TEST BANK FOR GERONTOLOGIC NURSING 6TH EDITION BY MEINER ALL CHAPTERS COMPLETE GUIDE WITH RATIONALES LATEST EDITION GRADED A+
TEST BANK FOR GERONTOLOGIC NURSING 6TH EDITION BY MEINER ALL CHAPTERS COMPLETE GUIDE WITH RATIONALES LATEST EDITION GRADED A+
TEST BANK FOR GERONTOLOGIC NURS...
TEST BANK FOR GERONTOLOGIC NURSING 6TH EDITION BY MEINERALL
CHAPTERS COMPLETE GUIDE WITH RATIONALES LATEST EDITION 2024-
2025 GRADED A+
,Chapter 01: Overview of Gerontologic Nursing
Meiner: Gerontologic Nursing, 5th Edition
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse practitioner
would use thesestandards 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: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010 incorporates the input of
gerontologic nurse practitioners from across the United States. It was not intended to promote gerontologic nursing practice
within acutecare settings, define concepts or dimensions of gerontologic nursing practice, or elevate the practice of
gerontologic nursing. DIF: Remembering (Knowledge) REFERENCE: Page 2 OBJ: 1-1
TOPIC: 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 practitioner needs to first:
a. recognize that nurse practitioners must act as advocates for aging clients.
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 client.
d. recognize ageism as a form of bigotry shared by many Americans.
CORRECT: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older population as a whole. With
nurse practitioners being members of a society holding such views, it is critical that the individual nurse practitioner self-
reflect on personal feelings and determine whether such feelings will affect the nursing care that he or she provides to the
aging client. 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) REFERENCE: N/A OBJ: 1-9
TOPIC: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent older Americans, the nurse
practitionerincludes 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: 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) REFERENCE: Page 2 OBJ: 3-3
TOPIC: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adult’s discharge teaching plan, the nurse practitioner includes the client’s:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
,CORRECT: 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) REFERENCE: N/A OBJ: 3-3
TOPIC: Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The nurse practitioner planning care for an older adult who has recently been diagnosed with rheumatoid arthritis
views the prioritycriterion for continued independence to be the client’s:
a. age.
b. financial status.
c. gender.
d. functional status.
CORRECT: 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) REFERENCE: Page 8
OBJ: 1-6 TOPIC: Nursing Process: Planning MSC:
Physiologic Integrity
6. A nurse practitioner 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: 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) REFERENCE: N/A OBJ: 1-4
TOPIC: Nursing Process: Assessment MSC: Safe and Effective Care Environment
7. Which of the following statements made by a nurse practitioner preparing to complete a health assessment and
history on an older client reflects an understanding of the general health status of this population?
a. “I’ll need to document well regarding the medications the client is currently prescribed.”
b. “I would like to understand how supportive the client’s family members are.”
c. “Most older clients are being treated for a variety of chronic health care issues.”
d. “It will be interesting to see whether this client sees herself as being healthy.”
CORRECT: D
It is a misconception that old age is synonymous with disease and illness. The nurse practitioner should always determine the
client’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 client. Many older adults do have chronic health conditions, but their perception
is moreimportant than a single number.
DIF: Applying (Application) REFERENCE: N/A OBJ: 1-4
TOPIC: Nursing Process: Assessment MSC: Health Promotion
8. The nurse practitioner 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 client’s pending transfer to a subacute care facility. What response
by the nurse practitioner isbest?
a. “Acute care facilities lack the long-term physical therapy support 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 maintain his independence.”
, d. “Insurance, including Medicare, will cover only a limited amount of time here.”
CORRECT: C
The transfer of the client to a subacute facility is based on the need to maintain the client’s level of function and
independence, a task the acute care facility is not prepared to address once the client is physiologically stable. The client may
or may not be happier in the new setting; the nurse practitioner 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 client to transfer.
DIF: Applying (Application) REFERENCE: N/A
OBJ: 1-6TOPIC: Communication and
Documentation
MSC: Health Promotion and Maintenance
9. To best assure both the quality of care and the safety of the older adult client who requires in-home unlicensed assistive
personal (UAP) assistance, the geriatric nurse practitioner:
a. evaluates the competency of the UAP staff.
b. assumes the roles of case manager and client advocate.
c. arranges for the needed UAP provided services.
d. assesses the client for functional limitations.
CORRECT: A
As more care traditionally provided by professional nurse practitioners is being transferred to UAP, the nurse practitioner
must assume more responsibility for educating, training, and evaluating the competency of UAP staff to provide safe,
effective care for the older adult client.
DIF: Applying (Application) REFERENCE: N/A
OBJ: 1-2TOPIC: Communication and
Documentation
MSC: Safe and Effective Care Environment
10. The nurse practitioner 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 nurse practitioners to be paid by third-party payers.
d. It allows nurse practitioners to advance their
careers in a job. CORRECT: B
Certification is voluntary and shows that a nurse practitioner has additional knowledge and expertise in a certain area of
practice. It is notmandatory 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.
DIF: Remembering (Knowledge) REFERENCE: Page 2 OBJ: 1-2
TOPIC: Teaching-Learning MSC: Safe Effective Care Environment
11. A nurse practitioner works in a gerontologic clinic. What action by the nurse practitioner takes highest priority?
a. Serving as a client advocate
b. Educating clients about diseases
c. Helping clients remain independent
d. Referring clients to home health care
CORRECT: C
One of the challenges and priorities of the gerontologic nurse practitioner is helping clients maintain their
independence. DIF: Remembering (Knowledge) REFERENCE: Page 10 OBJ: 1-2
TOPIC: Nursing Process: Implementation MSC: Health Promotion
12. A nurse practitioner is caring for an older client in the emergency department. What information about the client
will be mosthelpful in creating a plan of care?
a. Baseline physical and cognitive functioning
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller kiarienaomi88. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.09. You're not tied to anything after your purchase.
