{"id":128132,"date":"2023-11-28T10:06:31","date_gmt":"2023-11-28T10:06:31","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=128132"},"modified":"2023-11-28T10:06:34","modified_gmt":"2023-11-28T10:06:34","slug":"gerontologic-nursing-6th-edition-by-sue-e-meiner-jennifer-j-yeager-test-bank","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/11\/28\/gerontologic-nursing-6th-edition-by-sue-e-meiner-jennifer-j-yeager-test-bank\/","title":{"rendered":"Gerontologic Nursing 6th Edition by Sue E. Meiner, Jennifer J. Yeager Test Bank"},"content":{"rendered":"\n

Gerontologic Nursing 6th Edition by Sue E. Meiner, Jennifer J. Yeager Test Bank<\/p>\n\n\n\n

Gerontologic Nursing 6th Edition by Sue E. Meiner, Jennifer J.
Yeager Full Test Bank
Chapter 01: Overview of Gerontologic Nursing
Meiner: Gerontologic Nursing, 6th Edition
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. In 2010, the revised Standards and Scope of Gerontological Nursing
    Practice was published. The nurse 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 the concepts of health promotion, health maintenance, disease
    prevention, and self-care
    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 and includes
    comprehensive concepts and dimensions important to those practicing gerontologic nursing. 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 OBJ: 1-1 TOP: N\/A
    MSC: Safe and Effective Care Environment<\/li>\n\n\n\n
  2. 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\u2019s 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. With nurses being members of a society holding such views, it is critical that
    the individual nurse self-reflects on personal feelings and determines 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 OBJ: 1-6 TOP: Integrated Process: Teaching-Learning<\/li>\n<\/ol>\n\n\n\n

    MSC: Safe and Effective Care Environment<\/p>\n\n\n\n

      \n
    1. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis
      views the priority criterion for continued independence to be the patient\u2019s
      a. age.
      b. financial status.
      c. gender.
      d. functional status.
      ANS: D
      Maintaining the functional status of older adults (especially those with chronic health conditions) may
      avert the onset of physical frailty and cognitive impairment, two conditions that increase the likelihood
      of institutionalization.
      DIF: Remembering OBJ: 1-4
      TOP: Nursing Process: Planning MSC: Physiologic Integrity<\/li>\n\n\n\n
    2. A nurse working with the older adult population is most likely to assess a need for a financial social
      service\u2019s referral for which person?
      a. White male
      b. Black female
      c. Hispanic male
      d. Asian American female
      ANS: B
      The poverty rate among older women is substantially higher than that seen among men. The poverty
      rates for people of color is higher than that of whites.
      DIF: Remembering OBJ: 1-4
      TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment<\/li>\n\n\n\n
    3. A nurse is preparing to complete a health assessment and history on an older patient. Which statement
      reflects an understanding of the general health status of this population?
      a. \u201cI\u2019ll need to document the medications the patient is currently prescribed.\u201d
      b. \u201cI would like to understand how supportive the patient\u2019s family members are.\u201d
      c. \u201cMost older patients are being treated for a variety of chronic health care issues.\u201d
      d. \u201cIt will be interesting to see whether this patient sees herself as being healthy.\u201d
      ANS: D
      It is a misconception that old age is synonymous with disease and illness. In fact, older adults already
      tend to view their personal health positively despite the presence of chronic illness, disease, and
      impairment. The nurse should always determine the patient\u2019s sense of wellness and independence
      when conducting a health and history assessment. An assessment of medication use and family support
      is important for any patient. Many older adults do have chronic health conditions, but their perception
      is more important than a single number.
      DIF: Applying OBJ: 1-4 TOP: Nursing Process: Assessment
      MSC: Health Promotion and Maintenance<\/li>\n\n\n\n
    4. 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 their father\u2019s pending transfer to a subacute
      care facility. What response by the nurse is best?
      a. \u201cAcute care facilities lack the long-term physical therapy your dad requires.\u201d
      b. \u201cYour dad will be much happier in a more serene, private environment.\u201d
      c. \u201cThe subacute facility will focus on helping your dad to maintain his
      independence.\u201d
      d. \u201cInsurance, including Medicare, will cover only a limited amount of time here.\u201d
      ANS: C
      The transfer of the patient to a subacute facility is based on the need to maintain the patient\u2019s level of
      function and independence, a task the acute care facility is not prepared to address once the patient is
      physiologically stable. The acute care facility may or may not be able to provide long-term therapy.
      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 OBJ: 1-4
      TOP: Integrated Process: Communication and Documentation
      MSC: Health Promotion and Maintenance<\/li>\n\n\n\n
    5. To best assure both the quality of care and the safety of the older adult patient who requires in-home
      unlicensed assistive personal (UAP) assistance, which action by the gerontologic nurse is best?
      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 OBJ: 1-5
      TOP: Integrated Process: Communication and Documentation
      MSC: Safe and Effective Care Environment<\/li>\n\n\n\n
    6. 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. 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 not mandatory 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.<\/li>\n<\/ol>\n\n\n\n

      DIF: Remembering OBJ: 1-2
      TOP: Integrated Process: Teaching-Learning
      MSC: Safe and Effective Care Environment<\/p>\n\n\n\n

        \n
      1. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
        a. Serving as a patient advocate
        b. Educating patients about diseases
        c. Helping patients remain independent
        d. Referring patients to home health care
        ANS: C
        One of the challenges and priorities of the gerontologic nurse is helping patients to maintain their
        independence. While nurses do serve as patient advocates, educate patients, and make referrals, these
        actions are not specific to gerontologic nursing.
        DIF: Remembering OBJ: 1-2
        TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance<\/li>\n\n\n\n
      2. A nurse is caring for an older patient in the emergency department. What information about the patient
        will be most helpful in creating a plan of care?
        a. Baseline physical and cognitive functioning
        b. Living conditions and family support
        c. Medications and current medical problems
        d. 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\u2019s current status. The other
        information is also important, but the basis of individualized care begins with the patient\u2019s strengths
        and weaknesses.
        DIF: Applying OBJ: 1-2 TOP: Nursing Process: Assessment
        MSC: Health Promotion and Maintenance<\/li>\n\n\n\n
      3. The faculty member explains to students that many older Americans continue to work past the
        \u201cretirement age.\u201d What best explains this trend?
        a. Feeling healthier longer
        b. Changing financial outlook
        c. Becoming bored in retirement
        d. A desire to give back
        ANS: B
        As financial situations may have declined as a result of many economic factors, more older adults
        work past their \u201cretirement age.\u201d The other options may be reasons for some to continue working, but
        financial necessity is the reason the majority continue to do so.
        DIF: Remembering OBJ: 1-3
        TOP: Integrated Process: Teaching-Learning
        MSC: Health Promotion and Maintenance
        Powered by https:\/\/learnexams.com\/search\/study?query=<\/a><\/li>\n<\/ol>\n\n\n\n