,
,Chapterg01:gOverviewgofgGerontologicgNursinggMeine
r:gGerontologicgNursing,g6thgEdition
MULTIPLEgCHOICE
1. Ing2010,gthegrevisedgStandardsgandgScopegofgGerontologicalgNursinggPracticegwa
sgpublished.gThegnursegwouldgusegthesegstandardsgto
a. promotegthegpracticegofggerontologicgnursinggwithingthegacutegcaregsetting.
b. definegthegconceptsgandgdimensionsgofggerontologicgnursinggpractice.
c. elevategthegpracticegofggerontologicgnursing.
d. incorporategthegconceptsgofghealthgpromotion,ghealthgmaintenance,gdiseas
egprevention,gandgself-care
ANS:g D
ThegcurrentgpublishinggofgthegStandardsgandgScopegofgGerontologicalgNursinggPracticeging
2010gincorporatesgtheginputgofggerontologicgnursesgfromgacrossgthegUnitedgStatesgandginclu
desgcomprehensivegconceptsgandgdimensionsgimportantgtogthosegpracticingggerontologicgnur
sing.gItgwasgnotgintendedgtogpromoteggerontologicgnursinggpracticegwithingacutegcaregsetting
s,gdefinegconceptsgorgdimensionsgofggerontologicgnursinggpractice,gorgelevategthegpracticego
fggerontologicgnursing.
DIF: Remembering OBJ: 1-1 TOP:
N/AgMSC:g SafegandgEffectivegCaregEnvironment
2. Whengattemptinggtogminimizegthegeffectgofgageismgongthegpracticegofgnursinggoldergadults,g
agnursegneedsgtogfirst
a. recognizegthatgnursesgmustgactgasgadvocatesgforgaginggpatients.
b. acceptgthatgthisgpopulationgrepresentsgagsubstantialgportiongofgthosegrequirin
ggnursinggcare.
c. self-reflectgandgformulategone‟sgpersonalgviewgofgaginggandgthegoldergpatient.
d. recognizegageismgasgagformgofgbigotrygsharedgbygmanygAmericans.
ANS:g C
Ageismgisgangever-
increasinggprejudicialgviewgofgthegeffectsgofgthegaginggprocessgandgofgthegoldergpopulationga
sgagwhole.gWithgnursesgbeinggmembersgofgagsocietygholdinggsuchgviews,gitgisgcriticalgthatgth
egindividualgnursegself-
reflectsgongpersonalgfeelingsgandgdeterminesgwhethergsuchgfeelingsgwillgaffectgthegnursinggc
aregthatghegorgshegprovidesgtogthegaginggpatient.gActinggasgangadvocategisgangimportantgnursi
nggrolegingallgsettings.gSimplygacceptinggagfactgdoesgnotghelpgendgageism,gnorgdoesgrecogniz
inggageismgasgagformgofgbigotry.
DIF: Applying OBJ: 1-6 TOP: IntegratedgProcess:gTeaching-
LearninggMSC:g SafegandgEffectivegCaregEnvironment
3. Thegnursegplanninggcaregforgangoldergadultgwhoghasgrecentlygbeengdiagnosedgwithgrheumatoi
dgarthritisgviewsgthegprioritygcriteriongforgcontinuedgindependencegtogbegthegpatient‟s
a. age.
b. financialgstatus.
c. gender.
d. functionalgstatus.
, GerontologicgNursingg6thgEditiongMeinergTestgBan
k
ANS:g g D
Maintaininggthegfunctionalgstatusgofgoldergadultsg(especiallygthosegwithgchronicghealthgcond
itions)gmaygavertgthegonsetgofgphysicalgfrailtygandgcognitivegimpairment,gtwogconditionsgtha
tgincreasegtheglikelihoodgofginstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: NursinggProcess:gPlanning MSC:g PhysiologicgIntegrity
4. Agnursegworkinggwithgthegoldergadultgpopulationgisgmostglikelygtogassessgagneedgfor
gagfinancialgsocialgservice‟sgreferralgforgwhichgperson?
a. Whitegmale
b. Blackgfemale
c. Hispanicgmale
d. AsiangAmericangfemale
ANS:g B
Thegpovertygrategamonggoldergwomengisgsubstantiallyghighergthangthatgseengamonggmen.gThegpo
vertygratesgforgpeoplegofgcolorgisghighergthangthatgofgwhites.
