Touhy & Jett- Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition Test Bank (All Chapters)

Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 6th Edition by Touhy Chapter 1-28/ Chapter 04: Psychosocial, Spiritual, and Cognitive Aspects of Aging Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, MULTIPLE CHOICE 1. In which context are members of a cohort described when using the age-stratification theory to explain the effect of similar events, conditions, and circumstances? a. Historical b. Biological c. Sociological d. Chronological ANS: A In the age-stratification model, historical context is used to understand members of a cohort in terms of similar events, conditions, and circumstances and the effect these have on the group as a whole. A good example of such a cohort is older adults who lived through World War II. Biological context is not important in considering the age-stratification theory. The age-stratification theory is a sociological theory of aging that uses historical context to describe cohorts. Chronological context of a cohort will span a range, but historical context is what describes the cohort. PTS: 1 DIF: Knowledge REF: p. 42 TOP: Nursing Process: Assessment MSC: Psychosocial Integrity 2. An older patient who was just diagnosed with a terminal disease states, “All my life I attended church, but I am still worried about what will happen after death.” The nurse’s best response is which of the following? a. “The unknown may be frightening. Do you want to talk about this?” b. “Religious people know that God is a good God.” c. “People that have had near-death experiences say it is peaceful.” d. “You must feel good about attending church most of your life.” ANS: A “Often the unknown is very frightening” uses the reflective technique to identify the patient’s feelings regarding the fear of the unknown. “Religious people know that God is a good God” denies the patient’s feelings. “People that have had near-death experiences say it is peaceful” focuses on the experience of others. “You must feel good about attending church most of your life” ignores the patient’s concern about death. PTS: 1 DIF: Apply REF: p. 48 TOP: Nursing Process: Implementation MSC: Psychosocial Integrity 3. The nurse plans care for older adults who are in good health but isolated from their families. If the nurse’s goal is to move the adults toward gerotranscendence, which intervention should the nurse use in the plan of care? a. Give a daily tea party for the group. b. Call each family to encourage visiting. c. Assist them to resume midlife patterns. d. Help each person with individual activities. ANS: D S - The Marketplace to Buy and Sell your Study Material In Tornstam’s theory, aging offers the potential for gerotranscendence, a culmination of an individual’s life, wisdom, and spiritual growth that allows older adults to live contentedly with and without social activities. An older adult spends more time on meditation and solitude and less time on materialism and self-consciousness about body image. Individual activities or self-selected activities are satisfactory. Solitude is satisfactory. Midlife patterns are no longer relevant to contentment. PTS: 1 DIF: Apply REF: p. 43 TOP: Nursing Process: Planning MSC: Psychosocial Integrity S - The Marketplace to Buy and Sell your Study Material 4. The nurse observes older women learning advanced knitting techniques. The nurse concludes that this learning activity is suitable for these women because it accomplishes which of the following? a. Helps maintain joint flexibility b. Improves the group’s cohesiveness c. Provides a needed social opportunity d. Adds to their existing knowledge base ANS: D Learning advanced techniques is a suitable activity for older adults because it builds on knowledge they already have. Furthermore, this activity is suitable because it is concrete and practical for experienced knitters to develop advanced skills. Joint flexibility is a physical activity and not necessarily a learning activity. The members share enjoyment of knitting; other than being women and older, the group has no special bond on which to build. The need for socializing is not evident. PTS: 1 DIF: Apply REF: p. 50 TOP: Nursing Process: Evaluation MSC: Psychosocial Integrity 5. The nurse at a nursing home wants to help decrease the risk of Alzheimer’s disease (AD) in the residents. Which should the nurse do to implement this goal? a. Keep the curtains open in their rooms. b. Offer beads for them to string on yarn. c. Show movies that the residents choose. d. Assist residents with ambulation to meals. ANS: D Engaging in physical activity and social interaction are associated with a lower risk for AD. Keeping the curtains open can make a resident’s room more pleasant but is likely to be counterproductive in lowering the risk; brightening the room can entice the resident to stay in the room