Test Bank for Gerontologic Nursing 16th Edition by Sue E. Meiner, All Chapters 1-29 Complete Guide A+.pdf

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Gerontologic Nursing, 6th Edit
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Chapter 1-29 | All Chapters
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Chaptern01:nOverviewnofnGerontologicnNursing
nMeiner:nGerontologicnNursing,n6thnEditionnM

ULTIPLEnCHOICE
1. Inn2010,nthenrevisednStandardsnandnScopenofnGerontologicalnNursingnPracticenwasnpublished.nThennursenwouldnusenthesen
standardsnto:
a. promotenthenpracticenofngerontologicnnursingnwithinnthenacutencarensetting.
b. definenthenconceptsnandndimensionsnofngerontologicnnursingnpractice.

c. elevatenthenpracticenofngerontologicnnursing.
d. incorporatensuggestedninterventionsnfromnothersnwhonpracticengerontologicnnursing.
nANS:nD

ThencurrentnpublishingnofnthenStandardsnandnScopenofnGerontologicalnNursingnPracticeninn2010nincorporatesntheninputnofnger
ontologicnnursesnfromnacrossnthenUnitednStates.nItnwasnnotnintendedntonpromotengerontologicnnursingnpracticenwithinnacutencar
ensettings,ndefinenconceptsnorndimensionsnofngerontologicnnursingnpractice,nornelevatenthenpracticenofngerontologicnnursing.nDI
F:nRememberingn(Knowledge)nREF:nPagen2nOBJ:n1-1
TOP:nN/AnMSC:nSafenandnEffectivenCarenEnvironment
2. Whennattemptingntonminimizentheneffectnofnageismnonnthenpracticenofnnursingnoldernadults,nannursenneedsntonfirst:
a. recognizenthatnnursesnmustnactnasnadvocatesnfornagingnpatients.
b. acceptnthatnthisnpopulationnrepresentsnansubstantialnportionnofnthosenrequiringnnursingncare.

c. self-reflectnandnformulatenone’snpersonalnviewnofnagingnandnthenoldernpatient.
d. recognizenageismnasnanformnofnbigotrynsharednbynmanynAmericans.
nANS:nC

Ageismnisnannever-
increasingnprejudicialnviewnofntheneffectsnofnthenagingnprocessnandnofnthenoldernpopulationnasnanwhole.nWithnnursesnbeingnmem
bersnofnansocietynholdingnsuchnviews,nitnisncriticalnthatnthenindividualnnursenself-
reflectnonnpersonalnfeelingsnandndeterminenwhethernsuchnfeelingsnwillnaffectnthennursingncarenthatnhenornshenprovidesntonthenagi
ngnpatient.nActingnasnannadvocatenisnannimportantnnursingnroleninnallnsettings.nSimplynacceptingnanfactndoesnnotnhelpnendnageis
m,nnorndoesnrecognizingnageismnasnanformnofnbigotry.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-9
TOP:nTeaching-LearningnMSC:nSafenandnEffectivenCarenEnvironment
3. Whenndiscussingnfactorsnthatnhavenhelpedntonincreasenthennumbernofnhealthy,nindependentnoldernAmericans,nthennursen
includesnthenimportancenof:
a. increasednavailabilitynofnin-homencarenservices.
b. governmentnsupportnofnretiredncitizens.

c. effectivenantibioticntherapies.
d. thendevelopmentnofnlife-
extendingntherapies.nANS:nC
ThenhealthnandnultimatenautonomynofnoldernAmericansnhasnbeennpositivelynimpactednbynthendevelopmentnofnantibiotics,nbettern
sanitation,nandnvaccines.nThesenpublicnhealthnmeasuresnhavenbeennmoreninstrumentalninnincreasingnthennumbersnofnhealthy,nin
dependentnoldernAmericansnthannhavenin-homencarenservices,ngovernmentnprograms,nornlife-extendingntherapies.
DIF:nRememberingn(Knowledge)nREF:nPagen2nOBJ:n3-3
TOP:nNursingnProcess:nImplementationnMSC:nHealthnPromotionnandnMaintenance
4. Basednonncurrentndata,nwhennpresentingnannoldernadult’sndischargenteachingnplan,nthennursenincludesnthenpatient’s:
a. nonrelatedncaretaker.
b. paidncaregiver.

c. familynmember.
d. intuitionaln representative.

