TEST BANK
f
,Chapter 01: Overview of Gerontologic Nursing
f f f f f
Meiner: Gerontologic Nursing, 5th Edition
f f f f f
MULTIPLE fCHOICE
1. In f2010, fthe frevised fStandards fand fScope fof fGerontological fNursing fPractice fwas fpublished.
The fnurse fwould fuse fthese fstandards fto:
f
a. promote fthe fpractice fof fgerontologic fnursing fwithin fthe facute fcare fsetting.
b. define fthe fconcepts fand fdimensions fof fgerontologic fnursing fpractice.
c. elevate fthe fpractice fof fgerontologic fnursing.
d. incorporate fsuggested finterventions ffrom fothers fwho fpractice fgerontologic fnursing.
ANS: f D
The fcurrent fpublishing fof fthe fStandards fand fScope fof fGerontological fNursing fPractice fin
f2010 fincorporates fthe finput fof fgerontologic fnurses ffrom facross fthe fUnited fStates. fIt fwas fnot
fintended fto fpromote fgerontologic fnursing fpractice fwithin facute fcare fsettings, fdefine fconcepts
for fdimensions fof fgerontologic fnursing fpractice, for felevate fthe fpractice fof fgerontologic
fnursing.
DIF: Remembering f(Knowledge) REF: f Page f2 OBJ: f 1-
1 fTOP: f N/A MSC: f Safe fand fEffective fCare fEnvironment
2. When fattempting fto fminimize fthe feffect fof fageism fon fthe fpractice fof fnursing folder fadults, fa
nurse fneeds fto ffirst:
f
a. recognize fthat fnurses fmust fact fas fadvocates ffor faging fpatients.
b. accept fthat fthis fpopulation frepresents fa fsubstantial fportion fof fthose frequiring
nursing fcare.
f
c. self-reflect fand fformulate fone‟s fpersonal fview fof faging fand fthe folder fpatient.
d. recognize fageism fas fa fform fof fbigotry fshared fby fmany fAmericans.
ANS: f C
Ageism fis fan fever-increasing fprejudicial fview fof fthe feffects fof fthe faging fprocess fand fof fthe
folder fpopulation fas fa fwhole. fWith fnurses fbeing fmembers fof fa fsociety fholding fsuch fviews, fit fis
fcritical fthat fthe findividual fnurse fself-reflect fon fpersonal ffeelings fand fdetermine fwhether fsuch
ffeelings fwill faffect fthe fnursing fcare fthat fhe for fshe fprovides fto fthe faging fpatient. fActing fas fan
fadvocate fis fan fimportant fnursing frole fin fall fsettings. fSimply faccepting fa ffact fdoes fnot fhelp fend
fageism, fnor fdoes frecognizing fageism fas fa fform fof fbigotry.
DIF: Applying f(Application) REF: f f N/A OBJ: f f 1-9
TOP: f Teaching-Learning MSC: f Safe fand fEffective fCare fEnvironment
3. When fdiscussing ffactors fthat fhave fhelped fto fincrease fthe fnumber fof fhealthy, findependent folder
Americans, fthe fnurse fincludes fthe fimportance fof:
f
a.increased favailability fof fin-home fcare fservices.
b.government fsupport fof fretired fcitizens.
c.effective fantibiotic ftherapies.
d.the fdevelopment fof flife-extending ftherapies.
ANS: f C
, The fhealth fand fultimate fautonomy fof folder fAmericans fhas fbeen fpositively fimpacted fby fthe
fdevelopment fof fantibiotics, fbetter fsanitation, fand fvaccines. fThese fpublic fhealth fmeasures fhave
fbeen fmore finstrumental fin fincreasing fthe fnumbers fof fhealthy, findependent folder fAmericans
fthan fhave fin-home fcare fservices, fgovernment fprograms, for flife-extending ftherapies.
DIF: Remembering f(Knowledge) REF: f f Page f2 OBJ: f f 3-3
TOP: f Nursing fProcess: fImplementation MSC: f Health fPromotion fand fMaintenance
4. Based fon fcurrent fdata, fwhen fpresenting fan folder fadult‟s fdischarge fteaching fplan, fthe fnurse
includes fthe fpatient‟s:
f
a. nonrelated fcaretaker.
b. paid fcaregiver.
c. family fmember.
d. intuitional frepresentative.
