TestBankn
GerontologicNursing6thEditionbyMeiner
n n n
TEST BANK n
,Chapter 01: Overview of Gerontologic Nursing
n n n n n n
Meiner: Gerontologic Nursing, 6th Edition
n n n n
MULTIPLEnCHOICE
1. Inn 2010,n then revisedn Standardsn andn Scopen ofn Gerontologicaln Nursingn Practicen wasnp
ublished.nThennursenwouldnusenthesenstandardsnto
a. promotenthenpracticenofngerontologicnnursingnwithinnthenacutencarensetting.
b. definenthenconceptsnandndimensionsnofngerontologicnnursingnpractice.
c. elevatenthenpracticenofngerontologicnnursing.
d. incorporaten then conceptsn ofn healthn promotion,n healthn maintenance,n diseasen
prevention,nandnself-care
ANS:n D
ThencurrentnpublishingnofnthenStandardsnandnScopenofnGerontologicalnNursingnPracticeninn20
10nincorporatesntheninputnofngerontologicnnursesnfromnacrossnthenUnitednStatesnandnincludesnc
omprehensivenconceptsnandndimensionsnimportantntonthosenpracticingngerontologicnnursing.nItn
wasnnotnintendedntonpromotengerontologicnnursingnpracticenwithinnacutencarensettings,ndefinen
conceptsnorndimensionsnofngerontologicnnursingnpractice,nornelevatenthenpracticenofngerontolo
gicnnursing.
DIF:nnn Remembering OBJ: 1-1
TOP:nN/AnMSC:nSafenandnEffecti
venCarenEnvironment
2. Whenn attemptingn ton minimizen then effectn ofn ageismn onn then practicen ofn nursingn oldern adults,n ann
ursenneedsntonfirst
, GerontologicnNursingn6thnEditionnMeinernTestnBankn lOMoARcPSD|3013804
a. recognizenthatnnursesnmustnactn asnadvocatesn fornagingnpatients.
b. acceptn thatn thisn populationn representsn an substantialn portionn ofn thosen requiringn
nursingncare.
c. self-reflectnandnformulatenone’snpersonalnviewnofnagingnandnthenoldernpatient.
d. recognizenageismnasnanformnofnbigotrynsharednbynmanynAmericans.
ANS:n C
Ageismnisnannever-
increasingnprejudicialnviewnofntheneffectsnofnthenagingnprocessnandnofnthenoldernpopulationnasnan
whole.nWithnnursesnbeingnmembersnofnansocietynholdingnsuchnviews,nitnisncriticalnthatnthenindivid
ualnnursenself-
reflectsnonnpersonalnfeelingsnandndeterminesnwhethernsuchnfeelingsnwillnaffectnthennursingncarenth
atnhenornshenprovidesntonthenagingnpatient.nActingnasnannadvocatenisnannimportantnnursingnroleninn
allnsettings.nSimplynacceptingnanfactndoesnnotnhelpnendnageism,nnorndoesnrecognizingnageismnasnan
formnofnbigotry.
DIF:nnn Applying OBJ: 1-6 TOP:nIntegratednProcess:nTeaching-
LearningnMSC:nSafenandnEffectivenCarenEnvironment
3. Then nursen planningn caren forn ann oldern adultn whon hasn recentlyn beenn diagnosedn withn rheumatoidna
rthritisnviewsnthenpriorityncriterionnforncontinuednindependencentonbenthenpatient’s
a. age.
b. financialn status.
c. gender.
d. functionaln status.
Maintainingnthenfunctionalnstatusnofnoldernadultsn(especiallynthosenwithnchronicnhealthnconditio
ns)n mayn avertn then onsetn ofn physicaln frailtyn andn cognitiven impairment,n twon conditionsnthatnincre
asenthenlikelihoodnofninstitutionalization.
DIF:nnn Remembering OBJ: 1-4
TOP:nnnNursingnProcess:nPlanning MSC:nPhysiologicnIntegrity
4. An nursen workingn withn then oldern adultn populationn isn mostn likelyn ton assessn an needn forn anfi
nancialnsocialnservice’snreferralnfornwhichnperson?
a. Whitenmale
b. Blackn female
c. Hispanicnmale
d. Asiann Americann female
ANS:n B
Then povertyn raten amongn oldern womenn isn substantiallyn highern thann thatn seenn amongn men.n Thenp
overtynratesnfornpeoplenofncolornisnhighernthannthatnofnwhites.
