TEST BANK FOR GERONTOLOGIC
r r r
NURSING 6TH EDITION BY MEINER A r r r r r
LL CHAPTERS r
Chapterr01:rOverviewrofrGerontologicrNursing
Meiner:rGerontologicrNursing,r5thrEdition
MULTIPLErCHOICE
1.rInr2010,rtherrevisedrStandardsrandrScoperofrGerontologicalrNursingrPracticerwasrpublished.rThernurserwouldrusertheserstand
ardsrto:
a. promotertherpracticerofrgerontologicrnursingrwithinrtheracutercarersetting.
b. definertherconceptsrandrdimensionsrofrgerontologicrnursingrpractice.
c. elevatertherpracticerofrgerontologicrnursing.
d. incorporatersuggestedrinterventionsrfromrothersrwhorpracticergerontologicrnursing.
ANS:rD
ThercurrentrpublishingrofrtherStandardsrandrScoperofrGerontologicalrNursingrPracticerinr2010rincorporatesrtherinputrofrgeronto
logicrnursesrfromracrossrtherUnitedrStates.rItrwasrnotrintendedrtorpromotergerontologicrnursingrpracticerwithinracutercarersetting
s,rdefinerconceptsrorrdimensionsrofrgerontologicrnursingrpractice,rorrelevatertherpracticerofrgerontologicrnursing.rDIF:rRememb
eringr(Knowledge)rREF:rPager2rOBJ:r1-1
TOP:rN/ArMSC:rSaferandrEffectiverCarerEnvironment
2.rWhenrattemptingrtorminimizerthereffectrofrageismronrtherpracticerofrnursingrolderradults,rarnurserneedsrtorfirst:
a. recognizerthatrnursesrmustractrasradvocatesrforragingrpatients.
b. acceptrthatrthisrpopulationrrepresentsrarsubstantialrportionrofrthoserrequiringrnursingrcare.
c. self-reflectrandrformulaterone’srpersonalrviewrofragingrandrtherolderrpatient.
d. recognizerageismrasrarformrofrbigotryrsharedrbyrmanyrAmericans.
ANS:rC
Ageismrisranrever-
increasingrprejudicialrviewrofrthereffectsrofrtheragingrprocessrandrofrtherolderrpopulationrasrarwhole.rWithrnursesrbeingrmembers
rofrarsocietyrholdingrsuchrviews,ritr isrcriticalrthatrtherindividualrnurserself-
reflectronrpersonalrfeelingsrandrdeterminerwhetherrsuchrfeelingsrwillraffectrthernursingrcarerthatrherorrsherprovidesrtortheragingrp
atient.rActingrasranradvocaterisranrimportantrnursingrrolerinrallrsettings.rSimplyracceptingrarfactrdoesrnotrhelprendrageism,rnorrdo
esrrecognizingrageismrasrarformrofrbigotry.
DIF:rApplyingr(Application)rREF:rN/ArOBJ:r1-9
TOP:rTeaching-LearningrMSC:rSaferandrEffectiverCarerEnvironment
,3.rWhenrdiscussingrfactorsrthatrhaverhelpedrtorincreaserthernumberrofrhealthy,rindependentrolderrAmericans,rthernurserincludesrt
herimportancerof:
a. increasedravailabilityrofrin-homercarerservices.
b. governmentrsupportrofrretiredrcitizens.
c. effectiverantibioticrtherapies.
d. therdevelopmentrofrlife-extendingrtherapies.
ANS:rC
TherhealthrandrultimaterautonomyrofrolderrAmericansrhasrbeenrpositivelyrimpactedrbyrtherdevelopmentrofrantibiotics,rbetterrsan
itation,randrvaccines.rTheserpublicrhealthrmeasuresrhaverbeenrmorerinstrumentalrinrincreasingrthernumbersrofrhealthy,rindepend
entrolderrAmericansrthanrhaverin-homercarerservices,rgovernmentrprograms,rorrlife-extendingrtherapies.
