SOLUTION MANUAL FOR GERONTOLOGIC
NURSING 7TH EDITION BY JENNIFER J YEAGER
CHAPTER 1-17
,Chapter 1 Test Bank: 50
Question 1
The primary focus of gerontologic nursing, as defined in Chapter 1, is best
described as:
A) Managing acute medical crises in hospitalized older adults.
B) Providing compassionate end-of-life hospice care.
C) Promoting optimal function, health, and quality of life in older adults.
D) Administering medications and treatments for chronic diseases.
Answer: C
Rationale: While gerontologic nurses do manage acute issues, provide end-of-
life care, and administer medications, the primary and overarching focus of
the specialty is holistic, aiming to promote the highest possible level of
function, wellness, and quality of life, consistent with the person-centered
philosophy.
Question 2
A nursing student tells the instructor, "Caring for older adults seems to be
mostly about helping them get ready for death." Which concept from Chapter 1
should the instructor emphasize to correct this misconception?
A) The high prevalence of dementia in this population.
B) The principle of gerontologic nursing as a health-promoting, life-affirming
specialty.
C) The importance of advanced directives in all care settings.
D) The rising costs associated with long-term care.
Answer: B
Rationale: This statement reflects the ageist myth that aging is synonymous
with decline and dying. The core philosophy of gerontologic nursing counters
,this by focusing on health promotion, maximizing abilities, and affirming life
and vitality at all stages of older adulthood.
Question 3
Which action by a nurse best demonstrates the role of advocate in gerontologic
nursing?
A) Accurately administering the 0900 medications.
B) Teaching a client about a new diabetic diet.
C) Collaborating with physical therapy to schedule ambulation.
D) Speaking to the physician on behalf of a client who is reluctant to report
pain.
Answer: D
Rationale: Advocacy involves acting to support and protect the client's rights,
needs, and wishes. Speaking up for a client who cannot or is hesitant to speak
for themselves is a direct example of the advocacy role. A is a technical skill, B
is education, and C is coordination.
Question 4
The projected growth of the population aged 65 and older is primarily due to:
A) A significant increase in birth rates.
B) Advances in healthcare and increased life expectancy.
C) High rates of immigration among younger adults.
D) Decreased mortality from childhood diseases.
Answer: B
Rationale: The "aging of the population" or "silver tsunami" is driven by the
baby boomer generation reaching older age combined with advancements in
medicine, public health, and lifestyle that have increased average life
expectancy.
, Question 5
Person-centered care for an older adult requires the nurse to:
A) Ensure all daily tasks are completed efficiently on a fixed schedule.
B) Make all healthcare decisions based on the family's preferences.
C) Individualize care based on the person's values, preferences, and expressed
needs.
D) Follow the standard unit protocol for all clients with a specific diagnosis.
Answer: C
Rationale: Person-centered care is the antithesis of a one-size-fits-all or task-
oriented approach. It requires the nurse to see the individual first, respecting
their autonomy and integrating their personal history, values, and desires into
the care plan.
Question 6
Which statement by a new graduate nurse indicates an understanding of a
key demographic trend impacting nursing?
A) "I will probably work in pediatrics, as there are so many children."
B) "There is a growing need for nurses skilled in caring for older adults."
C) "Most nurses will work in hospital intensive care units."
D) "The demand for school nurses is at an all-time high."
Answer: B
Rationale: The undeniable demographic trend is the rapid increase in the
number and proportion of older adults in the population. This directly translates
to a greater need for nurses with expertise in gerontology across all healthcare
settings.
Question 7
A core principle that distinguishes gerontologic nursing from general medical-
surgical nursing is its emphasis on:
NURSING 7TH EDITION BY JENNIFER J YEAGER
CHAPTER 1-17
,Chapter 1 Test Bank: 50
Question 1
The primary focus of gerontologic nursing, as defined in Chapter 1, is best
described as:
A) Managing acute medical crises in hospitalized older adults.
B) Providing compassionate end-of-life hospice care.
C) Promoting optimal function, health, and quality of life in older adults.
D) Administering medications and treatments for chronic diseases.
Answer: C
Rationale: While gerontologic nurses do manage acute issues, provide end-of-
life care, and administer medications, the primary and overarching focus of
the specialty is holistic, aiming to promote the highest possible level of
function, wellness, and quality of life, consistent with the person-centered
philosophy.
Question 2
A nursing student tells the instructor, "Caring for older adults seems to be
mostly about helping them get ready for death." Which concept from Chapter 1
should the instructor emphasize to correct this misconception?
A) The high prevalence of dementia in this population.
B) The principle of gerontologic nursing as a health-promoting, life-affirming
specialty.
C) The importance of advanced directives in all care settings.
D) The rising costs associated with long-term care.
Answer: B
Rationale: This statement reflects the ageist myth that aging is synonymous
with decline and dying. The core philosophy of gerontologic nursing counters
,this by focusing on health promotion, maximizing abilities, and affirming life
and vitality at all stages of older adulthood.
Question 3
Which action by a nurse best demonstrates the role of advocate in gerontologic
nursing?
A) Accurately administering the 0900 medications.
B) Teaching a client about a new diabetic diet.
C) Collaborating with physical therapy to schedule ambulation.
D) Speaking to the physician on behalf of a client who is reluctant to report
pain.
Answer: D
Rationale: Advocacy involves acting to support and protect the client's rights,
needs, and wishes. Speaking up for a client who cannot or is hesitant to speak
for themselves is a direct example of the advocacy role. A is a technical skill, B
is education, and C is coordination.
Question 4
The projected growth of the population aged 65 and older is primarily due to:
A) A significant increase in birth rates.
B) Advances in healthcare and increased life expectancy.
C) High rates of immigration among younger adults.
D) Decreased mortality from childhood diseases.
Answer: B
Rationale: The "aging of the population" or "silver tsunami" is driven by the
baby boomer generation reaching older age combined with advancements in
medicine, public health, and lifestyle that have increased average life
expectancy.
, Question 5
Person-centered care for an older adult requires the nurse to:
A) Ensure all daily tasks are completed efficiently on a fixed schedule.
B) Make all healthcare decisions based on the family's preferences.
C) Individualize care based on the person's values, preferences, and expressed
needs.
D) Follow the standard unit protocol for all clients with a specific diagnosis.
Answer: C
Rationale: Person-centered care is the antithesis of a one-size-fits-all or task-
oriented approach. It requires the nurse to see the individual first, respecting
their autonomy and integrating their personal history, values, and desires into
the care plan.
Question 6
Which statement by a new graduate nurse indicates an understanding of a
key demographic trend impacting nursing?
A) "I will probably work in pediatrics, as there are so many children."
B) "There is a growing need for nurses skilled in caring for older adults."
C) "Most nurses will work in hospital intensive care units."
D) "The demand for school nurses is at an all-time high."
Answer: B
Rationale: The undeniable demographic trend is the rapid increase in the
number and proportion of older adults in the population. This directly translates
to a greater need for nurses with expertise in gerontology across all healthcare
settings.
Question 7
A core principle that distinguishes gerontologic nursing from general medical-
surgical nursing is its emphasis on:
