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Test Bank For Gerontologic Nursing 5th Edition By Sue E. Meiner |All Chapters, Year-2023/2024| $16.99   Add to cart

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Test Bank For Gerontologic Nursing 5th Edition By Sue E. Meiner |All Chapters, Year-2023/2024|

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Test Bank For Gerontologic Nursing 5thEdition By Sue E. Meiner |All Chapters, Year-2023/2024|

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  • October 28, 2024
  • 287
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 5thedition
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  • Nursing
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bonie314
TESTBANK
y

,Chapter 01: Overview of Gerontologic
y y y y



yNursing Meiner: Gerontologic Nursing,
y y y



y5th Edition
y




MULTIPLE CHOICE y




1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice
y y y y y y y y y y


y was published. The nurse would use these standards to:
y y y y y y y y


a. promote the practice of gerontologic nursing within the acute care setting.
y y y y y y y y y y


b. define the concepts and dimensions of gerontologic nursing practice.
y y y y y y y y


c. elevate the practice of gerontologic nursing. y y y y y


d. incorporate suggested interventions from others who practice gerontologic nursing. y y y y y y y y




ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing
y y y y y y y y y y


yPractice in 2010 incorporates the input of gerontologic nurses from across the
y y y y y y y y y y y


yUnited States. It was not intended to promote gerontologic nursing practice
y y y y y y y y y y


y within
acute care settings, define concepts or dimensions of gerontologic nursing practice, or
y y y y y y y y y y y


yelevate the practice of gerontologic nursing.
y y y y y




DIF: Remembering (Knowledge) REF: Page 2 OBJ: 1- y y


1 TOP: N/A
y MSC: Safe and Effective Care Environment y y y y




2. When attempting to minimize the effect of ageism on the practice of nursing
y y y y y y y y y y y y


y older adults, a nurse needs to first:
y y y y y y


a. recognize that nurses must act as advocates for aging patients. y y y y y y y y y


b. accept that this population represents a substantial portion of
y y y y y y y y


those requiring nursing care.
y y y y


c. self-reflect and formulate one‟s personal view of aging and the older patient. y y y y y y y y y y y


d. recognize ageism as a form of bigotry shared by many Americans. y y y y y y y y y y




ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging
y y y y y y y y y y y


yprocess and of the older population as a whole. With nurses being members of a
y y y y y y y y y y y y y y


ysociety holding such views, it is critical that the individual nurse self-reflect on
y y y y y y y y y y y y


ypersonal feelings and determine whether such feelings will affect the nursing care
y y y y y y y y y y y


ythat he or she provides to the aging patient. Acting as an advocate is an
y y y y y y y y y y y y y y


yimportant nursing role in all settings. y y y y y


Simply accepting a fact does not help end ageism, nor does recognizing ageism as
y y y y y y y y y y y y y


ya form of bigotry.
y y y




DIF: Applying (Application) y REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care y y

Environment y




3. When discussing factors that have helped to increase the number of
y y y y y y y y y y


y healthy, independent older Americans, the nurse includes the importance
y y y y y y y y


y of:
a. increased availability of in-home care services. y y y y y


b. government support of retired citizens. y y y y


c. effective antibiotic therapies. y y


d. the development of life-extending therapies.
y y y y




ANS: C

, The health and ultimate autonomy of older Americans has been positively impacted
y y y y y y y y y y y


yby the development of antibiotics, better sanitation, and vaccines. These public
y y y y y y y y y y


yhealth measures have been more instrumental in increasing the numbers of healthy,
y y y y y y y y y y y


yindependent older Americans than have in-home care services, government
y y y y y y y y


yprograms, or life-extending therapies. y y y




DIF: Remembering (Knowledge) REF: Page 2 OBJ: 3-3 y y


TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
y y y y y y




4. Based on current data, when presenting an older adult‟s discharge teaching
y y y y y y y y y y


y plan, the nurse includes the patient‟s:
y y y y y


a. nonrelated caretaker. y


b. paid caregiver. y


c. family member. y


d. intuitional representative. y




ANS: C
Less than 4% of older adults live in a formal health care environment. The
y y y y y y y y y y y y y


ymajority of the geriatric population lives at home or with family members.
y y y y y y y y y y y




DIF: Applying (Application) y REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning y y MSC: Safe and Effective Care Environment
y y y y




5. The nurse planning care for an older adult who has recently been diagnosed with
y y y y y y y y y y y y y


yrheumatoid arthritis views the priority criterion for continued independence to be
y y y y y y y y y y


y the patient‟s:
y


a. age.
b. financial status. y


c. gender.
d. functional status. y




ANS: D
Maintaining the functional status of older adults may avert the onset of physical
y y y y y y y y y y y y


y frailty and cognitive impairment, two conditions that increase the likelihood of
y y y y y y y y y y


yinstitutionalization.