DIF:rRememberingr(Knowledge)rREF:rPager2rOBJ:r3-3
TOP:rNursingrProcess:rImplementationrMSC:rHealthrPromotionrandrMaintenance
4.rBasedronrcurrentrdata,rwhenrpresentingranrolderradult’srdischargerteachingrplan,rthernurserincludesrtherpatient’s:ra.
nonrelatedrcaretaker.
b. paidrcaregiver.
c. familyrmember.
d. intuitionalrrepresentative.
ANS:rC
Lessrthanr4%rofrolderradultsrliverinrarformalrhealthrcarerenvironment.rThermajorityrofrthergeriatricrpopulationrlivesratrhomerorrwi
thrfamilyrmembers.
DIF:rApplyingr(Application)rREF:rN/ArOBJ:r3-3
TOP:rNursingrProcess:rPlanningrMSC:rSaferandrEffectiverCarerEnvironment
5.rThernurserplanningrcarerforranrolderradultrwhorhasrrecentlyrbeenrdiagnosedrwithrrheumatoidrarthritisrviewsrtherpriorityrcriteri
onrforrcontinuedrindependencertorbertherpatient’s:
a. age.
b. financialrstatus.
c. gender.
d. functionalrstatus.
ANS:rD
Maintainingrtherfunctionalrstatusrofrolderradultsrmayravertrtheronsetrofrphysicalrfrailtyrandrcognitiverimpairment,rtworconditions
rthatrincreasertherlikelihoodrofrinstitutionalization.
DIF:rRememberingr(Knowledge)rREF:rPager8rOBJ:r1-6
TOP:rNursingrProcess:rPlanningrMSC:rPhysiologicrIntegrity
6.rArnurserworkingrwithrtherolderradultrpopulationrisrmostrlikelyrtorassessrarneedrforrarfinancialrsocialrservice’srreferralrforra(n):
a. whitermale.
,b. blackrfemale.
c. Hispanicrmale.
d. AsianrAmericanrfemale.
ANS:rB
Therpovertyrrateramongrolderrblackrwomenrisrsubstantiallyrhigherrthanrthatrseenramongrmalesrorrfemalesrofrotherrethnicrgro
ups.rWhitermalesrhadrtherleastrpoverty.rDIF:rApplyingr(Application)rREF:rN/ArOBJ:r1-4
TOP:rNursingrProcess:rAssessmentrMSC:rSaferandrEffectiverCarerEnvironment
7.rWhichrofrtherfollowingrstatementsrmaderbyrarnurserpreparingrtorcompleterarhealthrassessmentrandrhistoryronranrolderrpatientrr
eflectsranrunderstandingrofrthergeneralrhealthrstatusrofrthisrpopulation?
a. “I’llrneedrtordocumentrwellrregardingrthermedicationsrtherpatientrisrcurrentlyrprescribed.”
b. “Irwouldrlikertorunderstandrhowrsupportivertherpatient’srfamilyrmembersrare.”
c. “Mostrolderrpatientsrarerbeingrtreatedrforrarvarietyrofrchronicrhealthrcarerissues.”
d. “Itrwillrberinterestingrtorseerwhetherrthisrpatientrseesrherselfrasrbeingrhealthy.”
ANS:rD
Itrisrarmisconceptionrthatroldragerisrsynonymousrwithrdiseaserandrillness.rThernursershouldralwaysrdeterminertherpatient’srsenser
ofrwellnessrandrindependencerwhenrconductingrarhealthrandrhistoryrassessment.rAnrassessmentrofrmedicationruserandrfamilyrsu
pportrisrimportantrforranyrpatient.rManyrolderradultsrdorhaverchronicrhealthrconditions,rbutrtheirrperceptionrisrmorerimportantrth
anrarsinglernumber.
