M M M
GERONTOLOGIC M
NURSING 6TH ED M M
ITION BY MEINER
M M M
ALL CHAPTERS
M M
WITH
RATIONALE M
2023/2024
,ChapterM01:MOverviewMofMGerontologicMNursi
ngMMeiner:MGerontologicMNursing,M5thMEditio
nMMULTIPLEMCHOICE
1. InM2010,MtheMrevisedMStandardsMandMScopeMofMGerontologicalMNursingMPracticeMwasMpublished.MTheMnurseMwouldMu
seMtheseMstandardsMto:
a. promoteMtheMpracticeMofMgerontologicMnursingMwithinMtheMacuteMcareMsetting.
b. defineMtheMconceptsMandMdimensionsMofMgerontologicMnursingMpractice.
c. elevateMtheMpracticeMofMgerontologicMnursing.
d. incorporateMsuggestedMinterventionsMfromMothersMwhoMpracticeMgerontologicMnur
sing.MANS:MD
TheMcurrentMpublishingMofMtheMStandardsMandMScopeMofMGerontologicalMNursingMPracticeMinM2010MincorporatesMtheMinput
MofMgerontologicMnursesMfromMacrossMtheMUnitedMStates.MItMwasMnotMintendedMtoMpromoteMgerontologicMnursingMpracticeM
withinMacuteMcareMsettings,MdefineMconceptsMorMdimensionsMofMgerontologicMnursingMpractice,MorMelevateMtheMpracticeMofM
gerontologicMnursing.MDIF:MRememberingM(Knowledge)MREF:MPageM2MOBJ:M1-1
TOP:MN/AMMSC:MSafeMandMEffectiveMCareMEnvironment
2. WhenMattemptingMtoMminimizeMtheMeffectMofMageismMonMtheMpracticeMofMnursingMolderMadults,MaMnurseMneedsMtoMfirst:
a. recognizeMthatMnursesMmustMactMasMadvocatesMforMagingMpatients.
b. acceptMthatMthisMpopulationMrepresentsMaMsubstantialMportionMofMthoseMrequiringMnursingMcare.
c. self-reflectMandMformulateMone’sMpersonalMviewMofMagingMandMtheMolderMpatient.
d. recognizeMageismMasMaMformMofMbigotryMsharedMbyMmanyMAmeri
cans.MANS:MC
AgeismMisManMever-
increasingMprejudicialMviewMofMtheMeffectsMofMtheMagingMprocessMandMofMtheMolderMpopulationMasMaMwhole.MWithMnursesMb
eingMmembersMofMaMsocietyMholdingMsuchMviews,MitMisMcriticalMthatMtheMindividualMnurseMself-
reflectMonMpersonalMfeelingsMandMdetermineMwhetherMsuchMfeelingsMwillMaffectMtheMnursingMcareMthatMheMorMsheMprovidesM
toMtheMagingMpatient.MActingMasManMadvocateMisManMimportantMnursingMroleMinMallMsettings.MSimplyMacceptingMaMfactMdoesM
notMhelpMendMageism,MnorMdoesMrecognizingMageismMasMaMformMofMbigotry.
DIF:MApplyingM(Application)MREF:MN/AMOBJ:M1-9
TOP:MTeaching-LearningMMSC:MSafeMandMEffectiveMCareMEnvironment
3. WhenMdiscussingMfactorsMthatMhaveMhelpedMtoMincreaseMtheMnumberMofMhealthy,MindependentMolderMAmericans,Mth
eMnurseMincludesMtheMimportanceMof:
a. increasedMavailabilityMofMin-homeMcareMservices.
b. governmentMsupportMofMretiredMcitizens.
c. effectiveMantibioticMtherapies.
d. theMdevelopmentMofMlife-
extendingMtherapies.MANS:MC
TheMhealthMandMultimateMautonomyMofMolderMAmericansMhasMbeenMpositivelyMimpactedMbyMtheMdevelopmentMofMantibiotic
s,MbetterMsanitation,MandMvaccines.MTheseMpublicMhealthMmeasuresMhaveMbeenMmoreMinstrumentalMinMincreasingMtheMnumbe
rsMofMhealthy,MindependentMolderMAmericansMthanMhaveMin-homeMcareMservices,MgovernmentMprograms,MorMlife-
extendingMtherapies.
DIF:MRememberingM(Knowledge)MREF:MPageM2MOBJ:M3-3
TOP:MNursingMProcess:MImplementationMMSC:MHealthMPromotionMandMMaintenance
4. BasedMonMcurrentMdata,MwhenMpresentingManMolderMadult’sMdischargeMteachingMplan,MtheMnurseMincludesMtheMpatient’s:
a. nonrelatedMcaretaker.
b. paidMcaregiver.
c. familyMmember.
d. intuitionalMrepresentative.