ANS: f C
Less fthan f4% fof folder fadults flive fin fa fformal fhealth fcare fenvironment. fThe fmajority fof fthe
fgeriatric fpopulation flives fat fhome for fwith ffamily fmembers.
DIF: Applying f(Application) REF: f f N/A OBJ: f f 3-3
TOP: f Nursing fProcess: fPlanning MSC: f Safe fand fEffective fCare fEnvironment
5. The fnurse fplanning fcare ffor fan folder fadult fwho fhas frecently fbeen fdiagnosed fwith frheumatoid
arthritis fviews fthe fpriority fcriterion ffor fcontinued findependence fto fbe fthe fpatient‟s:
f
a. age.
b. financial fstatus.
c. gender.
d. functional fstatus.
ANS: f D
Maintaining fthe ffunctional fstatus fof folder fadults fmay favert fthe fonset fof fphysical ffrailty fand
fcognitive fimpairment, ftwo fconditions fthat fincrease fthe flikelihood fof finstitutionalization.
DIF: Remembering f(Knowledge) REF: f Page f8 OBJ: f 1-
6 fTOP: f Nursing fProcess: fPlanning MSC: f Physiologic fIntegrity
6. A fnurse fworking fwith fthe folder fadult fpopulation fis fmost flikely fto fassess fa fneed ffor fa ffinancial
social fservice‟s freferral ffor fa(n):
f
a. white fmale.
b. black ffemale.
c. Hispanic fmale.
d. Asian fAmerican ffemale.
ANS: f B
The fpoverty frate famong folder fblack fwomen fis fsubstantially fhigher fthan fthat fseen famong fmales
for ffemales fof fother fethnic fgroups. fWhite fmales fhad fthe fleast fpoverty.
DIF: Applying f(Application) REF: f f N/A OBJ: f f 1-4
TOP: f Nursing fProcess: fAssessment MSC: f Safe fand fEffective fCare fEnvironment
, 7. Which fof fthe ffollowing fstatements fmade fby fa fnurse fpreparing fto fcomplete fa fhealth fassessment
and fhistory fon fan folder fpatient freflects fan funderstanding fof fthe fgeneral fhealth fstatus fof fthis
f
population?
f
a. “I‟ll fneed fto fdocument fwell fregarding fthe fmedications fthe fpatient fis fcurrently
fprescribed.”
b. “I fwould flike fto funderstand fhow fsupportive fthe fpatient‟s ffamily fmembers fare.”
c. “Most folder fpatients fare fbeing ftreated ffor fa fvariety fof fchronic fhealth fcare fissues.”
d. “It fwill fbe finteresting fto fsee fwhether fthis fpatient fsees fherself fas fbeing fhealthy.”
ANS: f D
It fis fa fmisconception fthat fold fage fis fsynonymous fwith fdisease fand fillness. fThe fnurse fshould
falways fdetermine fthe fpatient‟s fsense fof fwellness fand findependence fwhen fconducting fa fhealth
fand fhistory fassessment. fAn fassessment fof fmedication fuse fand ffamily fsupport fis fimportant ffor
fany fpatient. fMany folder fadults fdo fhave fchronic fhealth fconditions, fbut ftheir fperception fis fmore
fimportant fthan fa fsingle fnumber.
DIF: Applying f(Application) REF: f N/A OBJ: f 1-
4 fTOP: f Nursing fProcess: fAssessment MSC: f Health fPromotion
8. The fnurse fis fcaring ffor fan folder fadult fwho fhas fbeen fadmitted fto fan facute fcare fhospital ffor
ftreatment fof fa ffractured ffemur. fThe ffamily fexpresses fconcern fabout fthe fpatient‟s fpending
ftransfer fto fa fsubacute fcare ffacility. fWhat fresponse fby fthe fnurse fis fbest?
a. “Acute fcare ffacilities flack fthe flong-term fphysical ftherapy fsupport fyour fdad
frequires.”
b. “Your fdad fwill fbe fmuch fhappier fin fa fmore fserene, fprivate fenvironment.”
c. “The fsubacute ffacility fwill ffocus fon fhelping fyour fdad fmaintain fhis findependence.”
d. “Insurance, fincluding fMedicare, fwill fcover fonly fa flimited famount fof ftime fhere.”
