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