,
,Chapterj01:jOverviewjofjGerontologicjNursingjMeiner:
jGerontologicjNursing,j6thjEdition
MULTIPLEjCHOICE
1. Inj2010,jthejrevisedjStandardsjandjScopejofjGerontologicaljNursingjPracticejwasjp
ublished.jThejnursejwouldjusejthesejstandardsjto
a. promotejthejpracticejofjgerontologicjnursingjwithinjthejacutejcarejsetting.
b. definejthejconceptsjandjdimensionsjofjgerontologicjnursingjpractice.
c. elevatejthejpracticejofjgerontologicjnursing.
d. incorporatejthejconceptsjofjhealthjpromotion,jhealthjmaintenance,jdiseasejp
revention,jandjself-care
ANS:j D
ThejcurrentjpublishingjofjthejStandardsjandjScopejofjGerontologicaljNursingjPracticejinj2010
jincorporatesjthejinputjofjgerontologicjnursesjfromjacrossjthejUnitedjStatesjandjincludesjcompr
ehensivejconceptsjandjdimensionsjimportantjtojthosejpracticingjgerontologicjnursing.jItjwasjno
tjintendedjtojpromotejgerontologicjnursingjpracticejwithinjacutejcarejsettings,jdefinejconceptsj
orjdimensionsjofjgerontologicjnursingjpractice,jorjelevatejthejpracticejofjgerontologicjnursing.
DIF: Remembering OBJ: 1-1 TOP:
N/AjMSC:j SafejandjEffectivejCarejEnvironment
2. Whenjattemptingjtojminimizejthejeffectjofjageismjonjthejpracticejofjnursingjolderjadults,jajnur
sejneedsjtojfirst
a. recognizejthatjnursesjmustjactjasjadvocatesjforjagingjpatients.
b. acceptjthatjthisjpopulationjrepresentsjajsubstantialjportionjofjthosejrequiringjn
ursingjcare.
c. self-reflectjandjformulatejone‟sjpersonaljviewjofjagingjandjthejolderjpatient.
d. recognizejageismjasjajformjofjbigotryjsharedjbyjmanyjAmericans.
ANS:j C
Ageismjisjanjever-
increasingjprejudicialjviewjofjthejeffectsjofjthejagingjprocessjandjofjthejolderjpopulationjasjajw
hole.jWithjnursesjbeingjmembersjofjajsocietyjholdingjsuchjviews,jitjisjcriticaljthatjthejindividua
ljnursejself-
reflectsjonjpersonaljfeelingsjandjdeterminesjwhetherjsuchjfeelingsjwilljaffectjthejnursingjcarejt
hatjhejorjshejprovidesjtojthejagingjpatient.jActingjasjanjadvocatejisjanjimportantjnursingjrolejinj
alljsettings.jSimplyjacceptingjajfactjdoesjnotjhelpjendjageism,jnorjdoesjrecognizingjageismjasja
jformjofjbigotry.
DIF: Applying OBJ: 1-6 TOP: IntegratedjProcess:jTeaching-
LearningjMSC:j SafejandjEffectivejCarejEnvironment
3. Thejnursejplanningjcarejforjanjolderjadultjwhojhasjrecentlyjbeenjdiagnosedjwithjrheumatoidjart
hritisjviewsjthejpriorityjcriterionjforjcontinuedjindependencejtojbejthejpatient‟s
a. age.
b. financialjstatus.
c. gender.
d. functionaljstatus.
, GerontologicjNursingj6thjEditionjMeinerjTestjBank
ANS:j j D
Maintainingjthejfunctionaljstatusjofjolderjadultsj(especiallyjthosejwithjchronicjhealthjconditio
ns)jmayjavertjthejonsetjofjphysicaljfrailtyjandjcognitivejimpairment,jtwojconditionsjthatjincreas
ejthejlikelihoodjofjinstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: NursingjProcess:jPlanning MSC:j PhysiologicjIntegrity
4. Ajnursejworkingjwithjthejolderjadultjpopulationjisjmostjlikelyjtojassessjajneedjforjajfin
ancialjsocialjservice‟sjreferraljforjwhichjperson?
a. Whitejmale
b. Blackjfemale
c. Hispanicjmale
d. AsianjAmericanjfemale
ANS:j B
Thejpovertyjratejamongjolderjwomenjisjsubstantiallyjhigherjthanjthatjseenjamongjmen.jThejpoverty
jratesjforjpeoplejofjcolorjisjhigherjthanjthatjofjwhites.
