Chapter 01: Overview of Gerontologic Nursing
z z z z z z
Meiner: Gerontologic Nursing, 6th Edition
z z z z
MULTIPLEzCHOICE
1. Inz2010,zthezrevisedzStandardszandzScopezofzGerontologicalzNursingzPracticezwaszp
ublished.zTheznursezwouldzusezthesezstandardszto
a. promotezthezpracticezofzgerontologicznursingzwithinzthezacutezcarezsetting.
b. definezthezconceptszandzdimensionszofzgerontologicznursingzpractice.
c. elevatezthezpracticezofzgerontologicznursing.
d. incorporatezthezconceptszofzhealthzpromotion,zhealthzmaintenance,zdiseasezp
revention,zandzself-care
ANS:z D
ThezcurrentzpublishingzofzthezStandardszandzScopezofzGerontologicalzNursingzPracticezinz201
0zincorporateszthezinputzofzgerontologicznurseszfromzacrosszthezUnitedzStateszandzincludeszco
mprehensivezconceptszandzdimensionszimportantztozthosezpracticingzgerontologicznursing.zItzw
asznotzintendedztozpromotezgerontologicznursingzpracticezwithinzacutezcarezsettings,zdefinezcon
ceptszorzdimensionszofzgerontologicznursingzpractice,zorzelevatezthezpracticezofzgerontologiczn
ursing.
DIF: Remembering OBJ: 1-1 TOP:
N/AzMSC:z SafezandzEffectivezCarezEnvironment
2. Whenzattemptingztozminimizezthezeffectzofzageismzonzthezpracticezofznursingzolderzadults,zaznu
rsezneedsztozfirst
a. recognizezthatznurseszmustzactzaszadvocateszforzagingzpatients.
b. acceptzthatzthiszpopulationzrepresentszazsubstantialzportionzofzthosezrequiringzn
ursingzcare.
c. self-reflectzandzformulatezone‟szpersonalzviewzofzagingzandzthezolderzpatient.
d. recognizezageismzaszazformzofzbigotryzsharedzbyzmanyzAmericans.
ANS:z C
Ageismziszanzever-
increasingzprejudicialzviewzofzthezeffectszofzthezagingzprocesszandzofzthezolderzpopulationzaszaz
whole.zWithznurseszbeingzmemberszofzazsocietyzholdingzsuchzviews,zitziszcriticalzthatzthezindivi
dualznursezself-
reflectszonzpersonalzfeelingszandzdetermineszwhetherzsuchzfeelingszwillzaffectztheznursingzcarez
thatzhezorzshezprovidesztozthezagingzpatient.zActingzaszanzadvocateziszanzimportantznursingzrolezi
nzallzsettings.zSimplyzacceptingzazfactzdoesznotzhelpzendzageism,znorzdoeszrecognizingzageismz
aszazformzofzbigotry.
DIF: Applying OBJ: 1-6 TOP: IntegratedzProcess:zTeaching-
LearningzMSC:z SafezandzEffectivezCarezEnvironment
3. Theznursezplanningzcarezforzanzolderzadultzwhozhaszrecentlyzbeenzdiagnosedzwithzrheumatoidzar
thritiszviewszthezpriorityzcriterionzforzcontinuedzindependenceztozbezthezpatient‟s
a. age.
b. financialzstatus.
c. gender.
d. functionalzstatus.
, GerontologiczNursingz6thzEditionzMeinerzTestzBank
ANS:z D
Maintainingzthezfunctionalzstatuszofzolderzadultsz(especiallyzthosezwithzchroniczhealthzconditio
ns)zmayzavertzthezonsetzofzphysicalzfrailtyzandzcognitivezimpairment,ztwozconditionszthatzincrea
sezthezlikelihoodzofzinstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: NursingzProcess:zPlanning MSC:z PhysiologiczIntegrity
4. Aznursezworkingzwithzthezolderzadultzpopulationziszmostzlikelyztozassesszazneedzforzazfin
ancialzsocialzservice‟szreferralzforzwhichzperson?
a. Whitezmale
b. Blackzfemale
c. Hispaniczmale
d. AsianzAmericanzfemale
ANS:z B
Thezpovertyzratezamongzolderzwomenziszsubstantiallyzhigherzthanzthatzseenzamongzmen.zThezp
overtyzrateszforzpeoplezofzcolorziszhigherzthanzthatzofzwhites.
