,Chapter 01: Overview of Gerontologic
ss ss ss ss
Nursing Meiner: Gerontologic
ss ss ss
Nursing, 5th Edition
ss ss ss
MULTIPLE s s CHOICE
1. In 2010, s s the s s revised s s Standards s s and s s Scope s s of s s Gerontological s s Nursing
s s
s s Practice
was sspublished. s s The s s nurse s s would s s use s s these s s standards s s to:
a. promote s s the s s s s practice s s of s s gerontologic s s nursing s s within s s the s s acute
s s care s s setting.
b. define s s the s s concepts s s and s s dimensions s s of s s gerontologic s s nursing
s s practice.
c. elevate s s the s s practice s s of s s gerontologic s s nursing.
d. incorporate s s suggested s s interventions s s from s s others s s who s s practice
s s gerontologic s s nursing.
ANS: D
The s s current s s publishing s s of s s the s s Standards s s and s s Scope s s of
s s Gerontological s s Nursing ssPractice s s in s s 2010 s s incorporates s s the s s input s s of
s s gerontologic s s nurses s s from s s across s s the ssUnited s s States. s s It s s was s s not
s s intended s s to s s promote s s gerontologic s s nursing s s practice sswithin
acute s s care s s settings, s s define s s concepts s s or s s dimensions s s of s s gerontologic
s s nursing s s practice, s s or sselevate s s the s s practice s s of s s gerontologic s s nursing.
DIF: Remembering s s s s (Knowledge) REF: Page s s s s 2 OBJ: 1-
1 TOP: N/A MSC: Safe s s s s and s s s s Effective s s s s Care s s s s Environment
2. When s s attempting s s to s s minimize s s the s s effect s s of s s ageism s s on s s the
s s practice s s of s s nursing ssolder ssadults, s s a s s nurse s s needs s s to s s first:
a. recognize s s that s s s s nurses s s must s s act s s as s s s s advocates s s for s s aging s s s s patients.
b. accept s s that s s this s s population s s represents s s a s s substantial
s s portion s s of s s those ssrequiring s s nursing s s care.
c. self-reflect s s and s s formulate s s one‟s s s personal s s view s s of s s aging s s and s s the
s s older s s patient.
d. recognize s s ageism s s as s s s s a s s form s s s s of s s bigotry s s shared s s s s by s s many
s s Americans.
ANS: C
Ageism is s s an ever-increasing s s prejudicial view of s s the effects of s s the aging
ssprocess and ssof s s the s s older s s population s s as s s a s s whole. s s With s s nurses
s s being s s members s s of s s a sssociety s s holding s s such s s views, s s it s s is s s critical
s s that s s the s s individual s s nurse s s self-reflect s s on sspersonal s s feelings s s and
s s determine s s whether s s such s s feelings s s will s s affect s s the s s nursing s s care ssthat
s s he s s or s s she s s provides s s to the aging s s patient. s s Acting s s as an advocate
s s is s s an ssimportant s s nursing s s role s s in s s all s s settings.
Simply s s accepting s s a s s fact s s does s s not s s help s s end s s ageism, s s nor s s does
s s recognizing s s ageism s s as ssa s s form s s of s s bigotry.
DIF: Applying s s (Application) REF: N/A OBJ: 1-9
ssTOP: Teaching-Learning sMSC: Safe s s and ssEffective
s s Care
Environment
3. When s s discussing s s factors s s that s s have s s helped s s to s s increase s s the
, s s number s s of sshealthy, ssindependent s s older s s Americans, s s the s s nurse
s s includes s s the s s importance s s of:
a. increased s s availability s s of s s in-home s s care s s s s services.
b. government s s support s s of s s retired s s s s citizens.
c. effective s s antibiotic s s therapies.
d. the s s development s s of s s life-extending s s therapies.
ANS: C
, The s s health s s and s s ultimate s s autonomy s s of s s older s s Americans s s has s s been
s s positively s s impacted ssby s s the s s development s s of s s antibiotics, s s better
s s sanitation, s s and s s vaccines. s s These s s public sshealth ssmeasures s s have s s been
s s more s s instrumental s s in s s increasing s s the s s numbers s s of s s healthy, ssindependent
older s s Americans than have in-home care services, government
ssprograms, ssor s s life-extending s s therapies.
DIF: Remembering s s (Knowledge) REF: Page s s s s 2 OBJ: 3-3
TOP: Nursing s s Process: s s Implementation s s MSC: s s Health s s Promotion s s s s and s s
s s Maintenance
4. Based s s on s s current s s data, s s when s s presenting s s an s s older s s adult‟s
s s discharge s s teaching ssplan, ssthe s s nurse s s includes s s the s s patient‟s:
a. nonrelated s s caretaker.
b. paid s s s s caregiver.
c. family s s member.
d. intuitional s s representative.
ANS: C
Less s s than s s 4% s s of s s older s s adults s s live s s in s s a s s formal s s health
s s care s s environment. s s The ssmajority ssof s s the s s geriatric s s population lives
at s s home s s or s s with family
ss members.
DIF: Applying s s (Application) REF: N/A OBJ: 3-3
TOP: Nursing s s Process: s s MSC: Safe Effective Care s s
s s Planning s s and s s Environment
5. The nurse s s planning s s care s s for s s an s s older s s adult s s who s s has s s recently
s s
s s been s s diagnosed s s with ssrheumatoid s s arthritis s s views s s the s s priority
s s criterion s s for s s continued s s independence s s to s s be ssthe sspatient‟s:
a. age.
b. financial s s status.
c. gender.
d. functional s s status.
ANS: D
Maintaining s s the s s functional s s status s s of s s older s s adults s s may s s avert s s the
s s onset s s of s s physical ssfrailty ssand s s cognitive s s impairment, s s two s s conditions
s s that s s increase s s the s s likelihood s s of ssinstitutionalization.
DIF: Remembering s s ss (Knowledge) REF: Page s s s s 8 OBJ: 1-
6 s s s s TOP: Nursing s s s s Process: s s s s Planning MSC: Physiologic s s
s s Integrity
6. A ssnurse s s working s s with s s the s s older s s adult s s population s s is s s most s s likely
s s to s s assess s s a s s need ssfor s s a ssfinancial s s social s s service‟s s s referral s s for
s s a(n):
a. white s s male.
b. black s s female.
c. Hispanic s s male.
d. Asian s s American s s female.
ANS: B
The s s poverty s s rate s s among s s older s s black s s women s s is s s substantially
s s higher s s than s s that s s seen ssamong s s males s s or s s females s s of s s other