DIF:nnnRemembering OBJ: 1-4
TOP:nnnNursingnProcess:nAssessment MSC:nSafenandnEffectivenCarenEnvironment
5. An nursen isn preparingn ton completen an healthn assessmentn andn historyn onn ann oldern patient.n Whichnst
atementnreflectsnannunderstandingnofnthengeneralnhealthnstatusnofnthisnpopulation?
a. “I’llnneedntondocumentnthenmedicationsnthenpatientnisncurrentlynprescribed.”
b. “Inwouldnlikentonunderstandnhownsupportiventhenpatient’snfamilynmembersnare.”
c. “Itnwillnbeninterestingntonseenwhethernthisnpatientnseesnherselfnasnbeingnhealthy.”n
ANS:n A
, ANS:n D
Itnisnanmisconceptionnthatnoldnagenisnsynonymousnwithndiseasenandnillness.nInnfact,noldernadu
ltsnalreadyntendntonviewntheirnpersonalnhealthnpositivelyndespitenthenpresencenofnchronicnillnes
s,ndisease,nandnimpairment.nThennursenshouldnalwaysndeterminenthenpatient’snsensenofnwellne
ssnandnindependencenwhennconductingnanhealthnandnhistorynassessment.nAnnassessmentnofn
medicationnusenandnfamilynsupportnisnimportantnfornanynpatient.nManynoldernadultsndonhavenc
hronicnhealthnconditions,nbutntheirnperceptionnisnmorenimportantnthannansinglennumber.
DIF:nnn Applying OBJ: 1-4
TOP:n NursingnProcess:n AssessmentnMSC:nHealthnPromotio
nnandnMaintenance
6. Thennursenisncaringnfornannoldernadultnwhonhasnbeennadmittedntonannacutencarenhospitalnforntr
eatmentnofnanfracturednfemur.nThenfamilynexpressesnconcernnaboutntheirnfather’snpendingntra
nsferntonansubacutencarenfacility.nWhatnresponsenbynthennursenisnbest?
a. “Acutencarenfacilitiesnlacknthenlong-termnphysicalntherapynyourndadnrequires.”
b. “Yourndadnwillnbenmuchnhappierninnanmorenserene,nprivatenenvironment.”
c. “Thensubacutenfacilitynwillnfocusnonnhelpingnyourndadntonmaintainnhisni
ndependence.”
d. “Insurance,nincludingnMedicare,nwillncovernonlynanlimitednamountnofntimenhere.”
ANS:n C
Thentransfernofnthenpatientntonansubacutenfacilitynisnbasednonnthenneedntonmaintainnthe
patient’snlevelnofnfunctionnandnindependence,nantasknthenacutencarenfacilitynisnnotnpreparedntona
ddressnoncenthenpatientnisnphysiologicallynstable.nThenacutencarenfacilitynmaynornmaynnotnbenabl
entonprovidenlong-
termntherapy.nThenpatientnmaynornmaynnotnbenhappierninnthennewnsetting;nthennursenshouldnnotn
makenthisnjudgment.nItnisntruenthatninsurancenonlynpaysnfornanlimitednamountnofntimeninnannacut
encarenfacility,nbutnthisnisnnotnthenbestnreasonnfornthenpatientntontransfer.
DIF:nnnApplying OBJ: 1-4
TOP:
Integratedn Process:n Communicationn andn Documentationn
MSC:nHealthnPromotionnandnMaintenance
7. Tonbestnassurenbothnthenqualitynofncarenandnthensafetynofnthenoldernadultnpatientnwhonrequiresni
n-
homenunlicensednassistivenpersonaln(UAP)nassistance,nwhichnactionnbynthengerontologicnnurs
enisnbest?
a. EvaluatesnthencompetencynofnthenUAPnstaff.
b. Assumesnthenrolesnofncasenmanagernandnpatientnadvocate.
c. ArrangesnfornthenneedednUAPnprovidednservices.
d. Assessesnthenpatientnfornfunctionalnlimitations.
ANS:n A
AsnmorencarentraditionallynprovidednbynprofessionalnnursesnisnbeingntransferredntonUAP,nthenn
ursenmustnassumenmorenresponsibilitynforneducating,ntraining,nandnevaluatingnthencompetenc
ynofnUAPnstaffntonprovidensafe,neffectivencarenfornthenoldernadultnpatient.
