Test Bank
cb
GerontologicNursing 6th Editionby Meiner
cb cb cb
TEST BANK cb
,Chaptercb01:cbOverviewcbofcbGerontologiccbNursingcbM
einer:cbGerontologiccbNursing,cb6thcbEdition
MULTIPLEcbCHOICE
1. Incb2010,cbthecbrevisedcbStandardscbandcbScopecbofcbGerontologicalcbNursingcbPracticecb
wascbpublished.cbThecbnursecbwouldcbusecbthesecbstandardscbto
a. promotecbthecbpracticecbofcbgerontologiccbnursingcbwithincbthecbacutecbcarecbsetting.
b. definecbthecbconceptscbandcbdimensionscbofcbgerontologiccbnursingcbpractice.
c. elevatecbthecbpracticecbofcbgerontologiccbnursing.
d. incorporatecbthecbconceptscbofcbhealthcbpromotion,cbhealthcbmaintenance,cbdise
asecbprevention,cbandcbself-care
ANS:c b D
ThecbcurrentcbpublishingcbofcbthecbStandardscbandcbScopecbofcbGerontologicalcbNursingcbPractice
cbincb2010cbincorporatescbthecbinputcbofcbgerontologiccbnursescbfromcbacrosscbthecbUnitedcbStatescb
andcbincludescbcomprehensivecbconceptscbandcbdimensionscbimportantcbtocbthosecbpracticingcbgero
ntologiccbnursing.cbItcbwascbnotcbintendedcbtocbpromotecbgerontologiccbnursingcbpracticecbwithincb
acutecbcarecbsettings,cbdefinecbconceptscborcbdimensionscbofcbgerontologiccbnursingcbpractice,cborc
belevatecbthecbpracticecbofcbgerontologiccbnursing.
DIF:c b Remembering OBJ: 1-1
TOP:c b N/AcbMSC:cbSafecbandcbEf
fectivecbCarecbEnvironment
2. Whencbattemptingcbtocbminimizecbthecbeffectcbofcbageismcboncbthecbpracticecbofcbnursingcboldercba
dults,cbacbnursecbneedscbtocbfirst
, GerontologiccbNursingcb6thcbEditioncbMeinercbTestcbBankcb lOMoARcPSD|3013804
a. recognizecbthatcbnursescbmustcbactcbascbadvocatescbforcbagingcbpatients.
b. acceptcbthatcbthiscbpopulationcbrepresentscbacbsubstantialcbportioncbofcbthosecbrequi
ringcbnursingcbcare.
c. self-reflectcbandcbformulatecbone’scbpersonalcbviewcbofcbagingcbandcbthecboldercbpatient.
d. recognizecbageismcbascbacbformcbofcbbigotrycbsharedcbbycbmanycbAmericans.
ANS:c b C
Ageismcbiscbancbever-
increasingcbprejudicialcbviewcbofcbthecbeffectscbofcbthecbagingcbprocesscbandcbofcbthecboldercbpopulat
ioncbascbacbwhole.cbWithcbnursescbbeingcbmemberscbofcbacbsocietycbholdingcbsuchcbviews,cbitcbiscbcriti
calcbthatcbthecbindividualcbnursecbself-
reflectscboncbpersonalcbfeelingscbandcbdeterminescbwhethercbsuchcbfeelingscbwillcbaffectcbthecbnursin
gcbcarecbthatcbhecborcbshecbprovidescbtocbthecbagingcbpatient.cbActingcbascbancbadvocatecbiscbancbimpor
tantcbnursingcbrolecbincballcbsettings.cbSimplycbacceptingcbacbfactcbdoescbnotcbhelpcbendcbageism,cbnorc
bdoescbrecognizingcbageismcbascbacbformcbofcbbigotry.
DIF:c b Applying OBJ: 1-6 TOP:c b IntegratedcbProcess:cbTeaching-
LearningcbMSC:cbSafecbandcbEffectivecbCarecbEnvironment
3. Thecbnursecbplanningcbcarecbforcbancboldercbadultcbwhocbhascbrecentlycbbeencbdiagnosedcbwithcbrheu
matoidcbarthritiscbviewscbthecbprioritycbcriterioncbforcbcontinuedcbindependencecbtocbbecbthecbpatien
t’s
a. age.
b. financialcbstatus.
c. gender.
d. functionalcb status.