DIF: Remembering OBJ: 1-4
TOP: NursinggProcess:gAssessment MSC:g SafegandgEffectivegCaregEnvironment
5. Agnursegisgpreparinggtogcompletegaghealthgassessmentgandghistorygongangoldergpatient.gWhic
hgstatementgreflectsgangunderstandinggofgtheggeneralghealthgstatusgofgthisgpopulation?
a. “I‟llgneedgtogdocumentgthegmedicationsgthegpatientgisgcurrentlygprescribed.”
b. “Igwouldglikegtogunderstandghowgsupportivegthegpatient‟sgfamilygmembersgare.”
c. “MostgoldergpatientsgareNbUeR ggI
inS eaG
trN dgB
teT fo.
rgagvOariet y gofgchronicghealthgcaregissues.”
d. “Itgwillgbeginterestinggtogseegwhethergthisgpatientgseesgherselfgasgbeingghealthy.”
ANS:g D
Itgisgagmisconceptiongthatgoldgagegisgsynonymousgwithgdiseasegandgillness.gIngfact,golderga
dultsgalreadygtendgtogviewgtheirgpersonalghealthgpositivelygdespitegthegpresencegofgchronicg
illness,gdisease,gandgimpairment.gThegnursegshouldgalwaysgdeterminegthegpatient‟sgsensegof
gwellnessgandgindependencegwhengconductinggaghealthgandghistorygassessment.gAngassess
mentgofgmedicationgusegandgfamilygsupportgisgimportantgforganygpatient.gManygoldergadult
sgdoghavegchronicghealthgconditions,gbutgtheirgperceptiongisgmoregimportantgthangagsingleg
number.
DIF: Applying OBJ: 1-4 TOP:
NursinggProcess:gAssessmentgMSC:g HealthgPromotiongandgMaintenance
6. Thegnursegisgcaringgforgangoldergadultgwhoghasgbeengadmittedgtogangacutegcareghospitalgf
orgtreatmentgofgagfracturedgfemur.gThegfamilygexpressesgconcerngaboutgtheirgfather‟sgpen
dinggtransfergtogagsubacutegcaregfacility.gWhatgresponsegbygthegnursegisgbest?
a. “Acutegcaregfacilitiesglackgtheglong-termgphysicalgtherapygyourgdadgrequires.”
b. “Yourgdadgwillgbegmuchghappiergingagmoregserene,gprivategenvironment.”
c. “Thegsubacutegfacilitygwillgfocusgonghelpinggyourgdadgtogmaintainghi
sgindependence.”
d. “Insurance,gincludinggMedicare,gwillgcovergonlygaglimitedgamountgofgtimeghere.”
,Chapterg01:gOverviewgofgGerontologicgNursinggMeine
r:gGerontologicgNursing,g6thgEdition
MULTIPLEgCHOICE
1. Ing2010,gthegrevisedgStandardsgandgScopegofgGerontologicalgNursinggPracticegwa
sgpublished.gThegnursegwouldgusegthesegstandardsgto
a. promotegthegpracticegofggerontologicgnursinggwithingthegacutegcaregsetting.
b. definegthegconceptsgandgdimensionsgofggerontologicgnursinggpractice.
c. elevategthegpracticegofggerontologicgnursing.
d. incorporategthegconceptsgofghealthgpromotion,ghealthgmaintenance,gdiseas
egprevention,gandgself-care
ANS:g D
ThegcurrentgpublishinggofgthegStandardsgandgScopegofgGerontologicalgNursinggPracticeging
2010gincorporatesgtheginputgofggerontologicgnursesgfromgacrossgthegUnitedgStatesgandginclu
desgcomprehensivegconceptsgandgdimensionsgimportantgtogthosegpracticingggerontologicgnur
sing.gItgwasgnotgintendedgtogpromoteggerontologicgnursinggpracticegwithingacutegcaregsetting
s,gdefinegconceptsgorgdimensionsgofggerontologicgnursinggpractice,gorgelevategthegpracticego
fggerontologicgnursing.
DIF: Remembering OBJ: 1-1 TOP:
N/AgMSC:g SafegandgEffectivegCaregEnvironment
2. Whengattemptinggtogminimizegthegeffectgofgageismgongthegpracticegofgnursinggoldergadults,g
agnursegneedsgtogfirst
a. recognizegthatgnursesgmustgactgasgadvocatesgforgaginggpatients.
b. acceptgthatgthisgpopulationgrepresentsgagsubstantialgportiongofgthosegrequirin
ggnursinggcare.
c. self-reflectgandgformulategone‟sgpersonalgviewgofgaginggandgthegoldergpatient.
d. recognizegageismgasgagformgofgbigotrygsharedgbygmanygAmericans.