DIF:rApplyingr(Application)rREF:rN/ArOBJ:r1-4
TOP:rNursingrProcess:rAssessmentrMSC:rHealthrPromotion
8.rThernurserisrcaringrforranrolderradultrwhorhasrbeenradmittedrtoranracutercarerhospitalrforrtreatmentrofrarfracturedrfemur.rTherfa
milyrexpressesrconcernraboutrtherpatient’srpendingrtransferrtorarsubacutercarerfacility.rWhatrresponserbyrthernurserisrbest?
a. “Acutercarerfacilitiesrlackrtherlong-termrphysicalrtherapyrsupportryourrdadrrequires.”
b. “Yourrdadrwillrbermuchrhappierrinrarmorerserene,rprivaterenvironment.”
c. “Thersubacuterfacilityrwillrfocusronrhelpingryourrdadrmaintainrhisrindependence.”
DownloadeDownloadedrby:rAriahr|rabbieclDownloadedrby:ralesialcr|:rSuperAr|@gmail.com
Distributionrofrthisrdocumentrisrillegal
, d. “Insurance,rincludingrMedicare,rwillrcoverronlyrarlimitedramountrofrtimerhere.”
ANS:rC
Thertransferrofrtherpatientrtorarsubacuterfacilityrisrbasedronrtherneedrtormaintainrtherpatient’srlevelrofrfunctionrandrindependence,r
artaskrtheracutercarerfacilityrisrnotrpreparedrtoraddressroncertherpatientrisrphysiologicallyrstable.rTherpatientrmayrorrmayrnotrberha
ppierrinrthernewrsetting;rthernursershouldrnotrmakerthisrjudgment.rItrisrtruerthatrinsuranceronlyrpaysrforrarlimitedramountrofrtimeri
nranracutercarerfacility,rbutrthisrisrnotrtherbestrreasonrforrtherpatientrtortransfer.
DIF:rApplyingr(Application)rREF:rN/ArOBJ:r1-6
TOP:rCommunicationrandrDocumentationrMSC:r
HealthrPromotionrandrMaintenance
9.rTorbestrassurerbothrtherqualityrofrcarerandrthersafetyrofrtherolderradultrpatientrwhorrequiresrin-
homerunlicensedrassistiverpersonalr(UAP)rassistance,rthergeriatricrnurse:
a. evaluatesrthercompetencyrofrtherUAPrstaff.
b. assumesrtherrolesrofrcasermanagerrandrpatientradvocate.
c. arrangesrforrtherneededrUAPrprovidedrservices.
d. assessesrtherpatientrforrfunctionalrlimitations.
ANS:rA
AsrmorercarertraditionallyrprovidedrbyrprofessionalrnursesrisrbeingrtransferredrtorUAP,rthernursermustrassumermorerresponsibilit
yrforreducating,rtraining,randrevaluatingrthercompetencyrofrUAPrstaffrtorprovidersafe,reffectivercarerforrtherolderradultrpatient.
DIF:rApplyingr(Application)rREF:rN/ArOBJ:r1-2
TOP:rCommunicationrandrDocumentation
MSC:rSaferandrEffectiverCarerEnvironment
10.rThernurserworkingrwithrolderradultsrunderstandsrwhatrinformationraboutrcertificationrinrgerontologicrnursing?
a. Itrisrmandatoryrforrthoserinrlong-termrcarersettings.
b. Itrisrvoluntaryrandrshowsrclinicalrexpertiserinranrarea.
c. Itrallowsrnursesrtorberpaidrbyrthird-partyrpayers.
d. Itrallowsrnursesrtoradvancertheirrcareersrinrarjob.
ANS:rB
Certificationrisrvoluntaryrandrshowsrthatrarnurserhasradditionalrknowledgerandrexpertiserinrarcertainrarearofrpractice.rItrisrnotrman
datoryrinrspecificrcarersettings.rItrdoesrnotrallowrforrthird-
partyrreimbursement.rItrmayrberpartrofrarcareerrladderrprogram,rbutrthatrisrnotrtruerofrallrworkrsettings.
