TEST BANK FOR EBERSOLE AND HESS' TOWARD HEALTHY AGING 9TH EDITION BY TOUHY
Ebersole and Hess
Chapter 02: Gerontological Nursing: Past, Present, and Future
Touhy: Ebersole & Hess’ Toward Healthy Aging, 10th Edition
MULTIPLE CHOICE
1. Serious and well-controlled research studies on aging have been available:
a. only in the past 60 years.
b. since the turn of the 20th century.
c. following the Great Depression.
d. since the year 2000.
ANS: A
Only in the past 60 years have serious and carefully controlled research studies flourished.
Before that, anecdotal evidence was used to illustrate issues assumed to be universal,
making all the remaining options incorrect.
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
2. The son of a nursing home resident asks a nurse: “What is the significance of being certified
in gerontology? I see that you are, but not all of the nurses are.” The best response by the
nurse is which of the following?
a. “National certification as a gerontological nurse is a way to demonstrate special
knowledge in caring for older adults.”
b. “National certification in gerontology is required for all nurses who have worked
in this setting for 2 or more years.”
c. “National certification is only available to nurses who have a Baccalaureate degree
in nursing.”
d. “Only advanced practice nurses, like nurse practitioners, are certified in
gerontology.”
ANS: A
National certification is a way to demonstrate special expertise in caring for older adults. It
is not required for practice in any setting across the continuum of care, and it is not
exclusive to nurses with Baccalaureate degrees. There is both a generalist and a specialist
gerontological nursing certification. The generalist functions in a variety of settings
providing care to older adults and their families. The specialist has advanced gerontological
education at a Masters level.
DIF: Cognitive Level: Analyzing
TOP: Integrated Process: Communication and Documentation
MSC: Client Needs: Management of Care
3. The major goal of the NICHE (Nurses Improving Care for Health System Elders) program
includes which of the following?
a. Improve outcomes for hospitalized older adults.
b. Increase the number of older adults cared for in hospitals.
c. Increase the number of iatrogenic complications that occur in hospitalized older
adults.
This study source was downloaded by 100000869052700 from CourseHero.com on 07-17-2023 14:40:34 GMT -05:00
https://www.coursehero.com/file/81389356/EBERSOLE-AND-HESS-TOWARD-HEALTHY-AGING-9TH-EDITION-BY-TOUHY-5pdf/
, TEST BANK FOR EBERSOLE AND HESS' TOWARD HEALTHY AGING 9TH EDITION BY TOUHY
d. Decrease 30-day readmission rates for hospitalized older adults.
ANS: A
The goal of NICHE is to improve outcomes for hospitalized older adults. Although option D
is a good outcome for hospitalized older adults, it is not one of the major goals of NICHE,
which are broader. Options B and C are not goals that would improve care for older adults,
but would be negative outcomes themselves.
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
4.The impact of the Hospital Readmission Reduction Program (HRRP) on avoidable
readmissions includes which of the following? (Select all that apply.)
a. Readmission rates for the selected conditions have dropped nationwide.
b. Many hospitals have instituted system-wide interventions to prevent readmissions.
c. Hospitals are keeping patients longer to avoid readmissions.
d. Potentially avoidable hospitalizations among nursing home residents is increasing.
e. Hospitals have a financial incentive to develop programs to reduce readmissions.
ANS: A, B, E
The Hospital Readmission Reduction Program (HRRP) was established as a provision in the
Affordable Care Act (ACA) requiring Medicare to reduce payments to hospitals with
relatively high readmission rates for selected conditions for patients in traditional Medicare.
Since the HRRP, readmission rates for the selected conditions have dropped nationwide but
estimates are that in 2018, about 80% of hospitals evaluated by CMS will face penalties
totaling $564 million (Advisory Board, 2017). Additionally, the HRRP has been the impetus
for many hospitals to institute system-wide interventions to prevent readmissions that have
also contributed to the decline in readmission rates. The rate of potentially avoidable
hospitalizations among SNF residents has fallen by nearly a third in recent years as a result
of many quality improvement initiatives.
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5.Which of the following are true statements about the current health care workforce? (Select
all that apply.)
f. Approximately 10% of registered nurses (RNs) are certified in gerontological
nursing.
g. The number of geriatricians is expected to increase about 50% over the next 25
years.
h. The professions of social work, physical therapy, and psychiatry are demonstrating
the same trends as nursing.
i. Europe and the developing countries are experiencing similar shortages in health
care workers with geriatric expertise as in the United States.
j. It is anticipated that there will be a need for approximately 3.5 million additional
direct care and professional health care workers by the year 2030.
