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Test Bank Gerontologic Nursing 6th Edition (Meiner, 2024) Chapter 1-29 | All Chapters
Test Bank Gerontologic Nursing 6th Edition (Meiner, 2024) Chapter 1-29 | All Chapters
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GERONTOLOGY NURSINGStuvia.com
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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 |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 |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
2. |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. |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.
DIF: |Applying |(Application) |REF: |N/A |OBJ: |1-9
TOP: |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 |includes |the |importance |of:
a. increased |availability |of |in-home |care |services.
b. government |support |of |retired |citizens.
c. effective |antibiotic |therapies.
d. the |d evelopment |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
4. Based |on |current |data, |when |presenting |an |older |adult’s |discharge |teaching |plan, |the |nurse |includes |the |patient’s:
a. nonrelated |caretaker.
b. paid |caregiver.
c. family |member.
d. intuitional |representative.
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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.
DIF: |Applying |(Application) |REF: |N/A |OBJ: |3-3
TOP: |Nursing |Process: |Planning |MSC: |Safe |and |Effective |Care |Environment
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:
a. age.
b. financial |status.
c. gender.
d. functional |s tatus.
|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.
DIF: |Remembering |(Knowledge) |REF: |Page |8 |OBJ: |1-6
|TOP: |Nursing |Process: |Planning |MSC: |Physiologic
|Integrity
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):
a. white |male.
b. black |female.
c. Hispanic |male.
d. Asian |A merican |female.
|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.
DIF: |Applying |(Application) |REF: |N/A |OBJ: |1-4
TOP: |Nursing |Process: |Assessment |MSC: |Safe |and |Effective |Care |Environment
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?
a. “I’ll |need |to |document |well |regarding |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.” |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.
DIF: |Applying |(Application) |REF: |N/A |OBJ: |1-4
TOP: |Nursing |Process: |Assessment |MSC: |Health |Promotion
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?
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.”
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d. “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: |1-6
|TOP: |Communication |and |Documentation
MSC: |Health |Promotion |and |Maintenance
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:
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 |p atient |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: |1-2
|TOP: |Communication |and |Documentation
MSC: |Safe |and |Effective |Care |Environment
10. 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. |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.
DIF: |Remembering |(Knowledge) |REF: |Page |2 |OBJ: |1-2
TOP: |Teaching-Learning |MSC: |Safe |Effective |Care |Environment
11. 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 |h ome |h ealth |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
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?
a. Baseline |physical |and |cognitive |functioning
b. Living |conditions |and |family |support
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c. Medications |and |current |medical |problems
d. 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 |of |individualized |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
13. The |faculty |member |explains |to |students |that |many |older |Americans |continue |to |work |past |the |“retirement |age.”
|What |best |explains |this |trend?
a. Feeling |healthier |longer
b. Changing |financial |outlook
c. Becoming |bored |in |retirement
d. A |d esire |to |g ive |b ack
|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.
DIF: |Remembering |(Knowledge) |REF: |Page |7 |OBJ: |1-3
|TOP: |Teaching-Learning |MSC: |Health |Promotion
14. What |information |does |the |faculty |member |teach |students |about |Medicare?
a. Covers |anyone |with |end |stage |renal |disease
b. Part |A |covers |some |prescription |costs
c. Part |B |covers |inpatient |hospital |costs
d. Part |D |eliminates |the |drug |“donut
|hole” |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.
DIF: |Understanding |(Comprehension) |REF: |Page |9 |OBJ: |1-3
|TOP: |Teaching-Learning |MSC: |Health |Promotion
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?
a. Provide |mandatory |education |on |the |needs |of |the |older |patient.
b. Provide |restorative |therapy |programs |designed |for |this |group.
c. Ensure |staffing |numbers |are |adequate |for |dependent |patients.
d. Encourage |all |nurses |to |obtain |gerontologic
|certification. |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.
DIF: |Applying |(Application) |REF: |N/A |OBJ: |1-4
TOP: |Nursing |Process: |Implementation |MSC: |Physiologic |Integrity: |Reduction |of |Risk |Potential
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?
a. The |Nurse |Practice |Act |for |that |state
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