Testbank Biology
Toward Healthy Aging 11th Edition
2025||Questions And Answers||Verified
,Table Of Contents
Chapter 01: Gerontological Nursing Across The Continuum Of Care ..................................4
Chapter 02: Aging, Health, And Wellness In A Global Community ...................................... 11
Chapter 03: Theories Of Aging ...................................................................................................... 17
Chapter 04: Provision Of Cross-Cultural Care ....................................................................... 24
Chapter 05: Economics And Health Care In Late Life ........................................................... 30
Chapter 06: Promoting Excellence In Long-Term Care........................................................ 36
Chapter 07: Therapeutic Communication With Older Adults .............................................. 42
Chapter 08: Clinical Judgment To Promote Cognitive Health ............................................. 47
Chapter 09: Recognizing And Analyzing Cues To Maximize Outcomes ........................... 52
Chapter 10: Using Laboratory Data In Clinical Judgment .................................................... 57
Chapter 11: Safe Medication Use .................................................................................................. 64
Chapter 12: Visual Health ................................................................................................................73
Chapter 13: Auditory Health ...........................................................................................................79
Chapter 14: Healthy Skin ................................................................................................................ 83
Chapter 15: Nutritional Health ...................................................................................................... 89
Chapter 16: Oral Health And Hydration ...................................................................................... 95
Chapter 17: Elimination .................................................................................................................. 102
Chapter 18: Sleep............................................................................................................................. 107
Chapter 19: Activity And Exercise ................................................................................................ 113
Chapter 20: Falls And Fall Risk Reduction ............................................................................... 118
Chapter 21: Safe And Secure Environments ........................................................................... 124
Chapter 22: Living Well With Chronic Illness .......................................................................... 130
Chapter 23: Vascular Disorders.................................................................................................. 134
Chapter 24: Respiratory Disorders ............................................................................................ 140
Chapter 25: Neurocognitive Disorders ..................................................................................... 146
Chapter 26: Care Of Individuals With Neurocognitive Disorders ....................................... 151
Chapter 27: Endocrine And Immune Disorders ..................................................................... 158
Chapter 28: Common Musculoskeletal Disorders ................................................................ 164
Chapter 29: Pain And Comfort ..................................................................................................... 169
,Chapter 30: Mental Health ............................................................................................................ 178
Chapter 31: Ethics, Decision-Making, And Mistreatment .................................................... 186
Chapter 32: Relationships, Roles, And Life Transitions ....................................................... 193
Chapter 33: Intimacy And Sexual Health ................................................................................. 199
Chapter 34: Loss, Grief, Dying, And Death.............................................................................. 206
Chapter 35: Spiritual Health, Meaning, And Self-Actualization ........................................ 213
,Chapter 01: Gerontological Nursing Across The Continuum Of Care
Touhy: Toward Healthy Aging, 11th Edition
Multiple Choice
1. When Did Serious And Well-Controlled Research Studies On Aging First Become
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.
Answer: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 And Maintenance
2. The Son Of A Nursing Home Resident Asks A Nurse: “What Is The Significance Of Being
Certified In Gerontology? I See That You Are, But Not All Of The Nurses Are.” What Response
Best Answers The Family Member’s Question?
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.”
,Answer: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 Master’s Level.
Dif: Cognitive Level: Understanding
Top: Integrated Process: Communication And Documentation Msc: Client Needs: Management
Of Care
3. The Major Goal Of The Niche (Nurses Improving Care For Healthsystem 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.
Answer: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: Understanding Top: Integrated Process: Teaching/Learning Msc:
Client Needs: Health Promotion And Maintenance
Multiple Response
,1. What Is The Impact Of The Hospital Readmission Reduction Program (Hrrp) On
Avoidable Readmissions? (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.
Answer: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 And Maintenance
2. Which Of The Following Are True Statements About The Current Health Care Workforce?
(Select All That Apply.)
A. Approximately 10% Of Registered Nurses (Rns) Are Certified In Gerontological Nursing.
B. The Number Of Geriatricians Is Expected To Increase About 50% Over The Next 25 Years.
C. The Professions Of Social Work, Physical Therapy, And Psychiatry Are Demonstrating The
Same Trends As Nursing.
D. The World’s Older Population Is Expected To Grow To At Least 1.3 Billion In The Next 20
Years.
E. It Is Anticipated That There Will Be A Need For Approximately 3million Additional Direct
Care And Professional Health Care Workers By The Year 2030.
