TEST BANK GERONTOLOGIC NURSING, 5TH EDITION BY
SUE E. MEINER ALL CHAPTERS INCLUDED
https://www.stuvia.com/en-us/user/MBoffin
,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
https://www.stuvia.com/en-us/user/MBoffin
, 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.
ANS: C
Less than 4% of older adults live in a formal health care environment. The majority of
the geriatric population lives at home or with family members.
DIF: Applying (Application) REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The nurse planning care for an older adult who has recently been diagnosed with
rheumatoid arthritis views the priority criterion for continued independence to be
the patient’s:
a. age.
b. financial status.
c. gender.
d. functional status.
ANS: D
Maintaining the functional status of older adults may avert the onset of physical
frailty and cognitive impairment, two conditions that increase the likelihood of
institutionalization.
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-6
TOP: Nursing Process: Planning MSC: Physiologic Integrity
6. A nurse working with the older adult population is most likely to assess a need for a
financial social service’s referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American female.
ANS: B
The poverty rate among older black women is substantially higher than that seen
among males or females of other ethnic groups. White males had the least poverty.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
https://www.stuvia.com/en-us/user/MBoffin
, 7. Which of the following statements made by a nurse preparing to complete a health
assessment and history on an older patient reflects an understanding of the general
health status of this population?
a. “I’ll need to document well regarding the medications the patient is
currently prescribed.”
b. “I would like to understand how supportive the patient’s family members are.”
c. “Most older patients are being treated for a variety of chronic health care issues.”
d. “It will be interesting to see whether this patient sees herself as being healthy.”
ANS: D
It is a misconception that old age is synonymous with disease and illness. The nurse
should always determine the patient’s sense of wellness and independence when
conducting a health and history assessment. An assessment of medication use and
family support is important for any patient. Many older adults do have chronic health
conditions, but their perception is more important than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
8. The nurse is caring for an older adult who has been admitted to an acute care
hospital for treatment of a fractured femur. The family expresses concern about
the patient’s pending transfer to a subacute care facility. What response by the
nurse is best?
a. “Acute care facilities lack the long-term physical therapy support
your dad requires.”
b. “Your dad will be much happier in a more serene, private environment.”
c. “The subacute facility will focus on helping your dad maintain his independence.”
d. “Insurance, including Medicare, will cover only a limited amount of time here.”
ANS: C
The transfer of the patient to a subacute facility is based on the need to maintain
the patient’s level of function and independence, a task the acute care facility is not
prepared to address once the patient is physiologically stable. The patient may or
may not be happier in the new setting; the nurse should not make this judgment. It
is true that insurance only pays for a limited amount of time in an acute care facility,
but this is not the best reason for the patient to transfer.
DIF: Applying (Application) REF: N/A OBJ: 1-6
TOP: Communication and Documentation
MSC: Health Promotion and Maintenance
9. To best assure both the quality of care and the safety of the older adult patient who
requires in- home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
a. evaluates the competency of the UAP staff.
b. assumes the roles of case manager and patient advocate.
c. arranges for the needed UAP provided services.
d. assesses the patient for functional limitations.
ANS: A
As more care traditionally provided by professional nurses is being transferred to
UAP, the nurse must assume more responsibility for educating, training, and
evaluating the competency of UAP staff to provide safe, effective care for the older
adult patient.
https://www.stuvia.com/en-us/user/MBoffin
SUE E. MEINER ALL CHAPTERS INCLUDED
https://www.stuvia.com/en-us/user/MBoffin
,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
https://www.stuvia.com/en-us/user/MBoffin
, 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.
ANS: C
Less than 4% of older adults live in a formal health care environment. The majority of
the geriatric population lives at home or with family members.
DIF: Applying (Application) REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The nurse planning care for an older adult who has recently been diagnosed with
rheumatoid arthritis views the priority criterion for continued independence to be
the patient’s:
a. age.
b. financial status.
c. gender.
d. functional status.
ANS: D
Maintaining the functional status of older adults may avert the onset of physical
frailty and cognitive impairment, two conditions that increase the likelihood of
institutionalization.
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-6
TOP: Nursing Process: Planning MSC: Physiologic Integrity
6. A nurse working with the older adult population is most likely to assess a need for a
financial social service’s referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American female.
ANS: B
The poverty rate among older black women is substantially higher than that seen
among males or females of other ethnic groups. White males had the least poverty.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
https://www.stuvia.com/en-us/user/MBoffin
, 7. Which of the following statements made by a nurse preparing to complete a health
assessment and history on an older patient reflects an understanding of the general
health status of this population?
a. “I’ll need to document well regarding the medications the patient is
currently prescribed.”
b. “I would like to understand how supportive the patient’s family members are.”
c. “Most older patients are being treated for a variety of chronic health care issues.”
d. “It will be interesting to see whether this patient sees herself as being healthy.”
ANS: D
It is a misconception that old age is synonymous with disease and illness. The nurse
should always determine the patient’s sense of wellness and independence when
conducting a health and history assessment. An assessment of medication use and
family support is important for any patient. Many older adults do have chronic health
conditions, but their perception is more important than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
8. The nurse is caring for an older adult who has been admitted to an acute care
hospital for treatment of a fractured femur. The family expresses concern about
the patient’s pending transfer to a subacute care facility. What response by the
nurse is best?
a. “Acute care facilities lack the long-term physical therapy support
your dad requires.”
b. “Your dad will be much happier in a more serene, private environment.”
c. “The subacute facility will focus on helping your dad maintain his independence.”
d. “Insurance, including Medicare, will cover only a limited amount of time here.”
ANS: C
The transfer of the patient to a subacute facility is based on the need to maintain
the patient’s level of function and independence, a task the acute care facility is not
prepared to address once the patient is physiologically stable. The patient may or
may not be happier in the new setting; the nurse should not make this judgment. It
is true that insurance only pays for a limited amount of time in an acute care facility,
but this is not the best reason for the patient to transfer.
DIF: Applying (Application) REF: N/A OBJ: 1-6
TOP: Communication and Documentation
MSC: Health Promotion and Maintenance
9. To best assure both the quality of care and the safety of the older adult patient who
requires in- home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
a. evaluates the competency of the UAP staff.
b. assumes the roles of case manager and patient advocate.
c. arranges for the needed UAP provided services.
d. assesses the patient for functional limitations.
ANS: A
As more care traditionally provided by professional nurses is being transferred to
UAP, the nurse must assume more responsibility for educating, training, and
evaluating the competency of UAP staff to provide safe, effective care for the older
adult patient.
https://www.stuvia.com/en-us/user/MBoffin
