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