DIF: Remembering OBJ: 1-4
TOP: NursingjProcess:jAssessment MSC:j SafejandjEffectivejCarejEnvironment
5. Ajnursejisjpreparingjtojcompletejajhealthjassessmentjandjhistoryjonjanjolderjpatient.jWhichjsta
tementjreflectsjanjunderstandingjofjthejgeneraljhealthjstatusjofjthisjpopulation?
a. “I‟lljneedjtojdocumentjthejmedicationsjthejpatientjisjcurrentlyjprescribed.”
b. “Ijwouldjlikejtojunderstandjhowjsupportivejthejpatient‟sjfamilyjmembersjare.”
c. “MostjolderjpatientsjareNbUeR gjI
inS eaG
trN djB
teT fo.
rjajvOariet y jofjchronicjhealthjcarejissues.”
d. “Itjwilljbejinterestingjtojseejwhetherjthisjpatientjseesjherselfjasjbeingjhealthy.”
ANS:j D
Itjisjajmisconceptionjthatjoldjagejisjsynonymousjwithjdiseasejandjillness.jInjfact,jolderjadultsj
alreadyjtendjtojviewjtheirjpersonaljhealthjpositivelyjdespitejthejpresencejofjchronicjillness,jdis
ease,jandjimpairment.jThejnursejshouldjalwaysjdeterminejthejpatient‟sjsensejofjwellnessjandji
ndependencejwhenjconductingjajhealthjandjhistoryjassessment.jAnjassessmentjofjmedication
jusejandjfamilyjsupportjisjimportantjforjanyjpatient.jManyjolderjadultsjdojhavejchronicjhealthj
conditions,jbutjtheirjperceptionjisjmorejimportantjthanjajsinglejnumber.
DIF: Applying OBJ: 1-4 TOP:
NursingjProcess:jAssessmentjMSC:j HealthjPromotionjandjMaintenance
6. Thejnursejisjcaringjforjanjolderjadultjwhojhasjbeenjadmittedjtojanjacutejcarejhospitaljforjtrea
tmentjofjajfracturedjfemur.jThejfamilyjexpressesjconcernjaboutjtheirjfather‟sjpendingjtransf
erjtojajsubacutejcarejfacility.jWhatjresponsejbyjthejnursejisjbest?
a. “Acutejcarejfacilitiesjlackjthejlong-termjphysicaljtherapyjyourjdadjrequires.”
b. “Yourjdadjwilljbejmuchjhappierjinjajmorejserene,jprivatejenvironment.”
c. “Thejsubacutejfacilityjwilljfocusjonjhelpingjyourjdadjtojmaintainjhisjin
dependence.”
d. “Insurance,jincludingjMedicare,jwilljcoverjonlyjajlimitedjamountjofjtimejhere.”
,Chapterj01:jOverviewjofjGerontologicjNursingjMeiner:
jGerontologicjNursing,j6thjEdition
MULTIPLEjCHOICE
1. Inj2010,jthejrevisedjStandardsjandjScopejofjGerontologicaljNursingjPracticejwasjp
ublished.jThejnursejwouldjusejthesejstandardsjto
a. promotejthejpracticejofjgerontologicjnursingjwithinjthejacutejcarejsetting.
b. definejthejconceptsjandjdimensionsjofjgerontologicjnursingjpractice.
c. elevatejthejpracticejofjgerontologicjnursing.
d. incorporatejthejconceptsjofjhealthjpromotion,jhealthjmaintenance,jdiseasejp
revention,jandjself-care
ANS:j D
ThejcurrentjpublishingjofjthejStandardsjandjScopejofjGerontologicaljNursingjPracticejinj2010
jincorporatesjthejinputjofjgerontologicjnursesjfromjacrossjthejUnitedjStatesjandjincludesjcompr
ehensivejconceptsjandjdimensionsjimportantjtojthosejpracticingjgerontologicjnursing.jItjwasjno
tjintendedjtojpromotejgerontologicjnursingjpracticejwithinjacutejcarejsettings,jdefinejconceptsj
orjdimensionsjofjgerontologicjnursingjpractice,jorjelevatejthejpracticejofjgerontologicjnursing.
DIF: Remembering OBJ: 1-1 TOP:
N/AjMSC:j SafejandjEffectivejCarejEnvironment
2. Whenjattemptingjtojminimizejthejeffectjofjageismjonjthejpracticejofjnursingjolderjadults,jajnur
sejneedsjtojfirst
a. recognizejthatjnursesjmustjactjasjadvocatesjforjagingjpatients.
b. acceptjthatjthisjpopulationjrepresentsjajsubstantialjportionjofjthosejrequiringjn
ursingjcare.
c. self-reflectjandjformulatejone‟sjpersonaljviewjofjagingjandjthejolderjpatient.
d. recognizejageismjasjajformjofjbigotryjsharedjbyjmanyjAmericans.