DIF: Remembering OBJ: 1-4
TOP: NursingzProcess:zAssessment MSC:z SafezandzEffectivezCarezEnvironment
5. Aznurseziszpreparingztozcompletezazhealthzassessmentzandzhistoryzonzanzolderzpatient.zWhichzst
atementzreflectszanzunderstandingzofzthezgeneralzhealthzstatuszofzthiszpopulation?
a. “I‟llzneedztozdocumentzthezmedicationszthezpatientziszcurrentlyzprescribed.”
b. “Izwouldzlikeztozunderstandzhowzsupportivezthezpatient‟szfamilyzmemberszare.”
c. “MostzolderzpatientszareN RzI
Uzein
zb SgzztrGN
ezB.C
ateT
dzforzazvOarietyzofzchroniczhealthzcarezissues.”
d. “Itzwillzbezinterestingztozseezwhetherzthiszpatientzseeszherselfzaszbeingzhealthy.”
ANS:z D
Itziszazmisconceptionzthatzoldzageziszsynonymouszwithzdiseasezandzillness.zInzfact,zolderzadult
szalreadyztendztozviewztheirzpersonalzhealthzpositivelyzdespitezthezpresencezofzchroniczillness,
zdisease,zandzimpairment.zTheznursezshouldzalwayszdeterminezthezpatient‟szsensezofzwellnessz
andzindependencezwhenzconductingzazhealthzandzhistoryzassessment.zAnzassessmentzofzmedi
cationzusezandzfamilyzsupportziszimportantzforzanyzpatient.zManyzolderzadultszdozhavezchroni
czhealthzconditions,zbutztheirzperceptionziszmorezimportantzthanzazsingleznumber.
DIF: Applying OBJ: 1-4 TOP:
NursingzProcess:zAssessmentzMSC:z HealthzPromotionzandzMaintenance
6. Theznurseziszcaringzforzanzolderzadultzwhozhaszbeenzadmittedztozanzacutezcarezhospitalzforztre
atmentzofzazfracturedzfemur.zThezfamilyzexpresseszconcernzaboutztheirzfather‟szpendingztran
sferztozazsubacutezcarezfacility.zWhatzresponsezbyztheznurseziszbest?
a. “Acutezcarezfacilitieszlackzthezlong-termzphysicalztherapyzyourzdadzrequires.”
b. “Yourzdadzwillzbezmuchzhappierzinzazmorezserene,zprivatezenvironment.”
c. “Thezsubacutezfacilityzwillzfocuszonzhelpingzyourzdadztozmaintainzhiszi
ndependence.”
d. “Insurance,zincludingzMedicare,zwillzcoverzonlyzazlimitedzamountzofztimezhere.”
, GerontologiczNursingz6thzEditionzMeinerzTestzBank
ANS:z C
Theztransferzofzthezpatientztozazsubacutezfacilityziszbasedzonzthezneedztozmaintainzthe
patient‟szlevelzofzfunctionzandzindependence,zaztaskzthezacutezcarezfacilityzisznotzpreparedztozad
dresszoncezthezpatientziszphysiologicallyzstable.zThezacutezcarezfacilityzmayzorzmayznotzbezablezt
ozprovidezlong-
termztherapy.zThezpatientzmayzorzmayznotzbezhappierzinztheznewzsetting;ztheznursezshouldznotzm
akezthiszjudgment.zItzisztruezthatzinsurancezonlyzpayszforzazlimitedzamountzofztimezinzanzacutezca
rezfacility,zbutzthiszisznotzthezbestzreasonzforzthezpatientztoztransfer.
DIF: Applying OBJ: 1-4
TOP:
IntegratedzProcess:zCommunicationzandzDocumentationz
MSC:z HealthzPromotionzandzMaintenance
7. Tozbestzassurezbothzthezqualityzofzcarezandzthezsafetyzofzthezolderzadultzpatientzwhozrequireszin-
homezunlicensedzassistivezpersonalz(UAP)zassistance,zwhichzactionzbyzthezgerontologicznurs
eziszbest?
a. EvaluateszthezcompetencyzofzthezUAPzstaff.
b. Assumeszthezroleszofzcasezmanagerzandzpatientzadvocate.
c. ArrangeszforzthezneededzUAPzprovidedzservices.
d. Assesseszthezpatientzforzfunctionalzlimitations.
ANS:z A
AszmorezcareztraditionallyzprovidedzbyzprofessionalznursesziszbeingztransferredztozUAP,zthezn
ursezmustzassumezmorezresponsibilityzforzeducating,ztraining,zandzevaluatingzthezcompetenc
yzofzUAPzstaffztozprovidezsafe,zeffectivezcarezforzthezolderzadultzpatient.