, Answer:C, D, E
Less Than 1% Of Rns Are Certified In Gerontological Nursing. Geriatric Medicine Faces Similar
Challenges With About 7000 Prepared Geriatricians, 1 For Every 2546 Older Americans; And
This Number Is Falling With The Trend Predicted To Be Less Than 5000 By 2040 (Iom, 2008). By
2040 The Number Of Older Adults In The World Will Be At Least 1.3 Billion. Other Professions
Such As Social Work, Physical Therapy, And Psychiatry Have Similar Shortages. It Is Estimated
That By 2030 Nearly 3 Million Additional Health Care Professionals And Direct Care Workers Will
Be Needed To Meet The Care Needs Of A Growing Older Adult Population. Healthy People 2030
Has Addressed This Concern..
Dif: Cognitive Level: Understanding Top: Integrated Process: Teaching/Learning Msc:
Client Needs: Health Promotion And Maintenance
3. Best Practice Recommendations For Nursing Education In Relation To Gerontology
Include Which Of The Following? (Select All That Apply.)
A. Provision Of A “Stand-Alone” Course In Gerontological Nursing
B. Integration Of Gerontological Content Throughout The Curriculum
C. Replacement Of Acute Care Pediatric Clinical Experiences With Gerontological Clinical
Experiences
D. Recruitment Of Nurses With Master And Doctoral Degrees And A Specialty In
Gerontology To Faculty Roles
E. Requiring All Undergraduate Nursing Students To Obtain Gerontological Certification As
A Requirement For Graduation
Answer:A, B, D
Best Practices Include Providing A Stand-Alone Gerontological Nursing Course As Well As
Integrating Gerontology Throughout The Curriculum. Recruitment Of Nurses With A Specialty In
Gerontology And A Master Or Doctoral Degree To Faculty Roles Is A Critical Step In Making Sure
That The Next Generation Of Nurses Is Prepared To Care For Older Adults. Best Practices Do Not
Recommend Removing Pediatric Clinical Experiences And Replacing Them With Gerontological
Experiences. Nursing Certification Is Only Available To Practicing Nurses Who Meet Specific
Education And Practice Requirements. It Is Not Applicable To Nursing Students.
Toward Healthy Aging 11th Edition
2025||Questions And Answers||Verified
,Table Of Contents
Chapter 01: Gerontological Nursing Across The Continuum Of Care ..................................4
Chapter 02: Aging, Health, And Wellness In A Global Community ...................................... 11
Chapter 03: Theories Of Aging ...................................................................................................... 17
Chapter 04: Provision Of Cross-Cultural Care ....................................................................... 24
Chapter 05: Economics And Health Care In Late Life ........................................................... 30
Chapter 06: Promoting Excellence In Long-Term Care........................................................ 36
Chapter 07: Therapeutic Communication With Older Adults .............................................. 42
Chapter 08: Clinical Judgment To Promote Cognitive Health ............................................. 47
Chapter 09: Recognizing And Analyzing Cues To Maximize Outcomes ........................... 52
Chapter 10: Using Laboratory Data In Clinical Judgment .................................................... 57
Chapter 11: Safe Medication Use .................................................................................................. 64
Chapter 12: Visual Health ................................................................................................................73
Chapter 13: Auditory Health ...........................................................................................................79
Chapter 14: Healthy Skin ................................................................................................................ 83
Chapter 15: Nutritional Health ...................................................................................................... 89
Chapter 16: Oral Health And Hydration ...................................................................................... 95
Chapter 17: Elimination .................................................................................................................. 102
Chapter 18: Sleep............................................................................................................................. 107
Chapter 19: Activity And Exercise ................................................................................................ 113
Chapter 20: Falls And Fall Risk Reduction ............................................................................... 118
Chapter 21: Safe And Secure Environments ........................................................................... 124
Chapter 22: Living Well With Chronic Illness .......................................................................... 130
Chapter 23: Vascular Disorders.................................................................................................. 134
Chapter 24: Respiratory Disorders ............................................................................................ 140
Chapter 25: Neurocognitive Disorders ..................................................................................... 146
Chapter 26: Care Of Individuals With Neurocognitive Disorders ....................................... 151
Chapter 27: Endocrine And Immune Disorders ..................................................................... 158
Chapter 28: Common Musculoskeletal Disorders ................................................................ 164
Chapter 29: Pain And Comfort ..................................................................................................... 169
,Chapter 30: Mental Health ............................................................................................................ 178
Chapter 31: Ethics, Decision-Making, And Mistreatment .................................................... 186
Chapter 32: Relationships, Roles, And Life Transitions ....................................................... 193
Chapter 33: Intimacy And Sexual Health ................................................................................. 199
Chapter 34: Loss, Grief, Dying, And Death.............................................................................. 206
Chapter 35: Spiritual Health, Meaning, And Self-Actualization ........................................ 213
,Chapter 01: Gerontological Nursing Across The Continuum Of Care
Touhy: Toward Healthy Aging, 11th Edition
Multiple Choice
1. When Did Serious And Well-Controlled Research Studies On Aging First Become
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.
