TEST BANK FOR GERONTOLOGIC
NURSING 6TH EDITION BY MEINERALL
CHAPTERS INCLUDED.||RATED A++
Chapter 01: Overview of
Gerontologic Nursing
Meiner: Gerontologic
Nursing, 5th Edition
MULTIPLE CHOICE
• In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The
nurse would use thesestandards to:
• promote the practice of gerontologic nursing within the acute care setting.
• define the concepts and dimensions of gerontologic nursing practice.
• elevate the practice of gerontologic nursing.
• incorporate suggested interventions from others who practice
gerontologic nursing. 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. DIF: Remembering
(Knowledge) REF: Page 2 OBJ: 1-1
TOP: N/A MSC: Safe and Effective Care Environment
• When attempting to minimize the effect of ageism on the practice of nursing older adults, a nurse needs to
first:
• recognize that nurses must act as advocates for aging patients.
• accept that this population represents a substantial portion of those requiring nursing care.
• self-reflect and formulate one’s personal view of aging and the older patient.
• recognize ageism as a form of bigotry shared
by many Americans. ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
population as a whole. Withnurses 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
• When discussing factors that have helped to increase the number of healthy, independent older
Americans, the nurseincludes the importance of:
• increased availability of in-home care services.
• government support of retired citizens.
• effective antibiotic therapies.
, • the development of life-
extending therapies. 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.
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
• Based on current data, when presenting an older adult’s discharge teaching plan, the nurse includes the
patient’s:
• nonrelated caretaker.
• paid caregiver.
• family member.
• intuitional representative.
ANS: C
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric
population lives at homeor with family members.
DIF: Applying (Application) REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
• The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
arthritis views the prioritycriterion for continued independence to be the patient’s:
• age.
• financial status.
• gender.
• functional status.ANS: D
Maintaining the functional status of older adults may avert the onset of physical frailty and
cognitive impairment, twoconditions that increase the likelihood of institutionalization.
DIF: Remembering (Knowledge) REF:
Page 8 OBJ: 1-6 TOP: Nursing Process:
Planning MSC: Physiologic Integrity
• 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):
• white male.
• black female.
• Hispanic male.
• Asian American female. ANS: B
The poverty rate among older black women is substantially higher than that seen among males or
females of other ethnicgroups. 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
• 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?
• “I’ll need to document well regarding the medications the patient is currently prescribed.”
• “I would like to understand how supportive the patient’s family members are.”
,• “Most older patients are being treated for a variety of chronic health care issues.”
• “It will be interesting to see whether this patient sees
herself as being healthy.” 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 moreimportant than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
• 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?
• “Acute care facilities lack the long-term physical therapy support your dad requires.”
• “Your dad will be much happier in a more serene, private environment.”
• “The subacute facility will focus on helping your dad maintain his independence.”
• “Insurance, including Medicare, will cover only a limited
amount of time here.”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.
DIF: Applying (Application)
REF: N/A OBJ: 1-6TOP:
Communication and
Documentation
MSC: Health Promotion and Maintenance
• To best assure both the quality of care and the safety of the older adult patient who requires in-home
unlicensed assistivepersonal (UAP) assistance, the geriatric nurse:
• evaluates the competency of the UAP staff.
• assumes the roles of case manager and patient advocate.
• arranges for the needed UAP provided services.
• assesses the patient for
functional limitations. 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.
DIF: Applying (Application)
REF: N/A OBJ: 1-2TOP:
Communication and
Documentation
MSC: Safe and Effective Care Environment
• The nurse working with older adults understands what information about certification in gerontologic
nursing?
• It is mandatory for those in long-term care settings.
, • It is voluntary and shows clinical expertise in an area.
• It allows nurses to be paid by third-party payers.
• It allows nurses to advance
their careers in a job. ANS: B
Certification is voluntary and shows that a nurse 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) REF: Page 2 OBJ: 1-2
TOP: Teaching-Learning MSC: Safe Effective Care Environment
• A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
• Serving as a patient advocate
• Educating patients about diseases
• Helping patients remain independent
• Referring patients
to home health care
ANS: C
One of the challenges and priorities of the gerontologic nurse is helping patients maintain
their independence. DIF: Remembering (Knowledge) REF: Page 10 OBJ: 1-2
TOP: Nursing Process: Implementation MSC: Health Promotion
• A nurse is caring for an older patient in the emergency department. What information about the
patient will be mosthelpful in creating a plan of care?
• Baseline physical and cognitive functioning
• Living conditions and family support
• Medications and current medical problems
• Results of the Mini
Mental State examination
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 ofindividualized care begins with the patient’s strengths and
weaknesses.
DIF: Applying (Application) REF: N/A OBJ: 1-6
TOP: Nursing Process: Assessment MSC: Health Promotion
• The faculty member explains to students that many older Americans continue to work past the
“retirement age.” What best explains this trend?
• Feeling healthier longer
• Changing financial outlook
• Becoming bored in retirement
• A desire to give back ANS: B
As financial situations may have declined as a result of many economic factors, more older adults work
past their “retirementage.” The other options may be reasons for some to continue working, but financial
necessity is the reason the majority continue to do so.
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