TESTBANK
n
,Chapter01:OverviewofGerontologicNursing Meiner:
n n n n n n
Gerontologic Nursing, 5th Edition
n n n n
MULTIPLE CHOICE n
1. In 2010, the revised Standards andScopeofGerontological NursingPractice was published. The
n n n n n n n n n n n n n
nurse would use these standards to:
n n n n n n
a. promotethe practice of gerontologic nursing within the acute care setting.
n n n n n n n n n n
b. definethe concepts and dimensions of gerontologic nursing practice.
n n n n n n n n
c. elevate the practice of gerontologic nursing. n n n n n
d. incorporate suggested interventions from others who practicegerontologic nursing. n n n n n n n n
ANS: D n
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
n n n n n n n n n n n n n
incorporates the input of gerontologic nurses from across the United States. It was not intended to
n n n n n n n n n n n n n n n n
promotegerontologicnursing practicewithinacutecaresettings, defineconcepts or dimensions of
n n n n n n n n n n n n n
gerontologic nursing practice, or elevate the practice of gerontologic nursing.
n n n n n n n n n n
DIF: Remembering (Knowledge) REF: Page 2 OBJ:1-1 n n n n
TOP: N/A
n MSC: Safe and Effective Care Environment
n n n n n n
2. When attempting to minimizethe effect of ageism on thepractice ofnursing olderadults, a nurse
n n n n n n n n n n n n n n n n
n needs to first: n n
a. recognizethat nurses must act as advocates for aging patients. n n n n n n n n n
b. accept thatthispopulationrepresents asubstantial portion ofthose requiring
n n n n n n n n n n
nursing care. n n
c. self-reflect and formulate one’s personal view of aging and the older patient. n n n n n n n n n n n
d. recognizeageism as a form of bigotry shared by many Americans. n n n n n n n n n n
ANS: C n
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
n n n n n n n n n n n n n n n n
population as a whole. With nurses being members of a society holding such views, it is critical that
n n n n n n n n n n n n n n n n n n
the individual nurse self-reflect on personal feelings and determine whether such feelings will
n n n n n n n n n n n n n
affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
n n n n n n n n n n n n n n n n n n n
important nursingroleinall settings. Simply accepting afact does not help end ageism, nor does
n n n n n n n n n n n n n n n n n
recognizing ageism as a form of bigotry.
n n n n n n n
DIF: Applying (Application) n REF: N/A OBJ: 1-9 n n n
TOP: Teaching-Learning n MSC: Safeand Effective Care Environment n n n n n
3. When discussing factors that havehelped toincrease thenumberofhealthy, independent older
n n n n n n n n n n n n n
Americans, the nurse includes the importance of:
n n n n n n n
a. increased availability of in-home care services. n n n n n
b. government support of retired citizens. n n n n
c. effective antibiotic therapies. n n
d. the development of life-extending therapies.
n n n n
ANS: C n
, The health and ultimate autonomy of older Americans has been positively impacted by the
n n n n n n n n n n n n n
development ofantibiotics, bettersanitation,andvaccines.Thesepublichealthmeasures have
n n n n n n n n n n n n
been more instrumental in increasing the numbers of healthy, independent older Americans than
n n n n n n n n n n n n n
have in-home care services, government programs, or life-extending therapies.
n n n n n n n n n
DIF: Remembering (Knowledge) n REF: Page 2 OBJ: 3-3 n n n
TOP: Nursing Process: Implementation
n n n MSC: HealthPromotionand Maintenance n n n n
4. Based oncurrent data, when presenting anolderadult’s dischargeteaching plan,thenurse
n n n n n n n n n n n n n
includes the patient’s:
n n n
a. nonrelated caretaker. n
b. paid caregiver. n
c. family member. n
d. intuitional representative. n
ANS: C n
Less than 4% of older adults livein aformal health care environment. The majority ofthe geriatric
n n n n n n n n n n n n n n n n n
population lives at home or with family members.
n n n n n n n n
DIF: Applying (Application) n REF: N/A OBJ: 3-3 n n n
TOP: Nursing Process: Planning
n n n MSC: Safeand Effective Care Environment n n n n n
5. Thenurseplanning careforan olderadult who has recently been diagnosed with rheumatoid
n n n n n n n n n n n n n n
n arthritis views the priority criterion for continued independence to be the patient’s:
n n n n n n n n n n n
a. age.
b. financialstatus. n
c. gender.
