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TEST BANK FOR Gerontologic Nursing 7th Edition by Jennifer J. Yeager, Mary B. Winton & Sue E. Meiner All Chapters A+

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TEST BANK FOR Gerontologic Nursing 7th Edition by Jennifer J. Yeager, Mary B. Winton & Sue E. Meiner All Chapters A+

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TEST BANK FOR Gerontologic
Nursing 7th Edition by Jennifer J.
Yeager, Mary B. Winton & Sue E.
Meiner All Chapters A+ALL CHAPTERS 1-29
WITH RATIONALES| A+ GRADED




Page 1 of 310

,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
Page 2 of 310

,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




Page 3 of 310

, 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

Page 4 of 310

,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.


Page 5 of 310

, 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



Page 6 of 310

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