Chapter 01: Overview of Gerontologic Nursing
n n n n n n
Meiner: Gerontologic Nursing, 6th Edition
n n n n
MULTIPLEnCHOICE
1. Inn2010,nthenrevisednStandardsnandnScopenofnGerontologicalnNursingnPracticenwasnp
ublished.nThennursenwouldnusenthesenstandardsnto
a. promotenthenpracticenofngerontologicnnursingnwithinnthenacutencarensetting.
b. definenthenconceptsnandndimensionsnofngerontologicnnursingnpractice.
c. elevatenthenpracticenofngerontologicnnursing.
d. incorporatenthenconceptsnofnhealthnpromotion,nhealthnmaintenance,ndiseasen
prevention,nandnself-care
ANS:n D
ThencurrentnpublishingnofnthenStandardsnandnScopenofnGerontologicalnNursingnPracticeninn20
10nincorporatesntheninputnofngerontologicnnursesnfromnacrossnthenUnitednStatesnandnincludesnc
omprehensivenconceptsnandndimensionsnimportantntonthosenpracticingngerontologicnnursing.nItn
wasnnotnintendedntonpromotengerontologicnnursingnpracticenwithinnacutencarensettings,ndefinenc
onceptsnorndimensionsnofngerontologicnnursingnpractice,nornelevatenthenpracticenofngerontologi
cn nursing.
DIF: Remembering OBJ: 1-1 TOP:
N/AnMSC:n SafenandnEffectivenCarenEnvironment
2. Whennattemptingntonminimizentheneffectnofnageismnonnthenpracticenofnnursingnoldernadults,nann
ursenneedsntonfirst
a. recognizenthatnnursesnmustnactnasnadvocatesnfornagingnpatients.
b. acceptnthatnthisnpopulationnrepresentsnansubstantialnportionnofnthosenrequiringn
nursingncare.
c. self-reflectnandnformulatenone‟snpersonalnviewnofnagingnandnthenoldernpatient.
d. recognizenageismnasnanformnofnbigotrynsharednbynmanynAmericans.
ANS:n C
Ageismnisnannever-
increasingnprejudicialnviewnofntheneffectsnofnthenagingnprocessnandnofnthenoldernpopulationnasna
nwhole.nWithnnursesnbeingnmembersnofnansocietynholdingnsuchnviews,nitnisncriticalnthatnthenindi
vidualnnursenself-
reflectsnonnpersonalnfeelingsnandndeterminesnwhethernsuchnfeelingsnwillnaffectnthennursingncare
nthatnhenornshenprovidesntonthenagingnpatient.nActingnasnannadvocatenisnannimportantnnursingnrol
eninnallnsettings.nSimplynacceptingnanfactndoesnnotnhelpnendnageism,nnorndoesnrecognizingnagei
smnasnanformnofnbigotry.
DIF: Applying OBJ: 1-6 TOP: IntegratednProcess:nTeaching-
LearningnMSC:n SafenandnEffectivenCarenEnvironment
3. Thennursenplanningncarenfornannoldernadultnwhonhasnrecentlynbeenndiagnosednwithnrheumatoidna
rthritisnviewsnthenpriorityncriterionnforncontinuednindependencentonbenthenpatient‟s
a. age.
b. financialnstatus.
c. gender.
d. functionalnstatus.
, GerontologicnNursingn6thnEditionnMeinernTestnBank
ANS:n D
Maintainingnthenfunctionalnstatusnofnoldernadultsn(especiallynthosenwithnchronicnhealthnconditi
ons)nmaynavertnthenonsetnofnphysicalnfrailtynandncognitivenimpairment,ntwonconditionsnthatnincr
easenthenlikelihoodnofninstitutionalization.
DIF: Remembering OBJ: 1-4
TOP: NursingnProcess:nPlanning MSC:n PhysiologicnIntegrity
4. Annursenworkingnwithnthenoldernadultnpopulationnisnmostnlikelyntonassessnanneednfornanfi
nancialnsocialnservice‟snreferralnfornwhichnperson?
a. Whitenmale
b. Blacknfemale
c. Hispanicnmale
d. AsiannAmericannfemale
ANS:n B
Thenpovertynratenamongnoldernwomennisnsubstantiallynhighernthannthatnseennamongnmen.nThenp
overtynratesnfornpeoplenofncolornisnhighernthannthatnofnwhites.