d. functional status. n
ANS: D n
Maintaining thefunctional status ofolderadults mayavertthe onset ofphysical frailty and cognitive
n n n n n n n n n n n n n n n
impairment, two conditions that increase the likelihood of institutionalization.
n n n n n n n n n
DIF: Remembering (Knowledge) n REF: Page 8 OBJ:1-6 n n n
TOP: Nursing Process: Planning
n n n n MSC: Physiologic Integrity n n
6. A nurseworking with the older adult population is most likely to assess aneed for a financial social
n n n n n n n n n n n n n n n n n n
service’s referral for a(n):
n n n n
a. white male. n
b. blackfemale. n
c. Hispanic male. n
d. Asian American female. n n
ANS: B n
Thepovertyrateamong olderblack women is substantially higherthanthat seen among males or
n n n n n n n n n n n n n n n
females of other ethnic groups. White males had the least poverty.
n n n n n n n n n n n
DIF: Applying (Application) n REF: N/A OBJ: 1-4 n n n
TOP: Nursing Process: Assessment
n n n MSC: Safeand Effective Care Environment n n n n n
, 7. Which ofthe following statements madeby anursepreparing to complete ahealth assessment and
n n n n n n n n n n n n n n n
history on an older patient reflects an understanding of the general health status of this
n n n n n n n n n n n n n n n
population?
n
a. “I’ll need todocument wellregarding the medications thepatientiscurrently
n n n n n n n n n n n
prescribed.”n
b. “Iwould like to understand how supportive the patient’s family members are.”
n n n n n n n n n n n
c. “Most older patients are being treated for a variety of chronic health care issues.”
n n n n n n n n n n n n n
d. “Itwill beinteresting to seewhether this patient sees herself as being healthy.”
n n n n n n n n n n n n n
ANS: D n
It is a misconception that old age is synonymous with disease and illness. The nurse should
n n n n n n n n n n n n n n n
always determine the patient’s senseof wellness and independencewhen conducting ahealth and
n n n n n n n n n n n n n n
history assessment. An assessment ofmedication use and family support is important for any
n n n n n n n n n n n n n n
patient. Many older adults do havechronic health conditions, buttheir perception ismore important
n n n n n n n n n n n n n n n
than a single number.
n n n n
DIF: Applying (Application) n REF: N/A OBJ:1-4 n n
TOP: Nursing Process: Assessment
n n n n MSC: Health Promotion n n
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
n n n n n n n n n n n n n n n n n
treatment of a fractured femur. The family expresses concern about the patient’s pending
n n n n n n n n n n n n n
transfer to a subacute care facility. What response by the nurse is best?
n n n n n n n n n n n n n
a. “Acute carefacilities lack thelong-term physicaltherapy support yourdad n n n n n n n n n n
requires.” n
b. “Yourdad will be much happier in amore serene, private environment.” n n n n n n n n n n n
c. “Thesubacute facility will focus on helping your dad maintain his independence.”
n n n n n n n n n n n
d. “Insurance, including Medicare, will cover only alimited amount of time here.” n n n n n n n n n n n
ANS: C n
The transfer of the patient to a subacute facility is based on the need to maintain the patient’s level
n n n n n n n n n n n n n n n n n n
of function and independence, a task the acute care facility is not prepared to address once the
n n n n n n n n n n n n n n n n n
patient is physiologically stable. The patient may or may not be happier in the new setting; the
n n n n n n n n n n n n n n n n n
nurse should not make this judgment. It is true that insurance only pays for a limited amount of
n n n n n n n n n n n n n n n n n n
timeinan acute care facility, but this is not the best reason forthe patient to transfer.
n n n n n n n n n n n n n n n n n n
DIF: Applying (Application) REF: N/A n n OBJ:1-6 n
TOP: Communication and Documentation
n n n n
MSC: HealthPromotion and Maintenance n n n n
9. To best assure both the quality of care and the safety of the older adult patient who requires in- home
n n n n n n n n n n n n n n n n n n n
unlicensed assistive personal (UAP) assistance, the geriatric nurse:
n n n n n n n n
a. evaluates the competency of the UAP staff. n n n n n n
b. assumes the roles of case manager and patient advocate. n n n n n n n n
c. arranges for the needed UAP provided services. n n n n n n
d. assesses the patient for functional limitations. n n n n n
ANS: A n
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse
n n n n n n n n n n n n n n
mustassumemoreresponsibilityforeducating, training, andevaluating thecompetency of UAP
n n n n n n n n n n n n n
staff to provide safe, effective care for the older adult patient.