ANS:j C
Ageismjisjanjever-
increasingjprejudicialjviewjofjthejeffectsjofjthejagingjprocessjandjofjthejolderjpopulationjasjajw
hole.jWithjnursesjbeingjmembersjofjajsocietyjholdingjsuchjviews,jitjisjcriticaljthatjthejindividua
ljnursejself-
reflectsjonjpersonaljfeelingsjandjdeterminesjwhetherjsuchjfeelingsjwilljaffectjthejnursingjcarejt
hatjhejorjshejprovidesjtojthejagingjpatient.jActingjasjanjadvocatejisjanjimportantjnursingjrolejinj
alljsettings.jSimplyjacceptingjajfactjdoesjnotjhelpjendjageism,jnorjdoesjrecognizingjageismjasja
jformjofjbigotry.
DIF: Applying OBJ: 1-6 TOP: IntegratedjProcess:jTeaching-
LearningjMSC:j SafejandjEffectivejCarejEnvironment
3. Thejnursejplanningjcarejforjanjolderjadultjwhojhasjrecentlyjbeenjdiagnosedjwithjrheumatoidjart
hritisjviewsjthejpriorityjcriterionjforjcontinuedjindependencejtojbejthejpatient‟s
a. age.
b. financialjstatus.
c. gender.
d. functionaljstatus.
, GerontologicjNursingj6thjEditionjMeinerjTestjBank
ANS:j j D
Maintainingjthejfunctionaljstatusjofjolderjadultsj(especiallyjthosejwithjchronicjhealthjconditio
ns)jmayjavertjthejonsetjofjphysicaljfrailtyjandjcognitivejimpairment,jtwojconditionsjthatjincreas
ejthejlikelihoodjofjinstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: NursingjProcess:jPlanning MSC:j PhysiologicjIntegrity
4. Ajnursejworkingjwithjthejolderjadultjpopulationjisjmostjlikelyjtojassessjajneedjforjajfin
ancialjsocialjservice‟sjreferraljforjwhichjperson?
a. Whitejmale
b. Blackjfemale
c. Hispanicjmale
d. AsianjAmericanjfemale
ANS:j B
Thejpovertyjratejamongjolderjwomenjisjsubstantiallyjhigherjthanjthatjseenjamongjmen.jThejpoverty
jratesjforjpeoplejofjcolorjisjhigherjthanjthatjofjwhites.
DIF: Remembering OBJ: 1-4
TOP: NursingjProcess:jAssessment MSC:j SafejandjEffectivejCarejEnvironment
5. Ajnursejisjpreparingjtojcompletejajhealthjassessmentjandjhistoryjonjanjolderjpatient.jWhichjsta
tementjreflectsjanjunderstandingjofjthejgeneraljhealthjstatusjofjthisjpopulation?
a. “I‟lljneedjtojdocumentjthejmedicationsjthejpatientjisjcurrentlyjprescribed.”
b. “Ijwouldjlikejtojunderstandjhowjsupportivejthejpatient‟sjfamilyjmembersjare.”
c. “MostjolderjpatientsjareNbUeR gjI
inS eaG
trN djB
teT fo.
rjajvOariet y jofjchronicjhealthjcarejissues.”
d. “Itjwilljbejinterestingjtojseejwhetherjthisjpatientjseesjherselfjasjbeingjhealthy.”
ANS:j D
Itjisjajmisconceptionjthatjoldjagejisjsynonymousjwithjdiseasejandjillness.jInjfact,jolderjadultsj
alreadyjtendjtojviewjtheirjpersonaljhealthjpositivelyjdespitejthejpresencejofjchronicjillness,jdis
ease,jandjimpairment.jThejnursejshouldjalwaysjdeterminejthejpatient‟sjsensejofjwellnessjandji
ndependencejwhenjconductingjajhealthjandjhistoryjassessment.jAnjassessmentjofjmedication
jusejandjfamilyjsupportjisjimportantjforjanyjpatient.jManyjolderjadultsjdojhavejchronicjhealthj
conditions,jbutjtheirjperceptionjisjmorejimportantjthanjajsinglejnumber.
DIF: Applying OBJ: 1-4 TOP:
NursingjProcess:jAssessmentjMSC:j HealthjPromotionjandjMaintenance
6. Thejnursejisjcaringjforjanjolderjadultjwhojhasjbeenjadmittedjtojanjacutejcarejhospitaljforjtrea
tmentjofjajfracturedjfemur.jThejfamilyjexpressesjconcernjaboutjtheirjfather‟sjpendingjtransf
erjtojajsubacutejcarejfacility.jWhatjresponsejbyjthejnursejisjbest?
a. “Acutejcarejfacilitiesjlackjthejlong-termjphysicaljtherapyjyourjdadjrequires.”
b. “Yourjdadjwilljbejmuchjhappierjinjajmorejserene,jprivatejenvironment.”
c. “Thejsubacutejfacilityjwilljfocusjonjhelpingjyourjdadjtojmaintainjhisjin
dependence.”
d. “Insurance,jincludingjMedicare,jwilljcoverjonlyjajlimitedjamountjofjtimejhere.”