DIF: Applying
-nS
TOP: Integratedn Process:n Communicationn andn Documentation
GerontologicNursing6thEditionbyMeiner
n n n
TEST BANK n
,Chapter 01: Overview of Gerontologic Nursing
n n n n n n
Meiner: Gerontologic Nursing, 6th Edition
n n n n
MULTIPLEnCHOICE
1. Inn 2010,n then revisedn Standardsn andn Scopen ofn Gerontologicaln Nursingn Practicen wasnp
ublished.nThennursenwouldnusenthesenstandardsnto
a. promotenthenpracticenofngerontologicnnursingnwithinnthenacutencarensetting.
b. definenthenconceptsnandndimensionsnofngerontologicnnursingnpractice.
c. elevatenthenpracticenofngerontologicnnursing.
d. incorporaten then conceptsn ofn healthn promotion,n healthn maintenance,n diseasen
prevention,nandnself-care
ANS:n D
ThencurrentnpublishingnofnthenStandardsnandnScopenofnGerontologicalnNursingnPracticeninn20
10nincorporatesntheninputnofngerontologicnnursesnfromnacrossnthenUnitednStatesnandnincludesnc
omprehensivenconceptsnandndimensionsnimportantntonthosenpracticingngerontologicnnursing.nItn
wasnnotnintendedntonpromotengerontologicnnursingnpracticenwithinnacutencarensettings,ndefinen
conceptsnorndimensionsnofngerontologicnnursingnpractice,nornelevatenthenpracticenofngerontolo
gicnnursing.
DIF:nnn Remembering OBJ: 1-1
TOP:nN/AnMSC:nSafenandnEffecti
venCarenEnvironment
2. Whenn attemptingn ton minimizen then effectn ofn ageismn onn then practicen ofn nursingn oldern adults,n ann
ursenneedsntonfirst
, GerontologicnNursingn6thnEditionnMeinernTestnBankn lOMoARcPSD|3013804
a. recognizenthatnnursesnmustnactn asnadvocatesn fornagingnpatients.
b. acceptn thatn thisn populationn representsn an substantialn portionn ofn thosen requiringn
nursingncare.
c. self-reflectnandnformulatenone’snpersonalnviewnofnagingnandnthenoldernpatient.
d. recognizenageismnasnanformnofnbigotrynsharednbynmanynAmericans.
ANS:n C
Ageismnisnannever-
increasingnprejudicialnviewnofntheneffectsnofnthenagingnprocessnandnofnthenoldernpopulationnasnan
whole.nWithnnursesnbeingnmembersnofnansocietynholdingnsuchnviews,nitnisncriticalnthatnthenindivid
ualnnursenself-
reflectsnonnpersonalnfeelingsnandndeterminesnwhethernsuchnfeelingsnwillnaffectnthennursingncarenth
atnhenornshenprovidesntonthenagingnpatient.nActingnasnannadvocatenisnannimportantnnursingnroleninn
allnsettings.nSimplynacceptingnanfactndoesnnotnhelpnendnageism,nnorndoesnrecognizingnageismnasnan
formnofnbigotry.
DIF:nnn Applying OBJ: 1-6 TOP:nIntegratednProcess:nTeaching-
LearningnMSC:nSafenandnEffectivenCarenEnvironment
3. Then nursen planningn caren forn ann oldern adultn whon hasn recentlyn beenn diagnosedn withn rheumatoidna
rthritisnviewsnthenpriorityncriterionnforncontinuednindependencentonbenthenpatient’s
a. age.
b. financialn status.
c. gender.
d. functionaln status.
Maintainingnthenfunctionalnstatusnofnoldernadultsn(especiallynthosenwithnchronicnhealthnconditio
ns)n mayn avertn then onsetn ofn physicaln frailtyn andn cognitiven impairment,n twon conditionsnthatnincre
asenthenlikelihoodnofninstitutionalization.
DIF:nnn Remembering OBJ: 1-4
TOP:nnnNursingnProcess:nPlanning MSC:nPhysiologicnIntegrity
4. An nursen workingn withn then oldern adultn populationn isn mostn likelyn ton assessn an needn forn anfi
nancialnsocialnservice’snreferralnfornwhichnperson?
a. Whitenmale
b. Blackn female
c. Hispanicnmale
d. Asiann Americann female
ANS:n B
Then povertyn raten amongn oldern womenn isn substantiallyn highern thann thatn seenn amongn men.n Thenp
overtynratesnfornpeoplenofncolornisnhighernthannthatnofnwhites.
