test bank for gerontologic nursing 6th edition by meiner all chapters 6 pdf 3 compressed

GerontologicVNursingV6thVEditionVMeinerVTestVBan
k
Chapter 01: Overview of Gerontologic Nursin
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g Meiner: Gerontologic Nursing, 6th Edition
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MULTIPLEVCHOICE

1. InV2010,VtheVrevisedVStandardsVandVScopeVofVGerontologicalVNursingVPracticeVwa
sVpublished.VTheVnurseVwouldVuseVtheseVstandardsVto
a. promoteVtheVpracticeVofVgerontologicVnursingVwithinVtheVacuteVcareVsetting.
b. defineVtheVconceptsVandVdimensionsVofVgerontologicVnursingVpractice.
c. elevateVtheVpracticeVofVgerontologicVnursing.
d. incorporateVtheVconceptsVofVhealthVpromotion,VhealthVmaintenance,Vdiseas
eVprevention,VandVself-care
ANS:V D
TheVcurrentVpublishingVofVtheVStandardsVandVScopeVofVGerontologicalVNursingVPracticeVinV
2010VincorporatesVtheVinputVofVgerontologicVnursesVfromVacrossVtheVUnitedVStatesVandVinclu
desVcomprehensiveVconceptsVandVdimensionsVimportantVtoVthoseVpracticingVgerontologicVnur
sing.VItVwasVnotVintendedVtoVpromoteVgerontologicVnursingVpracticeVwithinVacuteVcareVsettin
gs,VdefineVconceptsVorVdimensionsVofVgerontologicVnursingVpractice,VorVelevateVtheVpracticeV
ofVgerontologicVnursing.

DIF: Remembering OBJ: 1-1 TOP:
N/AVMSC:V SafeVandVEffectiveVCareVEnvironment

2. WhenVattemptingVtoVminimizeVtheVeffectVofVageismVonVtheVpracticeVofVnursingVolderVadults,
VaV
nurseVneedsVtoVfirst
a. recognizeVthatVnursesVmustVactVasVadvocatesVforVagingVpatients.
b. acceptVthatVthisVpopulationVrepresentsVaVsubstantialVportionVofVthoseVrequirin
gVnursingVcare.
c. self-reflectVandVformulateVone‟sVpersonalVviewVofVagingVandVtheVolderVpatient.
d. recognizeVageismVasVaVformVofVbigotryVsharedVbyVmanyVAmericans.
ANS:V C
AgeismVisVanVever-
increasingVprejudicialVviewVofVtheVeffectsVofVtheVagingVprocessVandVofVtheVolderVpopulationV
asVaVwhole.VWithVnursesVbeingVmembersVofVaVsocietyVholdingVsuchVviews,VitVisVcriticalVthatVt
heVindividualVnurseVself-
reflectsVonVpersonalVfeelingsVandVdeterminesVwhetherVsuchVfeelingsVwillVaffectVtheVnursingVc
areVthatVheVorVsheVprovidesVtoVtheVagingVpatient.VActingVasVanVadvocateVisVanVimportantVnurs
ingVroleVinVallVsettings.VSimplyVacceptingVaVfactVdoesVnotVhelpVendVageism,VnorVdoesVrecogn
izingVageismVasVaVformVofVbigotry.

DIF: Applying OBJ: 1-6 TOP: IntegratedVProcess:VTeaching-
LearningVMSC:V SafeVandVEffectiveVCareVEnvironment

3. TheVnurseVplanningVcareVforVanVolderVadultVwhoVhasVrecentlyVbeenVdiagnosedVwithVrheumato
idVarthritisVviewsVtheVpriorityVcriterionVforVcontinuedVindependenceVtoVbeVtheVpatient‟s
a. age.
b. financialVstatus.
c. gender.
d. functionalVstatus.

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ANS:V D
MaintainingVtheVfunctionalVstatusVofVolderVadultsV(especiallyVthoseVwithVchronicVhealthVcon
ditions)VmayVavertVtheVonsetVofVphysicalVfrailtyVandVcognitiveVimpairment,VtwoVconditionsVth
atVincreaseVtheVlikelihoodVofVinstitutionalization.

DIF: Remembering OBJ: 1-4
TOP: NursingVProcess:VPlanning MSC:V PhysiologicVIntegrity

4. AVnurseVworkingVwithVtheVolderVadultVpopulationVisVmostVlikelyVtoVassessVaVneedVfo
rVaVfinancialVsocialVservice‟sVreferralVforVwhichVperson?
a. WhiteVmale
b. BlackVfemale
c. HispanicVmale
d. AsianVAmericanVfemale
ANS:V B
TheVpovertyVrateVamongVolderVwomenVisVsubstantiallyVhigherVthanVthatVseenVamongVmen.VT
heVpovertyVratesVforVpeopleVofVcolorVisVhigherVthanVthatVofVwhites.