and decrease social interaction. Stringing beads is a passive and sedentary activity and therefore unlikely to decrease the risk for AD; physical activity is associated with a lower risk for AD. Watching movies is a sedentary but not a mentally stimulating activity for an adult with a normal intelligence. PTS: 1 DIF: Apply REF: p. 50 TOP: Nursing Process: Planning MSC: Health Promotion and Maintenance 6. Which physiological change in the brain is the reason the nurse allows more time for answering questions with older adults? a. Increased secretion of cholinesterase b. Decreased secretion of neurotransmitters c. Loss of spinal cord and brainstem neurons d. Atrophy of dendrites in the cerebral cortex ANS: D S - The Marketplace to Buy and Sell your Study Material Dendrites are the receiving end of neurons (receiving electrochemical signals) and the branched ends extending from the cell body. The atrophy of dendrites contributes to slower thought processes with aging because the synapses are impaired; this changes the transmission of neurotransmitters that are vital in the transmission of an electrical impulse from neuron to neuron. The secretion of cholinesterase, the enzyme that inactivates acetylcholine in the synapse, does not increase with aging. Changes in the transmission of neurotransmitters are associated with the atrophy of dendrites. The spinal cord and the cerebral cortex lose neurons with age, the cerebral cortex more than the spinal cord. PTS: 1 DIF: Understand REF: p. 49 TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment 7. The nurse provides opportunities for nursing home residents to read aloud to others. Which cognitive skill is this nursing intervention most likely to improve? a. Verbal fluency ANS: A S - The Marketplace to Buy and Sell your Study Material b. Logical analysis c. Object naming d. Visuospatial skills Allowing residents to read aloud helps improve and maintain verbal fluency because it provides an opportunity to practice these skills. Reading aloud does not usually require analysis. Reading is unlikely to improve object recall unless displaying objects is part of the reading. Visuospatial skills require the ability to perceive the relationship of objects in terms of the space each object occupies; reading is unlikely to improve this skill. PTS: 1 DIF: Understand REF: p. 49 TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenance 8. Mandatory retirement at age 65 years is consistent with which theory of aging? a. Role theory b. Disengagement theory c. Age-stratification theory d. Social exchange theory ANS: B Disengagement theory states that in the natural course of aging, the individual does and should withdraw from society to allow for the transfer of power to younger generations. PTS: 1 DIF: Apply REF: p. 41-42 TOP: Nursing Process: Assessment MSC: Psychosocial Integrity 9. An older woman retires after a long career as an elementary school principal and begins to volunteer in the local library reading to children. The older woman is very pleased with her volunteer activities. This is consistent with which theory of aging? a. Role theory b. Disengagement theory c. Age-stratification theory d. Social exchange theory ANS: A Role theory posits that self-identity is believed to be defined by one’s role in society. Successful aging means that as one role is completed, it is replaced by another or comparative value to the individual. PTS: 1 DIF: Apply REF: p. 41 TOP: Nursing Process: Assessment MSC: Psychosocial Integrity 10. An older married couple move to a continuing care retirement community. The older woman who was always very social and outgoing quickly joins an exercise group, a book club, and a knitting circle. The older man who was always very solitary adopts a routine of a long daily walk and registers for an online course in creative writing. The behaviors of the older couple are consistent with which theory of aging? a. Activity theory b. Continuity theory c. Social exchange theory d. Disengagement theory ANS: B S - The Marketplace to Buy and Sell your Study Material Continuity theory proposes that individuals develop and maintain a consistent pattern of behavior over a lifetime. Aging, as an extension of earlier life, reflects a continuation of the patterns of roles, responsibilities, and activities. Personality S - The Marketplace to Buy and Sell your Study Material influences the roles and activities chosen and the level of satisfaction drawn from these. Successful aging is associated with one’s ability to maintain and continue previous behaviors and roles. PTS: 1 DIF: Apply REF: p. 41 TOP: Nursing Process: Assessment MSC: Psychosocial Integrity 11. A retirement community is divided into different communities with different activities available for the residents of each community. There is one community for individuals ages 65 to 74 years, one for individuals ages 75 to 