n n n n n n n n n n n
n
,Chapter01:OverviewofGerontologicNursing Meiner:
n n n n n n
Gerontologic Nursing, 5th Edition
n n n n
MULTIPLE CHOICE n
1. In 2010, the revised Standards andScopeofGerontological NursingPractice was published. The
n n n n n n n n n n n n n
nurse would use these standards to:
n n n n n n
a. promotethe practice of gerontologic nursing within the acute care setting.
n n n n n n n n n n
b. definethe concepts and dimensions of gerontologic nursing practice.
n n n n n n n n
c. elevate the practice of gerontologic nursing. n n n n n
d. incorporate suggested interventions from others who practicegerontologic nursing. n n n n n n n n
ANS: D n
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
n n n n n n n n n n n n n
incorporates the input of gerontologic nurses from across the United States. It was not intended to
n n n n n n n n n n n n n n n n
promotegerontologicnursing practicewithinacutecaresettings, defineconcepts or dimensions of
n n n n n n n n n n n n n
gerontologic nursing practice, or elevate the practice of gerontologic nursing.
n n n n n n n n n n
DIF: Remembering (Knowledge) REF: Page 2 OBJ:1-1 n n n n
TOP: N/A
n MSC: Safe and Effective Care Environment
n n n n n n
2. When attempting to minimizethe effect of ageism on thepractice ofnursing olderadults, a nurse
n n n n n n n n n n n n n n n n
n needs to first: n n
a. recognizethat nurses must act as advocates for aging patients. n n n n n n n n n
b. accept thatthispopulationrepresents asubstantial portion ofthose requiring
n n n n n n n n n n
nursing care. n n
c. self-reflect and formulate one’s personal view of aging and the older patient. n n n n n n n n n n n
d. recognizeageism as a form of bigotry shared by many Americans. n n n n n n n n n n
ANS: C n
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
n n n n n n n n n n n n n n n n
population as a whole. With nurses being members of a society holding such views, it is critical that
n n n n n n n n n n n n n n n n n n
the individual nurse self-reflect on personal feelings and determine whether such feelings will
n n n n n n n n n n n n n
affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
n n n n n n n n n n n n n n n n n n n
important nursingroleinall settings. Simply accepting afact does not help end ageism, nor does
n n n n n n n n n n n n n n n n n
recognizing ageism as a form of bigotry.
n n n n n n n
DIF: Applying (Application) n REF: N/A OBJ: 1-9 n n n
TOP: Teaching-Learning n MSC: Safeand Effective Care Environment n n n n n
3. When discussing factors that havehelped toincrease thenumberofhealthy, independent older
n n n n n n n n n n n n n
Americans, the nurse includes the importance of:
n n n n n n n
a. increased availability of in-home care services. n n n n n
b. government support of retired citizens. n n n n
c. effective antibiotic therapies. n n
d. the development of life-extending therapies.
n n n n
ANS: C n
, The health and ultimate autonomy of older Americans has been positively impacted by the
n n n n n n n n n n n n n
development ofantibiotics, bettersanitation,andvaccines.Thesepublichealthmeasures have
n n n n n n n n n n n n
been more instrumental in increasing the numbers of healthy, independent older Americans than
n n n n n n n n n n n n n
have in-home care services, government programs, or life-extending therapies.
n n n n n n n n n
DIF: Remembering (Knowledge) n REF: Page 2 OBJ: 3-3 n n n
TOP: Nursing Process: Implementation
n n n MSC: HealthPromotionand Maintenance n n n n
4. Based oncurrent data, when presenting anolderadult’s dischargeteaching plan,thenurse
n n n n n n n n n n n n n
includes the patient’s:
n n n
a. nonrelated caretaker. n
b. paid caregiver. n
c. family member. n
d. intuitional representative. n
ANS: C n
Less than 4% of older adults livein aformal health care environment. The majority ofthe geriatric
n n n n n n n n n n n n n n n n n
population lives at home or with family members.
n n n n n n n n
DIF: Applying (Application) n REF: N/A OBJ: 3-3 n n n
TOP: Nursing Process: Planning
n n n MSC: Safeand Effective Care Environment n n n n n
5. Thenurseplanning careforan olderadult who has recently been diagnosed with rheumatoid
n n n n n n n n n n n n n n
n arthritis views the priority criterion for continued independence to be the patient’s:
n n n n n n n n n n n
a. age.
b. financialstatus. n
c. gender.
