Test Bank for Evidence-Based Geriatric
Nursing Protocols for Best Practice 6th
Edition Boltz-100% Top scores-2023-2024
Chapter 01: Overview of Gerontologic Nursing
Meiner: Gerontologic Nursing, 5th Edition
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use these
standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic nursing.
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of
gerontologic nurses from across the United States. It was not intended to promote gerontologic nursing practice within acute
care settings, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1
TOP: N/A MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring nursing care.
c. self-reflect and formulate one’s personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older population as a whole. With
nurses being members of a society holding such views, it is critical that the individual nurse self-reflect on personal feelings
and determine whether such feelings will affect the nursing care that he or she provides to the aging patient. Acting as an
advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does recognizing
ageism as a form of bigotry.
DIF: Applying (Application) REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the nurse
includes the importance of:
a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
d. the development of life-extending therapies.
ANS: C
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics, better
sanitation, and vaccines. These public health measures have been more instrumental in increasing the numbers of healthy,
independent older Americans than have in-home care services, government programs, or life-extending therapies.
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adult’s discharge teaching plan, the nurse includes the patient’s:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
,d. intuitional representative.
,ANS: C mn
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
home or with family members.
mn mn mn mn
DIF: Applying (Application) REF: N/A OBJ: 3-3
mn mn mn mn mn mn
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
mn mn mn mn mn mn mn mn mn
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the pr
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
iority criterion for continued independence to be the patient’s:
mn mn mn mn mn mn mn mn
a. age.
b. financial status. mn
c. gender.
d. functional status. mn
ANS: D
mn mn
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two c
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
onditions that increase the likelihood of institutionalization.
mn mn mn mn mn mn
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-
mn mn mn mn mn mn mn
6 TOP: Nursing Process: Planning MSC: Physiologic Integr
mn mn mn mn mn mn mn
ity
6. A nurse working with the older adult population is most likely to assess a need for a financial social service’s refer
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
ral for a(n):
mn mn
a. white male. mn
b. black female. mn
c. Hispanic male. mn
d. Asian American female. mn mn
ANS: B
mn mn
The poverty rate among older black women is substantially higher than that seen among males or females of other ethni
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
c groups. White males had the least poverty.
mn mn mn mn mn mn mn
DIF: Applying (Application) REF: N/A OBJ: 1-4
mn mn mn mn mn mn
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
mn mn mn mn mn mn mn mn mn
7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
older patient reflects an understanding of the general health status of this population?
n mn mn mn mn mn mn mn mn mn mn mn mn
a. “I’ll need to document well regarding the medications the patient is currently prescribed.”
mn mn mn mn mn mn mn mn mn mn mn mn
b. “I would like to understand how supportive the patient’s family members are.”
mn mn mn mn mn mn mn mn mn mn mn
c. “Most older patients are being treated for a variety of chronic health care issues.”
mn mn mn mn mn mn mn mn mn mn mn mn mn
d. “It will be interesting to see whether this patient sees herself as being healt
mn mn mn mn mn mn mn mn mn mn mn mn mn
hy.” ANS: D mn mn
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patie
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
nt’s sense of wellness and independence when conducting a health and history assessment. An assessment of medicatio
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
n use and family support is important for any patient. Many older adults do have chronic health conditions, but their pe
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
rception is more important than a single number.
mn mn mn mn mn mn mn
DIF: Applying (Application) REF: N/A OBJ: 1-4
mn mn mn mn mn mn
TOP: Nursing Process: Assessment MSC: Health Promotion
mn mn mn mn mn mn
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
femur. The family expresses concern about the patient’s pending transfer to a subacute care facility. What response b
n mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
y the nurse is best?
mn mn mn mn
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
mn mn mn mn mn mn mn mn mn mn mn
b. “Your dad will be much happier in a more serene, private environment.”
mn mn mn mn mn mn mn mn mn mn mn
c. “The subacute facility will focus on helping your dad maintain his independence.”
mn mn mn mn mn mn mn mn mn mn mn
DoDD
woonww
lo
nnlaold
oae
addeed
bdyb:byS
y::uAaprliearshAia||la
cabb
| biaeilekecasliiya
n1l@
c2@
gm
agom
ali.lac.ciol.om
cm
om Distributi mn
on of this document is illegal
mn mn mn mn mn
, d. “Insurance, including Medicare, will cover only a limited amount of time her
mn mn mn mn mn mn mn mn mn mn mn
e.” ANS: Cmn mn
The transfer of the patient to a subacute facility is based on the need to maintain the patient’s level of function and in
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
dependence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The pati
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
ent may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance on
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
ly pays for a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfer.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
DIF: Applying (Application) REF: N/A OBJ: 1-
mn mn mn mn mn mn
6 TOP: Communication and Documentation
mn mn mn mn
MSC: Health Promotion and Maintenance
mn mn mn mn
9. To best assure both the quality of care and the safety of the older adult patient who requires in-
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
mn mn mn mn mn mn mn mn
a. evaluates the competency of the UAP staff. mn mn mn mn mn mn
b. assumes the roles of case manager and patient advocate.
