Test Bank - for Toward Healthy Aging: Human Needs and
Nursing Response 11th Edition (Theris A. Touhy,
2025), Chapter 1-36 | All Chapters Covered 100%
Complete A+ Study Guide Latest Version
FULL TEST BANK!!!
1|Page
, 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,
2|Page
, 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.
3|Page
, 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
4|Page
Nursing Response 11th Edition (Theris A. Touhy,
2025), Chapter 1-36 | All Chapters Covered 100%
Complete A+ Study Guide Latest Version
FULL TEST BANK!!!
1|Page
, 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,
2|Page
, 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.
3|Page
, 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
4|Page
