,
,Chapterv01:vOverviewvofvGerontologicvNursingv
Meiner:vGerontologicvNursing,v5thvEditionvMU
LTIPLEvCHOICE
1. Inv2010,vthevrevisedvStandardsvandvScopevofvGerontologicalvNursingvPracticevwasvpublished.vThevnursevwouldvusevthesev
standardsvto:
a. promotevthevpracticevofvgerontologicvnursingvwithinvthevacutevcarevsetting.
b. definevthevconceptsvandvdimensionsvofvgerontologicvnursingvpractice.
c. elevatevthevpracticevofvgerontologicvnursing.
d. incorporatevsuggestedvinterventionsvfromvothersvwhovpracticevgerontologicvnursing.v
ANS:vD
ThevcurrentvpublishingvofvthevStandardsvandvScopevofvGerontologicalvNursingvPracticevinv2010vincorporatesvthevinputvofvgero
ntologicvnursesvfromvacrossvthevUnitedvStates.vItvwasvnotvintendedvtovpromotevgerontologicvnursingvpracticevwithinvacutevcarev
settings,vdefinevconceptsvorvdimensionsvofvgerontologicvnursingvpractice,vorvelevatevthevpracticevofvgerontologicvnursing.vDIF:
vRememberingv(Knowledge) vREF:vPagev2 vOBJ:v1-1
TOP:vN/AvMSC:vSafevandvEffectivevCarevEnvironment
2. Whenvattemptingvtovminimizevtheveffectvofvageismvonvthevpracticevofvnursingvoldervadults,vavnursevneedsvtovfirst:
a. recognizevthatvnursesvmustvactvasvadvocatesvforvagingvpatients.
b. acceptvthatvthisvpopulationvrepresentsvavsubstantialvportionvofvthosevrequiringvnursingvcare.
c. self-reflectvandvformulatevone’svpersonalvviewvofvagingvandvthevoldervpatient.
d. recognizevageismvasvavformvofvbigotryvsharedvbyvmanyvAmericans.v
ANS:vC
Ageismvisvanvever-
increasingvprejudicialvviewvofvtheveffectsvofvthevagingvprocessvandvofvthevoldervpopulationvasvavwhole.vWithvnursesvbeingvmem
bersvofvavsocietyvholdingvsuchvviews,vitvisvcriticalvthatvthevindividualvnursevself-
reflectvonvpersonalvfeelingsvandvdeterminevwhethervsuchvfeelingsvwillvaffectvthevnursingvcarevthatvhevorvshevprovidesvtovthevagi
ngvpatient.vActingvasvanvadvocatevisvanvimportantvnursingvrolevinvallvsettings.vSimplyvacceptingvavfactvdoesvnotvhelpvendvageis
m,vnorvdoesvrecognizingvageismvasvavformvofvbigotry.
DIF:vApplyingv(Application)vREF:vN/AvOBJ:v1-9
TOP:vTeaching-LearningvMSC:vSafevandvEffectivevCarevEnvironment
3. Whenvdiscussingvfactorsvthatvhavevhelpedvtovincreasevthevnumbervofvhealthy,vindependentvoldervAmericans,vthevnursev
includesvthevimportancevof:
a. increasedvavailabilityvofvin-homevcarevservices.
b. governmentvsupportvofvretiredvcitizens.
c. effectivevantibioticvtherapies.
d. thevdevelopmentvofvlife-
extendingvtherapies.vANS:vC
ThevhealthvandvultimatevautonomyvofvoldervAmericansvhasvbeenvpositivelyvimpactedvbyvthevdevelopmentvofvantibiotics,vbetterv
sanitation,vandvvaccines.vThesevpublicvhealthvmeasuresvhavevbeenvmorevinstrumentalvinvincreasingvthevnumbersvofvhealthy,vin
dependentvoldervAmericansvthanvhavevin-homevcarevservices,vgovernmentvprograms,vorvlife-extendingvtherapies.
DIF:vRememberingv(Knowledge)vREF:vPagev2vOBJ:v3-3
TOP:vNursingvProcess:vImplementationvMSC:vHealthvPromotionvandvMaintenance
4. Basedvonvcurrentvdata,vwhenvpresentingvanvoldervadult’svdischargevteachingvplan,vthevnursevincludesvthevpatient’s:
a. nonrelatedvcaretaker.
b. paidvcaregiver.
c. familyvmember.
d. intuitionalvrepresentative.
