TEST BANK
Toward Healthy Aging, 11th edition
,Table of content
Chapter 1 Gerontological Nursing Across the Continuum of Care
Chapter 2 Aging, Health, and Wellness in a Global Community
Chapter 3 Theories of Aging
Chapter 4 Providing Cross-Cultural Care
Chapter 5 Economics and Health Care in Late Life
Chapter 6 Promoting Excellence in Long-Term Care
Chapter 7 Therapeutic Communication With Older Adults
Chapter 8 Cognitive Health and Learning
Chapter 9 Recognizing and Analyzing Cues to Maximize Outcomes
Chapter 10 Using Laboratory Data in Clinical Judgment
Chapter 11 Safe Medication Use
Chapter 12 Visual Health
Chapter 13 Auditory Health
Chapter 14 Healthy Skin
Chapter 15 Nutritional Health
Chapter 16 Hydration and Oral Health
Chapter 17 Elimination
Chapter 18 Sleep
Chapter 19 Activity and Exercise
Chapter 20 Falls and Fall Risk Reduction
Chapter 21 Safe and Secure Environments
Chapter 22 Living Well With Chronic Illness
Chapter 23 Vascular Disorders
Chapter 24 Respiratory Disorders
Chapter 25 Neurocognitive Disorders
Chapter 26 Care of Individuals With Neurocognitive Disorders
Chapter 27 Endocrine and Immune Disorders
Chapter 28 Common Musculoskeletal Disorders
Chapter 29 Pain and Comfort
Chapter 30 Mental Health
Chapter 31 Ethics, Decision Making, and Mistreatment
Chapter 32 Relationships, Roles, and Life Transitions
Chapter 33 Intimacy and Sexual Health
Chapter 34 Loss, Death, and Palliative Care
Chapter 34.1 APPENDIX
Chapter 35 Spiritual Health, Meaning, and Self-Actualization
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Test Bank For Toward Healthy Aging, 11th Edition
Chapter 1: Gerontological Nursing Across the Continuum of Care
MULTIPLE CHOICE
1. When did serious and well-controlled research studies on aging first become available?
a. Only in the past 60 years.
b. Since the turn of the 20th century.
c. Following the Great Depression.
d. Since the year 2000.
ANS: A
Only in the past 60 years have serious and carefully controlled research studies flourished.
Before that, anecdotal evidence was used to illustrate issues assumed to be universal, making
all the remaining options incorrect.
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
2. The son of a nursing home resident asks a nurse: “What is the significance of being certified
in gerontology? I see that you are, but not all of the nurses are.” What response best answers
the family member’s question?
a. “National certification as a gerontological nurse is a way to demonstrate special
knowledge in caring for older adults.”
b. “National certification in gerontology is required for all nurses who have worked
in this setting for 2 or more years.”
c. “National certification is only available to nurses who have a Baccalaureate degree
in nursing.”
d. “Only advanced practice nurses, like nurse practitioners, are certified in
gerontology.”
ANS: A
National certification is a way to demonstrate special expertise in caring for older adults. It is
not required for practice in any setting across the continuum of care, and it is not exclusive to
nurses with Baccalaureate degrees. There is both a generalist and a specialist gerontological
nursing certification. The generalist functions in a variety of settings providing care to older
adults and their families. The specialist has advanced gerontological education at a master’s
level.
DIF: Cognitive Level: Understanding
TOP: Integrated Process: Communication and Documentation
MSC: Client Needs: Management of Care
3. The major goal of the NICHE (Nurses Improving Care for Healthsystem Elders) program
includes which of the following?
a. Improve outcomes for hospitalized older adults.
b. Increase the number of older adults cared for in hospitals.
c. Increase the number of iatrogenic complications that occur in hospitalized older
adults.
d. Decrease 30-day readmission rates for hospitalized older adults.
ANS: A
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Test Bank For Toward Healthy Aging, 11th Edition
Chapter 1: Gerontological Nursing Across the Continuum of Care
The goal of NICHE is to improve outcomes for hospitalized older adults. Although option D
is a good outcome for hospitalized older adults, it is not one of the major goals of NICHE,
which are broader. Options B and C are not goals that would improve care for older adults but
would be negative outcomes themselves.
