1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice
e e e e e e e e e e
ewas published. The nurse would use these standards to:
e e e e e e e e
a. promote the practice of gerontologic nursing within the acute care setting.
e e e e e e e e e e
b. define the concepts and dimensions of gerontologic nursing practice.
e e e e e e e e
c. elevate the practice of gerontologic nursing. e e e e e
d. incorporate suggested interventions from others who practice gerontologic nursing. e e e e e e e e
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing
e e e e e e e e e e
Practice in 2010 incorporates the input of gerontologic nurses from across the
e e e e e e e e e e e e
United States. It was not intended to promote gerontologic nursing practice
e e e e e e e e e e e
ewithin
acute care settings, define concepts or dimensions of gerontologic nursing practice, or
e e e e e e e e e e e
elevate the practice of gerontologic nursing.
e e e e e e
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1- e e
1 TOP: N/A
e MSC: Safe and Effective Care Environment e e e e
2. When attempting to minimize the effect of ageism on the practice of nursing
e e e e e e e e e e e e
eolder adults, a nurse needs to first:
e e e e e e
a. recognize that nurses must act as advocates for aging patients. e e e e e e e e e
b. accept that this population represents a substantial portion of
e e e e e e e e
those requiring nursing care.
e e e e
c. self-reflect and formulate one‟s personal view of aging and the older patient. e e e e e e e e e e e
d. recognize ageism as a form of bigotry shared by many Americans. e e e e e e e e e e
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging
e e e e e e e e e e e
process and of the older population as a whole. With nurses being members of a
e e e e e e e e e e e e e e e
society holding such views, it is critical that the individual nurse self-reflect on
e e e e e e e e e e e e e
personal feelings and determine whether such feelings will affect the nursing care
e e e e e e e e e e e e
that he or she provides to the aging patient. Acting as an advocate is an
e e e e e e e e e e e e e e e
important nursing role in all settings.
e e e e e e
Simply accepting a fact does not help end ageism, nor does recognizing ageism as
e e e e e e e e e e e e e
a form of bigotry.
e e e e
DIF: Applying (Application) e REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care e e
Environment e
3. When discussing factors that have helped to increase the number of
e e e e e e e e e e
ehealthy, independent older Americans, the nurse includes the importance
e e e e e e e e
eof:
a. increased availability of in-home care services. e e e e e
b. government support of retired citizens. e e e e
c. effective antibiotic therapies. e e
d. the development of life-extending therapies.
e e e e
ANS: C
, The health and ultimate autonomy of older Americans has been positively impacted
e e e e e e e e e e e
eby the development of antibiotics, better sanitation, and vaccines. These public
e e e e e e e e e e
ehealth measures have been more instrumental in increasing the numbers of healthy,
e e e e e e e e e e e
eindependent older Americans than have in-home care services, government
e e e e e e e e
eprograms, or life-extending therapies. e e e
DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 e e
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
e e e e e e
4. Based on current data, when presenting an older adult‟s discharge teaching
e e e e e e e e e e
e plan, the nurse includes the patient‟s:
e e e e e
a. nonrelated caretaker. e
b. paid caregiver. e
c. family member. e
d. intuitional representative. e
ANS: C
Less than 4% of older adults live in a formal health care environment. The
e e e e e e e e e e e e e
emajority of the geriatric population lives at home or with family members.
e e e e e e e e e e e
DIF: Applying (Application) e REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning e e MSC: Safe and Effective Care Environment
e e e e
5. The nurse planning care for an older adult who has recently been diagnosed with
e e e e e e e e e e e e e
erheumatoid arthritis views the priority criterion for continued independence to be
e e e e e e e e e e
e the patient‟s:
e
a. age.
b. financial status. e
c. gender.
d. functional status. e
ANS: D
Maintaining the functional status of older adults may avert the onset of physical
e e e e e e e e e e e e
e frailty and cognitive impairment, two conditions that increase the likelihood of
e e e e e e e e e e
einstitutionalization.