85 years, and one community for individuals older than age 85 years. This is consistent with which theory of aging? a. Role theory b. Disengagement theory c. Age-stratification theory d. Social exchange theory ANS: C Age-stratification theory is based on the belief that aging can be best understood by considering the experiences of individuals as members of cohorts with similarities to others in the same group. PTS: 1 DIF: Apply REF: p. 42 TOP: Nursing Process: Assessment MSC: Psychosocial Integrity MULTIPLE RESPONSE 1. Which statements are true about aging and the brain? (Select all that apply.) a. Most areas of the brain do not lose brain cells. b. Memory decline is inevitable as people age. c. Basic intelligence remains unchanged with age. d. The brain does not continue to make new brain cells. e. There are decrements in the ability to process information. ANS: A, C, E Most areas of the brain do not lose brain cells. Although older adults may lose some nerve connections, this can be part of the reshaping of the brain that comes with experience. Basic intelligence remains unchanged with age, and older adults should be provided with opportunities for continued learning. There are decrements in the ability to process information. Many people reach older age and have no memory problems. Having a healthy diet and participation in physical exercise, stimulating mental activity, socialization, and stress management help brain health. PTS: 1 DIF: Understand REF: p. 49-50 TOP: Nursing Process: Assessment MSC: Psychosocial Integrity 2. The nurse is admitting a patient to a long-term care facility. During the admission, the patient verbalizes a concern about getting dementia now that he is in a nursing home. In which activities should the nurse encourage the patient to participate to maintain brain health? (Select all that apply.) a. Physical exercise b. Stimulating mental activity c. Socialization d. Increasing dietary intake e. Crossword puzzles ANS: A, B, C, E S - The Marketplace to Buy and Sell your Study Material Many people reach older age and have no memory problems. Having a healthy diet and participation in physical exercise, stimulating mental activity, socialization, and stress management help brain health. Puzzles are a cognitive stimulating activity. An increase in dietary intake has not been shown to influence brain health. S - The Marketplace to Buy and Sell your Study Material PTS: 1 DIF: Apply REF: p. 50-51 TOP: Nursing Process: Planning MSC: Health Promotion and Maintenance 3. A nurse in an assisted living facility is planning an educational program on exercise for the residents. The nurse needs to consider which of the following when planning the activity? (Select all that apply.) a. Very simple language must be used so that the residents will understand the material. b. Large size fonts must be used on all written material provided to the residents. c. The educational program should be provided in a quiet area without excessive background noise. d. The material discussed should focus only on the consequences of failure to exercise. e. The material discussed should build on the prior knowledge of the residents. ANS: B, C, E When educating older adults, one needs to pay attention to potential sensory deficits common in this population such as vision and hearing. Older adults do not normally experience a decline in intelligence. When teaching older adults, it is beneficial to present practical information that builds on the prior knowledge of the participants. There is no evidence that older adults learn better by focusing on the effects of nonadherence. PTS: 1 DIF: Apply REF: p. 51 TOP: Nursing Process: Planning MSC: Health Promotion and Maintenance 4. Which of the following are true statements about older adults and use of computer technology? (Select all that apply.) a. Older adults comprise the fastest growing population using computers and the Internet. b. Older adults tend to be reluctant to use social networking sites. c. Older adults perceive the Internet as a valuable resource. d. Older adults do not routinely use the Internet to connect with their health care providers. e. Older adults have much difficulty learning to use technology. ANS: A, C Older adults comprise the fastest growing population using computers and the Internet. Older women comprise the fastest growing group using social networking sites such as Facebook, Twitter, and Myspace. Older adults perceive the Internet as a valuable resource and use it to communicate with friends, families, and health care providers and access health-related information. There is no evidence that older adults have difficulty learning to use technology. PTS: 1 DIF: Understand REF: p. 52 TOP: Nursing Process: Planning MSC: Health Promotion and Maintenance 5. A nurse in a long-term care facility is using the TimeSlips program with a group of cognitively impaired older