ANS: f C
The ftransfer fof fthe fpatient fto fa fsubacute ffacility fis fbased fon fthe fneed fto fmaintain fthe fpatient‟s
flevel fof ffunction fand findependence, fa ftask fthe facute fcare ffacility fis fnot fprepared fto faddress
fonce fthe fpatient fis fphysiologically fstable. fThe fpatient fmay for fmay fnot fbe fhappier fin fthe fnew
fsetting; fthe fnurse fshould fnot fmake fthis fjudgment. fIt fis ftrue fthat finsurance fonly fpays ffor fa
flimited famount fof ftime fin fan facute fcare ffacility, fbut fthis fis fnot fthe fbest freason ffor fthe fpatient fto
ftransfer.
DIF: Applying f(Application) REF: f N/A OBJ: f 1-
6 fTOP: f Communication fand fDocumentation
MSC: f Health fPromotion fand fMaintenance
9. To fbest fassure fboth fthe fquality fof fcare fand fthe fsafety fof fthe folder fadult fpatient fwho frequires fin-
home funlicensed fassistive fpersonal f(UAP) fassistance, fthe fgeriatric fnurse:
f
a.evaluates fthe fcompetency fof fthe fUAP fstaff.
b.assumes fthe froles fof fcase fmanager fand fpatient fadvocate.
c.arranges ffor fthe fneeded fUAP fprovided fservices.
d.assesses fthe fpatient ffor ffunctional flimitations.
ANS: f A
As fmore fcare ftraditionally fprovided fby fprofessional fnurses fis fbeing ftransferred fto fUAP, fthe
fnurse fmust fassume fmore fresponsibility ffor feducating, ftraining, fand fevaluating fthe fcompetency
fof fUAP fstaff fto fprovide fsafe, feffective fcare ffor fthe folder fadult fpatient.
f
,Chapter 01: Overview of Gerontologic Nursing
f f f f f
Meiner: Gerontologic Nursing, 5th Edition
f f f f f
MULTIPLE fCHOICE
1. In f2010, fthe frevised fStandards fand fScope fof fGerontological fNursing fPractice fwas fpublished.
The fnurse fwould fuse fthese fstandards fto:
f
a. promote fthe fpractice fof fgerontologic fnursing fwithin fthe facute fcare fsetting.
b. define fthe fconcepts fand fdimensions fof fgerontologic fnursing fpractice.
c. elevate fthe fpractice fof fgerontologic fnursing.
d. incorporate fsuggested finterventions ffrom fothers fwho fpractice fgerontologic fnursing.
ANS: f D
The fcurrent fpublishing fof fthe fStandards fand fScope fof fGerontological fNursing fPractice fin
f2010 fincorporates fthe finput fof fgerontologic fnurses ffrom facross fthe fUnited fStates. fIt fwas fnot
fintended fto fpromote fgerontologic fnursing fpractice fwithin facute fcare fsettings, fdefine fconcepts
for fdimensions fof fgerontologic fnursing fpractice, for felevate fthe fpractice fof fgerontologic
fnursing.
DIF: Remembering f(Knowledge) REF: f Page f2 OBJ: f 1-
1 fTOP: f N/A MSC: f Safe fand fEffective fCare fEnvironment
2. When fattempting fto fminimize fthe feffect fof fageism fon fthe fpractice fof fnursing folder fadults, fa
nurse fneeds fto ffirst:
f
a. recognize fthat fnurses fmust fact fas fadvocates ffor faging fpatients.
b. accept fthat fthis fpopulation frepresents fa fsubstantial fportion fof fthose frequiring
nursing fcare.
f
c. self-reflect fand fformulate fone‟s fpersonal fview fof faging fand fthe folder fpatient.
d. recognize fageism fas fa fform fof fbigotry fshared fby fmany fAmericans.