mn mn mn mn mn mn mn mn
c. arranges for the needed UAP provided services. mn mn mn mn mn mn
d. assesses the patient for functional limitation
mn mn mn mn mn
s. ANS: A
mn mn
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more re
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
sponsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the ol
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
der adult patient.
mn mn
DIF: Applying (Application) REF: N/A OBJ: 1-
mn mn mn mn mn mn
2 TOP: Communication and Documentation
mn mn mn mn
MSC: Safe and Effective Care Environment
mn mn mn mn mn
10. The nurse working with older adults understands what information about certification in gerontologic nursing?
mn mn mn mn mn mn mn mn mn mn mn mn mn
a. It is mandatory for those in long-term care settings.
mn mn mn mn mn mn mn mn
b. It is voluntary and shows clinical expertise in an area.
mn mn mn mn mn mn mn mn mn
c. It allows nurses to be paid by third-party payers.
mn mn mn mn mn mn mn mn
d. It allows nurses to advance their careers in a j
mn mn mn mn mn mn mn mn mn
ob. ANS: Bmn mn
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a certain area of practice. It
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
is not mandatory in specific care settings. It does not allow for third-
n mn mn mn mn mn mn mn mn mn mn mn mn
party reimbursement. It may be part of a career ladder program, but that is not true of all work settings.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-2
mn mn mn mn mn mn mn
TOP: Teaching-Learning MSC: Safe Effective Care Environment
mn mn mn mn mn mn
11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a. Serving as a patient advocate mn mn mn mn
b. Educating patients about diseases mn mn mn
c. Helping patients remain independent mn mn mn
d. Referring patients to home health car mn mn mn mn mn
e ANS: C
mn mn
One of the challenges and priorities of the gerontologic nurse is helping patients maintain their independenc
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
e. DIF: Remembering (Knowledge) REF: Page 10 OBJ: 1-2
mn mn mn mn mn mn mn mn
TOP: Nursing Process: Implementation MSC: Health Promotion
mn mn mn mn mn mn
12. A nurse is caring for an older patient in the emergency department. What information about the patient will be
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
most helpful in creating a plan of care?
n mn mn mn mn mn mn mn
a. Baseline physical and cognitive functioning mn mn mn mn
b. Living conditions and family support mn mn mn mn
Nursing Protocols for Best Practice 6th
Edition Boltz-100% Top scores-2023-2024
Chapter 01: Overview of Gerontologic Nursing
Meiner: Gerontologic Nursing, 5th Edition
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use these
standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic nursing.
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of
gerontologic nurses from across the United States. It was not intended to promote gerontologic nursing practice within acute
care settings, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-1
TOP: N/A MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to first:
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring nursing care.
c. self-reflect and formulate one’s personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older population as a whole. With
nurses being members of a society holding such views, it is critical that the individual nurse self-reflect on personal feelings
and determine whether such feelings will affect the nursing care that he or she provides to the aging patient. Acting as an
advocate is an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does recognizing
ageism as a form of bigotry.
DIF: Applying (Application) REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the nurse
includes the importance of:
a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
d. the development of life-extending therapies.
ANS: C
The health and ultimate autonomy of older Americans has been positively impacted by the development of antibiotics, better
sanitation, and vaccines. These public health measures have been more instrumental in increasing the numbers of healthy,
independent older Americans than have in-home care services, government programs, or life-extending therapies.
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adult’s discharge teaching plan, the nurse includes the patient’s:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
,d. intuitional representative.
,ANS: C mn
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric population lives at
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
home or with family members.
mn mn mn mn
DIF: Applying (Application) REF: N/A OBJ: 3-3
mn mn mn mn mn mn
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
mn mn mn mn mn mn mn mn mn
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the pr
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
iority criterion for continued independence to be the patient’s:
mn mn mn mn mn mn mn mn
a. age.
b. financial status. mn
c. gender.
d. functional status. mn
ANS: D
mn mn
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive impairment, two c
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
onditions that increase the likelihood of institutionalization.
mn mn mn mn mn mn
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-
mn mn mn mn mn mn mn
6 TOP: Nursing Process: Planning MSC: Physiologic Integr
mn mn mn mn mn mn mn
ity
6. A nurse working with the older adult population is most likely to assess a need for a financial social service’s refer
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
ral for a(n):
mn mn
a. white male. mn
b. black female. mn
c. Hispanic male. mn
d. Asian American female. mn mn
ANS: B
mn mn
The poverty rate among older black women is substantially higher than that seen among males or females of other ethni
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
c groups. White males had the least poverty.
mn mn mn mn mn mn mn
DIF: Applying (Application) REF: N/A OBJ: 1-4
mn mn mn mn mn mn
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
mn mn mn mn mn mn mn mn mn
7. Which of the following statements made by a nurse preparing to complete a health assessment and history on an
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
older patient reflects an understanding of the general health status of this population?