Maintainingcbthecbfunctionalcbstatuscbofcboldercbadultscb(especiallycbthosecbwithcbchroniccbhealthc
bconditions)cbmaycbavertcbthecbonsetcbofcbphysicalcbfrailtycbandcbcognitivecbimpairment,cbtwocbco
nditionscbthatcbincreasecbthecblikelihoodcbofcbinstitutionalization.
DIF:c b c b Remembering OBJ: 1-4
TOP:c b c b NursingcbProcess:cbPlanning MSC:cbPhysiologiccbIntegrity
4. Acbnursecbworkingcbwithcbthecboldercbadultcbpopulationcbiscbmostcblikelycbtocbassesscbacbnee
dcbforcbacbfinancialcbsocialcbservice’scbreferralcbforcbwhichcbperson?
a. Whitecbmale
b. Blackcbfemale
c. Hispaniccbmale
d. AsiancbAmericancb female
ANS:c b B
Thecbpovertycbratecbamongcboldercbwomencbiscbsubstantiallycbhighercbthancbthatcbseencbamongcbm
en.cbThecbpovertycbratescbforcbpeoplecbofcbcolorcbiscbhighercbthancbthatcbofcbwhites.
DIF:c b c b Remembering OBJ: 1-4
TOP:c b c b NursingcbProcess:cbAssessment MSC:cbSafecbandcbEffectivecbCarecbEnvironment
5. Acbnursecbiscbpreparingcbtocbcompletecbacbhealthcbassessmentcbandcbhistorycboncbancboldercbpatient.c
bWhichcbstatementcbreflectscbancbunderstandingcbofcbthecbgeneralcbhealthcbstatuscbofcbthiscbpopulati
on?
a. “I’llcbneedcbtocbdocumentcbthecbmedicationscbthecbpatientcbiscbcurrentlycbprescribed.”
b. “Icbwouldcblikecbtocbunderstandcbhowcbsupportivecbthecbpatient’scbfamilycbmemberscbare.”
c. “Itcbwillcbbecbinterestingcbtocbseecbwhethercbthiscbpatientcbseescbherselfcbascbbeingcbhe
althy.”cbANS:cbA
, ANS:c b D
Itcbiscbacbmisconceptioncbthatcboldcbagecbiscbsynonymouscbwithcbdiseasecbandcbillness.cbIncbfact,cb
oldercbadultscbalreadycbtendcbtocbviewcbtheircbpersonalcbhealthcbpositivelycbdespitecbthecbpresence
cbofcbchroniccbillness,cbdisease,cbandcbimpairment.cbThecbnursecbshouldcbalwayscbdeterminecbthecb
patient’scbsensecbofcbwellnesscbandcbindependencecbwhencbconductingcbacbhealthcbandcbhistorycb
assessment.cbAncbassessmentcbofcbmedicationcbusecbandcbfamilycbsupportcbiscbimportantcbforcban
ycbpatient.cbManycboldercbadultscbdocbhavecbchroniccbhealthcbconditions,cbbutcbtheircbperceptionc
biscbmorecbimportantcbthancbacbsinglecbnumber.
DIF:c b Applying OBJ: 1-4
TOP:c b NursingcbProcess:cbAssessmentcbMSC:cbHealthcbPro
motioncbandcbMaintenance
6. Thecbnursecbiscbcaringcbforcbancboldercbadultcbwhocbhascbbeencbadmittedcbtocbancbacutecbcarecbhos
pitalcbforcbtreatmentcbofcbacbfracturedcbfemur.cbThecbfamilycbexpressescbconcerncbaboutcbtheircbf
ather’scbpendingcbtransfercbtocbacbsubacutecbcarecbfacility.cbWhatcbresponsecbbycbthecbnursecbiscb
best?
a. “Acutecbcarecbfacilitiescblackcbthecblong-termcbphysicalcbtherapycbyourcbdadcbrequires.”
b. “Yourcbdadcbwillcbbecbmuchcbhappiercbincbacbmorecbserene,cbprivatecbenvironment.”
c. “Thecbsubacutecbfacilitycbwillcbfocuscboncbhelpingcbyourcbdadcbtocbmaintai
ncbhiscbindependence.”
d. “Insurance,cbincludingcbMedicare,cbwillcbcovercbonlycbacblimitedcbamountcbofcbtimecbhere.”
