Nursing 7th Edition by Jennifer J.
Yeager, Mary B. Winton & Sue E.
Meiner All Chapters A+ALL CHAPTERS 1-29
WITH RATIONALES| A+ GRADED
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,Table of Content:
Part I: Introduction to Gerontologic Nursing
1. Overview of Gerontologic Nursing
2. Healthcare Policy that Affects Older Adults
3. Assessment of the Older Adult
Part II: Influences on Health and Illness
4. Family Influences
5. Socioeconomic and Environmental Influences
6. Health Promotion and Illness/Disability Prevention
Part III: Influences on Quality of Life
7. Nutrition
8. Sleep and Activity
9. Safety
10. Sexuality and Aging
11. Pain
12. Infection and Inflammation
Part IV: Diagnostic Studies and Pharmacologic Management
13. Laboratory and Diagnostic Tests
14. Drugs and Aging
Part V: Nursing Care of Physiologic and Psychologic Disorders
15. Integumentary Function
16. Sensory Function
17. Cardiovascular Function
18. Respiratory Function
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,19. Gastrointestinal Function
20. Urinary Function
21. Musculoskeletal Function
22. Cognitive and Neurologic Function
23. Endocrine Function
Part VI: Health Care Transitions
24. Health Care Delivery Settings and Older Adults
25. Chronic Illness and Rehabilitation
26. Cancer
27. Loss and End-of-Life Issues
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, Chapter 01: Overview of Gerontologic Nursing
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.
CORRECT ANSWER: 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.
CORRECT ANSWER: 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
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,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.
CORRECT ANSWER: 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.
CORRECT ANSWER: C
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric
population lives at home or with family members.
DIF: Applying (Application) REF: N/A OBJ: 3-3
TOP: Nursing Process: PlanningMSC: Safe and Effective Care Environment
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis
views the priority criterion for continued independence to be the patient’s:
a. age.
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, b. financial status.
c. gender.
d. functional status.
CORRECT ANSWER: D
Maintaining the functional status of older adults may avert the onset of physical frailty and cognitive
impairment, two conditions that increase the likelihood of institutionalization.
DIF: Remembering (Knowledge) REF: Page 8 OBJ: 1-6 TOP: Nursing Process: Planning
MSC: Physiologic Integrity
6. A nurse working with the older adult population is most likely to assess a need for a financial social
service’s referral for a(n):
a. white male.
b. black female.
c. Hispanic male.
d. Asian American female.
CORRECT ANSWER: B
The poverty rate among older black women is substantially higher than that seen among males or females
of other ethnic groups. White males had the least poverty.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
7. Which of the following statements made by a nurse preparing to complete a health assessment and
history on an older patient reflects an understanding of the general health status of this population?
a. “I’ll need to document well regarding the medications the patient is currently prescribed.”
b. “I would like to understand how supportive the patient’s family members are.”
c. “Most older patients are being treated for a variety of chronic health care issues.”
d. “It will be interesting to see whether this patient sees herself as being healthy.”
CORRECT ANSWER: D
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