MSC:m . Safem.andm.Effectivem.Carem.Environment
5. Them.nursem.planningm.carem.form.anm.olderm.adultm.whom.hasm.recentlym.beenm.diagnosedm.withm.
rheumatoidm.arthritism.viewsm.them.prioritym.criterionm.form.continuedm.independencem.tom.bem.t
hem.patient‟s:
a. age.
b. financialm.status.
c. gender.
d. functionalm.status.
ANS:m . D
Maintainingm.them.functionalm.statusm.ofm.olderm.adultsm.maym.avertm.them.onsetm.ofm.physicalm.frail
tym.andm.cognitivem.impairment,m.twom.conditionsm.thatm.increasem.them.likelihoodm.ofm.institution
alization.
DIF: Rememberingm.(Knowledge) REF:m . Pagem.8
OBJ:m . 1-6m.TOP:m . Nursingm.Process:m.Planning
MSC:m . Physiologicm.Integrity
6. Am.nursem.workingm.withm.them.olderm.adultm.populationm.ism.mostm.likelym.tom.assessm.am.needm.f
orm.am.financialm.socialm.service‟sm.referralm.form.a(n):
a. whitem.male.
b. blackm.female.
c. Hispanicm.male.
d. Asianm.Americanm.female.
ANS:m . B
Them.povertym.ratem.amongm.olderm.blackm.womenm.ism.substantiallym.higherm.thanm.thatm.seenm.am
ongm.malesm.orm.femalesm.ofm.otherm.ethnicm.groups.m.Whitem.malesm.hadm.them.leastm.poverty.
DIF: Applyingm.(Application) REF:m . m . N/A OBJ:m . m . 1-4
TOP:m . Nursingm.Process:m.Assessment MSC:m . Safem.andm.Effectivem.Carem.Environment
, 7. Whichm.ofm.them.followingm.statementsm.madem.bym.am.nursem.preparingm.tom.completem.am.healthm
assessmentm.andm.historym.onm.anm.olderm.patientm.reflectsm.anm.understandingm.ofm.them.general
.
m.healthm.statusm.ofm.thism.population?
a. “I‟llm.needm.tom.documentm.wellm.regardingm.them.medicationsm.them.patientm.ism.
currentlym.prescribed.”
b. “Im.wouldm.likem.tom.understandm.howm.supportivem.them.patient‟sm.familym.membersm.are.”
c. “Mostm.olderm.patientsm.arem.beingm.treatedm.form.am.varietym.ofm.chronicm.healthm.carem.issues.”
d. “Itm.willm.bem.interestingm.tom.seem.whetherm.thism.patientm.seesm.herselfm.asm.beingm.healthy.”
ANS:m . D
Itm.ism.am.misconceptionm.thatm.oldm.agem.ism.synonymousm.withm.diseasem.andm.illness.m.Them.nurs
em.shouldm.alwaysm.determinem.them.patient‟sm.sensem.ofm.wellnessm.andm.independencem.whenm.co
nductingm.am.healthm.andm.historym.assessment.m.Anm.assessmentm.ofm.medicationm.usem.andm.famil
ym.supportm.ism.importantm.form.anym.patient.m.Manym.olderm.adultsm.dom.havem.chronicm.healthm.co
nditions,m.butm.theirm.perceptionm.ism.morem.importantm.thanm.am.singlem.number.
DIF: Applyingm.(Application) REF:m . N/A
OBJ:m . 1-4m.TOP:m . Nursingm.Process:m.Assessment
MSC:m . Healthm.Promotion
8. Them.nursem.ism.caringm.form.anm.olderm.adultm.whom.hasm.beenm.admittedm.tom.anm.acutem.car
em.hospitalm.form.treatmentm.ofm.am.fracturedm.femur.m.Them.familym.expressesm.concernm.abo
utm.them.patient‟sm.pendingm.transferm.tom.am.subacutem.carem.facility.m.Whatm.responsem.bym.
them.nursem.ism.best?
a. “Acutem.carem.facilitiesm.lackm.them.long-
termm.physicalm.therapym.supportm.yourm.dadm.requires.”
b. “Yourm.dadm.willm.bem.muchm.happierm.inm.am.morem.serene,m.privatem.environment.”
c. “Them.subacutem.facilitym.willm.focusm.onm.helpingm.yourm.dadm.maintainm.hism.independence.”
d. “Insurance,m.includingm.Medicare,m.willm.coverm.onlym.am.limitedm.amountm.ofm.timem.here.”