DIF: Remembering (Knowledge) y REF: Page 8 OBJ: 1- y


6 TOP: Nursing Process: Planning
y y y MSC: Physiologic Integrity y




6. A nurse working with the older adult population is most likely to assess a need
y y y y y y y y y y y y y y


y for a financial social service‟s referral for a(n):
y y y y y y y


a. white male. y


b. black female. y


c. Hispanic male. y


d. Asian American female. y y




ANS: B
The poverty rate among older black women is substantially higher than that seen
y y y y y y y y y y y y


yamong males or females of other ethnic groups. White males had the least
y y y y y y y y y y y y


y poverty.

DIF: Applying (Application) y REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment y y MSC: Safe and Effective Care Environment
y y y y

, 7. Which of the following statements made by a nurse preparing to complete a
y y y y y y y y y y y y


health assessment and history on an older patient reflects an understanding of
y y y y y y y y y y y y


the general health status of this population?
y y y y y y y


a. “I‟ll need to document well regarding the medications the
y y y y y y y y


patient is currently prescribed.”
y y y y


b. “I would like to understand how supportive the patient‟s family members are.”
y y y y y y y y y y y


c. “Most older patients are being treated for a variety of chronic health care
y y y y y y y y y y y y


issues.” y


d. “It will be interesting to see whether this patient sees herself as being
y y y y y y y y y y y y


healthy.” y




ANS: D
It is a misconception that old age is synonymous with disease and illness. The
y y y y y y y y y y y y y


nurse should always determine the patient‟s sense of wellness and independence
y y y y y y y y y y y


when conducting a health and history assessment. An assessment of medication
y y y y y y y y y y y


use and family support is important for any patient. Many older adults do have
y y y y y y y y y y y y y y


chronic health conditions, but their perception is more important than a single
y y y y y y y y y y y y


number.
y




DIF: Applying (Application) REF: N/A OBJ: y 1-
4 TOP: Nursing Process: Assessment MSC: Health Promotion
y y y y




8. The nurse is caring for an older adult who has been admitted to an acute
y y y y y y y y y y y y y y


care hospital for treatment of a fractured femur. The family expresses
y y y y y y y y y y y


concern about the patient‟s pending transfer to a subacute care facility. What
y y y y y y y y y y y y


response by the nurse is best?
y y y y y y


a. “Acute care facilities lack the long-term physical therapy y y y y y y y


support your dad requires.”
y y y y


b. “Your dad will be much happier in a more serene, private environment.”
y y y y y y y y y y y


c. “The subacute facility will focus on helping your dad maintain his
y y y y y y y y y y


independence.”
y


d. “Insurance, including Medicare, will cover only a limited amount of time here.” y y y y y y y y y y y




ANS: C
The transfer of the patient to a subacute facility is based on the need to
y y y y y y y y y y y y y y


maintain the patient‟s level of function and independence, a task the acute care
y y y y y y y y y y y y y


facility is not prepared to address once the patient is physiologically stable.
y y y y y y y y y y y y


The patient may or may not be happier in the new setting; the nurse
y y y y y y y y y y y y y y


should not make this judgment. It
y y y y y y


is true that insurance only pays for a limited amount of time in an acute care
y y y y y y y y y y y y y y y


facility, but this is not the best reason for the patient to transfer.
y y y y y y y y y y y y y




DIF: Applying (Application) REF: y N/A OBJ: 1-
6 TOP: Communication and
y y


yDocumentation MSC: Health Promotion and y y y


yMaintenance

9. To best assure both the quality of care and the safety of the older adult patient
y y y y y y y y y y y y y y y


who requires in- home unlicensed assistive personal (UAP) assistance, the
y y y y y y y y y y


geriatric nurse:
y y


a. evaluates the competency of the UAP staff. y y y y y y


b. assumes the roles of case manager and patient advocate. y y y y y y y y


c. arranges for the needed UAP provided services. y y y y y y


d. assesses the patient for functional limitations. y y y y y




ANS: A

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