ANS:g C
Ageismgisgangever-
increasinggprejudicialgviewgofgthegeffectsgofgthegaginggprocessgandgofgthegoldergpopulationga
sgagwhole.gWithgnursesgbeinggmembersgofgagsocietygholdinggsuchgviews,gitgisgcriticalgthatgth
egindividualgnursegself-
reflectsgongpersonalgfeelingsgandgdeterminesgwhethergsuchgfeelingsgwillgaffectgthegnursinggc
aregthatghegorgshegprovidesgtogthegaginggpatient.gActinggasgangadvocategisgangimportantgnursi
nggrolegingallgsettings.gSimplygacceptinggagfactgdoesgnotghelpgendgageism,gnorgdoesgrecogniz
inggageismgasgagformgofgbigotry.
DIF: Applying OBJ: 1-6 TOP: IntegratedgProcess:gTeaching-
LearninggMSC:g SafegandgEffectivegCaregEnvironment
3. Thegnursegplanninggcaregforgangoldergadultgwhoghasgrecentlygbeengdiagnosedgwithgrheumatoi
dgarthritisgviewsgthegprioritygcriteriongforgcontinuedgindependencegtogbegthegpatient‟s
a. age.
b. financialgstatus.
c. gender.
d. functionalgstatus.
, GerontologicgNursingg6thgEditiongMeinergTestgBan
k
ANS:g g D
Maintaininggthegfunctionalgstatusgofgoldergadultsg(especiallygthosegwithgchronicghealthgcond
itions)gmaygavertgthegonsetgofgphysicalgfrailtygandgcognitivegimpairment,gtwogconditionsgtha
tgincreasegtheglikelihoodgofginstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: NursinggProcess:gPlanning MSC:g PhysiologicgIntegrity
4. Agnursegworkinggwithgthegoldergadultgpopulationgisgmostglikelygtogassessgagneedgfor
gagfinancialgsocialgservice‟sgreferralgforgwhichgperson?
a. Whitegmale
b. Blackgfemale
c. Hispanicgmale
d. AsiangAmericangfemale
ANS:g B
Thegpovertygrategamonggoldergwomengisgsubstantiallyghighergthangthatgseengamonggmen.gThegpo
vertygratesgforgpeoplegofgcolorgisghighergthangthatgofgwhites.
DIF: Remembering OBJ: 1-4
TOP: NursinggProcess:gAssessment MSC:g SafegandgEffectivegCaregEnvironment
5. Agnursegisgpreparinggtogcompletegaghealthgassessmentgandghistorygongangoldergpatient.gWhic
hgstatementgreflectsgangunderstandinggofgtheggeneralghealthgstatusgofgthisgpopulation?
a. “I‟llgneedgtogdocumentgthegmedicationsgthegpatientgisgcurrentlygprescribed.”
b. “Igwouldglikegtogunderstandghowgsupportivegthegpatient‟sgfamilygmembersgare.”
c. “MostgoldergpatientsgareNbUeR ggI
inS eaG
trN dgB
teT fo.
rgagvOariet y gofgchronicghealthgcaregissues.”
d. “Itgwillgbeginterestinggtogseegwhethergthisgpatientgseesgherselfgasgbeingghealthy.”
ANS:g D
Itgisgagmisconceptiongthatgoldgagegisgsynonymousgwithgdiseasegandgillness.gIngfact,golderga
dultsgalreadygtendgtogviewgtheirgpersonalghealthgpositivelygdespitegthegpresencegofgchronicg
illness,gdisease,gandgimpairment.gThegnursegshouldgalwaysgdeterminegthegpatient‟sgsensegof
gwellnessgandgindependencegwhengconductinggaghealthgandghistorygassessment.gAngassess
mentgofgmedicationgusegandgfamilygsupportgisgimportantgforganygpatient.gManygoldergadult
sgdoghavegchronicghealthgconditions,gbutgtheirgperceptiongisgmoregimportantgthangagsingleg
number.
DIF: Applying OBJ: 1-4 TOP:
NursinggProcess:gAssessmentgMSC:g HealthgPromotiongandgMaintenance
6. Thegnursegisgcaringgforgangoldergadultgwhoghasgbeengadmittedgtogangacutegcareghospitalgf
orgtreatmentgofgagfracturedgfemur.gThegfamilygexpressesgconcerngaboutgtheirgfather‟sgpen
dinggtransfergtogagsubacutegcaregfacility.gWhatgresponsegbygthegnursegisgbest?
a. “Acutegcaregfacilitiesglackgtheglong-termgphysicalgtherapygyourgdadgrequires.”
b. “Yourgdadgwillgbegmuchghappiergingagmoregserene,gprivategenvironment.”
c. “Thegsubacutegfacilitygwillgfocusgonghelpinggyourgdadgtogmaintainghi
sgindependence.”
d. “Insurance,gincludinggMedicare,gwillgcovergonlygaglimitedgamountgofgtimeghere.”
