Test Bank For Gerontologic Nursing 6th Edition by Sue Meiner, Jennifer Yeager. Isbn: 9780323498111.
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Course
Advance nursing
Institution
Advance Nursing
Test Bank Gerontologic Nursing 6th Edition by Sue Meiner, Jennifer Yeager. Isbn: 9780323498111.
Gerontologic Nursing 6e test bank. Meiner 6e test bank for Gerontologic Nursing.
Contents:=Part I: Introduction to Gerontologic Nursing
1. Overview of Gerontologic Nursing
2. Theories Related to Care...
TEST BANK Gerontologic Nursing 6th Edition Sue Meiner
Chapter 1: Overview of Gerontologic Nursing
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The nurse would use these standards to
~ 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.
DIF: Remembering
OBJ: 1-1
TOP: N/A
MSC: Safe and Effective Care Environment
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
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first
~ 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.
DIF: Applying
OBJ: 1-6
TOP: Integrated Process: Teaching-Learning
MSC: Safe and Effective Care Environment
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.
,3. 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
~ Maintaining the functional status of older adults (especially those with chronic health
conditions) m ay avert the onset of physical frailty and cognitive impairment, two conditions that
increase the likelihood of institutionalization.
a. age.
b. financial status.
c. gender.
*d. functional status.
4. 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?
~ 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.
DIF: Remembering
OBJ: 1-4
TOP: Nursing Process: Assessment
MSC: Safe and Effective Care Environment
a. White male
*b. Black female
c. Hispanic male
d. Asian American female
5. 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?
~ 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 single number.
DIF: Applying
OBJ: 1-4
TOP: Nursing Process: Assessment
MSC: Health Promotion and Maintenance
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 care issues.”
*d. “It will be interesting to see whether this patient sees herself as being healthy.”
6. 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?
~ 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.
DIF: Applying
OBJ: 1-4
TOP: Integrated Process: Communication and Documentation
MSC: Health Promotion and Maintenance
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.”
7. 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?
~ 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
OBJ: 1-5
TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment
*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.
8. The nurse working with older adults understands what information about certification in
gerontologic nursing?
~ 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.
DIF: Remembering
OBJ: 1-2
TOP: Integrated Process: Teaching-Learning
MSC: Safe and Effective Care Environment
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.
9. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
~ 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.
DIF: Remembering
OBJ: 1-2
TOP: Nursing Process: Implementation
MSC: Health Promotion and Maintenance
a. Serving as a patient advocate
b. Educating patients about diseases
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