DIF:rRememberingr(Knowledge)rREF:rPager2rOBJ:r1-2
TOP:rTeaching-LearningrMSC:rSaferEffectiverCarerEnvironment
11.rArnurserworksrinrargerontologicrclinic.rWhatractionrbyrthernursertakesrhighestrpriority?
a. Servingrasrarpatientradvocate
b. Educatingrpatientsraboutrdiseases
c. Helpingrpatientsrremainrindependent
r r r
NURSING 6TH EDITION BY MEINER A r r r r r
LL CHAPTERS r
Chapterr01:rOverviewrofrGerontologicrNursing
Meiner:rGerontologicrNursing,r5thrEdition
MULTIPLErCHOICE
1.rInr2010,rtherrevisedrStandardsrandrScoperofrGerontologicalrNursingrPracticerwasrpublished.rThernurserwouldrusertheserstand
ardsrto:
a. promotertherpracticerofrgerontologicrnursingrwithinrtheracutercarersetting.
b. definertherconceptsrandrdimensionsrofrgerontologicrnursingrpractice.
c. elevatertherpracticerofrgerontologicrnursing.
d. incorporatersuggestedrinterventionsrfromrothersrwhorpracticergerontologicrnursing.
ANS:rD
ThercurrentrpublishingrofrtherStandardsrandrScoperofrGerontologicalrNursingrPracticerinr2010rincorporatesrtherinputrofrgeronto
logicrnursesrfromracrossrtherUnitedrStates.rItrwasrnotrintendedrtorpromotergerontologicrnursingrpracticerwithinracutercarersetting
s,rdefinerconceptsrorrdimensionsrofrgerontologicrnursingrpractice,rorrelevatertherpracticerofrgerontologicrnursing.rDIF:rRememb
eringr(Knowledge)rREF:rPager2rOBJ:r1-1
TOP:rN/ArMSC:rSaferandrEffectiverCarerEnvironment
2.rWhenrattemptingrtorminimizerthereffectrofrageismronrtherpracticerofrnursingrolderradults,rarnurserneedsrtorfirst:
a. recognizerthatrnursesrmustractrasradvocatesrforragingrpatients.
b. acceptrthatrthisrpopulationrrepresentsrarsubstantialrportionrofrthoserrequiringrnursingrcare.
c. self-reflectrandrformulaterone’srpersonalrviewrofragingrandrtherolderrpatient.
d. recognizerageismrasrarformrofrbigotryrsharedrbyrmanyrAmericans.
ANS:rC
Ageismrisranrever-
increasingrprejudicialrviewrofrthereffectsrofrtheragingrprocessrandrofrtherolderrpopulationrasrarwhole.rWithrnursesrbeingrmembers
rofrarsocietyrholdingrsuchrviews,ritr isrcriticalrthatrtherindividualrnurserself-
reflectronrpersonalrfeelingsrandrdeterminerwhetherrsuchrfeelingsrwillraffectrthernursingrcarerthatrherorrsherprovidesrtortheragingrp
atient.rActingrasranradvocaterisranrimportantrnursingrrolerinrallrsettings.rSimplyracceptingrarfactrdoesrnotrhelprendrageism,rnorrdo
esrrecognizingrageismrasrarformrofrbigotry.
DIF:rApplyingr(Application)rREF:rN/ArOBJ:r1-9
TOP:rTeaching-LearningrMSC:rSaferandrEffectiverCarerEnvironment
,3.rWhenrdiscussingrfactorsrthatrhaverhelpedrtorincreaserthernumberrofrhealthy,rindependentrolderrAmericans,rthernurserincludesrt
herimportancerof:
a. increasedravailabilityrofrin-homercarerservices.
b. governmentrsupportrofrretiredrcitizens.
c. effectiverantibioticrtherapies.
d. therdevelopmentrofrlife-extendingrtherapies.
ANS:rC
TherhealthrandrultimaterautonomyrofrolderrAmericansrhasrbeenrpositivelyrimpactedrbyrtherdevelopmentrofrantibiotics,rbetterrsan
itation,randrvaccines.rTheserpublicrhealthrmeasuresrhaverbeenrmorerinstrumentalrinrincreasingrthernumbersrofrhealthy,rindepend
entrolderrAmericansrthanrhaverin-homercarerservices,rgovernmentrprograms,rorrlife-extendingrtherapies.