adults. The nurse is using which of the following techniques? (Select all that apply.) a. Provides a picture for all group members to look at and use to create a story b. Records the number of correct answers that each participant provides c. Records the responses of all participants d. Compliments each member for his or her contribution to the story e. Reads the story back during the session, noting the contributions of each participant ANS: A, C, D, E S - The Marketplace to Buy and Sell your Study Material Using the TimeSlips format, group members looking at a picture are encouraged to create a story about the picture. All contributions are encouraged and welcomed, there are no right or wrong answers, and everything that the individuals say is included in the story and written down by the scribe. Stories are read back to the participants during the session using their names to identify their contributions. At the beginning of each session, the story from the last session is read to the participants. Care is taken to compliment each member for his or her contribution to the wonderful story. There are no right or wrong answers. S - The Marketplace to Buy and Sell your Study Material PTS: 1 DIF: Remember REF: p. 45 TOP: Nursing Process: Planning MSC: Health Promotion and Maintenance 6. An older adult who lives in an assisted living facility tells a nurse that she is engaged in life review. The nurse understands which of the following about life review? (Select all that apply.) a. Life review is only useful at the very end of an individual’s life as he or she is close to death. b. Life review and reminiscence are the same phenomenon. c. Life review is a highly personal activity. d. Life review can help an individual change course or set new goals. e. Life review can be helpful to an individual experiencing a depressive episode. ANS: C, D, E S - The Marketplace to Buy and Sell your Study Material Life review is considered more of a formal therapy technique than reminiscence and takes a person through his or her life in a structured and chronological order. Life review should occur not only when we are old or facing death but also frequently throughout our lives. This process can assist us to examine where we are in life and change our course or set new goals. Life review may be especially important for older people experiencing depressive symptoms. Life review is a highly personal activity. PTS: 1 DIF: Remember REF: p. 45 TOP: Nursing Process: Planning MSC: Health Promotion and Maintenance S - The Marketplace to Buy and Sell your Study Material Chapter 05: Gerontological Nursing and Promotion of Healthy Aging Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, MULTIPLE CHOICE 1. Identify the best statement about gerontological nursing. a. Nurses have only recently become involved in the care of older adults. b. Gerontological care was the second specialty in which the American Nurses Association (ANA) offered a certification program. c. Purposes of gerontological nursing include the promotion of health and support for maximal independence. d. ANA certification is available only for gerontological nurses in research positions. ANS: C Promoting health and fostering independence are purposes of the practice, as reflected, for example, in the ANA Scope and Standards. Nurses have always cared for older patients. The ANA’s gerontological nursing certification program was the organization’s first and includes a variety of positions, such as nurse practitioners, clinical specialists, researchers, and administrators. PTS: 1 DIF: Remember REF: p. 56-57, 60 TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance 2. Which gerontological nursing organization welcomes nurses from all educational backgrounds? a. The National Gerontological Nursing Association (NGNA) b. The National Conference of Gerontological Nurse Practitioners (NCGNP) c. The National Association of Directors of Nursing Administration in Long-Term Care (NADONA/LTC) d. The American Society on Aging (ASA) ANS: A The NGNA was formed specifically for all levels of nursing personnel: registered nurses (RNs), licensed practical nurses (LPNs), licensed vocational nurses (LVNs), and certified nursing assistants (CNAs). The NCGNP is, as its name implies, limited to nurse practitioners. The NADONA/LTC is, as its name implies, limited to directors and assistant directors of nursing. The ASA is an interdisciplinary organization not limited to nurses. PTS: 1 DIF: Remember REF: p. 59 TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance 3. Which is an accurate statement regarding gerontological nursing education? a. Gerontological nursing content has long been integrated into the curriculum of the typical school of nursing. b. Undergraduate nursing programs extensively cover gerontological nursing in dedicated courses, comparable with the coverage of psychiatric nursing. c. When