TEST BANK FOR GERONTOLOGIC NURSING 5TH EDITION BY SUE E. MEINER||ALL CHAPTERS||ISBN NO:9780323266024||COMPLETE GUIDE A+
Test Bank For Gerontologic Nursing 5th Edition By Sue Meiner||WITH RIGHT QUESTIONS and VERIFIED ANSWERS
Test Bank for Gerontologic Nursing (Gerontologic Nursing - Meiner (formerly Lueckenotte)) 5th Edition by Sue E. Meiner ISBN: 9780323266024 | Complete Guide A+
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TEST BANK FOR GERONTOLOGIC
NURSING 6TH EDITION BY MEINERALL
CHAPTERS
• In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The
nurse 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.
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?
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. 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:
, 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
. 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:
A. nonrelated caretaker.
B. paid caregiver.
C. family member.
D. 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 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.”
D.
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: 1-6TOP:
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:
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.
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?
A. It is mandatory for those in long-term care settings.
B. It is voluntary and shows clinical expertise in an area.
C.
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 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. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
B. Serving as a patient advocate
C. Educating patients about diseases
D. Helping patients remain independent
E. health Referring
patients to home
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?
A. Baseline physical and cognitive functioning
B. Living conditions and family support
C.
D. Medications and current medical problems
, E. 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
• 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: 1-3TOP: Teaching-
Learning MSC: Health Promotion
• 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
MSC: Health Promotion
• What does the bedside nurse understand about his or her role in nursing research?
A. Research is only done by doctorally prepared nurses.
B. All nurses have a role in delivering research-based care.
C. A bedside nurse can be part of a hospital research team.
D. The bedside nurse can collect data if the nurse has
been properly trained.ANS: B
All nurses are charged to deliver patient-centered care based on evidence-based practice, research, quality
improvement, and informatics. The bedside nurse is part of an interdisciplinary team that is responsible
for redesigning the health care structureof the future.
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