,ANS:nC
Lessnthann4%nofnoldernadultsnliveninnanformalnhealthncarenenvironment.nThenmajoritynofnthengeriatricnpopulationnlivesnatnhomen
ornwithnfamilynmembers.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n3-3
TOP:nNursingnProcess:nPlanningnMSC:nSafenandnEffectivenCarenEnvironment
5. Thennursenplanningncarenfornannoldernadultnwhonhasnrecentlynbeenndiagnosednwithnrheumatoidnarthritisnviewsnthenpriorityn
criterionnforncontinuednindependencentonbenthenpatient’s:
a. age.
b. financialnstatus.

c. gender.
d. functionalnstatus.
nANS:nD

Maintainingnthenfunctionalnstatusnofnoldernadultsnmaynavertnthenonsetnofnphysicalnfrailtynandncognitivenimpairment,ntwonconditi
onsnthatnincreasenthenlikelihoodnofninstitutionalization.
DIF:nRememberingn(Knowledge)nREF:nPagen8nOBJ:n1-
6nTOP:nNursingnProcess:nPlanningnMSC:nPhysiologicnIntegrit
y
6. Annursenworkingnwithnthenoldernadultnpopulationnisnmostnlikelyntonassessnanneednfornanfinancialnsocialnservice’snreferralnforn
a(n):
a. whitenmale.
b. blacknfemale.

c. Hispanicnmale.
d. AsiannAmericannfemale.
nANS:nB

Thenpovertynratenamongnoldernblacknwomennisnsubstantiallynhighernthannthatnseennamongnmalesnornfemalesnofnothernethnicngro
ups.nWhitenmalesnhadnthenleastnpoverty.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nSafenandnEffectivenCarenEnvironment
7. Whichnofnthenfollowingnstatementsnmadenbynannursenpreparingntoncompletenanhealthnassessmentnandnhistorynonnannoldern
patientnreflectsnannunderstandingnofnthengeneralnhealthnstatusnofnthisnpopulation?
a. “I’llnneedntondocumentnwellnregardingnthenmedicationsnthenpatientnisncurrentlynprescribed.”
b. “Inwouldnlikentonunderstandnhownsupportiventhenpatient’snfamilynmembersnare.”

c. “Mostnoldernpatientsnarenbeingntreatednfornanvarietynofnchronicnhealthncarenissues.”
d. “Itnwillnbeninterestingntonseenwhethernthisnpatientnseesnherselfnasnbeingnhealthy.”
nANS:nD

Itnisnanmisconceptionnthatnoldnagenisnsynonymousnwithndiseasenandnillness.nThennursenshouldnalwaysndeterminenthenpatient’sns
ensenofnwellnessnandnindependencenwhennconductingnanhealthnandnhistorynassessment.nAnnassessmentnofnmedicationnusenandnf
amilynsupportnisnimportantnfornanynpatient.nManynoldernadultsndonhavenchronicnhealthnconditions,nbutntheirnperceptionnisnmoreni
mportantnthannansinglennumber.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-4
TOP:nNursingnProcess:nAssessmentnMSC:nHealthnPromotion
8. Thennursenisncaringnfornannoldernadultnwhonhasnbeennadmittedntonannacutencarenhospitalnforntreatmentnofnanfracturednfemur.n
Thenfamilynexpressesnconcernnaboutnthenpatient’snpendingntransferntonansubacutencarenfacility.nWhatnresponsenbynthennursenisn
best?
a. “Acutencarenfacilitiesnlacknthenlong-termnphysicalntherapynsupportnyourndadnrequires.”
b. “Yourndadnwillnbenmuchnhappierninnanmorenserene,nprivatenenvironment.”

c. “Thensubacutenfacilitynwillnfocusnonnhelpingnyourndadnmaintainnhisnindependence.”