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
MULTIPLE RESPONSE
1. What is the impact of the Hospital Readmission Reduction Program (HRRP) on avoidable
readmissions? (Select all that apply.)
a. Readmission rates for the selected conditions have dropped nationwide.
b. Many hospitals have instituted system-wide interventions to prevent readmissions.
c. Hospitals are keeping patients longer to avoid readmissions.
d. Potentially avoidable hospitalizations among nursing home residents is increasing.
e. Hospitals have a financial incentive to develop programs to reduce readmissions.
ANS: A, B, E
The Hospital Readmission Reduction Program (HRRP) was established as a provision in the
Affordable Care Act (ACA) requiring Medicare to reduce payments to hospitals with
relatively high readmission rates for selected conditions for patients in traditional Medicare.
Since the HRRP, readmission rates for the selected conditions have dropped nationwide but
estimates are that in 2018, about 80% of hospitals evaluated by CMS will face penalties
totaling $564 million (Advisory Board, 2017). Additionally, the HRRP has been the impetus
for many hospitals to institute system-wide interventions to prevent readmissions that have
also contributed to the decline in readmission rates. The rate of potentially avoidable
hospitalizations among SNF residents has fallen by nearly a third in recent years as a result of
many quality improvement initiatives.
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
2. Which of the following are true statements about the current health care workforce? (Select all
that apply.)
a. Approximately 10% of registered nurses (RNs) are certified in gerontological
nursing.
b. The number of geriatricians is expected to increase about 50% over the next 25
years.
c. The professions of social work, physical therapy, and psychiatry are demonstrating
the same trends as nursing.
d. The world’s older population is expected to grow to at least 1.3 billion in the next
20 years.
e. It is anticipated that there will be a need for approximately 3million additional
direct care and professional health care workers by the year 2030.
ANS: C, D, E
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Toward Healthy Aging, 11th edition
,Table of content
Chapter 1 Gerontological Nursing Across the Continuum of Care
Chapter 2 Aging, Health, and Wellness in a Global Community
Chapter 3 Theories of Aging
Chapter 4 Providing Cross-Cultural Care
Chapter 5 Economics and Health Care in Late Life
Chapter 6 Promoting Excellence in Long-Term Care
Chapter 7 Therapeutic Communication With Older Adults
Chapter 8 Cognitive Health and Learning
Chapter 9 Recognizing and Analyzing Cues to Maximize Outcomes
Chapter 10 Using Laboratory Data in Clinical Judgment
Chapter 11 Safe Medication Use
Chapter 12 Visual Health
Chapter 13 Auditory Health
Chapter 14 Healthy Skin
Chapter 15 Nutritional Health
Chapter 16 Hydration and Oral Health
Chapter 17 Elimination
Chapter 18 Sleep
Chapter 19 Activity and Exercise
Chapter 20 Falls and Fall Risk Reduction
Chapter 21 Safe and Secure Environments
Chapter 22 Living Well With Chronic Illness
Chapter 23 Vascular Disorders
Chapter 24 Respiratory Disorders
Chapter 25 Neurocognitive Disorders
Chapter 26 Care of Individuals With Neurocognitive Disorders
Chapter 27 Endocrine and Immune Disorders
Chapter 28 Common Musculoskeletal Disorders
Chapter 29 Pain and Comfort
Chapter 30 Mental Health
Chapter 31 Ethics, Decision Making, and Mistreatment
Chapter 32 Relationships, Roles, and Life Transitions
Chapter 33 Intimacy and Sexual Health
Chapter 34 Loss, Death, and Palliative Care
Chapter 34.1 APPENDIX
Chapter 35 Spiritual Health, Meaning, and Self-Actualization
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Test Bank For Toward Healthy Aging, 11th Edition
Chapter 1: Gerontological Nursing Across the Continuum of Care
MULTIPLE CHOICE
1. When did serious and well-controlled research studies on aging first become available?
a. Only in the past 60 years.
b. Since the turn of the 20th century.
c. Following the Great Depression.
d. Since the year 2000.
