MULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The
nursing attendant 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
Reasoning:->>>The current publishing of the Standards and Scope of Gerontological Nursing Practice
in 2010 incorporates the input of gerontologic nursing attendants 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.
DIFFICULT: 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
nursing attendant needs to first:
a. recognize that nursing attendants must act as advocates for aging hospital 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 hospital patient.
d. recognize ageism as a form of bigotry shared by many
Americans.
CORRECT CHOICE:-C
Reasoning:->>>Ageism is an ever-increasing prejudicial view of the effects of the aging process and of
the older population as a whole. With nursing attendants being members of a society holding such
views, it is critical that the individual nursing attendant self-reflect on personal feelings and determine
whether such feelings will affect the nursing care that he or she provides to the aging hospital 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.
DIFFICULT: 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 nursing attendant 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
Reasoning:->>>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.
DIFFICULT: 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 nursing attendant
includes the hospital patient’s:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
CORRECT CHOICE:-C
Reasoning:->>>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.
DIFFICULT: Applying (Application) REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The nursing attendant planning care for an older adult who has recently been diagnosed with
rheumatoid arthritis views the priority criterion for continued independence to be the hospital
patient’s:
a. age.
b. financial status.
c. gender.
d. functional
status.
CORRECT
CHOICE:-D
Reasoning:->>>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.
DIFFICULT: Remembering (Knowledge) REF: Page 8
OBJ: 1-6 TOP: Nursing Process: Planning MSC:
, Physiologic Integrity
6. A nursing attendant 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.
ACCURATE
CHOICE:-B
Reasoning:->>>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.
DIFFICULT: 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 nursing attendant preparing to complete a health
assessment and history on an older hospital patient reflects an understanding of the general health
status of this population?
a. “I’ll need to document well regarding the medications the hospital patient is currently prescribed.”
b. “I would like to understand how supportive the hospital patient’s family members are.”
c. “Most older hospital patients are being treated for a variety of chronic primary care issues.”
d. “It will be interesting to see whether this hospital patient sees
herself as being healthy.”
CORRECT CHOICE:-D
Reasoning:->>>It is a misconception that old age is synonymous with illness and illness. The nursing
attendant should always determine the hospital 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 hospital patient. Many older adults do have chronic health conditions, but their
perception is more important than a single number.
DIFFICULT: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
8. The nursing attendant 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 hospital patient’s pending
transfer to
a subacute care facility. What response by the nursing attendant 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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