Gero Exam 1 - chap 1, 2, 3, 4, 5, 6
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use these standards to:
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of ...
Gero Exam 1 - chap 1, 2, 3, 4, 5, 6
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice
was published. The nurse would use these standards to:
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.
2. When attempting to minimize the effect of ageism on the practice of nursing
older adults, a nurse needs to first:
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.
3. When discussing factors that have helped to increase the number of healthy,
independent older Americans, the nurse includes the importance of:
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.
4. Based on current data, when presenting an older adult's discharge teaching
plan, the nurse includes the patient's:
ANS: 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.
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:.
ANS: 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.
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):
ANS: 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
,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?
ANS: D
It is a misconception that old age is synonymous with disease and illness. The nurse
should always determine the patient's sense of wellness and independence when
conducting a health and history assessment. An assessment of medication use and
family support is important for any patient. Many older adults do have chronic health
conditions, but their perception is more important than a single number.
8. The nurse is caring for an older adult who has been admitted to an acute care
hospital for treatment of a fractured femur. The family expresses concern about
the patient's pending transfer to a subacute care facility. What response by the
nurse is best?
ANS: C
The transfer of the patient to a subacute facility is based on the need to maintain the
patient's level of function and independence, a task the acute care facility is not
prepared to address once the patient is physiologically stable. The patient may or may
not be happier in the new setting; the nurse should not make this judgment. It is true
that insurance only pays for a limited amount of time in an acute care facility, but this is
not the best reason for the patient to transfer
9. To best assure both the quality of care and the safety of the older adult patient
who requires in-home unlicensed assistive personal (UAP) assistance, the
geriatric nurse:
ANS: A
As more care traditionally provided by professional nurses is being transferred to UAP,
the nurse must assume more responsibility for educating, training, and evaluating the
competency of UAP staff to provide safe, effective care for the older adult patient.
10. The nurse working with older adults understands what information about
certification in gerontologic nursing?
ANS: B
Certification is voluntary and shows that a nurse has additional knowledge and
expertise in a certain area of practice. It is not mandatory in specific care settings. It
does not allow for third-party reimbursement. It may be part of a career ladder program,
but that is not true of all work settings.
11. A nurse works in a gerontologic clinic. What action by the nurse takes highest
priority?
ANS: C
One of the challenges and priorities of the gerontologic nurse is helping patients
maintain their independence.
12. A nurse is caring for an older patient in the emergency department. What
information about the patient will be most helpful in creating a plan of care?
ANS: A
The nurse is encouraged to view older patients as individuals and consider their
baseline physical and cognitive functional status as a standard by which to compare the
patient's current status. The other information is also important, but the basis of
individualized care begins with the patient's strengths and weaknesses.
, 13. The faculty member explains to students that many older Americans continue
to work past the "retirement age." What best explains this trend?
ANS: B
As financial situations may have declined as a result of many economic factors, more
older adults work past their "retirement age." The other options may be reasons for
some to continue working, but financial necessity is the reason the majority continue to
do so.
14. What information does the faculty member teach students about Medicare?
ANS: A
Although Medicare is primarily for those over the age of 65, it does cover people of any
age with end-stage kidney disease. Part A covers hospital costs. Part B is medical
insurance. The "donut hole" was fixed by the Affordable Care Act.
15. A nursing manager notes that many older patients are admitted to the nursing
unit for acute problems. What action can the manager take to most benefit this
population?
ANS: B
Many older adults need acute care for sudden illness and injury but live in a state of
functional decline, which could possibly be prevented by establishing a restorative
therapy program. The other actions will help the older patients cared for in the unit, but
only to limited degrees.
16. The dean of a new nursing program wishes to ensure graduates are prepared
to care for older patients. What document should guide the dean in designing the
curriculum?
ANS: D
The Recommended Baccalaureate Competencies and Curricular Guidelines for the
Nursing Care of Older Adults is an updated version of The Essentials of Baccalaureate
Education for Professional Nursing Practice. This document was first published by the
American Association of Colleges of Nursing (AACN) in 2008 and was updated in 2010.
The other three documents do not have information about curricular requirements to
prepare students to care for the older population.
17. A nurse wants to plan a community event at a retirement center. What topic
would most likely be best received?
ANS: A
Older adults are demanding more programs and services aimed at health maintenance
and promotion and disease and disability prevention. Based on this information, the
heart healthy living presentation would be best received.
18. What does the bedside nurse understand about his or her role in nursing
research?
ANS: B
All nurses are charged to deliver patient-centered care based on evidence-based
practice, research, quality improvement, and informatics. The bedside nurse is part of
an interdisciplinary team that is responsible for redesigning the health care structure of
the future.
1. The clinic nurse caring for an older diabetic patient with a sixth grade
education anticipates that the patient may experience difficulty (Select all that
apply.)
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