DIF: Applying OBJ:Nz1R
-5
TOP: IntegratedzProcess:zCommunicationzandzDocumentation
MSC:z SafezandzEffectivezCarezEnvironment
8. Theznursezworkingzwithzolderzadultszunderstandszwhatzinformationzaboutzcertificationzinzg
erontologicznursing?
a. Itziszmandatoryzforzthosezinzlong-termzcarezsettings.
b. Itziszvoluntaryzandzshowszclinicalzexpertisezinzanzarea.
c. Itzallowsznursesztozbezpaidzbyzthird-partyzpayers.
d. Itzallowsznursesztozadvanceztheirzcareerszinzazjob.
ANS:z B
Certificationziszvoluntaryzandzshowszthatzaznursezhaszadditionalzknowledgezandzexpertisezinzazce
rtainzareazofzpractice.zItzisznotzmandatoryzinzspecificzcarezsettings.zItzdoesznotzallowzforzthird-
partyzreimbursement.zItzmayzbezpartzofzazcareerzladderzprogram,zbutzthatzisznotztruezofzallzworkz
settings.
DIF: Remembering OBJ: 1-
2zTOP: IntegratedzProcess:zTeaching-Learning
MSC:z SafezandzEffectivezCarezEnvironment
9. Aznursezworkszinzazgerontologiczclinic.zWhatzactionzbyztheznurseztakeszhighestzpriority?
a. Servingzaszazpatientzadvocate
b. Educatingzpatientszaboutzdiseases
, GerontologiczNursingz6thzEditionzMeinerzTestzBank
c. Helpingzpatientszremainzindependent
d. Referringzpatientsztozhomezhealthzcare
ANS:z C
Onezofzthezchallengeszandzprioritieszofzthezgerontologicznurseziszhelpingzpatientsztozmaintainzth
eirzindependence.zWhileznurseszdozservezaszpatientzadvocates,zeducatezpatients,zandzmakezrefe
rrals,zthesezactionszareznotzspecificztozgerontologicznursing.
DIF: Remembering OBJ: 1-2
TOP: NursingzProcess:zImplementation MSC:z HealthzPromotionzandzMaintenance
10. Aznurseziszcaringzforzanzolderzpatientzinzthezemergencyzdepartment.zWhatzinformationzaboutzth
ezpatientzwillzbezmostzhelpfulzinzcreatingzazplanzofzcare?
a. Baselinezphysicalzandzcognitivezfunctioning
b. Livingzconditionszandzfamilyzsupport
c. Medicationszandzcurrentzmedicalzproblems
d. ResultszofzthezMini-MentalzStatezExamination
ANS:z A
Theznurseziszencouragedztozviewzolderzpatientszaszindividualszandzconsiderztheirzbaselinezph
ysicalzandzcognitivezfunctionalzstatuszaszazstandardzbyzwhichztozcomparezthezpatient‟szcurren
tzstatus.zThezotherzinformationziszalsozimportant,zbutzthezbasiszofzindividualizedzcarezbeginsz
withzthezpatient‟szstrengthszandzweaknesses.
DIF: Applying OBJ: 1-2 TOP:
NursingzProcess:zAssessmentzMSC:z HealthzPromotionzandzMaintenance
N R I G B.C M
11. ThezfacultyzmemberzexplainsUtozSstudN
entsTthatzmOanyzolderzAmericanszcontinueztozworkzpastzth
ez“retirementzage.”zWhatzbestzexplainszthisztrend?
a. Feelingzhealthierzlonger
b. Changingzfinancialzoutlook
c. Becomingzboredzinzretirement
d. Azdesireztozgivezback
ANS:z B
Aszfinancialzsituationszmayzhavezdeclinedzaszazresultzofzmanyzeconomiczfactors,zmorezolderzad
ultszworkzpastztheirz“retirementzage.”zThezotherzoptionszmayzbezreasonszforzsomeztozcontinuez
working,zbutzfinancialznecessityziszthezreasonzthezmajorityzcontinueztozdozso.
DIF: Remembering OBJ: 1-
3zTOP: IntegratedzProcess:zTeaching-Learning
MSC:z HealthzPromotionzandzMaintenance
12. WhatzinformationzdoeszthezfacultyzmemberzteachzstudentszaboutzMedicare?
a. Coverszanyonezwithzend-stagezrenalzdisease
b. PartzAzcoverszsomezprescriptionzcosts
c. PartzBzcoverszinpatientzhospitalzcosts
d. PartzDzeliminateszthezdrugz“donutzhole”z
ANS:z A