, d. “Insurance,nincludingnMedicare,nwillncovernonlynanlimitednamountnofntimenhere.”n
ANS:nC
Thentransfernofnthenpatientntonansubacutenfacilitynisnbasednonnthenneedntonmaintainnthenpatient’snlevelnofnfunctionnandnindepend
ence,nantasknthenacutencarenfacilitynisnnotnpreparedntonaddressnoncenthenpatientnisnphysiologicallynstable.nThenpatientnmaynornma
ynnotnbenhappierninnthennewnsetting;nthennursenshouldnnotnmakenthisnjudgment.nItnisntruenthatninsurancenonlynpaysnfornanlimitedna
mountnofntimeninnannacutencarenfacility,nbutnthisnisnnotnthenbestnreasonnfornthenpatientntontransfer.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-
6nTOP:nCommunicationnandnDocumentation
MSC:nHealthnPromotionnandnMaintenance
9. Tonbestnassurenbothnthenqualitynofncarenandnthensafetynofnthenoldernadultnpatientnwhonrequiresnin-
homenunlicensednassistivenpersonaln(UAP)nassistance,nthengeriatricnnurse:
a. evaluatesnthencompetencynofnthenUAPnstaff.
b. assumesnthenrolesnofncasenmanagernandnpatientnadvocate.

c. arrangesnfornthenneedednUAPnprovidednservices.
d. assessesnthenpatientnfornfunctionalnlimitations.
nANS:nA

AsnmorencarentraditionallynprovidednbynprofessionalnnursesnisnbeingntransferredntonUAP,nthennursenmustnassumenmorenresponsi
bilitynforneducating,ntraining,nandnevaluatingnthencompetencynofnUAPnstaffntonprovidensafe,neffectivencarenfornthenoldernadultnpat
ient.
DIF:nApplyingn(Application)nREF:nN/AnOBJ:n1-
2nTOP:nCommunicationnandnDocumentation
MSC:nSafenandnEffectivenCarenEnvironment
10. Thennursenworkingnwithnoldernadultsnunderstandsnwhatninformationnaboutncertificationninngerontologicnnursing?
a. Itnisnmandatorynfornthoseninnlong-termncarensettings.
b. Itnisnvoluntarynandnshowsnclinicalnexpertiseninnannarea.

c. Itnallowsnnursesntonbenpaidnbynthird-partynpayers.
d. Itnallowsnnursesntonadvancentheirncareersninnanjob.
nANS:nB

Certificationnisnvoluntarynandnshowsnthatnannursenhasnadditionalnknowledgenandnexpertiseninnancertainnareanofnpractice.nItnisnnotn
mandatoryninnspecificncarensettings.nItndoesnnotnallownforn third-
partynreimbursement.nItnmaynbenpartnofnancareernladdernprogram,nbutnthatnisnnotntruenofnallnworknsettings.
DIF:nRememberingn(Knowledge)nREF:nPagen2nOBJ:n1-2
TOP:nTeaching-LearningnMSC:nSafenEffectivenCarenEnvironment
11. Annursenworksninnangerontologicnclinic.nWhatnactionnbynthennursentakesnhighestnpriority?
a. Servingnasnanpatientnadvocate
b. Educatingnpatientsnaboutndiseases

c. Helpingnpatientsnremainnindependent
d. Referringnpatientsntonhomenhealthncare
nANS:nC

Onenofnthenchallengesnandnprioritiesnofnthengerontologicnnursenisnhelpingnpatientsnmaintainntheirnindependence.nDI
F:nRememberingn(Knowledge)nREF:nPagen10nOBJ:n1-2
TOP:nNursingnProcess:nImplementationnMSC:nHealthnPromotion
12. Annursenisncaringnfornannoldernpatientninnthenemergencyndepartment.nWhatninformationnaboutnthenpatientnwillnbenmostn
helpfulninncreatingnanplannofncare?