ANS:c b C
Thecbtransfercbofcbthecbpatientcbtocbacbsubacutecbfacilitycbiscbbasedcboncbthecbneedcbtocbmaintaincbthe
patient’scblevelcbofcbfunctioncbandcbindependence,cbacbtaskcbthecbacutecbcarecbfacilitycbiscbnotcbprep
aredcbtocbaddresscboncecbthecbpatientcbiscbphysiologicallycbstable.cbThecbacutecbcarecbfacilitycbmayc
borcbmaycbnotcbbecbablecbtocbprovidecblong-
termcbtherapy.cbThecbpatientcbmaycborcbmaycbnotcbbecbhappiercbincbthecbnewcbsetting;cbthecbnursecbsh
ouldcbnotcbmakecbthiscbjudgment.cbItcbiscbtruecbthatcbinsurancecbonlycbpayscbforcbacblimitedcbamount
cbofcbtimecbincbancbacutecbcarecbfacility,cbbutcbthiscbiscbnotcbthecbbestcbreasoncbforcbthecbpatientcbtocbtr
ansfer.
DIF:c b c b Applying OBJ: 1-4
TOP:
IntegratedcbProcess:cbCommunicationcbandcbDocumentati
oncbMSC:cbHealthcbPromotioncbandcbMaintenance
7. Tocbbestcbassurecbbothcbthecbqualitycbofcbcarecbandcbthecbsafetycbofcbthecboldercbadultcbpatientcbwhocb
requirescbin-
homecbunlicensedcbassistivecbpersonalcb(UAP)cbassistance,cbwhichcbactioncbbycbthecbgerontolo
giccbnursecbiscbbest?
a. EvaluatescbthecbcompetencycbofcbthecbUAPcbstaff.
b. Assumescbthecbrolescbofcbcasecbmanagercbandcbpatientcbadvocate.
c. ArrangescbforcbthecbneededcbUAPcbprovidedcbservices.
d. Assessescbthecbpatientcbforcbfunctionalcblimitations.
ANS:c b A
AscbmorecbcarecbtraditionallycbprovidedcbbycbprofessionalcbnursescbiscbbeingcbtransferredcbtocbUAP,
cbthecbnursecbmustcbassumecbmorecbresponsibilitycbforcbeducating,cbtraining,cbandcbevaluatingcbthe
cbcompetencycbofcbUAPcbstaffcbtocbprovidecbsafe,cbeffectivecbcarecbforcbthecboldercbadultcbpatient.
DIF: Applying
cb
GerontologicNursing 6th Editionby Meiner
cb cb cb
TEST BANK cb
,Chaptercb01:cbOverviewcbofcbGerontologiccbNursingcbM
einer:cbGerontologiccbNursing,cb6thcbEdition
MULTIPLEcbCHOICE
1. Incb2010,cbthecbrevisedcbStandardscbandcbScopecbofcbGerontologicalcbNursingcbPracticecb
wascbpublished.cbThecbnursecbwouldcbusecbthesecbstandardscbto
a. promotecbthecbpracticecbofcbgerontologiccbnursingcbwithincbthecbacutecbcarecbsetting.
b. definecbthecbconceptscbandcbdimensionscbofcbgerontologiccbnursingcbpractice.
c. elevatecbthecbpracticecbofcbgerontologiccbnursing.
d. incorporatecbthecbconceptscbofcbhealthcbpromotion,cbhealthcbmaintenance,cbdise
asecbprevention,cbandcbself-care
ANS:c b D
ThecbcurrentcbpublishingcbofcbthecbStandardscbandcbScopecbofcbGerontologicalcbNursingcbPractice
cbincb2010cbincorporatescbthecbinputcbofcbgerontologiccbnursescbfromcbacrosscbthecbUnitedcbStatescb
andcbincludescbcomprehensivecbconceptscbandcbdimensionscbimportantcbtocbthosecbpracticingcbgero
ntologiccbnursing.cbItcbwascbnotcbintendedcbtocbpromotecbgerontologiccbnursingcbpracticecbwithincb
acutecbcarecbsettings,cbdefinecbconceptscborcbdimensionscbofcbgerontologiccbnursingcbpractice,cborc
belevatecbthecbpracticecbofcbgerontologiccbnursing.