content is integrated throughout a curriculum, less than 25% is devoted to geriatric care. d. Accreditation of a nursing program guarantees that appropriate amounts of gerontological nursing content are included in the curriculum. ANS: C S - The Marketplace to Buy and Sell your Study Material When content is integrated throughout the curriculum, less than 25% of the content is devoted to geriatric care. Only recently has gerontological nursing content begun to appear in nursing school curricula. Most nursing schools still do not have such courses. At present, no minimum requirements exist for the coverage of care of older adults. PTS: 1 DIF: Remember REF: p. 58 TOP: Teaching and Learning MSC: Health Promotion and Maintenance 4. Based on current demographic data, which of the following statements identifies a predictive trend regarding the health care needs of society? a. Most nurses will not need to care for older persons. b. More nursing services will be required to serve the needs of the population older than 85 years of age. ANS: B S - The Marketplace to Buy and Sell your Study Material c. Fewer nurses will be needed to care for older adults. d. Older adults expect their quality of life to be less than that of earlier generations at their ages. Projections are that 20% of the American population will be older than 65 years of age by 2050, with those older than 85 years showing the greatest increase in numbers. Most nurses can expect to care for older people during the course of their careers. By 2050, the United Nations predicts that more Americans will be older than the age of 60 years than those younger than the age of 15 years. Older people are better educated and more affluent and expect a higher quality of life than their elders had at their age. PTS: 1 DIF: Remember REF: p. 56 TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance 5. A case manager is likely to have how many years of nursing education? a. 1 to 1.5 b. 4 to 6 c. 2 d. 8 or more ANS: C A case manager typically has a bachelor’s or master’s degree. This amount of training is typical for a licensed practical nurse, who typically practices at a nursing home or on a home nursing staff. This amount of training, resulting in an associate’s degree in nursing, is typical for an associate registered, who is typically found on hospital, home, and nursing home staffs. A nurse with 8 or more years of education, as well as a doctorate, is typically involved in research and teaching. PTS: 1 DIF: Remember REF: p. 62 TOP: Teaching and Learning MSC: Safe, Effective Care Environment 6. An older man is transferred to a hospice facility with end-stage disease. Which is a suitable nursing intervention for this older adult and his family according to the goals of long-term care? a. Decrease the analgesic dose to prevent sedation. b. Provide a basin and towels for morning self-care. c. Inform family members about strict visiting hours. d. Facilitate family rituals related to death and dying. ANS: D S - The Marketplace to Buy and Sell your Study Material To promote comfort and dignity, the nurse facilitates the enactment of family wishes, rituals, or religious practices related to death and dying. To promote comfort, the gerontological nurse administers medications as prescribed and avoids restricting analgesic agents to patients regardless of the setting or the nurse’s personal views. Although fostering independence is within the scope of the gerontological nursing practice, the nurse should assess the older adult and family before assuming that he will want or be able to perform self-care. Although hospice can have regular visiting hours, the older adult may need his family at the bedside for comfort, strength, or companionship. Thus, to provide comfort and promote dignity, the gerontological nurse adapts visiting hours to suit the older adult’s needs. PTS: 1 DIF: Apply REF: p. 60, 62 TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment 7. A nursing home executive interviews registered nurses to fill a full-time position for direct patient care to maintain the standards of eldercare. Which nurse should the nursing home hire? a. Nurse from a certified college b. Nurse with 15 years of experience c. Certified gerontological nurse d. Gerontological nurse practitioner ANS: B S - The Marketplace to Buy and Sell your Study Material A certified gerontological nurse receives education and training to care for older adults, assuring the nursing home and the public that the nurse has mastered the specialized skills and knowledge to care for older adults according to gerontological nursing standards. A nurse educated in a certified college does not necessarily have specialty education and training in gerontology. A nurse with 15 years of experience might have no experience with gerontology and offers no proof of specialized knowledge or skills. Although a gerontological