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TEST BANK FOR GERONTOLOGIC NURSING 6TH EDITION BY MEINER /COMPLETE GUIDE
TEST BANK FOR GERONTOLOGIC NURSING 6TH EDITION BY MEINER /COMPLETE GUIDE
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TEST BANK FOR GERONTOLOGIC NURSING 6TH EDITION BYMEINER /COMPLETE GUIDE 2024-2025
,Chapter 01: Overview of Gerontologic
Nursing Meiner: Gerontologic
Nursing, 6th Edition
MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The
nurse practitioner 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.
CORRECT CHOICE:-D
Elaboration :->>>The current publishing of the Standards and Scope of Gerontological Nursing
Practice in 2010 incorporates the input of gerontologic nurse practitioners 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
practitioner needs to first:
a. recognize that nurse practitioners must act as advocates for aging clients.
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 client.
d. recognize ageism as a form of bigotry shared by many
Americans.
CORRECT CHOICE:-C
Elaboration :->>>Ageism is an ever-increasing prejudicial view of the effects of the aging process and
of the older population as a whole. With nurse practitioners being members of a society holding such
views, it is critical that the individual nurse practitioner self-reflect on personal feelings and determine
whether such feelings will affect the nursing care that he or she provides to the aging client. 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 practitioner includes 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.
CORRECT CHOICE:-C
Elaboration :->>>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 practitioner
includes the client’s:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
CORRECT CHOICE:-C
Elaboration :->>>Less than 4% of older adults live in a formal primary 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 practitioner planning care for an older adult who has recently been diagnosed with
rheumatoid arthritis views the priority criterion for continued independence to be the client’s:
a. age.
b. financial status.
c. gender.
d. functional
status.
CORRECT
CHOICE:-D
Elaboration :->>>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 practitioner 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 American
female.
CORRECT CHOICE:-
B
Elaboration :->>>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 practitioner preparing to complete a health
assessment and history on an older client reflects an understanding of the general health status of
this population?
a. “I’ll need to document well regarding the medications the client is currently prescribed.”
b. “I would like to understand how supportive the client’s family members are.”
c. “Most older clients are being treated for a variety of chronic primary care issues.”
d. “It will be interesting to see whether this client sees herself as
being healthy.”
CORRECT CHOICE:-D
Elaboration :->>>It is a misconception that old age is synonymous with illness and illness. The nurse
practitioner should always determine the client’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 client. 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 practitioner 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 client’s pending transfer to
a subacute care facility. What response by the nurse practitioner 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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