TEST BANK
TOWARD HEALTHY AGING: HUMAN NEEDS AND
NURSING RESPONSE
,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 Auditoryhealth
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 Respiratorydisorders
25 Neurocognitivedisorders
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.
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.”
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.
ANSWER:-A
Reasoning:->>>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 Topic: Integrated Process:
Teaching/Learning Msc: Patient Needs: Health Promotion And
Maintenance
Multiple Response
1. What Is The Impact Of The Hospital Readmission Reduction Program (Hrrp)
O N Avoidable Readmissions? (Choose All Thatapply.)
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 Hospital 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
Reasoning:-
>>>The Hospital Readmission Reduction Program (Hrrp) Was Established As A
Provision In The Affordable Care Act (Aca) Requiring Medicare To
Reduc
E Payments To
Hospitals With Relatively High Readmission Rates For Selected
Conditions For Hospital 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
Hospi Tals Evaluated By
Cms Will Face Penalties Totaling $564 Million (Advisory Board, 2017). A
Dditionally, 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 R Ates. 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 Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
2. Which Of The Following Are True Statements About The Current Health Care Workforce?
(Choose All That Apply.)
a. Approximately 10% Of Registered Nursing Attendants (Rns)
Are Certified In Gerontological Nursing.
b. The Number Of Geriatricians Is Expected To Increase Aboutq50%
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
Reasoning:-
>>>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 L Ess Than 5000 By
2040 (Iom, 2008). By 2040 The Number Of Older Adults In The World Will
Be A T Least 1.3
Billion. Other Professions Such As Social Work, Physical Therapy, And
Psych Iatry Have Similar
Shortages. It Is Estimated That By 2030 Nearly 3 Million Additional Health
C Are Professionals
And Direct Care Workers Will Be Needed To Meet The Care Needs Of A
Growin G Older Adult
Population. Healthy People 2030 Has Addressed This Concern..
Dif: Cognitive Level: Understanding Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
3. Best Practice Recommendations For Nursing Education In Relation To
Gerontology I Nclude Which Of The Following? (Choose All That Apply.)
a. Provision Of A “Stand-Alone” Course In Gerontological Nursing
b. Integration Of Gerontological Contentq Throughout The Curriculum
c. Replacement Of Acute Care Pediatric Clinical Experiences
With Gerontological Clinical Experiences
d. Recruitment Of Nursing Attendants 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
Reasoning:->>>Best Practices Include Providing A Stand-
Alone Gerontological Nursing Course
As Well As Integrating Gerontology Throughout The Curriculum. Recr
Uitment Of Nursing Attendants
With A Specialty In Gerontology And A Master Or Doctoral Degree To
F Aculty Roles Is A Critical
Step In Making Sure That The Next Generation Of Nursing
Attendants Is Prepared To Care For
Older Adults. Best Practices Do Not Recommend Removing Pediatric
Clinical Experiences And Replacing Them With Gerontological Experiences.
Nursin G Certification Is Only Available To
Practicing Nursing Attendants Who Meet Specific Education And Pra
Ctice Requirements. It Is Not Applicable To Nursing Students.
Dif: Cognitive Level: Understanding Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
4. What Are The Current Initiatives Being Implemented To Enhance The
Specialty Of Gerontological Nursing? (Choose All That Apply.)
a. Mandating Of A Minimum Of A Baccalaureate Degree In Nursing In Order
To Care For Older Adults
b. Geriatric Nursing Leadership Academy (Gnla) Project
c. Promotion Of Geriatric Nursing To Excellence To The Nursing Community
d. Requiring A Nursing Certification Specifically Required To Long-Term Care
e. Offering Scholarships For Study And Research In Geriatric Nursing
ANSWER:-B, C, E
Reasoning:-
>>>The Most Significant Influence In Enhancing The Specialty Of Gerontological
Nursing Has Been The Work Of The Hartford Institute For Geriatric N
Ursing, Established In 1996 And Funded By The John A. Hartford Foundation. Initia
Tives In Nursing Education, Nursing
Practice, Nursing Research, And Nursing Policy Have Addressed Enh
Ancement Of Geriatrics In
Nursing Education Programs Through Curricular Reform And Faculty
Development, Creation Of The
National Hartford Centers Of Gerontological Nursing Excellence, Pr
Edoctoral And Postdoctoral
Scholarships For Study And Research In Geriatric Nursing, And
Clinical Practice Improvement
Projects To Enhance Care For Older Adults. . Mandating Minimum Nu
Rsing Levels Or Certifications To Practice In Long-
Term Care Are Notqcurrent Initiatives.