ANS: f C
Ageism fis fan fever-increasing fprejudicial fview fof fthe feffects fof fthe faging fprocess fand fof fthe
folder fpopulation fas fa fwhole. fWith fnurses fbeing fmembers fof fa fsociety fholding fsuch fviews, fit fis
fcritical fthat fthe findividual fnurse fself-reflect fon fpersonal ffeelings fand fdetermine fwhether fsuch
ffeelings fwill faffect fthe fnursing fcare fthat fhe for fshe fprovides fto fthe faging fpatient. fActing fas fan
fadvocate fis fan fimportant fnursing frole fin fall fsettings. fSimply faccepting fa ffact fdoes fnot fhelp fend
fageism, fnor fdoes frecognizing fageism fas fa fform fof fbigotry.
DIF: Applying f(Application) REF: f f N/A OBJ: f f 1-9
TOP: f Teaching-Learning MSC: f Safe fand fEffective fCare fEnvironment
3. When fdiscussing ffactors fthat fhave fhelped fto fincrease fthe fnumber fof fhealthy, findependent folder
Americans, fthe fnurse fincludes fthe fimportance fof:
f
a.increased favailability fof fin-home fcare fservices.
b.government fsupport fof fretired fcitizens.
c.effective fantibiotic ftherapies.
d.the fdevelopment fof flife-extending ftherapies.
ANS: f C
, The fhealth fand fultimate fautonomy fof folder fAmericans fhas fbeen fpositively fimpacted fby fthe
fdevelopment fof fantibiotics, fbetter fsanitation, fand fvaccines. fThese fpublic fhealth fmeasures fhave
fbeen fmore finstrumental fin fincreasing fthe fnumbers fof fhealthy, findependent folder fAmericans
fthan fhave fin-home fcare fservices, fgovernment fprograms, for flife-extending ftherapies.
DIF: Remembering f(Knowledge) REF: f f Page f2 OBJ: f f 3-3
TOP: f Nursing fProcess: fImplementation MSC: f Health fPromotion fand fMaintenance
4. Based fon fcurrent fdata, fwhen fpresenting fan folder fadult‟s fdischarge fteaching fplan, fthe fnurse
includes fthe fpatient‟s:
f
a. nonrelated fcaretaker.
b. paid fcaregiver.
c. family fmember.
d. intuitional frepresentative.
ANS: f C
Less fthan f4% fof folder fadults flive fin fa fformal fhealth fcare fenvironment. fThe fmajority fof fthe
fgeriatric fpopulation flives fat fhome for fwith ffamily fmembers.
DIF: Applying f(Application) REF: f f N/A OBJ: f f 3-3
TOP: f Nursing fProcess: fPlanning MSC: f Safe fand fEffective fCare fEnvironment
5. The fnurse fplanning fcare ffor fan folder fadult fwho fhas frecently fbeen fdiagnosed fwith frheumatoid
arthritis fviews fthe fpriority fcriterion ffor fcontinued findependence fto fbe fthe fpatient‟s:
f
a. age.
b. financial fstatus.
c. gender.
d. functional fstatus.
ANS: f D
Maintaining fthe ffunctional fstatus fof folder fadults fmay favert fthe fonset fof fphysical ffrailty fand
fcognitive fimpairment, ftwo fconditions fthat fincrease fthe flikelihood fof finstitutionalization.
DIF: Remembering f(Knowledge) REF: f Page f8 OBJ: f 1-
6 fTOP: f Nursing fProcess: fPlanning MSC: f Physiologic fIntegrity
6. A fnurse fworking fwith fthe folder fadult fpopulation fis fmost flikely fto fassess fa fneed ffor fa ffinancial
social fservice‟s freferral ffor fa(n):
f
a. white fmale.
b. black ffemale.
c. Hispanic fmale.
d. Asian fAmerican ffemale.
ANS: f B
The fpoverty frate famong folder fblack fwomen fis fsubstantially fhigher fthan fthat fseen famong fmales
for ffemales fof fother fethnic fgroups. fWhite fmales fhad fthe fleast fpoverty.