nurse practitioner receives specialized education and training in gerontology, these nurses provide primary care in a nursing home. PTS: 1 DIF: Apply REF: p. 57 TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment 8. Mezey and Fulmer (2002) justify gerontological nursing research and the work of gerontological advanced practice nurses by concluding the following: a. Other scientists devalue gerontological nursing research. b. The research influences outcomes from nursing care in a positive way. c. Gerontological care is expensive but required in long-term care. d. Gerontological nursing research is well known to practicing nurses. ANS: B The practices of advanced practice nurses, who base their practice on nursing research, have resulted in positive older adult outcomes and cost effectiveness. The scientific community widely accepts the research. Advanced practice nurses generate positive outcomes and are cost effective in many settings. Mezey and Fulmer believe the goal of gerontological nursing is to disseminate the knowledge from gerontological nursing research to all nurses and to have the knowledge applied to their practices. PTS: 1 DIF: Understand REF: p. 60-61 TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenance 9. The gerontological nurse collaborates with the wound care team about an older patient who has an ulcer. How is this nurse demonstrating leadership in the care of older people? a. Assessing older adults effectively b. Facilitating access to eldercare programs c. Coordinating members of the health care team d. Empowering older adults to manage chronic illness ANS: C The nurse demonstrates leadership in the care of older adults by initiating and coordinating collaboration with the wound care team to improve the health of an older adult. Screening and assessing are only indirectly related to collaboration. In this case, the nurse’s collaborative efforts are unrelated to facilitating access to a program. Thus far, the nurse has not educated or trained this patient in wound care. PTS: 1 DIF: Apply REF: p. 63 TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenance 10. Which organization had the largest role in enhancing the specialty of gerontological nursing? a. American Association of Retired Persons (AARP) b. John Hartford Foundation c. Medicare d. Mutual of Omaha Insurance ANS: B S - The Marketplace to Buy and Sell your Study Material The most significant influence in enhancing gerontological nursing has been the work of the Hartford Institute for Geriatric Nursing, funded by the John A. Hartford Foundation. The foundation seeks to shape the quality of the nation’s health care for older Americans by promoting geriatric nursing excellence to both the nursing profession and the larger health care community. Initiatives in nursing education, nursing practice, nursing research, and nursing policy include enhancing geriatrics in nursing education programs through curricular reform and faculty development and the development of nine S - The Marketplace to Buy and Sell your Study Material Centers of Geriatric Nursing Excellence. AARP is a foundation that helps struggling seniors by being a force for change on the most serious issues they face today. Medicare is a national social insurance program, administered by the U.S. federal government since 1965, that guarantees access to health insurance for Americans ages 65 years and older and younger people with disabilities. Mutual of Omaha is a Fortune 500 mutual insurance and financial services company based in Omaha, Nebraska. PTS: 1 DIF: Remember REF: p. 57-59 TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment 11. Which of the following is true about the Nurse Competence in Aging (NCA) initiative? a. It was developed to support the professional development and leadership growth of nurses who provide care to older adults in long-term care. b. It developed resources for nurses to access evidence-based information on topics related to the care of older adults. c. It provides predoctoral and postdoctoral scholarships for study and research in geriatric nursing. d. It developed the first certification in gerontological nursing. ANS: B The NCA initiative provided grant and technical assistance to more than 50 specialty nursing organizations, developed a free web-based comprehensive gerontological nursing resource center (ConsultGeriRN.org) where nurses can access evidence-based information on topics related to the care of older adults, and conducted a national gerontological nursing certification outreach. Sigma Theta Tau’s Center for Nursing Excellence in Long-Term Care sponsors the Geriatric Nursing Leadership Academy and offers a range of products and services to support the professional development and leadership growth of nurses who provide care to older adults in long-term care. The ANA developed the gerontological certification exam. PTS: 