, ANS:vC
Lessvthanv4%vofvoldervadultsvlivevinvavformalvhealthvcarevenvironment.vThevmajorityvofvthevgeriatricvpopulationvlivesvatvhomev
orvwithvfamilyvmembers.
DIF:vApplyingv(Application)vREF:vN/AvOBJ:v3-3
TOP:vNursingvProcess:vPlanningvMSC:vSafevandvEffectivevCarevEnvironment
5. Thevnursevplanningvcarevforvanvoldervadultvwhovhasvrecentlyvbeenvdiagnosedvwithvrheumatoidvarthritisvviewsvthevpriorityv
criterionvforvcontinuedvindependencevtovbevthevpatient’s:
a. age.
b. financialvstatus.
c. gender.
d. functionalvstatus.v
ANS:vD
Maintainingvthevfunctionalvstatusvofvoldervadultsvmayvavertvthevonsetvofvphysicalvfrailtyvandvcognitivevimpairment,vtwov
conditionsvthatvincreasevthevlikelihoodvofvinstitutionalization.
DIF:vRememberingv(Knowledge)vREF:vPagev8vOBJ:v1-
6vTOP:vNursingvProcess:vPlanningvMSC:vPhysiologicvIntegrit
y
6. Avnursevworkingvwithvthevoldervadultvpopulationvisvmostvlikelyvtovassessvavneedvforvavfinancialvsocialvservice’svreferralvforv
a(n):
a. whitevmale.
b. blackvfemale.
c. Hispanicvmale.
d. AsianvAmericanvfemale.v
ANS:vB
Thevpovertyvratevamongvoldervblackvwomenvisvsubstantiallyvhighervthanvthatvseenvamongvmalesvorvfemalesvofvothervethnicv
groups.vWhitevmalesvhadvthevleastvpoverty.
DIF:vApplyingv(Application)vREF:vN/AvOBJ:v1-4
TOP:vNursingvProcess:vAssessmentvMSC:vSafevandvEffectivevCarevEnvironment
7. Whichvofvthevfollowingvstatementsvmadevbyvavnursevpreparingvtovcompletevavhealthvassessmentvandvhistoryvonvanvolderv
patientvreflectsvanvunderstandingvofvthevgeneralvhealthvstatusvofvthisvpopulation?
a. “I’llvneedvtovdocumentvwellvregardingvthevmedicationsvthevpatientvisvcurrentlyvprescribed.”
b. “Ivwouldvlikevtovunderstandvhowvsupportivevthevpatient’svfamilyvmembersvare.”
c. “Mostvoldervpatientsvarevbeingvtreatedvforvavvarietyvofvchronicvhealthvcarevissues.”
d. “Itvwillvbevinterestingvtovseevwhethervthisvpatientvseesvherselfvasvbeingvhealthy.”v
ANS:vD
Itvisvavmisconceptionvthatvoldvagevisvsynonymousvwithvdiseasevandvillness.vThevnursevshouldvalwaysvdeterminevthevpatient’svse
nsevofvwellnessvandvindependencevwhenvconductingvavhealthvandvhistoryvassessment.vAnvassessmentvofvmedicationvusevandvfa
milyvsupportvisvimportantvforvanyvpatient.vManyvoldervadultsvdovhavevchronicvhealthvconditions,vbutvtheirvperceptionvisvmorevi
mportantvthanvavsinglevnumber.
DIF:vApplyingv(Application)vREF:vN/AvOBJ:v1-4
TOP:vNursingvProcess:vAssessmentvMSC:vHealthvPromotion
8. Thevnursevisvcaringvforvanvoldervadultvwhovhasvbeenvadmittedvtovanvacutevcarevhospitalvforvtreatmentvofvavfracturedvfemur.v
Thevfamilyvexpressesvconcernvaboutvthevpatient’svpendingvtransfervtovavsubacutevcarevfacility.vWhatvresponsevbyvthevnursevisv
best?
a. “Acutevcarevfacilitiesvlackvthevlong-termvphysicalvtherapyvsupportvyourvdadvrequires.”
b. “Yourvdadvwillvbevmuchvhappiervinvavmorevserene,vprivatevenvironment.”
c. “Thevsubacutevfacilityvwillvfocusvonvhelpingvyourvdadvmaintainvhisvindependence.”
,Chapterv01:vOverviewvofvGerontologicvNursingv
Meiner:vGerontologicvNursing,v5thvEditionvMU
LTIPLEvCHOICE
1. Inv2010,vthevrevisedvStandardsvandvScopevofvGerontologicalvNursingvPracticevwasvpublished.vThevnursevwouldvusevthesev
standardsvto:
a. promotevthevpracticevofvgerontologicvnursingvwithinvthevacutevcarevsetting.
b. definevthevconceptsvandvdimensionsvofvgerontologicvnursingvpractice.
c. elevatevthevpracticevofvgerontologicvnursing.
d. incorporatevsuggestedvinterventionsvfromvothersvwhovpracticevgerontologicvnursing.v
ANS:vD
ThevcurrentvpublishingvofvthevStandardsvandvScopevofvGerontologicalvNursingvPracticevinv2010vincorporatesvthevinputvofvgero
ntologicvnursesvfromvacrossvthevUnitedvStates.vItvwasvnotvintendedvtovpromotevgerontologicvnursingvpracticevwithinvacutevcarev
settings,vdefinevconceptsvorvdimensionsvofvgerontologicvnursingvpractice,vorvelevatevthevpracticevofvgerontologicvnursing.vDIF:
vRememberingv(Knowledge) vREF:vPagev2 vOBJ:v1-1
TOP:vN/AvMSC:vSafevandvEffectivevCarevEnvironment
2. Whenvattemptingvtovminimizevtheveffectvofvageismvonvthevpracticevofvnursingvoldervadults,vavnursevneedsvtovfirst:
a. recognizevthatvnursesvmustvactvasvadvocatesvforvagingvpatients.
b. acceptvthatvthisvpopulationvrepresentsvavsubstantialvportionvofvthosevrequiringvnursingvcare.
c. self-reflectvandvformulatevone’svpersonalvviewvofvagingvandvthevoldervpatient.
d. recognizevageismvasvavformvofvbigotryvsharedvbyvmanyvAmericans.v
ANS:vC
Ageismvisvanvever-
increasingvprejudicialvviewvofvtheveffectsvofvthevagingvprocessvandvofvthevoldervpopulationvasvavwhole.vWithvnursesvbeingvmem
bersvofvavsocietyvholdingvsuchvviews,vitvisvcriticalvthatvthevindividualvnursevself-
reflectvonvpersonalvfeelingsvandvdeterminevwhethervsuchvfeelingsvwillvaffectvthevnursingvcarevthatvhevorvshevprovidesvtovthevagi
ngvpatient.vActingvasvanvadvocatevisvanvimportantvnursingvrolevinvallvsettings.vSimplyvacceptingvavfactvdoesvnotvhelpvendvageis
m,vnorvdoesvrecognizingvageismvasvavformvofvbigotry.
DIF:vApplyingv(Application)vREF:vN/AvOBJ:v1-9
TOP:vTeaching-LearningvMSC:vSafevandvEffectivevCarevEnvironment
3. Whenvdiscussingvfactorsvthatvhavevhelpedvtovincreasevthevnumbervofvhealthy,vindependentvoldervAmericans,vthevnursev
includesvthevimportancevof:
a. increasedvavailabilityvofvin-homevcarevservices.
b. governmentvsupportvofvretiredvcitizens.
c. effectivevantibioticvtherapies.
d. thevdevelopmentvofvlife-
extendingvtherapies.vANS:vC
ThevhealthvandvultimatevautonomyvofvoldervAmericansvhasvbeenvpositivelyvimpactedvbyvthevdevelopmentvofvantibiotics,vbetterv
sanitation,vandvvaccines.vThesevpublicvhealthvmeasuresvhavevbeenvmorevinstrumentalvinvincreasingvthevnumbersvofvhealthy,vin
dependentvoldervAmericansvthanvhavevin-homevcarevservices,vgovernmentvprograms,vorvlife-extendingvtherapies.
DIF:vRememberingv(Knowledge)vREF:vPagev2vOBJ:v3-3
TOP:vNursingvProcess:vImplementationvMSC:vHealthvPromotionvandvMaintenance
4. Basedvonvcurrentvdata,vwhenvpresentingvanvoldervadult’svdischargevteachingvplan,vthevnursevincludesvthevpatient’s:
a. nonrelatedvcaretaker.
b. paidvcaregiver.
c. familyvmember.
d. intuitionalvrepresentative.