DIF:rRememberingr(Knowledge)rREF:rPager2rOBJ:r3-3
TOP:rNursingrProcess:rImplementationrMSC:rHealthrPromotionrandrMaintenance
4.rBasedronrcurrentrdata,rwhenrpresentingranrolderradult’srdischargerteachingrplan,rthernurserincludesrtherpatient’s:ra.
nonrelatedrcaretaker.
b. paidrcaregiver.
c. familyrmember.
d. intuitionalrrepresentative.
ANS:rC
Lessrthanr4%rofrolderradultsrliverinrarformalrhealthrcarerenvironment.rThermajorityrofrthergeriatricrpopulationrlivesratrhomerorrwi
thrfamilyrmembers.
DIF:rApplyingr(Application)rREF:rN/ArOBJ:r3-3
TOP:rNursingrProcess:rPlanningrMSC:rSaferandrEffectiverCarerEnvironment
5.rThernurserplanningrcarerforranrolderradultrwhorhasrrecentlyrbeenrdiagnosedrwithrrheumatoidrarthritisrviewsrtherpriorityrcriteri
onrforrcontinuedrindependencertorbertherpatient’s:
a. age.
b. financialrstatus.
c. gender.
d. functionalrstatus.
ANS:rD
Maintainingrtherfunctionalrstatusrofrolderradultsrmayravertrtheronsetrofrphysicalrfrailtyrandrcognitiverimpairment,rtworconditions
rthatrincreasertherlikelihoodrofrinstitutionalization.
DIF:rRememberingr(Knowledge)rREF:rPager8rOBJ:r1-6
TOP:rNursingrProcess:rPlanningrMSC:rPhysiologicrIntegrity
6.rArnurserworkingrwithrtherolderradultrpopulationrisrmostrlikelyrtorassessrarneedrforrarfinancialrsocialrservice’srreferralrforra(n):
a. whitermale.
,b. blackrfemale.
c. Hispanicrmale.
d. AsianrAmericanrfemale.
ANS:rB
Therpovertyrrateramongrolderrblackrwomenrisrsubstantiallyrhigherrthanrthatrseenramongrmalesrorrfemalesrofrotherrethnicrgro
ups.rWhitermalesrhadrtherleastrpoverty.rDIF:rApplyingr(Application)rREF:rN/ArOBJ:r1-4
TOP:rNursingrProcess:rAssessmentrMSC:rSaferandrEffectiverCarerEnvironment
7.rWhichrofrtherfollowingrstatementsrmaderbyrarnurserpreparingrtorcompleterarhealthrassessmentrandrhistoryronranrolderrpatientrr
eflectsranrunderstandingrofrthergeneralrhealthrstatusrofrthisrpopulation?
a. “I’llrneedrtordocumentrwellrregardingrthermedicationsrtherpatientrisrcurrentlyrprescribed.”
b. “Irwouldrlikertorunderstandrhowrsupportivertherpatient’srfamilyrmembersrare.”
c. “Mostrolderrpatientsrarerbeingrtreatedrforrarvarietyrofrchronicrhealthrcarerissues.”
d. “Itrwillrberinterestingrtorseerwhetherrthisrpatientrseesrherselfrasrbeingrhealthy.”
ANS:rD
Itrisrarmisconceptionrthatroldragerisrsynonymousrwithrdiseaserandrillness.rThernursershouldralwaysrdeterminertherpatient’srsenser
ofrwellnessrandrindependencerwhenrconductingrarhealthrandrhistoryrassessment.rAnrassessmentrofrmedicationruserandrfamilyrsu
pportrisrimportantrforranyrpatient.rManyrolderradultsrdorhaverchronicrhealthrconditions,rbutrtheirrperceptionrisrmorerimportantrth
anrarsinglernumber.
DIF:rApplyingr(Application)rREF:rN/ArOBJ:r1-4
TOP:rNursingrProcess:rAssessmentrMSC:rHealthrPromotion
8.rThernurserisrcaringrforranrolderradultrwhorhasrbeenradmittedrtoranracutercarerhospitalrforrtreatmentrofrarfracturedrfemur.rTherfa
milyrexpressesrconcernraboutrtherpatient’srpendingrtransferrtorarsubacutercarerfacility.rWhatrresponserbyrthernurserisrbest?
a. “Acutercarerfacilitiesrlackrtherlong-termrphysicalrtherapyrsupportryourrdadrrequires.”
b. “Yourrdadrwillrbermuchrhappierrinrarmorerserene,rprivaterenvironment.”
c. “Thersubacuterfacilityrwillrfocusronrhelpingryourrdadrmaintainrhisrindependence.”
