GERONTOLOGIC NURSING 6TH EDITION
BY SUE E. MEINER ,JENNIFER J. YEAGER
,TABLE OF CONTENTS
CHAPTER 01: OVERVIEW OF GERONTOLOGIC NURSING .................................................................... 3
CHAPTER 02: THEORIES OF AGING ................................................................................................... 14
CHAPTER 03: LEGAL AND ETHICAL ISSUES ........................................................................................ 26
CHAPTER 04: GERONTOLOGIC ASSESSMENT .................................................................................... 39
CHAPTER 05: CULTURAL INFLUENCES............................................................................................... 51
CHAPTER 06: FAMILY INFLUENCES ................................................................................................... 63
CHAPTER 07: SOCIOECONOMIC AND ENVIRONMENTAL INFLUENCES ............................................. 76
CHAPTER 08: HEALTH PROMOTION AND ILLNESS/DISABILITY PREVENTION ................................... 88
CHAPTER 08: HEALTH PROMOTION AND ILLNESS/DISABILITY PREVENTION ................................... 88
CHAPTER 09: NUTRITION ................................................................................................................ 100
CHAPTER 11: SAFETY ....................................................................................................................... 110
CHAPTER 12: SEXUALITY AND AGING ............................................................................................. 121
CHAPTER 13: PAIN........................................................................................................................... 131
CHAPTER 14: INFECTION AND INFLAMMATION ............................................................................. 142
CHAPTER 15: LABORATORY AND DIAGNOSTIC TESTS..................................................................... 153
CHAPTER 16: DRUGS AND AGING ................................................................................................... 163
CHAPTER 17: INTEGUMENTARY FUNCTION.................................................................................... 175
CHAPTER 18: SENSORY FUNCTION ................................................................................................. 186
CHAPTER 19: CARDIOVASCULAR FUNCTION .................................................................................. 196
CHAPTER 20: RESPIRATORY FUNCTION .......................................................................................... 207
CHAPTER 21: GASTROINTESTINAL FUNCTION ................................................................................ 219
CHAPTER 22: URINARY FUNCTION.................................................................................................. 230
CHAPTER 23: MUSCULOSKELETAL FUNCTION ................................................................................ 241
CHAPTER 24: COGNITIVE AND NEUROLOGIC FUNCTION ............................................................... 251
CHAPTER 25: ENDOCRINE FUNCTION ............................................................................................. 262
CHAPTER 26: HEALTH CARE DELIVERY SETTINGS AND OLDER ADULTS .......................................... 273
CHAPTER 28: CANCER ..................................................................................................................... 284
CHAPTER 29: LOSS AND END-OF-LIFE ISSUES ................................................................................. 295
,CHAPTER 01: OVERVIEW OF GERONTOLOGIC NURSING
MEINER: GERONTOLOGIC NURSING, 5TH EDITION MULTIPLE CHOICE
1. IN 2010, THE REVISED STANDARDS AND SCOPE OF GERONTOLOGICAL NURSING PRACTICE
WAS PUBLISHED. THE NURSE WOULD USE THESE STANDARDS TO:
A. PROMOTE THE PRACTICE OF GERONTOLOGIC NURSING WITHIN THE ACUTE CARE SETTING.
B. DEFINE THE CONCEPTS AND DIMENSIONS OF GERONTOLOGIC NURSING PRACTICE.
C. ELEVATE THE PRACTICE OF GERONTOLOGIC NURSING.
D. INCORPORATE SUGGESTED INTERVENTIONS FROM OTHERS WHO PRACTICE GERONTOLOGIC
NURSING. ANS: D
THE CURRENT PUBLISHING OF THE STANDARDS AND SCOPE OF GERONTOLOGICAL NURSING
PRACTICE IN 2010 INCORPORATES THE INPUT OF GERONTOLOGIC NURSES FROM ACROSS THE
UNITED STATES. IT WAS NOT INTENDED TO PROMOTE GERONTOLOGIC NURSING PRACTICE WITHIN
ACUTE CARE SETTINGS, DEFINE CONCEPTS OR DIMENSIONS OF GERONTOLOGIC NURSING PRACTICE,
OR ELEVATE THE PRACTICE OF GERONTOLOGIC NURSING. DIF: REMEMBERING (KNOWLEDGE) REF:
PAGE 2 OBJ: 1-1
TOP: N/A MSC: SAFE AND EFFECTIVE CARE ENVIRONMENT
2. WHEN ATTEMPTING TO MINIMIZE THE EFFECT OF AGEISM ON THE PRACTICE OF NURSING
OLDER ADULTS, A NURSE NEEDS TO FIRST:
A. RECOGNIZE THAT NURSES MUST ACT AS ADVOCATES FOR AGING PATIENTS.
B. ACCEPT THAT THIS POPULATION REPRESENTS A SUBSTANTIAL PORTION OF THOSE
REQUIRING NURSING CARE.
C. SELF-REFLECT AND FORMULATE ONE’S PERSONAL VIEW OF AGING AND THE OLDER
PATIENT.
D. RECOGNIZE AGEISM AS A FORM OF BIGOTRY SHARED BY MANY AMERICANS. ANS: C
AGEISM IS AN EVER-INCREASING PREJUDICIAL VIEW OF THE EFFECTS OF THE AGING PROCESS AND
OF THE OLDER POPULATION AS A WHOLE. WITH NURSES BEING MEMBERS OF A SOCIETY HOLDING
SUCH VIEWS, IT IS CRITICAL THAT THE INDIVIDUAL NURSE SELF-REFLECT ON PERSONAL FEELINGS
AND DETERMINE WHETHER SUCH FEELINGS WILL AFFECT THE NURSING CARE THAT HE OR SHE
PROVIDES TO THE AGING PATIENT. ACTING AS AN ADVOCATE IS AN IMPORTANT NURSING ROLE IN
, ALL SETTINGS. SIMPLY ACCEPTING A FACT DOES NOT HELP END AGEISM, NOR DOES RECOGNIZING
AGEISM AS A FORM OF BIGOTRY.
DIF: APPLYING (APPLICATION) REF: N/A OBJ: 1-9
TOP: TEACHING-LEARNING MSC: SAFE AND EFFECTIVE CARE ENVIRONMENT
3. WHEN DISCUSSING FACTORS THAT HAVE HELPED TO INCREASE THE NUMBER OF HEALTHY,
INDEPENDENT OLDER AMERICANS, THE NURSE INCLUDES THE IMPORTANCE OF:
A. INCREASED AVAILABILITY OF IN-HOME CARE SERVICES.
B. GOVERNMENT SUPPORT OF RETIRED CITIZENS.
C. EFFECTIVE ANTIBIOTIC THERAPIES.
D. THE DEVELOPMENT OF LIFE-EXTENDING THERAPIES. ANS: C
THE HEALTH AND ULTIMATE AUTONOMY OF OLDER AMERICANS HAS BEEN POSITIVELY IMPACTED
BY THE DEVELOPMENT OF ANTIBIOTICS, BETTER SANITATION, AND VACCINES. THESE PUBLIC
HEALTH MEASURES HAVE BEEN MORE INSTRUMENTAL IN INCREASING THE NUMBERS OF HEALTHY,
INDEPENDENT OLDER AMERICANS THAN HAVE IN-HOME CARE SERVICES, GOVERNMENT
PROGRAMS, OR LIFE-EXTENDING THERAPIES.
DIF: REMEMBERING (KNOWLEDGE) REF: PAGE 2 OBJ: 3-3
TOP: NURSING PROCESS: IMPLEMENTATION MSC: HEALTH PROMOTION AND MAINTENANCE
4. BASED ON CURRENT DATA, WHEN PRESENTING AN OLDER ADULT’S DISCHARGE TEACHING
PLAN, THE NURSE INCLUDES THE PATIENT’S:
A. NONRELATED CARETAKER.
B. PAID CAREGIVER.
C. FAMILY MEMBER.
D. INTUITIONAL REPRESENTATIVE.