DIF:c b Remembering OBJ: 1-1
TOP:c b N/AcbMSC:cbSafecbandcbEf
fectivecbCarecbEnvironment
2. Whencbattemptingcbtocbminimizecbthecbeffectcbofcbageismcboncbthecbpracticecbofcbnursingcboldercba
dults,cbacbnursecbneedscbtocbfirst
, GerontologiccbNursingcb6thcbEditioncbMeinercbTestcbBankcb lOMoARcPSD|3013804
a. recognizecbthatcbnursescbmustcbactcbascbadvocatescbforcbagingcbpatients.
b. acceptcbthatcbthiscbpopulationcbrepresentscbacbsubstantialcbportioncbofcbthosecbrequi
ringcbnursingcbcare.
c. self-reflectcbandcbformulatecbone’scbpersonalcbviewcbofcbagingcbandcbthecboldercbpatient.
d. recognizecbageismcbascbacbformcbofcbbigotrycbsharedcbbycbmanycbAmericans.
ANS:c b C
Ageismcbiscbancbever-
increasingcbprejudicialcbviewcbofcbthecbeffectscbofcbthecbagingcbprocesscbandcbofcbthecboldercbpopulat
ioncbascbacbwhole.cbWithcbnursescbbeingcbmemberscbofcbacbsocietycbholdingcbsuchcbviews,cbitcbiscbcriti
calcbthatcbthecbindividualcbnursecbself-
reflectscboncbpersonalcbfeelingscbandcbdeterminescbwhethercbsuchcbfeelingscbwillcbaffectcbthecbnursin
gcbcarecbthatcbhecborcbshecbprovidescbtocbthecbagingcbpatient.cbActingcbascbancbadvocatecbiscbancbimpor
tantcbnursingcbrolecbincballcbsettings.cbSimplycbacceptingcbacbfactcbdoescbnotcbhelpcbendcbageism,cbnorc
bdoescbrecognizingcbageismcbascbacbformcbofcbbigotry.
DIF:c b Applying OBJ: 1-6 TOP:c b IntegratedcbProcess:cbTeaching-
LearningcbMSC:cbSafecbandcbEffectivecbCarecbEnvironment
3. Thecbnursecbplanningcbcarecbforcbancboldercbadultcbwhocbhascbrecentlycbbeencbdiagnosedcbwithcbrheu
matoidcbarthritiscbviewscbthecbprioritycbcriterioncbforcbcontinuedcbindependencecbtocbbecbthecbpatien
t’s
a. age.
b. financialcbstatus.
c. gender.
d. functionalcb status.
Maintainingcbthecbfunctionalcbstatuscbofcboldercbadultscb(especiallycbthosecbwithcbchroniccbhealthc
bconditions)cbmaycbavertcbthecbonsetcbofcbphysicalcbfrailtycbandcbcognitivecbimpairment,cbtwocbco
nditionscbthatcbincreasecbthecblikelihoodcbofcbinstitutionalization.
DIF:c b c b Remembering OBJ: 1-4
TOP:c b c b NursingcbProcess:cbPlanning MSC:cbPhysiologiccbIntegrity
4. Acbnursecbworkingcbwithcbthecboldercbadultcbpopulationcbiscbmostcblikelycbtocbassesscbacbnee
dcbforcbacbfinancialcbsocialcbservice’scbreferralcbforcbwhichcbperson?
a. Whitecbmale
b. Blackcbfemale
c. Hispaniccbmale
d. AsiancbAmericancb female
ANS:c b B
Thecbpovertycbratecbamongcboldercbwomencbiscbsubstantiallycbhighercbthancbthatcbseencbamongcbm
en.cbThecbpovertycbratescbforcbpeoplecbofcbcolorcbiscbhighercbthancbthatcbofcbwhites.
DIF:c b c b Remembering OBJ: 1-4
TOP:c b c b NursingcbProcess:cbAssessment MSC:cbSafecbandcbEffectivecbCarecbEnvironment
5. Acbnursecbiscbpreparingcbtocbcompletecbacbhealthcbassessmentcbandcbhistorycboncbancboldercbpatient.c
bWhichcbstatementcbreflectscbancbunderstandingcbofcbthecbgeneralcbhealthcbstatuscbofcbthiscbpopulati
on?
a. “I’llcbneedcbtocbdocumentcbthecbmedicationscbthecbpatientcbiscbcurrentlycbprescribed.”
b. “Icbwouldcblikecbtocbunderstandcbhowcbsupportivecbthecbpatient’scbfamilycbmemberscbare.”