, ANS:vC
Lessvthanv4%vofvoldervadultsvlivevinvavformalvhealthvcarevenvironment.vThevmajorityvofvthevgeriatricvpopulationvlivesvatvhomev
orvwithvfamilyvmembers.
DIF:vApplyingv(Application)vREF:vN/AvOBJ:v3-3
TOP:vNursingvProcess:vPlanningvMSC:vSafevandvEffectivevCarevEnvironment
5. Thevnursevplanningvcarevforvanvoldervadultvwhovhasvrecentlyvbeenvdiagnosedvwithvrheumatoidvarthritisvviewsvthevpriorityv
criterionvforvcontinuedvindependencevtovbevthevpatient’s:
a. age.
b. financialvstatus.
c. gender.
d. functionalvstatus.v
ANS:vD
Maintainingvthevfunctionalvstatusvofvoldervadultsvmayvavertvthevonsetvofvphysicalvfrailtyvandvcognitivevimpairment,vtwov
conditionsvthatvincreasevthevlikelihoodvofvinstitutionalization.
DIF:vRememberingv(Knowledge)vREF:vPagev8vOBJ:v1-
6vTOP:vNursingvProcess:vPlanningvMSC:vPhysiologicvIntegrit
y
6. Avnursevworkingvwithvthevoldervadultvpopulationvisvmostvlikelyvtovassessvavneedvforvavfinancialvsocialvservice’svreferralvforv
a(n):
a. whitevmale.
b. blackvfemale.
c. Hispanicvmale.
d. AsianvAmericanvfemale.v
ANS:vB
Thevpovertyvratevamongvoldervblackvwomenvisvsubstantiallyvhighervthanvthatvseenvamongvmalesvorvfemalesvofvothervethnicv
groups.vWhitevmalesvhadvthevleastvpoverty.
DIF:vApplyingv(Application)vREF:vN/AvOBJ:v1-4
TOP:vNursingvProcess:vAssessmentvMSC:vSafevandvEffectivevCarevEnvironment
7. Whichvofvthevfollowingvstatementsvmadevbyvavnursevpreparingvtovcompletevavhealthvassessmentvandvhistoryvonvanvolderv
patientvreflectsvanvunderstandingvofvthevgeneralvhealthvstatusvofvthisvpopulation?
a. “I’llvneedvtovdocumentvwellvregardingvthevmedicationsvthevpatientvisvcurrentlyvprescribed.”
b. “Ivwouldvlikevtovunderstandvhowvsupportivevthevpatient’svfamilyvmembersvare.”
c. “Mostvoldervpatientsvarevbeingvtreatedvforvavvarietyvofvchronicvhealthvcarevissues.”
d. “Itvwillvbevinterestingvtovseevwhethervthisvpatientvseesvherselfvasvbeingvhealthy.”v
ANS:vD
Itvisvavmisconceptionvthatvoldvagevisvsynonymousvwithvdiseasevandvillness.vThevnursevshouldvalwaysvdeterminevthevpatient’svse
nsevofvwellnessvandvindependencevwhenvconductingvavhealthvandvhistoryvassessment.vAnvassessmentvofvmedicationvusevandvfa
milyvsupportvisvimportantvforvanyvpatient.vManyvoldervadultsvdovhavevchronicvhealthvconditions,vbutvtheirvperceptionvisvmorevi
mportantvthanvavsinglevnumber.
DIF:vApplyingv(Application)vREF:vN/AvOBJ:v1-4
TOP:vNursingvProcess:vAssessmentvMSC:vHealthvPromotion
8. Thevnursevisvcaringvforvanvoldervadultvwhovhasvbeenvadmittedvtovanvacutevcarevhospitalvforvtreatmentvofvavfracturedvfemur.v
Thevfamilyvexpressesvconcernvaboutvthevpatient’svpendingvtransfervtovavsubacutevcarevfacility.vWhatvresponsevbyvthevnursevisv
best?
a. “Acutevcarevfacilitiesvlackvthevlong-termvphysicalvtherapyvsupportvyourvdadvrequires.”
b. “Yourvdadvwillvbevmuchvhappiervinvavmorevserene,vprivatevenvironment.”
c. “Thevsubacutevfacilityvwillvfocusvonvhelpingvyourvdadvmaintainvhisvindependence.”