DIF: Remembering OBJ: 1-4
TOP: NursingVProcess:VAssessment MSC:V SafeVandVEffectiveVCareVEnvironment

5. AVnurseVisVpreparingVtoVcompleteVaVhealthVassessmentVandVhistoryVonVanVolderVpatient.VWhi
chVstatementVreflectsVanVunderstandingVofVtheVgeneralVhealthVstatusVofVthisVpopulation?
a. “I‟llVneedVtoVdocumentVtheVmedicationsVtheVpatientVisVcurrentlyVprescribed.”
b. “IVwouldVlikeVtoVunderstandVhowVsupportiveVtheVpatient‟sVfamilyVmembersVare.”
c. “MostVolderVpatientsVare NVVbU
Rein
VIVGVB.C
SgVtrN
eateT
dVforVaVvOarietyVofVchronicVhealthVcareVissues.”
d. “ItVwillVbeVinterestingVtoVseeVwhetherVthisVpatientVseesVherselfVasVbeingVhealthy.”
ANS:V D
ItVisVaVmisconceptionVthatVoldVageVisVsynonymousVwithVdiseaseVandVillness.VInVfact,VolderV
adultsValreadyVtendVtoVviewVtheirVpersonalVhealthVpositivelyVdespiteVtheVpresenceVofVchron
icVillness,Vdisease,VandVimpairment.VTheVnurseVshouldValwaysVdetermineVtheVpatient‟sVsens
eVofVwellnessVandVindependenceVwhenVconductingVaVhealthVandVhistoryVassessment.VAnVas
sessmentVofVmedicationVuseVandVfamilyVsupportVisVimportantVforVanyVpatient.VManyVolderV
adultsVdoVhaveVchronicVhealthVconditions,VbutVtheirVperceptionVisVmoreVimportantVthanVaVs
ingleVnumber.

DIF: Applying OBJ: 1-4 TOP:
NursingVProcess:VAssessmentVMSC:V HealthVPromotionVandVMaintenance

6. TheVnurseVisVcaringVforVanVolderVadultVwhoVhasVbeenVadmittedVtoVanVacuteVcareVhospitalVf
orVtreatmentVofVaVfracturedVfemur.VTheVfamilyVexpressesVconcernVaboutVtheirVfather‟sVpen
dingVtransferVtoVaVsubacuteVcareVfacility.VWhatVresponseVbyVtheVnurseVisVbest?
a. “AcuteVcareVfacilitiesVlackVtheVlong-termVphysicalVtherapyVyourVdadVrequires.”
b. “YourVdadVwillVbeVmuchVhappierVinVaVmoreVserene,VprivateVenvironment.”
c. “TheVsubacuteVfacilityVwillVfocusVonVhelpingVyourVdadVtoVmaintainVh
isVindependence.”
d. “Insurance,VincludingVMedicare,VwillVcoverVonlyVaVlimitedVamountVofVtimeVhere.”

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ANS:V C
TheVtransferVofVtheVpatientVtoVaVsubacuteVfacilityVisVbasedVonVtheVneedVtoVmaintainVthe
patient‟sVlevelVofVfunctionVandVindependence,VaVtaskVtheVacuteVcareVfacilityVisVnotVpreparedVt
oVaddressVonceVtheVpatientVisVphysiologicallyVstable.VTheVacuteVcareVfacilityVmayVorVmayVnot
VbeVableVtoVprovideVlong-

termVtherapy.VTheVpatientVmayVorVmayVnotVbeVhappierVinVtheVnewVsetting;VtheVnurseVshouldVn
otVmakeVthisVjudgment.VItVisVtrueVthatVinsuranceVonlyVpaysVforVaVlimitedVamountVofVtimeVinVa
nVacuteVcareVfacility,VbutVthisVisVnotVtheVbestVreasonVforVtheVpatientVtoVtransfer.

DIF: Applying OBJ: 1-4
TOP:
IntegratedVProcess:VCommunicationVandVDocumentatio
nVMSC:V HealthVPromotionVandVMaintenance

7. ToVbestVassureVbothVtheVqualityVofVcareVandVtheVsafetyVofVtheVolderVadultVpatientVwhoVrequir
esVin-
homeVunlicensedVassistiveVpersonalV(UAP)Vassistance,VwhichVactionVbyVtheVgerontologicVn
urseVisVbest?
a. EvaluatesVtheVcompetencyVofVtheVUAPVstaff.
b. AssumesVtheVrolesVofVcaseVmanagerVandVpatientVadvocate.
c. ArrangesVforVtheVneededVUAPVprovidedVservices.
d. AssessesVtheVpatientVforVfunctionalVlimitations.
ANS:V A
AsVmoreVcareVtraditionallyVprovidedVbyVprofessionalVnursesVisVbeingVtransferredVtoVUAP,Vt
heVnurseVmustVassumeVmoreVresponsibilityVforVeducating,Vtraining,VandVevaluatingVtheVcom
petencyVofVUAPVstaffVtoVprovideVsafe,VeffectiveVcareVforVtheVolderVadultVpatient.

