, TABLE OF CONTENT
PART 1 Foundations for Clinical Judgment to Promote Healthy Aging
1 Gerontological Nursing Across the Continuum of Care
2 Aging, Health, and Wellness in a Global Community
3 Theories of Aging
4 Providing Cross-Cultural Care
5 Economics and Health Care in Late Life
6 Promoting Excellence in Long-Term Care
PART 2 Foundations for Taking Action
7 Therapeutic Communication With Older Adults
8 Cognitive Health and Learning
9 Recognizing and Analyzing Cues to Maximize Outcomes
10 Using Laboratory Data in Clinical Judgment
11 Safe Medication Use
PART 3 Clinical Judgment to Promote Wellness and Function
12 Visual Health
13 Auditory Health
14 Healthy Skin
15 Nutritional Health
16 Hydration and Oral Health
17 Elimination
18 Sleep
19 Activity and Exercise
20 Falls and Fall Risk Reduction
21 Safe and Secure Environments
PART 4 Clinical Judgment to Promote Wellness for Persons With Chronic Illnesses
22 Living Well With Chronic Illness
23 Vascular Disorders
24 Respiratory Disorders
25 Neurocognitive Disorders
26 Care of Individuals With Neurocognitive Disorders
27 Endocrine and Immune Disorders
28 Common Musculoskeletal Disorders
29 Pain and Comfort
30 Mental Health
PART 5 Clinical Judgment to Promote Healthy
Aging With Older Adults and Families
31 Ethics, Decision Making, and Mistreatment
32 Relationships, Roles, and Life Transitions
33 Intimacy and Sexual Health
34 Loss, Death, and Palliative Care
35 Spiritual Health, Meaning, and Self-Actualization
,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.
ACCURATE
ANSWER:-A
REASONING:->>>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 TOPIC: Integrated
Process: Teaching/Learning MSC: Patient Needs: Health
Promotion and Maintenance
2. The son of a nursing home resident asks a nursing attendant: “What is
the significance of being certified in gerontology? I see that you are, but not
all of the nursing attendants are.” What response best answers the family
member’s question?
a. “National certification as a gerontological nursing attendant is a
way to demonstrate special knowledge in caring for older
adults.”
b. “National certification in gerontology is required for all nursing
attendants who have worked in this setting for 2 or more years.”
c. “National certification is only available to nursing attendants
who have a Baccalaureate degree in nursing.”
d. “Only advanced practice nursing attendants, like nursing
attendant practitioners, are certified in gerontology.”
ACCURATE
ANSWER:-A
REASONING:->>>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 nursing attendants 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
, TOPIC: Integrated Process: Communication and
Documentation MSC: Patient Needs: Management of
Care
3. The major goal of the NICHE (Nursing attendants 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.
PART 1 Foundations for Clinical Judgment to Promote Healthy Aging
1 Gerontological Nursing Across the Continuum of Care
2 Aging, Health, and Wellness in a Global Community
3 Theories of Aging
4 Providing Cross-Cultural Care
5 Economics and Health Care in Late Life
6 Promoting Excellence in Long-Term Care
PART 2 Foundations for Taking Action
7 Therapeutic Communication With Older Adults
8 Cognitive Health and Learning
9 Recognizing and Analyzing Cues to Maximize Outcomes
10 Using Laboratory Data in Clinical Judgment
11 Safe Medication Use
PART 3 Clinical Judgment to Promote Wellness and Function
12 Visual Health
13 Auditory Health
14 Healthy Skin
15 Nutritional Health
16 Hydration and Oral Health
17 Elimination
18 Sleep
19 Activity and Exercise
20 Falls and Fall Risk Reduction
21 Safe and Secure Environments
PART 4 Clinical Judgment to Promote Wellness for Persons With Chronic Illnesses
22 Living Well With Chronic Illness
23 Vascular Disorders
24 Respiratory Disorders
25 Neurocognitive Disorders
26 Care of Individuals With Neurocognitive Disorders
27 Endocrine and Immune Disorders
28 Common Musculoskeletal Disorders
29 Pain and Comfort
30 Mental Health
PART 5 Clinical Judgment to Promote Healthy
Aging With Older Adults and Families
31 Ethics, Decision Making, and Mistreatment
32 Relationships, Roles, and Life Transitions
33 Intimacy and Sexual Health
34 Loss, Death, and Palliative Care
35 Spiritual Health, Meaning, and Self-Actualization
,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.
ACCURATE
ANSWER:-A
REASONING:->>>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 TOPIC: Integrated
Process: Teaching/Learning MSC: Patient Needs: Health
Promotion and Maintenance
2. The son of a nursing home resident asks a nursing attendant: “What is
the significance of being certified in gerontology? I see that you are, but not
all of the nursing attendants are.” What response best answers the family
member’s question?
a. “National certification as a gerontological nursing attendant is a
way to demonstrate special knowledge in caring for older
adults.”
b. “National certification in gerontology is required for all nursing
attendants who have worked in this setting for 2 or more years.”
c. “National certification is only available to nursing attendants
who have a Baccalaureate degree in nursing.”
d. “Only advanced practice nursing attendants, like nursing
attendant practitioners, are certified in gerontology.”
ACCURATE
ANSWER:-A
REASONING:->>>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 nursing attendants 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
, TOPIC: Integrated Process: Communication and
Documentation MSC: Patient Needs: Management of
Care
3. The major goal of the NICHE (Nursing attendants 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.