DIF:nnnRemembering OBJ: 1-4
TOP:nnnNursingnProcess:nAssessment MSC:nSafenandnEffectivenCarenEnvironment
5. An nursen isn preparingn ton completen an healthn assessmentn andn historyn onn ann oldern patient.n Whichnst
atementnreflectsnannunderstandingnofnthengeneralnhealthnstatusnofnthisnpopulation?
a. “I’llnneedntondocumentnthenmedicationsnthenpatientnisncurrentlynprescribed.”
b. “Inwouldnlikentonunderstandnhownsupportiventhenpatient’snfamilynmembersnare.”
c. “Itnwillnbeninterestingntonseenwhethernthisnpatientnseesnherselfnasnbeingnhealthy.”n
ANS:n A
, ANS:n D
Itnisnanmisconceptionnthatnoldnagenisnsynonymousnwithndiseasenandnillness.nInnfact,noldernadu
ltsnalreadyntendntonviewntheirnpersonalnhealthnpositivelyndespitenthenpresencenofnchronicnillnes
s,ndisease,nandnimpairment.nThennursenshouldnalwaysndeterminenthenpatient’snsensenofnwellne
ssnandnindependencenwhennconductingnanhealthnandnhistorynassessment.nAnnassessmentnofn
medicationnusenandnfamilynsupportnisnimportantnfornanynpatient.nManynoldernadultsndonhavenc
hronicnhealthnconditions,nbutntheirnperceptionnisnmorenimportantnthannansinglennumber.
DIF:nnn Applying OBJ: 1-4
TOP:n NursingnProcess:n AssessmentnMSC:nHealthnPromotio
nnandnMaintenance
6. Thennursenisncaringnfornannoldernadultnwhonhasnbeennadmittedntonannacutencarenhospitalnforntr
eatmentnofnanfracturednfemur.nThenfamilynexpressesnconcernnaboutntheirnfather’snpendingntra
nsferntonansubacutencarenfacility.nWhatnresponsenbynthennursenisnbest?
a. “Acutencarenfacilitiesnlacknthenlong-termnphysicalntherapynyourndadnrequires.”
b. “Yourndadnwillnbenmuchnhappierninnanmorenserene,nprivatenenvironment.”
c. “Thensubacutenfacilitynwillnfocusnonnhelpingnyourndadntonmaintainnhisni
ndependence.”
d. “Insurance,nincludingnMedicare,nwillncovernonlynanlimitednamountnofntimenhere.”
ANS:n C
Thentransfernofnthenpatientntonansubacutenfacilitynisnbasednonnthenneedntonmaintainnthe
patient’snlevelnofnfunctionnandnindependence,nantasknthenacutencarenfacilitynisnnotnpreparedntona
ddressnoncenthenpatientnisnphysiologicallynstable.nThenacutencarenfacilitynmaynornmaynnotnbenabl
entonprovidenlong-
termntherapy.nThenpatientnmaynornmaynnotnbenhappierninnthennewnsetting;nthennursenshouldnnotn
makenthisnjudgment.nItnisntruenthatninsurancenonlynpaysnfornanlimitednamountnofntimeninnannacut
encarenfacility,nbutnthisnisnnotnthenbestnreasonnfornthenpatientntontransfer.
DIF:nnnApplying OBJ: 1-4
TOP:
Integratedn Process:n Communicationn andn Documentationn
MSC:nHealthnPromotionnandnMaintenance
7. Tonbestnassurenbothnthenqualitynofncarenandnthensafetynofnthenoldernadultnpatientnwhonrequiresni
n-
homenunlicensednassistivenpersonaln(UAP)nassistance,nwhichnactionnbynthengerontologicnnurs
enisnbest?
a. EvaluatesnthencompetencynofnthenUAPnstaff.
b. Assumesnthenrolesnofncasenmanagernandnpatientnadvocate.
c. ArrangesnfornthenneedednUAPnprovidednservices.
d. Assessesnthenpatientnfornfunctionalnlimitations.
ANS:n A
AsnmorencarentraditionallynprovidednbynprofessionalnnursesnisnbeingntransferredntonUAP,nthenn
ursenmustnassumenmorenresponsibilitynforneducating,ntraining,nandnevaluatingnthencompetenc
ynofnUAPnstaffntonprovidensafe,neffectivencarenfornthenoldernadultnpatient.
DIF: Applying
-nS
TOP: Integratedn Process:n Communicationn andn Documentation
