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