DIF: Applying f(Application) REF: f f N/A OBJ: f f 1-4
TOP: f Nursing fProcess: fAssessment MSC: f Safe fand fEffective fCare fEnvironment
, 7. Which fof fthe ffollowing fstatements fmade fby fa fnurse fpreparing fto fcomplete fa fhealth fassessment
and fhistory fon fan folder fpatient freflects fan funderstanding fof fthe fgeneral fhealth fstatus fof fthis
f
population?
f
a. “I‟ll fneed fto fdocument fwell fregarding fthe fmedications fthe fpatient fis fcurrently
fprescribed.”
b. “I fwould flike fto funderstand fhow fsupportive fthe fpatient‟s ffamily fmembers fare.”
c. “Most folder fpatients fare fbeing ftreated ffor fa fvariety fof fchronic fhealth fcare fissues.”
d. “It fwill fbe finteresting fto fsee fwhether fthis fpatient fsees fherself fas fbeing fhealthy.”
ANS: f D
It fis fa fmisconception fthat fold fage fis fsynonymous fwith fdisease fand fillness. fThe fnurse fshould
falways fdetermine fthe fpatient‟s fsense fof fwellness fand findependence fwhen fconducting fa fhealth
fand fhistory fassessment. fAn fassessment fof fmedication fuse fand ffamily fsupport fis fimportant ffor
fany fpatient. fMany folder fadults fdo fhave fchronic fhealth fconditions, fbut ftheir fperception fis fmore
fimportant fthan fa fsingle fnumber.
DIF: Applying f(Application) REF: f N/A OBJ: f 1-
4 fTOP: f Nursing fProcess: fAssessment MSC: f Health fPromotion
8. The fnurse fis fcaring ffor fan folder fadult fwho fhas fbeen fadmitted fto fan facute fcare fhospital ffor
ftreatment fof fa ffractured ffemur. fThe ffamily fexpresses fconcern fabout fthe fpatient‟s fpending
ftransfer fto fa fsubacute fcare ffacility. fWhat fresponse fby fthe fnurse fis fbest?
a. “Acute fcare ffacilities flack fthe flong-term fphysical ftherapy fsupport fyour fdad
frequires.”
b. “Your fdad fwill fbe fmuch fhappier fin fa fmore fserene, fprivate fenvironment.”
c. “The fsubacute ffacility fwill ffocus fon fhelping fyour fdad fmaintain fhis findependence.”
d. “Insurance, fincluding fMedicare, fwill fcover fonly fa flimited famount fof ftime fhere.”
ANS: f C
The ftransfer fof fthe fpatient fto fa fsubacute ffacility fis fbased fon fthe fneed fto fmaintain fthe fpatient‟s
flevel fof ffunction fand findependence, fa ftask fthe facute fcare ffacility fis fnot fprepared fto faddress
fonce fthe fpatient fis fphysiologically fstable. fThe fpatient fmay for fmay fnot fbe fhappier fin fthe fnew
fsetting; fthe fnurse fshould fnot fmake fthis fjudgment. fIt fis ftrue fthat finsurance fonly fpays ffor fa
flimited famount fof ftime fin fan facute fcare ffacility, fbut fthis fis fnot fthe fbest freason ffor fthe fpatient fto
ftransfer.
DIF: Applying f(Application) REF: f N/A OBJ: f 1-
6 fTOP: f Communication fand fDocumentation
MSC: f Health fPromotion fand fMaintenance
9. To fbest fassure fboth fthe fquality fof fcare fand fthe fsafety fof fthe folder fadult fpatient fwho frequires fin-
home funlicensed fassistive fpersonal f(UAP) fassistance, fthe fgeriatric fnurse:
f
a.evaluates fthe fcompetency fof fthe fUAP fstaff.
b.assumes fthe froles fof fcase fmanager fand fpatient fadvocate.
c.arranges ffor fthe fneeded fUAP fprovided fservices.
d.assesses fthe fpatient ffor ffunctional flimitations.
ANS: f A
As fmore fcare ftraditionally fprovided fby fprofessional fnurses fis fbeing ftransferred fto fUAP, fthe
fnurse fmust fassume fmore fresponsibility ffor feducating, ftraining, fand fevaluating fthe fcompetency
fof fUAP fstaff fto fprovide fsafe, feffective fcare ffor fthe folder fadult fpatient.