n mn mn mn mn mn mn mn mn mn mn mn mn
a. “I’ll need to document well regarding the medications the patient is currently prescribed.”
mn mn mn mn mn mn mn mn mn mn mn mn
b. “I would like to understand how supportive the patient’s family members are.”
mn mn mn mn mn mn mn mn mn mn mn
c. “Most older patients are being treated for a variety of chronic health care issues.”
mn mn mn mn mn mn mn mn mn mn mn mn mn
d. “It will be interesting to see whether this patient sees herself as being healt
mn mn mn mn mn mn mn mn mn mn mn mn mn
hy.” ANS: D mn mn
It is a misconception that old age is synonymous with disease and illness. The nurse should always determine the patie
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
nt’s sense of wellness and independence when conducting a health and history assessment. An assessment of medicatio
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
n use and family support is important for any patient. Many older adults do have chronic health conditions, but their pe
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
rception is more important than a single number.
mn mn mn mn mn mn mn
DIF: Applying (Application) REF: N/A OBJ: 1-4
mn mn mn mn mn mn
TOP: Nursing Process: Assessment MSC: Health Promotion
mn mn mn mn mn mn
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
femur. The family expresses concern about the patient’s pending transfer to a subacute care facility. What response b
n mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
y the nurse is best?
mn mn mn mn
a. “Acute care facilities lack the long-term physical therapy support your dad requires.”
mn mn mn mn mn mn mn mn mn mn mn
b. “Your dad will be much happier in a more serene, private environment.”
mn mn mn mn mn mn mn mn mn mn mn
c. “The subacute facility will focus on helping your dad maintain his independence.”
mn mn mn mn mn mn mn mn mn mn mn
DoDD
woonww
lo
nnlaold
oae
addeed
bdyb:byS
y::uAaprliearshAia||la
cabb
| biaeilekecasliiya
n1l@
c2@
gm
agom
ali.lac.ciol.om
cm
om Distributi mn
on of this document is illegal
mn mn mn mn mn
, d. “Insurance, including Medicare, will cover only a limited amount of time her
mn mn mn mn mn mn mn mn mn mn mn
e.” ANS: Cmn mn
The transfer of the patient to a subacute facility is based on the need to maintain the patient’s level of function and in
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
dependence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The pati
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
ent may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance on
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
ly pays for a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfer.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
DIF: Applying (Application) REF: N/A OBJ: 1-
mn mn mn mn mn mn
6 TOP: Communication and Documentation
mn mn mn mn
MSC: Health Promotion and Maintenance
mn mn mn mn
9. To best assure both the quality of care and the safety of the older adult patient who requires in-
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
mn mn mn mn mn mn mn mn
a. evaluates the competency of the UAP staff. mn mn mn mn mn mn
b. assumes the roles of case manager and patient advocate.
mn mn mn mn mn mn mn mn
c. arranges for the needed UAP provided services. mn mn mn mn mn mn
d. assesses the patient for functional limitation
mn mn mn mn mn
s. ANS: A
mn mn
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more re
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
sponsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the ol
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
der adult patient.
mn mn
DIF: Applying (Application) REF: N/A OBJ: 1-
mn mn mn mn mn mn
2 TOP: Communication and Documentation
mn mn mn mn
MSC: Safe and Effective Care Environment
mn mn mn mn mn
10. The nurse working with older adults understands what information about certification in gerontologic nursing?
mn mn mn mn mn mn mn mn mn mn mn mn mn
a. It is mandatory for those in long-term care settings.
mn mn mn mn mn mn mn mn
b. It is voluntary and shows clinical expertise in an area.
mn mn mn mn mn mn mn mn mn
c. It allows nurses to be paid by third-party payers.
mn mn mn mn mn mn mn mn
d. It allows nurses to advance their careers in a j
mn mn mn mn mn mn mn mn mn
ob. ANS: Bmn mn
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a certain area of practice. It
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
is not mandatory in specific care settings. It does not allow for third-
n mn mn mn mn mn mn mn mn mn mn mn mn
party reimbursement. It may be part of a career ladder program, but that is not true of all work settings.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1-2
mn mn mn mn mn mn mn
TOP: Teaching-Learning MSC: Safe Effective Care Environment
mn mn mn mn mn mn
11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a. Serving as a patient advocate mn mn mn mn
b. Educating patients about diseases mn mn mn
c. Helping patients remain independent mn mn mn
d. Referring patients to home health car mn mn mn mn mn
e ANS: C
mn mn
One of the challenges and priorities of the gerontologic nurse is helping patients maintain their independenc
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
e. DIF: Remembering (Knowledge) REF: Page 10 OBJ: 1-2
mn mn mn mn mn mn mn mn
TOP: Nursing Process: Implementation MSC: Health Promotion
mn mn mn mn mn mn
12. A nurse is caring for an older patient in the emergency department. What information about the patient will be
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
most helpful in creating a plan of care?
n mn mn mn mn mn mn mn
a. Baseline physical and cognitive functioning mn mn mn mn
b. Living conditions and family support mn mn mn mn