DIF: Remembering OBJ: 1-4
TOP: NursingnProcess:nAssessment MSC:n SafenandnEffectivenCarenEnvironment
5. Annursenisnpreparingntoncompletenanhealthnassessmentnandnhistorynonnannoldernpatient.nWhichnst
atementnreflectsnannunderstandingnofnthengeneralnhealthnstatusnofnthisnpopulation?
a. “I‟llnneedntondocumentnthenmedicationsnthenpatientnisncurrentlynprescribed.”
b. “Inwouldnlikentonunderstandnhownsupportiventhenpatient‟snfamilynmembersnare.”
c. “MostnoldernpatientsnareN UnR
nb einnI
SgnnG enB.C
trN ateT
dnfornanvOarietynofnchronicnhealthncarenissues.”
d. “Itnwillnbeninterestingntonseenwhethernthisnpatientnseesnherselfnasnbeingnhealthy.”
ANS:n D
Itnisnanmisconceptionnthatnoldnagenisnsynonymousnwithndiseasenandnillness.nInnfact,noldernadul
tsnalreadyntendntonviewntheirnpersonalnhealthnpositivelyndespitenthenpresencenofnchronicnillnes
s,ndisease,nandnimpairment.nThennursenshouldnalwaysndeterminenthenpatient‟snsensenofnwellne
ssnandnindependencenwhennconductingnanhealthnandnhistorynassessment.nAnnassessmentnofn
medicationnusenandnfamilynsupportnisnimportantnfornanynpatient.nManynoldernadultsndonhavenc
hronicnhealthnconditions,nbutntheirnperceptionnisnmorenimportantnthannansinglennumber.
DIF: Applying OBJ: 1-4 TOP:
NursingnProcess:nAssessmentnMSC:n HealthnPromotionnandnMaintenance
6. Thennursenisncaringnfornannoldernadultnwhonhasnbeennadmittedntonannacutencarenhospitalnforntr
eatmentnofnanfracturednfemur.nThenfamilynexpressesnconcernnaboutntheirnfather‟snpendingntra
nsferntonansubacutencarenfacility.nWhatnresponsen bynthennursenisnbest?
a. “Acutencarenfacilitiesnlacknthenlong-termnphysicalntherapynyourndadnrequires.”
b. “Yourndadnwillnbenmuchnhappierninnanmorenserene,nprivatenenvironment.”
c. “Thensubacutenfacilitynwillnfocusnonnhelpingnyourndadntonmaintainnhisni
ndependence.”
d. “Insurance,nincludingnMedicare,nwillncovernonlynanlimitednamountnofntimenhere.”
, GerontologicnNursingn6thnEditionnMeinernTestnBank
ANS:n C
Thentransfernofnthenpatientntonansubacutenfacilitynisnbasednonnthenneedntonmaintainnthe
patient‟snlevelnofnfunctionnandnindependence,nantasknthenacutencarenfacilitynisnnotnpreparedntona
ddressnoncenthenpatientnisnphysiologicallynstable.nThenacutencarenfacilitynmaynornmaynnotnbenabl
entonprovidenlong-
termn therapy.nThenpatientnmaynornmaynnotnbenhappierninnthennewnsetting;nthennursenshouldnnotnm
akenthisnjudgment.nItnisntruenthatninsurancenonlynpaysnfornanlimitednamountnofntimeninnannacutenc
arenfacility,nbutnthisnisnnotnthenbestnreasonnfornthenpatientntontransfer.
DIF: Applying OBJ: 1-4
TOP:
IntegratednProcess:nCommunicationnandnDocumentationn
MSC:n HealthnPromotionnandnMaintenance
7. Tonbestnassurenbothnthenqualitynofncarenandnthensafetynofnthenoldernadultnpatientnwhonrequiresnin
-
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 OBJ:Nn1R
-5
TOP: IntegratednProcess:nCommunicationnandnDocumentation
MSC:n SafenandnEffectivenCarenEnvironment
8. Thennursenworkingnwithnoldernadultsnunderstandsnwhatninformationnaboutncertificationninng
erontologicnnursing?
a. Itnisnmandatorynfornthoseninnlong-termncarensettings.
b. Itnisnvoluntarynandnshowsnclinicalnexpertiseninnannarea.
c. Itnallowsnnursesntonbenpaidnbynthird-partynpayers.
d. Itnallowsnnursesntonadvancentheirncareersninnanjob.
