TEST BANK FOR EBERSOLE & HESS’ TOWARD HEALTHY AGING, 10TH EDITION BY TOUHY:CHAPTER 02 GERONTOLOGICAL NURSING PAST,RESESENT AND FUTURE

TEST BANK FOR EBERSOLE & HESS’ TOWARD HEALTHY AGING, 10TH EDITION BY TOUHY:CHAPTER 02 GERONTOLOGICAL NURSING PAST,RESESENT AND FUTURE 1. Serious and well-controlled research studies on aging have been 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. ANS: A 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 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion andMaintenance 2. The son of a nursing home resident asks a nurse: “What is the significance of beingcertified in gerontology? I see that you are, but not all of the nurses are.” The best response by the nurse is which of the following? a. “National certification as a gerontological nurse is a way to demonstrate special knowledge in caring for older adults.” b. “National certification in gerontology is required for all nurses who have worked in this setting for 2 or more years.” c. “National certification is only available to nurses who have a Baccalaureate degree in nursing.” d. “Only advanced practice nurses, like nurse practitioners, are certified in gerontology.” ANS: A 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, and it is not exclusive to nurses 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 Masters level. DIF: Cognitive Level: Analyzing TOP: Integrated Process: Communication and Documentation MSC: Client Needs: Management ofCare 3. The major goal of the NICHE (Nurses Improving Care for Health System 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. d. Decrease 30-day readmission rates for hospitalized older adults. ANS: A 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: Remembering TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion andMaintenance 4.The impact of the Hospital Readmission Reduction Program (HRRP) on avoidable readmissions includes which of the following? (Select 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 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. ANS: A, B, E 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 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 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion andMaintenance