Dif: Cognitive Level: Understanding Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
5. A Nursing Attendant Discusses The “Age In Place” Concept With An Older
, Adult Patient. The
Nursing Attendant Would Provide Information Related To Which
Facility? (Choose All That Apply.)
a. Independentq Senior Housing Complexes.
b. A Long-Term Care Facility That Is Affiliated With The Hospital.
c. Retirement Communities.
d. Adult Day Health Centers.
e. Assisted Living Facilities.
ANSWER:-A, C, D, E
Reasoning:->>>Community-
Based Care Occurs Through Home And Hospice Care Provided In
Persons' Homes, Independent Senior Housing Complexes, Retirement C
Ommunities, Residential
Care Facilities Such As Assisted Living Facilities, Hospice Facilities,
An D Adult Day Health Centers. Acute Care Hospitals And Long-
Term Care Facilities Are Not Considered Community Based Care Facilities.
Dif: Cognitive Level: Applying
Topic: Integrated P
Rocess: N/A Msc: Patient Needs: Psychosocial Integrity
6. What Are The Significantqfactors Contributing To The Growth Of
Community- Based Care?: (Choose All That Apply.)
a.A Decrease In The Number Of Available Nursing Home Beds.
b.Rapidly Escalating Health Care Costs.
c.Older Adults’ Preferences To “Age In Place.”
d.Inadequate Numbers Of Nursing Attendants With Gerontological Specialty Education.
e.Decreasing Numbers Of Family Caregivers.
, ANSWER:-B, C
Reasoning:->>>Care Will Continue To Move Out Of Hospitals And Long-
Term Care Facilities
Because Of Rapidly Escalating Health Care Costs And Individual Preferen
Ces To “Age In Place.” There Has Not Been A Decrease In Nursing Home Beds. Altho
Ugh There Are Inadequate Numbers
Of Nursing Attendants With Gerontological Specialty Training, This Is
Not A Factor That Has
Impacted The Growth Of Community-
Based Care. There Is Projected To Be A Decrease In The Number Of Family
Caregivers As The Caregivers Themselves Are Aging; However, This Does Not
Contribute To The Growth Of Community-Based Care.
Dif: Cognitive Level: Understanding Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
7. What Are The Changes In Certified Nursing Facilities Noted In Recentqyears?
(Choose All That Apply.)
a. Increase In The Number Of Subacute Beds
b. Decrease In Nursing Facility Length Of Stay
c. Increase In Level Of Acuity Of The Residents
d. Decrease In Cost Of Care In The Nursing Facility
e. Decrease In The Number Of Registered Nursing Attendants Employed
Inqlong- Term Care Facilities
ANSWER:-A, B, C
Reasoning:-
>>>Certified Nursing Facilities Have Evolved Over Recent Years. Most Facilities
Have Subacute Care Units That Resemble Hospital Units Caring
Fo
R More Hospital Patients With
Higher Acuity Than In The Past. Therefore, The Average Length
Of Stay In A Facility Has
Decreased. The Cost Of Care In The Facility Has Increased Due To
T He Increased Complexity Of
Illnesses Treated, And The Number Of Registered Nursing Attend
Ants Has Increased In Order To
Care For These Complex Hospital Patients.
Dif: Cognitive Level: Understanding Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
8. Which Factor Contributes To Poor Outcomes For Older Adults During Transitions
Of C Are? (Choose All Thatqapply.)
a. Inability To Read And Understand Discharge Instructions
b. Inadequate Financial Resources To Purchase Medications
c. Lack Of Desire To Comply With Discharge Instructions
d. Improved Medication Reconciliation During Hospitalization
e. High Levels Of Nursing Attendant-Hospital Patient Engagement
ANSWER:-A, B
Reasoning:-
, >>>Language And Literacy Levels And Socioeconomic Factors Are Major
Contributors To Poor Transitions Of Care For Older Adults. A High Level
Of Nursing Attendant-
Hospital Patient Engagement Contributes To Safe And Effective Transitions.
Medication
Reconciliation During Hospitalization, At Discharge And After Discharge,
D Ecreases Medication
Discrepancies, Which Are The Most Prevalent Adverse Event Following
Ho Spital Discharge. There
Is No Evidence That Hospital Patients Lack The Desire To Comply With
Disc Harge Instructions.
Dif: Cognitive Level: Understanding Topic:
Integrated Process:
Teaching/Learning Msc: Patient Needs: Safety And Inf
Ection Control
TOWARD HEALTHY AGING: HUMAN NEEDS AND
NURSING RESPONSE
,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 Auditoryhealth
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 Respiratorydisorders
25 Neurocognitivedisorders
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.