ANS: A
Only in the past 60 years have serious and carefully controlled research studies flourished.
Before that, anecdotal evidence was used to illustrate issues assumed to be universal, making
all the remaining options incorrect.
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
2. The son of a nursing home resident asks a nurse: “What is the significance of being certified
in gerontology? I see that you are, but not all of the nurses are.” What response best answers
the family member’s question?
a. “National certification as a gerontological nurse is a way to demonstrate special
knowledge in caring for older adults.”
b. “National certification in gerontology is required for all nurses who have worked
in this setting for 2 or more years.”
c. “National certification is only available to nurses who have a Baccalaureate degree
in nursing.”
d. “Only advanced practice nurses, like nurse practitioners, are certified in
gerontology.”
ANS: A
National certification is a way to demonstrate special expertise in caring for older adults. It is
not required for practice in any setting across the continuum of care, and it is not exclusive to
nurses with Baccalaureate degrees. There is both a generalist and a specialist gerontological
nursing certification. The generalist functions in a variety of settings providing care to older
adults and their families. The specialist has advanced gerontological education at a master’s
level.
DIF: Cognitive Level: Understanding
TOP: Integrated Process: Communication and Documentation
MSC: Client Needs: Management of Care
3. The major goal of the NICHE (Nurses Improving Care for Healthsystem Elders) program
includes which of the following?
a. Improve outcomes for hospitalized older adults.
b. Increase the number of older adults cared for in hospitals.
c. Increase the number of iatrogenic complications that occur in hospitalized older
adults.
d. Decrease 30-day readmission rates for hospitalized older adults.
ANS: A
Page 1
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, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Test Bank For Toward Healthy Aging, 11th Edition
Chapter 1: Gerontological Nursing Across the Continuum of Care
The goal of NICHE is to improve outcomes for hospitalized older adults. Although option D
is a good outcome for hospitalized older adults, it is not one of the major goals of NICHE,
which are broader. Options B and C are not goals that would improve care for older adults but
would be negative outcomes themselves.
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
MULTIPLE RESPONSE
1. What is the impact of the Hospital Readmission Reduction Program (HRRP) on avoidable
readmissions? (Select all that apply.)
a. Readmission rates for the selected conditions have dropped nationwide.
b. Many hospitals have instituted system-wide interventions to prevent readmissions.
c. Hospitals are keeping patients longer to avoid readmissions.
d. Potentially avoidable hospitalizations among nursing home residents is increasing.
e. Hospitals have a financial incentive to develop programs to reduce readmissions.
ANS: A, B, E
The Hospital Readmission Reduction Program (HRRP) was established as a provision in the
Affordable Care Act (ACA) requiring Medicare to reduce payments to hospitals with
relatively high readmission rates for selected conditions for patients in traditional Medicare.
Since the HRRP, readmission rates for the selected conditions have dropped nationwide but
estimates are that in 2018, about 80% of hospitals evaluated by CMS will face penalties
totaling $564 million (Advisory Board, 2017). Additionally, the HRRP has been the impetus
for many hospitals to institute system-wide interventions to prevent readmissions that have
also contributed to the decline in readmission rates. The rate of potentially avoidable
hospitalizations among SNF residents has fallen by nearly a third in recent years as a result of
many quality improvement initiatives.
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
2. Which of the following are true statements about the current health care workforce? (Select all
that apply.)
a. Approximately 10% of registered nurses (RNs) are certified in gerontological
nursing.
b. The number of geriatricians is expected to increase about 50% over the next 25
years.
c. The professions of social work, physical therapy, and psychiatry are demonstrating
the same trends as nursing.
d. The world’s older population is expected to grow to at least 1.3 billion in the next
20 years.
e. It is anticipated that there will be a need for approximately 3million additional
direct care and professional health care workers by the year 2030.
ANS: C, D, E
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