d. functional status. n
ANS: D n
Maintaining thefunctional status ofolderadults mayavertthe onset ofphysical frailty and cognitive
n n n n n n n n n n n n n n n
impairment, two conditions that increase the likelihood of institutionalization.
n n n n n n n n n
DIF: Remembering (Knowledge) n REF: Page 8 OBJ:1-6 n n n
TOP: Nursing Process: Planning
n n n n MSC: Physiologic Integrity n n
6. A nurseworking with the older adult population is most likely to assess aneed for a financial social
n n n n n n n n n n n n n n n n n n
service’s referral for a(n):
n n n n
a. white male. n
b. blackfemale. n
c. Hispanic male. n
d. Asian American female. n n
ANS: B n
Thepovertyrateamong olderblack women is substantially higherthanthat seen among males or
n n n n n n n n n n n n n n n
females of other ethnic groups. White males had the least poverty.
n n n n n n n n n n n
DIF: Applying (Application) n REF: N/A OBJ: 1-4 n n n
TOP: Nursing Process: Assessment
n n n MSC: Safeand Effective Care Environment n n n n n
, 7. Which ofthe following statements madeby anursepreparing to complete ahealth assessment and
n n n n n n n n n n n n n n n
history on an older patient reflects an understanding of the general health status of this
n n n n n n n n n n n n n n n
population?
n
a. “I’ll need todocument wellregarding the medications thepatientiscurrently
n n n n n n n n n n n
prescribed.”n
b. “Iwould like to understand how supportive the patient’s family members are.”
n n n n n n n n n n n
c. “Most older patients are being treated for a variety of chronic health care issues.”
n n n n n n n n n n n n n
d. “Itwill beinteresting to seewhether this patient sees herself as being healthy.”
n n n n n n n n n n n n n
ANS: D n
It is a misconception that old age is synonymous with disease and illness. The nurse should
n n n n n n n n n n n n n n n
always determine the patient’s senseof wellness and independencewhen conducting ahealth and
n n n n n n n n n n n n n n
history assessment. An assessment ofmedication use and family support is important for any
n n n n n n n n n n n n n n
patient. Many older adults do havechronic health conditions, buttheir perception ismore important
n n n n n n n n n n n n n n n
than a single number.
n n n n
DIF: Applying (Application) n REF: N/A OBJ:1-4 n n
TOP: Nursing Process: Assessment
n n n n MSC: Health Promotion n n
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
n n n n n n n n n n n n n n n n n
treatment of a fractured femur. The family expresses concern about the patient’s pending
n n n n n n n n n n n n n
transfer to a subacute care facility. What response by the nurse is best?
n n n n n n n n n n n n n
a. “Acute carefacilities lack thelong-term physicaltherapy support yourdad n n n n n n n n n n
requires.” n
b. “Yourdad will be much happier in amore serene, private environment.” n n n n n n n n n n n
c. “Thesubacute facility will focus on helping your dad maintain his independence.”
n n n n n n n n n n n
d. “Insurance, including Medicare, will cover only alimited amount of time here.” n n n n n n n n n n n
ANS: C n
The transfer of the patient to a subacute facility is based on the need to maintain the patient’s level
n n n n n n n n n n n n n n n n n n
of function and independence, a task the acute care facility is not prepared to address once the
n n n n n n n n n n n n n n n n n
patient is physiologically stable. The patient may or may not be happier in the new setting; the
n n n n n n n n n n n n n n n n n
nurse should not make this judgment. It is true that insurance only pays for a limited amount of
n n n n n n n n n n n n n n n n n n
timeinan acute care facility, but this is not the best reason forthe patient to transfer.
n n n n n n n n n n n n n n n n n n
DIF: Applying (Application) REF: N/A n n OBJ:1-6 n
TOP: Communication and Documentation
n n n n
MSC: HealthPromotion and Maintenance n n n n
9. To best assure both the quality of care and the safety of the older adult patient who requires in- home
n n n n n n n n n n n n n n n n n n n
unlicensed assistive personal (UAP) assistance, the geriatric nurse:
n n n n n n n n
a. evaluates the competency of the UAP staff. n n n n n n
b. assumes the roles of case manager and patient advocate. n n n n n n n n
c. arranges for the needed UAP provided services. n n n n n n
d. assesses the patient for functional limitations. n n n n n
ANS: A n
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse
n n n n n n n n n n n n n n
mustassumemoreresponsibilityforeducating, training, andevaluating thecompetency of UAP
n n n n n n n n n n n n n
staff to provide safe, effective care for the older adult patient.
n n n n n n n n n n n