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.”
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.
ANSWER:-A
Reasoning:->>>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 Topic: Integrated Process:
Teaching/Learning Msc: Patient Needs: Health Promotion And
Maintenance
Multiple Response
1. What Is The Impact Of The Hospital Readmission Reduction Program (Hrrp)
O N Avoidable Readmissions? (Choose All Thatapply.)
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 Hospital 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
Reasoning:-
>>>The Hospital Readmission Reduction Program (Hrrp) Was Established As A
Provision In The Affordable Care Act (Aca) Requiring Medicare To
Reduc
E Payments To
Hospitals With Relatively High Readmission Rates For Selected
Conditions For Hospital 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
Hospi Tals Evaluated By
Cms Will Face Penalties Totaling $564 Million (Advisory Board, 2017). A
Dditionally, 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 R Ates. 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 Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
2. Which Of The Following Are True Statements About The Current Health Care Workforce?
(Choose All That Apply.)
a. Approximately 10% Of Registered Nursing Attendants (Rns)
Are Certified In Gerontological Nursing.
b. The Number Of Geriatricians Is Expected To Increase Aboutq50%
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
Reasoning:-
>>>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 L Ess Than 5000 By
2040 (Iom, 2008). By 2040 The Number Of Older Adults In The World Will
Be A T Least 1.3
Billion. Other Professions Such As Social Work, Physical Therapy, And
Psych Iatry Have Similar
Shortages. It Is Estimated That By 2030 Nearly 3 Million Additional Health
C Are Professionals
And Direct Care Workers Will Be Needed To Meet The Care Needs Of A
Growin G Older Adult
Population. Healthy People 2030 Has Addressed This Concern..
Dif: Cognitive Level: Understanding Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
3. Best Practice Recommendations For Nursing Education In Relation To
Gerontology I Nclude Which Of The Following? (Choose All That Apply.)
a. Provision Of A “Stand-Alone” Course In Gerontological Nursing
b. Integration Of Gerontological Contentq Throughout The Curriculum
c. Replacement Of Acute Care Pediatric Clinical Experiences
With Gerontological Clinical Experiences
d. Recruitment Of Nursing Attendants 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
Reasoning:->>>Best Practices Include Providing A Stand-
Alone Gerontological Nursing Course
As Well As Integrating Gerontology Throughout The Curriculum. Recr
Uitment Of Nursing Attendants
With A Specialty In Gerontology And A Master Or Doctoral Degree To
F Aculty Roles Is A Critical
Step In Making Sure That The Next Generation Of Nursing
Attendants Is Prepared To Care For
Older Adults. Best Practices Do Not Recommend Removing Pediatric
Clinical Experiences And Replacing Them With Gerontological Experiences.
Nursin G Certification Is Only Available To
Practicing Nursing Attendants Who Meet Specific Education And Pra
Ctice Requirements. It Is Not Applicable To Nursing Students.
Dif: Cognitive Level: Understanding Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
4. What Are The Current Initiatives Being Implemented To Enhance The
Specialty Of Gerontological Nursing? (Choose All That Apply.)
a. Mandating Of A Minimum Of A Baccalaureate Degree In Nursing In Order
To Care For Older Adults
b. Geriatric Nursing Leadership Academy (Gnla) Project
c. Promotion Of Geriatric Nursing To Excellence To The Nursing Community
d. Requiring A Nursing Certification Specifically Required To Long-Term Care
e. Offering Scholarships For Study And Research In Geriatric Nursing
ANSWER:-B, C, E
Reasoning:-
>>>The Most Significant Influence In Enhancing The Specialty Of Gerontological
Nursing Has Been The Work Of The Hartford Institute For Geriatric N
Ursing, Established In 1996 And Funded By The John A. Hartford Foundation. Initia
Tives In Nursing Education, Nursing
Practice, Nursing Research, And Nursing Policy Have Addressed Enh
Ancement Of Geriatrics In
Nursing Education Programs Through Curricular Reform And Faculty
Development, Creation Of The
National Hartford Centers Of Gerontological Nursing Excellence, Pr
Edoctoral And Postdoctoral
Scholarships For Study And Research In Geriatric Nursing, And
Clinical Practice Improvement
Projects To Enhance Care For Older Adults. . Mandating Minimum Nu
Rsing Levels Or Certifications To Practice In Long-
Term Care Are Notqcurrent Initiatives.