DIF: Remembering (Knowledge) e REF: Page 8 OBJ: 1- e
6 TOP: Nursing Process: Planning
e e e MSC: Physiologic Integrity e
6. A nurse working with the older adult population is most likely to assess a need
e e e e e e e e e e e e e e
e for a financial social service‟s referral for a(n):
e e e e e e e
a. white male. e
b. black female. e
c. Hispanic male. e
d. Asian American female. e e
ANS: B
The poverty rate among older black women is substantially higher than that seen
e e e e e e e e e e e e
eamong males or females of other ethnic groups. White males had the least
e e e e e e e e e e e e
e poverty.
DIF: Applying (Application) e REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment e e MSC: Safe and Effective Care Environment
e e e e
, 7. Which of the following statements made by a nurse preparing to complete a
e e e e e e e e e e e e
health assessment and history on an older patient reflects an understanding of
e e e e e e e e e e e e
the general health status of this population?
e e e e e e e
a. “I‟ll need to document well regarding the medications the patient
e e e e e e e e e
is currently prescribed.”
e e e
b. “I would like to understand how supportive the patient‟s family members are.”
e e e e e e e e e e e
c. “Most older patients are being treated for a variety of chronic health care
e e e e e e e e e e e e
issues.” e
d. “It will be interesting to see whether this patient sees herself as being healthy.”
e e e e e e e e e e e e e
ANS: D
It is a misconception that old age is synonymous with disease and illness. The
e e e e e e e e e e e e e
nurse should always determine the patient‟s sense of wellness and independence
e e e e e e e e e e e
when conducting a health and history assessment. An assessment of medication
e e e e e e e e e e e
use and family support is important for any patient. Many older adults do have
e e e e e e e e e e e e e e
chronic health conditions, but their perception is more important than a single
e e e e e e e e e e e e
number.
e
DIF: Applying (Application) REF: N/A OBJ: e 1-
4 TOP: Nursing Process: Assessment MSC: Health Promotion
e e e e
8. The nurse is caring for an older adult who has been admitted to an acute care
e e e e e e e e e e e e e e e
hospital for treatment of a fractured femur. The family expresses concern
e e e e e e e e e e e
about the patient‟s pending transfer to a subacute care facility. What response
e e e e e e e e e e e e
by the nurse is best?
e e e e e
a. “Acute care facilities lack the long-term physical therapy e e e e e e e
support your dad requires.”
e e e e
b. “Your dad will be much happier in a more serene, private environment.”
e e e e e e e e e e e
c. “The subacute facility will focus on helping your dad maintain his
e e e e e e e e e e
independence.” e
d. “Insurance, including Medicare, will cover only a limited amount of time here.” e e e e e e e e e e e
ANS: C
The transfer of the patient to a subacute facility is based on the need to
e e e e e e e e e e e e e e
maintain the patient‟s level of function and independence, a task the acute care
e e e e e e e e e e e e e
facility is not prepared to address once the patient is physiologically stable.
e e e e e e e e e e e e
The patient may or may not be happier in the new setting; the nurse
e e e e e e e e e e e e e e
should not make this judgment. It
e e e e e e
is true that insurance only pays for a limited amount of time in an acute care
e e e e e e e e e e e e e e e
facility, but this is not the best reason for the patient to transfer.
e e e e e e e e e e e e e
DIF: Applying (Application) REF: e N/A OBJ: 1-
6 TOP: Communication and
e e
eDocumentation MSC: Health Promotion and e e e
eMaintenance
9. To best assure both the quality of care and the safety of the older adult patient
e e e e e e e e e e e e e e e
who requires in- home unlicensed assistive personal (UAP) assistance, the geriatric
e e e e e e e e e e e
nurse:
e
a. evaluates the competency of the UAP staff. e e e e e e
b. assumes the roles of case manager and patient advocate. e e e e e e e e
c. arranges for the needed UAP provided services. e e e e e e
d. assesses the patient for functional limitations. e e e e e
ANS: A
As more care traditionally provided by professional nurses is being transferred to
e e e e e e e e e e e
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 TestbanksCove. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