, Stuvia.comM-
MTheMMarketplaceMtoMBuyMandMSellMyourMStudyMMaterial
ANS:MC
LessMthanM4%MofMolderMadultsMliveMinMaMformalMhealthMcareMenvironment.MTheMmajorityMofMtheMgeriatricMpopulationMlive
sMatMhomeMorMwithMfamilyMmembers.
DIF:MApplyingM(Application)MREF:MN/AMOBJ:M3-3
TOP:MNursingMProcess:MPlanningMMSC:MSafeMandMEffectiveMCareMEnvironment
5. TheMnurseMplanningMcareMforManMolderMadultMwhoMhasMrecentlyMbeenMdiagnosedMwithMrheumatoidMarthritisMviewsMth
eMpriorityMcriterionMforMcontinuedMindependenceMtoMbeMtheMpatient’s:
a. age.
b. financialMstatus.
c. gender.
d. functionalMstatus
.MANS:MD
MaintainingMtheMfunctionalMstatusMofMolderMadultsMmayMavertMtheMonsetMofMphysicalMfrailtyMandMcognitiveMimpairment,Mtw
oMconditionsMthatMincreaseMtheMlikelihoodMofMinstitutionalization.
DIF:MRememberingM(Knowledge)MREF:MPageM8MOBJ:M1-
6MTOP:MNursingMProcess:MPlanningMMSC:MPhysiologicMInte
grity
6. AMnurseMworkingMwithMtheMolderMadultMpopulationMisMmostMlikelyMtoMassessMaMneedMforMaMfinancialMsocialMservice’sMr
eferralMforMa(n):
a. whiteMmale.
b. blackMfemale.
c. HispanicMmale.
d. AsianMAmericanMfemal
e.MANS:MB
TheMpovertyMrateMamongMolderMblackMwomenMisMsubstantiallyMhigherMthanMthatMseenMamongMmalesMorMfemalesMofMotherMe
thnicMgroups.MWhiteMmalesMhadMtheMleastMpoverty.
DIF:MApplyingM(Application)MREF:MN/AMOBJ:M1-4
TOP:MNursingMProcess:MAssessmentMMSC:MSafeMandMEffectiveMCareMEnvironment
7. WhichMofMtheMfollowingMstatementsMmadeMbyMaMnurseMpreparingMtoMcompleteMaMhealthMassessmentMandMhistoryMon
ManMolderMpatientMreflectsManMunderstandingMofMtheMgeneralM healthMstatusMofMthisMpopulation?
a. “I’llMneedMtoMdocumentMwellMregardingMtheMmedicationsMtheMpatientMisMcurrentlyMprescribed.”
b. “IMwouldMlikeMtoMunderstandMhowMsupportiveMtheMpatient’sMfamilyMmembersMare.”
c. “MostMolderMpatientsMareMbeingMtreatedMforMaMvarietyMofMchronicMhealthMcareMissues.”
d. “ItMwillMbeMinterestingMtoMseeMwhetherMthisMpatientMseesMherselfMasMbeingMhe
althy.”MANS:MD
ItMisMaMmisconceptionMthatMoldMageMisMsynonymousMwithMdiseaseMandMillness.MTheMnurseMshouldMalwaysMdetermineMtheMpa
tient’sMsenseMofMwellnessMandMindependenceMwhenMconductingMaMhealthMandMhistoryMassessment.MAnMassessmentMofMmedi
cationMuseMandMfamilyMsupportMisMimportantMforManyMpatient.MManyMolderMadultsMdoMhaveMchronicMhealthMconditions,Mbut
MtheirMperceptionMisMmoreMimportantMthanMaM singleMnumber.
DIF:MApplyingM(Application)MREF:MN/AMOBJ:M1-4
TOP:MNursingMProcess:MAssessmentMMSC:MHealthMPromotion
8. TheMnurseMisMcaringMforManMolderMadultMwhoMhasMbeenMadmittedMtoManMacuteMcareMhospitalMforMtreatmentMofMaMfractu
redMfemur.MTheMfamilyMexpressesMconcernMaboutMtheMpatient’sMpendingMtransferMtoMaMsubacuteMcareMfacility.MWhatMresp
onseMbyMtheMnurseMisMbest?
a. “AcuteMcareMfacilitiesMlackMtheMlong-termMphysicalMtherapyMsupportMyourMdadMrequires.”
b. “YourMdadMwillMbeMmuchMhappierMinMaMmoreMserene,MprivateMenvironment.”
c. “TheMsubacuteMfacilityMwillMfocusMonMhelpingMyourMdadMmaintainMhisMindependence.”