Dif: Cognitive Level: Understanding Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
5. A Nursing Attendant Discusses The “Age In Place” Concept With An Older
, Adult Patient. The
Nursing Attendant Would Provide Information Related To Which
Facility? (Choose All That Apply.)
a. Independentq Senior Housing Complexes.
b. A Long-Term Care Facility That Is Affiliated With The Hospital.
c. Retirement Communities.
d. Adult Day Health Centers.
e. Assisted Living Facilities.
ANSWER:-A, C, D, E
Reasoning:->>>Community-
Based Care Occurs Through Home And Hospice Care Provided In
Persons' Homes, Independent Senior Housing Complexes, Retirement C
Ommunities, Residential
Care Facilities Such As Assisted Living Facilities, Hospice Facilities,
An D Adult Day Health Centers. Acute Care Hospitals And Long-
Term Care Facilities Are Not Considered Community Based Care Facilities.
Dif: Cognitive Level: Applying
Topic: Integrated P
Rocess: N/A Msc: Patient Needs: Psychosocial Integrity
6. What Are The Significantqfactors Contributing To The Growth Of
Community- Based Care?: (Choose All That Apply.)
a.A Decrease In The Number Of Available Nursing Home Beds.
b.Rapidly Escalating Health Care Costs.
c.Older Adults’ Preferences To “Age In Place.”
d.Inadequate Numbers Of Nursing Attendants With Gerontological Specialty Education.
e.Decreasing Numbers Of Family Caregivers.
, ANSWER:-B, C
Reasoning:->>>Care Will Continue To Move Out Of Hospitals And Long-
Term Care Facilities
Because Of Rapidly Escalating Health Care Costs And Individual Preferen
Ces To “Age In Place.” There Has Not Been A Decrease In Nursing Home Beds. Altho
Ugh There Are Inadequate Numbers
Of Nursing Attendants With Gerontological Specialty Training, This Is
Not A Factor That Has
Impacted The Growth Of Community-
Based Care. There Is Projected To Be A Decrease In The Number Of Family
Caregivers As The Caregivers Themselves Are Aging; However, This Does Not
Contribute To The Growth Of Community-Based Care.
Dif: Cognitive Level: Understanding Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
7. What Are The Changes In Certified Nursing Facilities Noted In Recentqyears?
(Choose All That Apply.)
a. Increase In The Number Of Subacute Beds
b. Decrease In Nursing Facility Length Of Stay
c. Increase In Level Of Acuity Of The Residents
d. Decrease In Cost Of Care In The Nursing Facility
e. Decrease In The Number Of Registered Nursing Attendants Employed
Inqlong- Term Care Facilities
ANSWER:-A, B, C
Reasoning:-
>>>Certified Nursing Facilities Have Evolved Over Recent Years. Most Facilities
Have Subacute Care Units That Resemble Hospital Units Caring
Fo
R More Hospital Patients With
Higher Acuity Than In The Past. Therefore, The Average Length
Of Stay In A Facility Has
Decreased. The Cost Of Care In The Facility Has Increased Due To
T He Increased Complexity Of
Illnesses Treated, And The Number Of Registered Nursing Attend
Ants Has Increased In Order To
Care For These Complex Hospital Patients.
Dif: Cognitive Level: Understanding Topic: Integrated Pro
Cess: Teaching/Learning Msc: Patient Needs: Health Prom
Otion And Maintenance
8. Which Factor Contributes To Poor Outcomes For Older Adults During Transitions
Of C Are? (Choose All Thatqapply.)
a. Inability To Read And Understand Discharge Instructions
b. Inadequate Financial Resources To Purchase Medications
c. Lack Of Desire To Comply With Discharge Instructions
d. Improved Medication Reconciliation During Hospitalization
e. High Levels Of Nursing Attendant-Hospital Patient Engagement
ANSWER:-A, B
Reasoning:-
, >>>Language And Literacy Levels And Socioeconomic Factors Are Major
Contributors To Poor Transitions Of Care For Older Adults. A High Level
Of Nursing Attendant-
Hospital Patient Engagement Contributes To Safe And Effective Transitions.
Medication
Reconciliation During Hospitalization, At Discharge And After Discharge,
D Ecreases Medication
Discrepancies, Which Are The Most Prevalent Adverse Event Following
Ho Spital Discharge. There
Is No Evidence That Hospital Patients Lack The Desire To Comply With
Disc Harge Instructions.
Dif: Cognitive Level: Understanding Topic:
Integrated Process:
Teaching/Learning Msc: Patient Needs: Safety And Inf
Ection Control
