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Geri Exam #1 Questions and Answers 100% Correct
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Geri Exam #1 Questions and Answers 100% CorrectGeri Exam #1 Questions and Answers 100% CorrectGeri Exam #1 Questions and Answers 100% CorrectGeri Exam #1 Questions and Answers 100% CorrectGeri Exam #1 Questions and Answers 100% Correctch. 1 In 2010, the revised Standards and Scope of Gerontologica...

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  • August 18, 2024
  • 62
  • 2024/2025
  • Exam (elaborations)
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Geri Exam #1 Questions and Answers
100% Correct
ch. 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 the concepts of health promotion, health maintenance, disease
prevention, and self-care - ANSWER - 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 and includes
comprehensive concepts and dimensions important to those practicing gerontologic nursing. 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.


ch. 1
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. - ANSWER - 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-reflects on personal feelings and determines 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.
ch. 1
The nurse working with older adults understands what information about certification in
gerontologic nursing?


a) It is mandatory for those in long-term care settings.
b) It is voluntary and shows clinical expertise in an area.
c) It allows nurses to be paid by third-party payers.
d) It allows nurses to advance their careers in a job. - ANSWER - 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.


ch. 1
A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?


a) Serving as a patient advocate
b) Educating patients about diseases
c) Helping patients remain independent
d) Referring patients to home health care - ANSWER - ANS: C


One of the challenges and priorities of the gerontologic nurse is helping patients to maintain
their independence. While nurses do serve as patient advocates, educate patients, and make
referrals, these actions are not specific to gerontologic nursing.




ch. 1
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.
b) financial status.
c) gender.
d) functional status. - ANSWER - ANS: D


Maintaining the functional status of older adults (especially those with chronic health conditions)
may avert the onset of physical frailty and cognitive impairment, two conditions that increase the
likelihood of institutionalization.


ch. 1
A nurse working with the older adult population is most likely to assess a need for a financial
social service's referral for which person?


a) White male
b) Black female
c) Hispanic male
d) Asian American female - ANSWER - ANS: B
The poverty rate among older women is substantially higher than that seen among men. The
poverty rates for people of color is higher than that of whites.


ch. 1
A nurse is preparing to complete a health assessment and history on an older patient. Which
statement reflects an understanding of the general health status of this population?


a) "I'll need to document 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
d) "It will be interesting to see whether this patient sees herself as being healthy." - ANSWER -
ANS: D
It is a misconception that old age is synonymous with disease and illness. In fact, older adults
already tend to view their personal health positively despite the presence of chronic illness,
disease, and impairment. 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 singl


ch. 1
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 their father's pending
transfer to a subacute care facility. What response by the nurse is best?


a) "Acute care facilities lack the long-term physical therapy your dad requires."
b) "Your dad will be much happier in a more serene, private environment."
c) "The subacute facility will focus on helping your dad to maintain his
independence."
d) "Insurance, including Medicare, will cover only a limited amount of time here." - ANSWER -
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 acute care facility may or may not be able to
provide long-term therapy. 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.


ch. 1
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, which action by the gerontologic nurse is
best?


a) Evaluates the competency of the UAP staff.
b) Assumes the roles of case manager and patient advocate.
c) Arranges for the needed UAP provided services.
d) Assesses the patient for functional limitations. - ANSWER - 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.

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