DownloadeDownloadedrby:rAriahr|rabbieclDownloadedrby:ralesialcr|:rSuperAr|@gmail.com
Distributionrofrthisrdocumentrisrillegal
, d. “Insurance,rincludingrMedicare,rwillrcoverronlyrarlimitedramountrofrtimerhere.”
ANS:rC
Thertransferrofrtherpatientrtorarsubacuterfacilityrisrbasedronrtherneedrtormaintainrtherpatient’srlevelrofrfunctionrandrindependence,r
artaskrtheracutercarerfacilityrisrnotrpreparedrtoraddressroncertherpatientrisrphysiologicallyrstable.rTherpatientrmayrorrmayrnotrberha
ppierrinrthernewrsetting;rthernursershouldrnotrmakerthisrjudgment.rItrisrtruerthatrinsuranceronlyrpaysrforrarlimitedramountrofrtimeri
nranracutercarerfacility,rbutrthisrisrnotrtherbestrreasonrforrtherpatientrtortransfer.
DIF:rApplyingr(Application)rREF:rN/ArOBJ:r1-6
TOP:rCommunicationrandrDocumentationrMSC:r
HealthrPromotionrandrMaintenance
9.rTorbestrassurerbothrtherqualityrofrcarerandrthersafetyrofrtherolderradultrpatientrwhorrequiresrin-
homerunlicensedrassistiverpersonalr(UAP)rassistance,rthergeriatricrnurse:
a. evaluatesrthercompetencyrofrtherUAPrstaff.
b. assumesrtherrolesrofrcasermanagerrandrpatientradvocate.
c. arrangesrforrtherneededrUAPrprovidedrservices.
d. assessesrtherpatientrforrfunctionalrlimitations.
ANS:rA
AsrmorercarertraditionallyrprovidedrbyrprofessionalrnursesrisrbeingrtransferredrtorUAP,rthernursermustrassumermorerresponsibilit
yrforreducating,rtraining,randrevaluatingrthercompetencyrofrUAPrstaffrtorprovidersafe,reffectivercarerforrtherolderradultrpatient.
DIF:rApplyingr(Application)rREF:rN/ArOBJ:r1-2
TOP:rCommunicationrandrDocumentation
MSC:rSaferandrEffectiverCarerEnvironment
10.rThernurserworkingrwithrolderradultsrunderstandsrwhatrinformationraboutrcertificationrinrgerontologicrnursing?
a. Itrisrmandatoryrforrthoserinrlong-termrcarersettings.
b. Itrisrvoluntaryrandrshowsrclinicalrexpertiserinranrarea.
c. Itrallowsrnursesrtorberpaidrbyrthird-partyrpayers.
d. Itrallowsrnursesrtoradvancertheirrcareersrinrarjob.
ANS:rB
Certificationrisrvoluntaryrandrshowsrthatrarnurserhasradditionalrknowledgerandrexpertiserinrarcertainrarearofrpractice.rItrisrnotrman
datoryrinrspecificrcarersettings.rItrdoesrnotrallowrforrthird-
partyrreimbursement.rItrmayrberpartrofrarcareerrladderrprogram,rbutrthatrisrnotrtruerofrallrworkrsettings.
DIF:rRememberingr(Knowledge)rREF:rPager2rOBJ:r1-2
TOP:rTeaching-LearningrMSC:rSaferEffectiverCarerEnvironment
11.rArnurserworksrinrargerontologicrclinic.rWhatractionrbyrthernursertakesrhighestrpriority?
a. Servingrasrarpatientradvocate
b. Educatingrpatientsraboutrdiseases
c. Helpingrpatientsrremainrindependent
