Chapter 01: Overview of Gerontologic Nursing
Meiner: Gerontologic Nursing, 6th Edition
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nu
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 the concepts of health promotion, health maintenance, disease
prevention, and self-care
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incor
gerontologic nurses from across the United States and includes comprehensive concepts and dimensi
practicing gerontologic nursing. It was not intended to promote gerontologic nursing practice within
concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursi
DIF: Remembering 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 nee
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 pop
nurses being members of a society holding such views, it is critical that the individual nurse self-refle
determines whether such feelings will affect the nursing care that he or she provides to the aging pati
an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does r
of bigotry.
DIF: Applying OBJ: 1-6 TOP: Integrated Process: Teaching-Learning
MSC: Safe and Effective Care Environment
3. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis
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 (especially those with chronic health conditions) ma
frailty and cognitive impairment, two conditions that increase the likelihood of institutionalization.
DIF: Remembering OBJ: 1-4
TOP: Nursing Process: Planning MSC: Physiologic Integrity
4. A nurse working with the older adult population is most likely to assess a need for a financial social s
person?
a. White male
b. Black female
, 5. A nurse is preparing to complete a health assessment and history on an older patient. Which statemen
of the general health status of this population?
a. “I’ll need to document 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. In fact, older adults already
health positively despite the presence of chronic illness, disease, and impairment. The nurse should a
patient’s sense of wellness and independence when conducting a health and history assessment. An a
and family support is important for any patient. Many older adults do have chronic health conditions,
important than a single number.
DIF: Applying OBJ: 1-4 TOP: Nursing Process: Assessment
MSC: Health Promotion and Maintenance
6. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment o
family expresses concern about their father’s pending transfer to a subacute care facility. What respo
a. “Acute care facilities lack the long-term physical therapy 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 to 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
a task the acute care facility is not prepared to address once the patient is physiologically stable. The
may not be able to provide long-term therapy. The patient may or may not be happier in the new setti
make this judgment. It is true that insurance only pays for a limited amount of time in an acute care f
reason for the patient to transfer.
DIF: Applying OBJ: 1-4
TOP: Integrated Process: Communication and Documentation
MSC: Health Promotion and Maintenance
7. To best assure both the quality of care and the safety of the older adult patient who requires in-home
(UAP) assistance, which action by the gerontologic nurse is best?
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 mu
responsibility for educating, training, and evaluating the competency of UAP staff to provide safe, ef
adult patient.
DIF: Applying OBJ: 1-5
TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment
8. The nurse working with older adults understands what information about certification in gerontologic
a. It is mandatory for those in long-term care settings.
b. It is voluntary and shows clinical expertise in an area.
c. It allows nurses to be paid by third-party payers.
d. It allows nurses to advance their careers in a job.
ANS: B
Meiner: Gerontologic Nursing, 6th Edition
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nu
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 the concepts of health promotion, health maintenance, disease
prevention, and self-care
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incor
gerontologic nurses from across the United States and includes comprehensive concepts and dimensi
practicing gerontologic nursing. It was not intended to promote gerontologic nursing practice within
concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursi
DIF: Remembering 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 nee
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 pop
nurses being members of a society holding such views, it is critical that the individual nurse self-refle
determines whether such feelings will affect the nursing care that he or she provides to the aging pati
an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does r
of bigotry.
DIF: Applying OBJ: 1-6 TOP: Integrated Process: Teaching-Learning
MSC: Safe and Effective Care Environment
3. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis
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 (especially those with chronic health conditions) ma
frailty and cognitive impairment, two conditions that increase the likelihood of institutionalization.
DIF: Remembering OBJ: 1-4
TOP: Nursing Process: Planning MSC: Physiologic Integrity
4. A nurse working with the older adult population is most likely to assess a need for a financial social s
person?
a. White male
b. Black female
, 5. A nurse is preparing to complete a health assessment and history on an older patient. Which statemen
of the general health status of this population?
a. “I’ll need to document 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. In fact, older adults already
health positively despite the presence of chronic illness, disease, and impairment. The nurse should a
patient’s sense of wellness and independence when conducting a health and history assessment. An a
and family support is important for any patient. Many older adults do have chronic health conditions,
important than a single number.
DIF: Applying OBJ: 1-4 TOP: Nursing Process: Assessment
MSC: Health Promotion and Maintenance
6. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment o
family expresses concern about their father’s pending transfer to a subacute care facility. What respo
a. “Acute care facilities lack the long-term physical therapy 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 to 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
a task the acute care facility is not prepared to address once the patient is physiologically stable. The
may not be able to provide long-term therapy. The patient may or may not be happier in the new setti
make this judgment. It is true that insurance only pays for a limited amount of time in an acute care f
reason for the patient to transfer.
DIF: Applying OBJ: 1-4
TOP: Integrated Process: Communication and Documentation
MSC: Health Promotion and Maintenance
7. To best assure both the quality of care and the safety of the older adult patient who requires in-home
(UAP) assistance, which action by the gerontologic nurse is best?
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 mu
responsibility for educating, training, and evaluating the competency of UAP staff to provide safe, ef
adult patient.
DIF: Applying OBJ: 1-5
TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment
8. The nurse working with older adults understands what information about certification in gerontologic
a. It is mandatory for those in long-term care settings.
b. It is voluntary and shows clinical expertise in an area.
c. It allows nurses to be paid by third-party payers.
d. It allows nurses to advance their careers in a job.
ANS: B