c. “Itcbwillcbbecbinterestingcbtocbseecbwhethercbthiscbpatientcbseescbherselfcbascbbeingcbhe
althy.”cbANS:cbA
, ANS:c b D
Itcbiscbacbmisconceptioncbthatcboldcbagecbiscbsynonymouscbwithcbdiseasecbandcbillness.cbIncbfact,cb
oldercbadultscbalreadycbtendcbtocbviewcbtheircbpersonalcbhealthcbpositivelycbdespitecbthecbpresence
cbofcbchroniccbillness,cbdisease,cbandcbimpairment.cbThecbnursecbshouldcbalwayscbdeterminecbthecb
patient’scbsensecbofcbwellnesscbandcbindependencecbwhencbconductingcbacbhealthcbandcbhistorycb
assessment.cbAncbassessmentcbofcbmedicationcbusecbandcbfamilycbsupportcbiscbimportantcbforcban
ycbpatient.cbManycboldercbadultscbdocbhavecbchroniccbhealthcbconditions,cbbutcbtheircbperceptionc
biscbmorecbimportantcbthancbacbsinglecbnumber.
DIF:c b Applying OBJ: 1-4
TOP:c b NursingcbProcess:cbAssessmentcbMSC:cbHealthcbPro
motioncbandcbMaintenance
6. Thecbnursecbiscbcaringcbforcbancboldercbadultcbwhocbhascbbeencbadmittedcbtocbancbacutecbcarecbhos
pitalcbforcbtreatmentcbofcbacbfracturedcbfemur.cbThecbfamilycbexpressescbconcerncbaboutcbtheircbf
ather’scbpendingcbtransfercbtocbacbsubacutecbcarecbfacility.cbWhatcbresponsecbbycbthecbnursecbiscb
best?
a. “Acutecbcarecbfacilitiescblackcbthecblong-termcbphysicalcbtherapycbyourcbdadcbrequires.”
b. “Yourcbdadcbwillcbbecbmuchcbhappiercbincbacbmorecbserene,cbprivatecbenvironment.”
c. “Thecbsubacutecbfacilitycbwillcbfocuscboncbhelpingcbyourcbdadcbtocbmaintai
ncbhiscbindependence.”
d. “Insurance,cbincludingcbMedicare,cbwillcbcovercbonlycbacblimitedcbamountcbofcbtimecbhere.”
ANS:c b C
Thecbtransfercbofcbthecbpatientcbtocbacbsubacutecbfacilitycbiscbbasedcboncbthecbneedcbtocbmaintaincbthe
patient’scblevelcbofcbfunctioncbandcbindependence,cbacbtaskcbthecbacutecbcarecbfacilitycbiscbnotcbprep
aredcbtocbaddresscboncecbthecbpatientcbiscbphysiologicallycbstable.cbThecbacutecbcarecbfacilitycbmayc
borcbmaycbnotcbbecbablecbtocbprovidecblong-
termcbtherapy.cbThecbpatientcbmaycborcbmaycbnotcbbecbhappiercbincbthecbnewcbsetting;cbthecbnursecbsh
ouldcbnotcbmakecbthiscbjudgment.cbItcbiscbtruecbthatcbinsurancecbonlycbpayscbforcbacblimitedcbamount
cbofcbtimecbincbancbacutecbcarecbfacility,cbbutcbthiscbiscbnotcbthecbbestcbreasoncbforcbthecbpatientcbtocbtr
ansfer.
DIF:c b c b Applying OBJ: 1-4
TOP:
IntegratedcbProcess:cbCommunicationcbandcbDocumentati
oncbMSC:cbHealthcbPromotioncbandcbMaintenance
7. Tocbbestcbassurecbbothcbthecbqualitycbofcbcarecbandcbthecbsafetycbofcbthecboldercbadultcbpatientcbwhocb
requirescbin-
homecbunlicensedcbassistivecbpersonalcb(UAP)cbassistance,cbwhichcbactioncbbycbthecbgerontolo
giccbnursecbiscbbest?
a. EvaluatescbthecbcompetencycbofcbthecbUAPcbstaff.
b. Assumescbthecbrolescbofcbcasecbmanagercbandcbpatientcbadvocate.
c. ArrangescbforcbthecbneededcbUAPcbprovidedcbservices.
d. Assessescbthecbpatientcbforcbfunctionalcblimitations.
ANS:c b A
AscbmorecbcarecbtraditionallycbprovidedcbbycbprofessionalcbnursescbiscbbeingcbtransferredcbtocbUAP,
cbthecbnursecbmustcbassumecbmorecbresponsibilitycbforcbeducating,cbtraining,cbandcbevaluatingcbthe
cbcompetencycbofcbUAPcbstaffcbtocbprovidecbsafe,cbeffectivecbcarecbforcbthecboldercbadultcbpatient.
DIF: Applying