DIF: Applying OBJ:NV1R
-5
TOP: IntegratedVProcess:VCommunicationVandVDocumentation
MSC:V SafeVandVEffectiveVCareVEnvironment

8. TheVnurseVworkingVwithVolderVadultsVunderstandsVwhatVinformationVaboutVcertificationVi
nVgerontologicVnursing?
a. ItVisVmandatoryVforVthoseVinVlong-termVcareVsettings.
b. ItVisVvoluntaryVandVshowsVclinicalVexpertiseVinVanVarea.
c. ItVallowsVnursesVtoVbeVpaidVbyVthird-partyVpayers.
d. ItVallowsVnursesVtoVadvanceVtheirVcareersVinVaVjob.
ANS:V B
CertificationVisVvoluntaryVandVshowsVthatVaVnurseVhasVadditionalVknowledgeVandVexpertiseVin
VaVcertainVareaVofVpractice.VItVisVnotVmandatoryVinVspecificVcareVsettings.VItVdoesVnotVallowVfo
rVthird-
partyVreimbursement.VItVmayVbeVpartVofVaVcareerVladderVprogram,VbutVthatVisVnotVtrueVofVallV
workVsettings.

DIF: Remembering OBJ: 1-
2VTOP: IntegratedVProcess:VTeaching-Learning
MSC:V SafeVandVEffectiveVCareVEnvironment

9. AVnurseVworksVinVaVgerontologicVclinic.VWhatVactionVbyVtheVnurseVtakesVhighestVpriority?
a. ServingVasVaVpatientVadvocate
b. EducatingVpatientsVaboutVdiseases

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c. HelpingVpatientsVremainVindependent
d. ReferringVpatientsVtoVhomeVhealthVcare
ANS:V C
OneVofVtheVchallengesVandVprioritiesVofVtheVgerontologicVnurseVisVhelpingVpatientsVtoVmainta
inVtheirVindependence.VWhileVnursesVdoVserveVasVpatientVadvocates,VeducateVpatients,VandVm
akeVreferrals,VtheseVactionsVareVnotVspecificVtoVgerontologicVnursing.

DIF: Remembering OBJ: 1-2
TOP: NursingVProcess:VImplementation MSC:V HealthVPromotionVandVMaintenance

10. AVnurseVisVcaringVforVanVolderVpatientVinVtheVemergencyVdepartment.VWhatVinformationVabo
utVtheVpatientVwillVbeVmostVhelpfulVinVcreatingVaVplanVofVcare?
a. BaselineVphysicalVandVcognitiveVfunctioning
b. LivingVconditionsVandVfamilyVsupport
c. MedicationsVandVcurrentVmedicalVproblems
d. ResultsVofVtheVMini-MentalVStateVExamination
ANS:V A
TheVnurseVisVencouragedVtoVviewVolderVpatientsVasVindividualsVandVconsiderVtheirVbaseline
VphysicalVandVcognitiveVfunctionalVstatusVasVaVstandardVbyVwhichVtoVcompareVtheVpatient‟

sVcurrentVstatus.VTheVotherVinformationVisValsoVimportant,VbutVtheVbasisVofVindividualizedV
careVbeginsVwithVtheVpatient‟sVstrengthsVandVweaknesses.

DIF: Applying OBJ: 1-2 TOP:
NursingVProcess:VAssessmentVMSC:V HealthVPromotionVandVMaintenance
N R I G B.C M
11. TheVfacultyVmemberVexplainsUtoVSstudN
entsTthatVmOanyVolderVAmericansVcontinueVtoVworkVpa
stVtheV“retirementVage.”VWhatVbestVexplainsVthisVtrend?
a. FeelingVhealthierVlonger
b. ChangingVfinancialVoutlook
c. BecomingVboredVinVretirement
d. AVdesireVtoVgiveVback
ANS:V B
AsVfinancialVsituationsVmayVhaveVdeclinedVasVaVresultVofVmanyVeconomicVfactors,VmoreVold
erVadultsVworkVpastVtheirV“retirementVage.”VTheVotherVoptionsVmayVbeVreasonsVforVsomeVtoV
continueVworking,VbutVfinancialVnecessityVisVtheVreasonVtheVmajorityVcontinueVtoVdoVso.

DIF: Remembering OBJ: 1-
3VTOP: IntegratedVProcess:VTeaching-Learning
MSC:V HealthVPromotionVandVMaintenance

12. WhatVinformationVdoesVtheVfacultyVmemberVteachVstudentsVaboutVMedicare?
a. CoversVanyoneVwithVend-stageVrenalVdisease
b. PartVAVcoversVsomeVprescriptionVcosts
c. PartVBVcoversVinpatientVhospitalVcosts
d. PartVDVeliminatesVtheVdrugV“donutVhole
”VANS:V A