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MTheMMarketplaceMtoMBuyMandMSellMyourMStudyMMaterial
d. “Insurance,MincludingMMedicare,MwillMcoverMonlyMaMlimitedMamountMofMtimeM
here.”MANS:MC
TheMtransferMofMtheMpatientMtoMaMsubacuteMfacilityMisMbasedMonMtheMneedMtoMmaintainMtheMpatient’sMlevelMofMfunctionMand
Mindependence,MaMtaskMtheMacuteMcareMfacilityMisMnotMpreparedMtoMaddressMonceMtheMpatientMisMphysiologicallyMstable. MThe
MpatientMmayMorMmayMnotMbeMhappierMinMtheMnewMsetting;MtheMnurseMshouldMnotMmakeMthisMjudgment.MItMisMtrueMthatMinsu
ranceMonlyMpaysMforMaMlimitedMamountMofMtimeMinManMacuteMcareMfacility,MbutMthisMisMnotMtheMbestMreasonMforMtheMpatientM
toMtransfer.
DIF:MApplyingM(Application)MREF:MN/AMOBJ:M
1-6MTOP:MCommunicationMandMDocumentation
MSC:MHealthMPromotionMandMMaintenance
9. ToMbestMassureMbothMtheMqualityMofMcareMandMtheMsafetyMofMtheMolderMadultMpatientMwhoMrequiresMin-
homeMunlicensedMassistiveMpersonalM(UAP)Massistance,MtheMgeriatricMnurse:
a. evaluatesMtheMcompetencyMofMtheMUAPMstaff.
b. assumesMtheMrolesMofMcaseMmanagerMandMpatientMadvocate.
c. arrangesMforMtheMneededMUAPMprovidedMservices.
d. assessesMtheMpatientMforMfunctionalMlimitatio
ns.MANS:MA
AsMmoreMcareMtraditionallyMprovidedMbyMprofessionalMnursesMisMbeingMtransferredMtoMUAP,MtheMnurseMmustMassumeMmore
MresponsibilityMforMeducating, Mtraining,MandMevaluatingMtheMcompetencyMofMUAPMstaffMtoMprovideMsafe,MeffectiveMcareMfor
MtheMolderMadultMpatient.
DIF:MApplyingM(Application)MREF:MN/AMOBJ:M
1-2MTOP:MCommunicationMandMDocumentation
MSC:MSafeMandMEffectiveMCareMEnvironment
10. TheMnurseMworkingMwithMolderMadultsMunderstandsMwhatMinformationMaboutMcertificationMinMgerontologicMnursing?
a. ItMisMmandatoryMforMthoseMinMlong-termMcareMsettings.
b. ItMisMvoluntaryMandMshowsMclinicalMexpertiseMinManMarea.
c. ItMallowsMnursesMtoMbeMpaidMbyMthird-partyMpayers.
d. ItMallowsMnursesMtoMadvanceMtheirMcareersMinMa
Mjob.MANS:MB
CertificationMisMvoluntaryMandMshowsMthatMaMnurseMhasMadditionalMknowledgeMandMexpertiseMinMaMcertainMareaMofMpractice
.MItMisMnotMmandatoryMinMspecificMcareMsettings.MItMdoesMnotMallowMforMthird-
partyMreimbursement.MItMmayMbeMpartMofMaMcareerMladderMprogram,MbutMthatMisMnotMtrueMofMallMworkMsettings.
DIF:MRememberingM(Knowledge)MREF:MPageM2MOBJ:M1-2
TOP:MTeaching-LearningMMSC:MSafeMEffectiveMCareMEnvironment
11. AMnurseMworksMinMaMgerontologicMclinic.MWhatMactionMbyMtheMnurseMtakesMhighestMpriority?
a. ServingMasMaMpatientMadvocate
b. EducatingMpatientsMaboutMdiseases
c. HelpingMpatientsMremainMindependent
d. ReferringMpatientsMtoMhomeMhealthMc
areMANS:MC
OneMofMtheMchallengesMandMprioritiesMofMtheMgerontologicMnurseMisMhelpingMpatientsMmaintainMtheirMindepe
ndence.MDIF:MRememberingM(Knowledge)MREF:MPageM10MOBJ:M1-2
TOP:MNursingMProcess:MImplementationMMSC:MHealthMPromotion
12. AMnurseMisMcaringMforManMolderMpatientMinMtheMemergencyMdepartment.MWhatMinformationMaboutMtheMpatientMwill
MbeMmostMhelpfulMinMcreatingM aMplanMofMcare?
a. BaselineMphysicalMandMcognitiveMfunctioning
b. LivingMconditionsMandMfamilyMsupport
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