ANS:m . C
Them.transferm.ofm.them.patientm.tom.am.subacutem.facilitym.ism.basedm.onm.them.needm.tom.maintain
m.the m.patient‟sm.levelm.ofm.functionm.andm.independence, m.am.taskm.them.acutem.carem.facilitym.ism.
notm.preparedm.tom.addressm.oncem.them.patientm.ism.physiologicallym.stable.m.Them.patientm.maym.
orm.maym.notm.bem.happierm.inm.them.newm.setting;m.them.nursem.shouldm.notm.makem.thism.judgme
nt.m.Itm.ism.truem.thatm.insurancem.onlym.paysm.form.am.limitedm.amountm.ofm.timem.inm.anm.acutem.ca
rem.facility,m.butm.thism.ism.notm.them.bestm.reasonm.form.them.patientm.tom.transfer.
DIF: Applyingm.(Application) REF:m . N/A
OBJ:m . 1-6m.TOP:m . Communicationm.andm.Documentation
MSC:m . Healthm.Promotionm.andm.Maintenance
9. Tom.bestm.assurem.bothm.them.qualitym.ofm.carem.andm.them.safetym.ofm.them.olderm.adultm.patientm.wh
om.requiresm.in-
m.home m.unlicensedm.assistivem.personalm.(UAP) m.assistance,m.them.geriatricm.nurse:
a. evaluatesm.them.competencym.ofm.them.UAPm.staff.
b. assumesm.them.rolesm.ofm.casem.managerm.andm.patientm.advocate.
c. arrangesm.form.them.neededm.UAPm.providedm.services.
d. assessesm.them.patientm.form.functionalm.limitations.
ANS:m . A
Asm.morem.carem.traditionallym.providedm.bym.professionalm.nursesm.ism.beingm.transferredm.tom.U
AP,m.them.nursem.mustm.assumem.morem.responsibilitym.form.educating,m.training,m.andm.evaluatin
gm.them.competencym.ofm.UAPm.staffm.tom.providem.safe,m.effectivem.carem.form.them.olderm.adultm.
patient.
m.
,Chapterm.01:m.Overviewm.ofm.Gerontologicm.Nursingm.
Meiner:m.Gerontologicm.Nursing,m.5thm.Edition
MULTIPLEm.CHOIC
E
1. Inm.2010,m.them.revisedm.Standardsm.andm.Scopem.ofm.Gerontologicalm.Nursingm.Practicem.wasm.p
ublished.m.Them.nursem.wouldm.usem.thesem.standardsm.to:
a. promotem.them.practicem.ofm.gerontologicm.nursingm.withinm.them.acutem.carem.setting.
b. definem.them.conceptsm.andm.dimensionsm.ofm.gerontologicm.nursingm.practice.
c. elevatem.them.practicem.ofm.gerontologicm.nursing.
d. incorporatem.suggestedm.interventionsm.fromm.othersm.whom.practicem.gerontologicm.nursing.
ANS:m . D
Them.currentm.publishingm.ofm.them.Standardsm.andm.Scopem.ofm.Gerontologicalm.Nursingm.Pract
icem.inm.2010m.incorporatesm.them.inputm.ofm.gerontologicm.nursesm.fromm.acrossm.them.Unitedm.S
tates.m.Itm.wasm.notm.intendedm.tom.promotem.gerontologicm.nursingm.practicem.withinm.acutem.car
em.settings,m.definem.conceptsm.orm.dimensionsm.ofm.gerontologicm.nursingm.practice,m.orm.elevat
em.them.practicem.ofm.gerontologicm.nursing.
DIF: Rememberingm.(Knowledge) REF:m . Pagem.2
OBJ:m . 1-1m.TOP:m . N/A
MSC:m . Safem.andm.Effectivem.Carem.Environment
2. Whenm.attemptingm.tom.minimizem.them.effectm.ofm.ageismm.onm.them.practicem.ofm.nursingm.old
erm.adults,m.am.nursem.needsm.tom.first:
a. recognizem.thatm.nursesm.mustm.actm.asm.advocatesm.form.agingm.patients.
b. acceptm.thatm.thism.populationm.representsm.am.substantialm.portionm.ofm.thosem.r
equiringm.nursingm.care.
c. self-reflectm.andm.formulatem.one‟sm.personalm.viewm.ofm.agingm.andm.them.olderm.patient.
d. recognizem.ageismm.asm.am.formm.ofm.bigotrym.sharedm.bym.manym.Americans.