Answer: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 And Maintenance
2. The Son Of A Nursing Home Resident Asks A Nurse: “What Is The Significance Of Being
Certified In Gerontology? I See That You Are, But Not All Of The Nurses Are.” What Response
Best Answers The Family Member’s Question?
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.”
,Answer: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 Master’s Level.
Dif: Cognitive Level: Understanding
Top: Integrated Process: Communication And Documentation Msc: Client Needs: Management
Of Care
3. The Major Goal Of The Niche (Nurses Improving Care For Healthsystem 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.
Answer: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: Understanding Top: Integrated Process: Teaching/Learning Msc:
Client Needs: Health Promotion And Maintenance
Multiple Response
,1. What Is The Impact Of The Hospital Readmission Reduction Program (Hrrp) On
Avoidable Readmissions? (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.
Answer: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 And Maintenance
2. Which Of The Following Are True Statements About The Current Health Care Workforce?
(Select All That Apply.)
A. Approximately 10% Of Registered Nurses (Rns) Are Certified In Gerontological Nursing.
B. The Number Of Geriatricians Is Expected To Increase About 50% Over The Next 25 Years.
C. The Professions Of Social Work, Physical Therapy, And Psychiatry Are Demonstrating The
Same Trends As Nursing.
D. The World’s Older Population Is Expected To Grow To At Least 1.3 Billion In The Next 20
Years.
E. It Is Anticipated That There Will Be A Need For Approximately 3million Additional Direct
Care And Professional Health Care Workers By The Year 2030.
, Answer:C, D, E
Less Than 1% Of Rns Are Certified In Gerontological Nursing. Geriatric Medicine Faces Similar
Challenges With About 7000 Prepared Geriatricians, 1 For Every 2546 Older Americans; And
This Number Is Falling With The Trend Predicted To Be Less Than 5000 By 2040 (Iom, 2008). By
2040 The Number Of Older Adults In The World Will Be At Least 1.3 Billion. Other Professions
Such As Social Work, Physical Therapy, And Psychiatry Have Similar Shortages. It Is Estimated
That By 2030 Nearly 3 Million Additional Health Care Professionals And Direct Care Workers Will
Be Needed To Meet The Care Needs Of A Growing Older Adult Population. Healthy People 2030
Has Addressed This Concern..
Dif: Cognitive Level: Understanding Top: Integrated Process: Teaching/Learning Msc:
Client Needs: Health Promotion And Maintenance
3. Best Practice Recommendations For Nursing Education In Relation To Gerontology
Include Which Of The Following? (Select All That Apply.)
A. Provision Of A “Stand-Alone” Course In Gerontological Nursing
B. Integration Of Gerontological Content Throughout The Curriculum
C. Replacement Of Acute Care Pediatric Clinical Experiences With Gerontological Clinical
Experiences
D. Recruitment Of Nurses With Master And Doctoral Degrees And A Specialty In
Gerontology To Faculty Roles
E. Requiring All Undergraduate Nursing Students To Obtain Gerontological Certification As
A Requirement For Graduation
Answer:A, B, D
Best Practices Include Providing A Stand-Alone Gerontological Nursing Course As Well As
Integrating Gerontology Throughout The Curriculum. Recruitment Of Nurses With A Specialty In
Gerontology And A Master Or Doctoral Degree To Faculty Roles Is A Critical Step In Making Sure
That The Next Generation Of Nurses Is Prepared To Care For Older Adults. Best Practices Do Not
Recommend Removing Pediatric Clinical Experiences And Replacing Them With Gerontological
Experiences. Nursing Certification Is Only Available To Practicing Nurses Who Meet Specific
Education And Practice Requirements. It Is Not Applicable To Nursing Students.