1 DIF: Remember REF: p. 57 TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment 12. The vision of Nurses Improving Care for Health System Elders (NICHE) is a. to ensure that all older adults are only cared for by nurses who are certified in gerontological nursing. b. to decrease the cost of care for hospitalized older adults. c. to increase access to care for adults age 64 years and older. d. for patients 65 years and older to be given sensitive and exemplary care. ANS: D The vision of NICHE is for all patients 65 years and older to be given sensitive and exemplary care. PTS: 1 DIF: Remember REF: p. 61 TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment MULTIPLE RESPONSE 1. Advanced practice nurses have demonstrated the most significant impact in improving which of the following for older adults? (Select all that apply.) a. Health outcomes b. Length of stay c. Cost effectiveness d. Reimbursement measures e. Interprofessional communication ANS: A, C S - The Marketplace to Buy and Sell your Study Material Advanced practice nurses have demonstrated their skill in improving health outcomes and cost effectiveness. Many of these advanced practice nurses have nursing facility practices managing complex care of frail older adults in collaboration with interprofessional teams. This role is well established, and positive outcomes include increased patient and family satisfaction, decreased costs, less frequent hospitalizations and emergency department visits, and improved quality of care. S - The Marketplace to Buy and Sell your Study Material Reimbursement measures and interprofessional communication have not been identified as areas that advanced practice nurses have demonstrated their skill in improving. PTS: 1 DIF: Remember REF: p. 60 TOP: Nursing Process: Evaluation MSC: Safe, Effective Care Environment 2. The ANA Scope and Standards of Gerontological Nursing (2010) addresses which of the following? (Select all that apply.) a. The skills and knowledge required to address gerontological patient needs b. The levels of gerontological nursing practice c. Requirements for certification as a gerontological nurse d. Standards of gerontological nursing practice e. Continuing education requirements for gerontological nurses ANS: A, B, D The ANA Scope and Standards of Gerontological Nursing (2010) provides a comprehensive overview of the scope of gerontological nursing, the skills and knowledge required to address the full range of needs related to the process of aging, and the specialized care of older adults as a group and as individuals. The document also identifies levels of gerontological nursing practice (basic and advanced) and standards of clinical gerontological nursing care and gerontological nursing performance. Certification requirements and continuing education requirements are not addressed. PTS: 1 DIF: Remember REF: p. 57 TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment 3. In the document “Recommended Baccalaureate Competencies and Curricular Guidelines for the Nursing Care of Older Adults” developed by the American Association of Colleges of Nursing and the Hartford Institute for Geriatric Nursing, New York University, recommendations include which of the following? (Select all that apply.) a. Provision of a free-standing course in gerontology within the curriculum b. Integration of gerontological content throughout the curriculum c. Requirement of gerontological certification for all students before completion of a BSN program d. Structured clinical experiences with older adults across the continuum of care e. Faculty with expertise in gerontological nursing ANS: A, B, D, E Best practice recommendations for nursing education include provision of a stand-alone course, as well as integration of content throughout the curriculum so that gerontology is valued and viewed as an integral part of nursing care. It is important to provide students with nursing practice experiences caring for elders across the health–wellness continuum. Faculty with expertise in gerontological nursing is an important recommendation. PTS: 1 DIF: Remember REF: p. 58 TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment 4. Which of the following organizations have interdisciplinary membership? (Select all that apply.) a. Gerontological Society of America b. National Gerontological Nurses Association c. American Society on Aging d. Association of Gerontology in Higher Education e. National Association Directors of Nursing Administration in Long-Term Care ANS: A, C, D S - The Marketplace to Buy and Sell your Study Material The Gerontological Society of America, American Society on Aging, and Association of Gerontology in Higher Education are all interdisciplinary organizations. The National Gerontological Nurses Association and National Association Directors of Nursing Administration in Long-Term Care are nursing organizations.