ANS:m . C
Ageismm.ism.anm.ever-
increasingm.prejudicialm.viewm.ofm.them.effectsm.ofm.them.agingm.processm.andm.ofm.them.olderm.pop
ulationm.asm.am.whole.m.Withm.nursesm.beingm.membersm.ofm.am.societym.holdingm.suchm.views,m.itm.
ism.criticalm.thatm.them.individualm.nursem.self-
reflectm.onm.personalm.feelingsm.andm.determinem.whetherm.suchm.feelingsm.willm.affectm.them.nursi
ngm.carem.thatm.hem.orm.shem.providesm.tom.them.agingm.patient.m.Actingm.asm.anm.advocatem.ism.anm.i
mportantm.nursingm.rolem.inm.allm.settings.m.Simplym.acceptingm.am.factm.doesm.notm.helpm.endm.agei
sm,m.norm.doesm.recognizingm.ageismm.asm.am.formm.ofm.bigotry.
DIF: Applyingm.(Application) REF:m . m . N/A OBJ:m . m . 1-9
TOP:m . Teaching-Learning MSC:m . Safem.andm.Effectivem.Carem.Environment
3. Whenm.discussingm.factorsm.thatm.havem.helpedm.tom.increasem.them.numberm.ofm.healthy,m.indepen
dentm.olderm.Americans,m.them.nursem.includesm.them.importancem.of:
a. increasedm.availabilitym.ofm.in-homem.carem.services.
b. governmentm.supportm.ofm.retiredm.citizens.
c. effectivem.antibioticm.therapies.
d. them.developmentm.ofm.life-extendingm.therapies.
ANS:m . C
, Them.healthm.andm.ultimatem.autonomym.ofm.olderm.Americansm.hasm.beenm.positivelym.impacted
m.bym.them.developmentm.ofm.antibiotics,m.better m.sanitation,m.andm.vaccines. m.Thesem.publicm.heal
thm.measuresm.havem.beenm.morem.instrumentalm.inm.increasingm.them.numbersm.ofm.healthy,m.ind
ependentm.olderm.Americansm.thanm.havem.in-
homem.carem.services,m.governmentm.programs,m.orm.life-extendingm.therapies.
DIF: Rememberingm.(Knowledge) REF:m . m . Pagem.2 OBJ:m . m . 3-3
TOP:m . Nursingm.Process:m.Implementation MSC:m . Healthm.Promotionm.andm.Maintenance
4. Basedm.onm.currentm.data,m.whenm.presentingm.anm.olderm.adult‟sm.dischargem.teachingm.plan,m
.them.nursem.includesm.them.patient‟s:
a. nonrelatedm.caretaker.
b. paidm.caregiver.
c. familym.member.
d. intuitionalm.representative.
ANS:m . C
Lessm.thanm.4%m.ofm.olderm.adultsm.livem.inm.am.formalm.healthm.carem.environment.m.Them.majority
m.ofm.the m.geriatricm.populationm.livesm.atm.homem.orm.withm.familym.members.
DIF: Applyingm.(Application) REF:m . m . N/A OBJ:m . m . 3-3
TOP:m . Nursingm.Process:m.Planning MSC:m . Safem.andm.Effectivem.Carem.Environment
5. Them.nursem.planningm.carem.form.anm.olderm.adultm.whom.hasm.recentlym.beenm.diagnosedm.withm.
rheumatoidm.arthritism.viewsm.them.prioritym.criterionm.form.continuedm.independencem.tom.bem.t
hem.patient‟s:
a. age.
b. financialm.status.
c. gender.
d. functionalm.status.
ANS:m . D
Maintainingm.them.functionalm.statusm.ofm.olderm.adultsm.maym.avertm.them.onsetm.ofm.physicalm.frail
tym.andm.cognitivem.impairment,m.twom.conditionsm.thatm.increasem.them.likelihoodm.ofm.institution
alization.
DIF: Rememberingm.(Knowledge) REF:m . Pagem.8
OBJ:m . 1-6m.TOP:m . Nursingm.Process:m.Planning
MSC:m . Physiologicm.Integrity
6. Am.nursem.workingm.withm.them.olderm.adultm.populationm.ism.mostm.likelym.tom.assessm.am.needm.f
orm.am.financialm.socialm.service‟sm.referralm.form.a(n):
a. whitem.male.
b. blackm.female.
c. Hispanicm.male.
d. Asianm.Americanm.female.
ANS:m . B
Them.povertym.ratem.amongm.olderm.blackm.womenm.ism.substantiallym.higherm.thanm.thatm.seenm.am
ongm.malesm.orm.femalesm.ofm.otherm.ethnicm.groups.m.Whitem.malesm.hadm.them.leastm.poverty.