ANS:n B
Certificationnisnvoluntarynandnshowsnthatnannursenhasnadditionalnknowledgenandnexpertiseninnanc
ertainnareanofnpractice.nItnisnnotnmandatoryninnspecificncarensettings.nItndoesnnotnallownfornthird-
partynreimbursement.nItnmaynbenpartnofnancareernladdernprogram,nbutnthatnisnnotntruenofnallnwork
nsettings.
DIF: Remembering OBJ: 1-
2nTOP: IntegratednProcess:nTeaching-Learning
MSC:n SafenandnEffectivenCarenEnvironment
9. Annursenworksninnangerontologicnclinic.nWhatnactionnbynthennursentakesnhighestnpriority?
a. Servingnasnanpatientnadvocate
b. Educatingnpatientsnaboutndiseases
, GerontologicnNursingn6thnEditionnMeinernTestnBank
c. Helpingnpatientsnremainnindependent
d. Referringnpatientsntonhomenhealthncare
ANS:n C
Onenofnthenchallengesnandnprioritiesnofnthengerontologicnnursenisnhelpingnpatientsntonmaintainnt
heirnindependence.nWhilennursesndonservenasnpatientnadvocates,neducatenpatients,nandnmakenre
ferrals,nthesenactionsnarennotnspecificntongerontologicnnursing.
DIF: Remembering OBJ: 1-2
TOP: NursingnProcess:nImplementation MSC:n HealthnPromotionnandnMaintenance
10. Annursenisncaringnfornannoldernpatientninnthenemergencyndepartment.nWhatninformationnaboutnt
henpatientnwillnbenmostnhelpfulninncreatingnanplannofncare?
a. Baselinenphysicalnandncognitivenfunctioning
b. Livingnconditionsnandnfamilynsupport
c. Medicationsnandncurrentnmedicalnproblems
d. ResultsnofnthenMini-MentalnStatenExamination
ANS:n A
Thennursenisnencouragedntonviewnoldernpatientsnasnindividualsnandnconsiderntheirnbaselinenph
ysicalnandncognitivenfunctionalnstatusnasnanstandardnbynwhichntoncomparenthenpatient‟sncurre
ntnstatus.nThenotherninformationnisnalsonimportant,nbutnthenbasisnofnindividualizedncarenbegins
nwithnthenpatient‟snstrengthsnandnweaknesses.
DIF: Applying OBJ: 1-2 TOP:
NursingnProcess:nAssessmentnMSC:n HealthnPromotionnandnMaintenance
N R I G B.C M
11. ThenfacultynmembernexplainsUtonSstudN
entsTthatnmOanynoldernAmericansncontinuentonworknpastnt
hen“retirementnage.”nWhatnbestnexplainsnthisntrend?
a. Feelingnhealthiernlonger
b. Changingnfinancialnoutlook
c. Becomingnboredninnretirement
d. Andesirentongivenback
ANS:n B
Asnfinancialnsituationsnmaynhavendeclinednasnanresultnofnmanyneconomicnfactors,nmorenolderna
dultsnworknpastntheirn“retirementnage.”nThenothernoptionsnmaynbenreasonsnfornsomentoncontin
uenworking,nbutnfinancialnnecessitynisnthenreasonnthenmajorityncontinuentondonso.
DIF: Remembering OBJ: 1-
3nTOP: IntegratednProcess:nTeaching-Learning
MSC:n HealthnPromotionnandnMaintenance
12. WhatninformationndoesnthenfacultynmembernteachnstudentsnaboutnMedicare?
a. Coversnanyonenwithnend-stagenrenalndisease
b. PartnAncoversnsomenprescriptionncosts
c. PartnBncoversninpatientnhospitalncosts
d. PartnDneliminatesnthendrugn“donutnhole”n
ANS:n A