ANS: C, D, E
This study source was downloaded by 100000869052700 from CourseHero.com on 07-17-2023 14:40:34 GMT -05:00
https://www.coursehero.com/file/81389356/EBERSOLE-AND-HESS-TOWARD-HEALTHY-AGING-9TH-EDITION-BY-TOUHY-5pdf/
Ebersole and Hess
Chapter 02: Gerontological Nursing: Past, Present, and Future
Touhy: Ebersole & Hess’ Toward Healthy Aging, 10th Edition
MULTIPLE CHOICE
1. Serious and well-controlled research studies on aging have been available:
a. only in the past 60 years.
b. since the turn of the 20th century.
c. following the Great Depression.
d. since the year 2000.
ANS: A
Only in the past 60 years have serious and carefully controlled research studies flourished.
Before that, anecdotal evidence was used to illustrate issues assumed to be universal,
making all the remaining options incorrect.
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
2. The son of a nursing home resident asks a nurse: “What is the significance of being certified
in gerontology? I see that you are, but not all of the nurses are.” The best response by the
nurse is which of the following?
a. “National certification as a gerontological nurse is a way to demonstrate special
knowledge in caring for older adults.”
b. “National certification in gerontology is required for all nurses who have worked
in this setting for 2 or more years.”
c. “National certification is only available to nurses who have a Baccalaureate degree
in nursing.”
d. “Only advanced practice nurses, like nurse practitioners, are certified in
gerontology.”
ANS: A
National certification is a way to demonstrate special expertise in caring for older adults. It
is not required for practice in any setting across the continuum of care, and it is not
exclusive to nurses with Baccalaureate degrees. There is both a generalist and a specialist
gerontological nursing certification. The generalist functions in a variety of settings
providing care to older adults and their families. The specialist has advanced gerontological
education at a Masters level.
DIF: Cognitive Level: Analyzing
TOP: Integrated Process: Communication and Documentation
MSC: Client Needs: Management of Care
3. The major goal of the NICHE (Nurses Improving Care for Health System Elders) program
includes which of the following?
a. Improve outcomes for hospitalized older adults.
b. Increase the number of older adults cared for in hospitals.
c. Increase the number of iatrogenic complications that occur in hospitalized older
adults.
This study source was downloaded by 100000869052700 from CourseHero.com on 07-17-2023 14:40:34 GMT -05:00
https://www.coursehero.com/file/81389356/EBERSOLE-AND-HESS-TOWARD-HEALTHY-AGING-9TH-EDITION-BY-TOUHY-5pdf/
, TEST BANK FOR EBERSOLE AND HESS' TOWARD HEALTHY AGING 9TH EDITION BY TOUHY
d. Decrease 30-day readmission rates for hospitalized older adults.
ANS: A
The goal of NICHE is to improve outcomes for hospitalized older adults. Although option D
is a good outcome for hospitalized older adults, it is not one of the major goals of NICHE,
which are broader. Options B and C are not goals that would improve care for older adults,
but would be negative outcomes themselves.
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
4.The impact of the Hospital Readmission Reduction Program (HRRP) on avoidable
readmissions includes which of the following? (Select all that apply.)
a. Readmission rates for the selected conditions have dropped nationwide.
b. Many hospitals have instituted system-wide interventions to prevent readmissions.
c. Hospitals are keeping patients longer to avoid readmissions.
d. Potentially avoidable hospitalizations among nursing home residents is increasing.
e. Hospitals have a financial incentive to develop programs to reduce readmissions.
ANS: A, B, E
The Hospital Readmission Reduction Program (HRRP) was established as a provision in the
Affordable Care Act (ACA) requiring Medicare to reduce payments to hospitals with
relatively high readmission rates for selected conditions for patients in traditional Medicare.
Since the HRRP, readmission rates for the selected conditions have dropped nationwide but
estimates are that in 2018, about 80% of hospitals evaluated by CMS will face penalties
totaling $564 million (Advisory Board, 2017). Additionally, the HRRP has been the impetus
for many hospitals to institute system-wide interventions to prevent readmissions that have
also contributed to the decline in readmission rates. The rate of potentially avoidable
hospitalizations among SNF residents has fallen by nearly a third in recent years as a result
of many quality improvement initiatives.
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5.Which of the following are true statements about the current health care workforce? (Select
all that apply.)
f. Approximately 10% of registered nurses (RNs) are certified in gerontological
nursing.
g. The number of geriatricians is expected to increase about 50% over the next 25
years.
h. The professions of social work, physical therapy, and psychiatry are demonstrating
the same trends as nursing.
i. Europe and the developing countries are experiencing similar shortages in health
care workers with geriatric expertise as in the United States.
j. It is anticipated that there will be a need for approximately 3.5 million additional
direct care and professional health care workers by the year 2030.
ANS: C, D, E
This study source was downloaded by 100000869052700 from CourseHero.com on 07-17-2023 14:40:34 GMT -05:00
https://www.coursehero.com/file/81389356/EBERSOLE-AND-HESS-TOWARD-HEALTHY-AGING-9TH-EDITION-BY-TOUHY-5pdf/