DIF: Applyingm.(Application) REF:m . m . N/A OBJ:m . m . 1-4
TOP:m . Nursingm.Process:m.Assessment MSC:m . Safem.andm.Effectivem.Carem.Environment
, 7. Whichm.ofm.them.followingm.statementsm.madem.bym.am.nursem.preparingm.tom.completem.am.healthm
assessmentm.andm.historym.onm.anm.olderm.patientm.reflectsm.anm.understandingm.ofm.them.general
.
m.healthm.statusm.ofm.thism.population?
a. “I‟llm.needm.tom.documentm.wellm.regardingm.them.medicationsm.them.patientm.ism.
currentlym.prescribed.”
b. “Im.wouldm.likem.tom.understandm.howm.supportivem.them.patient‟sm.familym.membersm.are.”
c. “Mostm.olderm.patientsm.arem.beingm.treatedm.form.am.varietym.ofm.chronicm.healthm.carem.issues.”
d. “Itm.willm.bem.interestingm.tom.seem.whetherm.thism.patientm.seesm.herselfm.asm.beingm.healthy.”
ANS:m . D
Itm.ism.am.misconceptionm.thatm.oldm.agem.ism.synonymousm.withm.diseasem.andm.illness.m.Them.nurs
em.shouldm.alwaysm.determinem.them.patient‟sm.sensem.ofm.wellnessm.andm.independencem.whenm.co
nductingm.am.healthm.andm.historym.assessment.m.Anm.assessmentm.ofm.medicationm.usem.andm.famil
ym.supportm.ism.importantm.form.anym.patient.m.Manym.olderm.adultsm.dom.havem.chronicm.healthm.co
nditions,m.butm.theirm.perceptionm.ism.morem.importantm.thanm.am.singlem.number.
DIF: Applyingm.(Application) REF:m . N/A
OBJ:m . 1-4m.TOP:m . Nursingm.Process:m.Assessment
MSC:m . Healthm.Promotion
8. Them.nursem.ism.caringm.form.anm.olderm.adultm.whom.hasm.beenm.admittedm.tom.anm.acutem.car
em.hospitalm.form.treatmentm.ofm.am.fracturedm.femur.m.Them.familym.expressesm.concernm.abo
utm.them.patient‟sm.pendingm.transferm.tom.am.subacutem.carem.facility.m.Whatm.responsem.bym.
them.nursem.ism.best?
a. “Acutem.carem.facilitiesm.lackm.them.long-
termm.physicalm.therapym.supportm.yourm.dadm.requires.”
b. “Yourm.dadm.willm.bem.muchm.happierm.inm.am.morem.serene,m.privatem.environment.”
c. “Them.subacutem.facilitym.willm.focusm.onm.helpingm.yourm.dadm.maintainm.hism.independence.”
d. “Insurance,m.includingm.Medicare,m.willm.coverm.onlym.am.limitedm.amountm.ofm.timem.here.”
ANS:m . C
Them.transferm.ofm.them.patientm.tom.am.subacutem.facilitym.ism.basedm.onm.them.needm.tom.maintain
m.the m.patient‟sm.levelm.ofm.functionm.andm.independence, m.am.taskm.them.acutem.carem.facilitym.ism.
notm.preparedm.tom.addressm.oncem.them.patientm.ism.physiologicallym.stable.m.Them.patientm.maym.
orm.maym.notm.bem.happierm.inm.them.newm.setting;m.them.nursem.shouldm.notm.makem.thism.judgme
nt.m.Itm.ism.truem.thatm.insurancem.onlym.paysm.form.am.limitedm.amountm.ofm.timem.inm.anm.acutem.ca
rem.facility,m.butm.thism.ism.notm.them.bestm.reasonm.form.them.patientm.tom.transfer.
DIF: Applyingm.(Application) REF:m . N/A
OBJ:m . 1-6m.TOP:m . Communicationm.andm.Documentation
MSC:m . Healthm.Promotionm.andm.Maintenance
9. Tom.bestm.assurem.bothm.them.qualitym.ofm.carem.andm.them.safetym.ofm.them.olderm.adultm.patientm.wh
om.requiresm.in-
m.home m.unlicensedm.assistivem.personalm.(UAP) m.assistance,m.them.geriatricm.nurse:
a. evaluatesm.them.competencym.ofm.them.UAPm.staff.
b. assumesm.them.rolesm.ofm.casem.managerm.andm.patientm.advocate.
c. arrangesm.form.them.neededm.UAPm.providedm.services.
d. assessesm.them.patientm.form.functionalm.limitations.
ANS:m . A
Asm.morem.carem.traditionallym.providedm.bym.professionalm.nursesm.ism.beingm.transferredm.tom.U
AP,m.them.nursem.mustm.assumem.morem.responsibilitym.form.educating,m.training,m.andm.evaluatin
gm.them.competencym.ofm.UAPm.staffm.tom.providem.safe,m.effectivem.carem.form.them.olderm.adultm.
patient.
