Deck 1: Overview of Gerontologic Nursing

Question 1

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

Answer 1

Baseline physical and cognitive functioning

Question 2

A nurse wants to plan a community event at a retirement center.What topic would most likely be best received?

A)Heart healthy living
B)Financial planning
C)Avoiding scams
D)Ethnic cooking classes

Answer 2

Heart healthy living

Question 3

The dean of a new nursing program wishes to ensure graduates are prepared to care for older patients.What document should guide the dean in designing the curriculum?

A)The Nurse Practice Act for that state
B)The American Nurses Association (ANA)code of ethics for nurses
C)Healthy People 2020
D)The Recommended Baccalaureate Competencies and Curricular Guidelines

Answer 3

The Recommended Baccalaureate Competencies and Curricular Guidelines

Question 4

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.

Question 5

The clinic nurse caring for an older diabetic patient with a sixth grade education anticipates that the patient may experience difficulty (Select all that apply. )

A)recognizing the importance of keeping clinic appointments.
B)following a low-carbohydrate diet.
C)paying for insulin and syringes.
D)deciding on a primary health care provider.
E)naming a health care surrogate.

Question 6

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

Question 7

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.

Question 8

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,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.

Question 9

The nurse studying the history of gerontologic nursing learns which information about the specialty? (Select all that apply. )

A)The number of older Americans is diminishing.
B)The geriatric nursing conference group was established in 1962.
C)The gerontologic clinical nurse specialist certification was offered in 1989.
D)There were no writings about the care of older persons until World War II.
E)The first Standards of Practice for Geriatric Nursing was written in 1969.

Question 10

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 suggested interventions from others who practice gerontologic nursing.

Question 11

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.

Question 12

Which of the following statements made by a nurse preparing to complete a health assessment and history on an older patient reflects an understanding of the general health status of this population?

A)"I'll need to document well regarding the medications the patient is currently prescribed."
B)"I would like to understand how supportive the patient's family members are."
C)"Most older patients are being treated for a variety of chronic health care issues."
D)"It will be interesting to see whether this patient sees herself as being healthy."

Question 13

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)"Insurance,including Medicare,will cover only a limited amount of time here."

Question 14

When discussing factors that have helped to increase the number of healthy,independent older Americans,the nurse 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.

Question 15

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.

Question 16

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.

Question 17

The faculty member explains to students that many older Americans continue to work past the "retirement age." What best explains this trend?

A)Feeling healthier longer
B)Changing financial outlook
C)Becoming bored in retirement
D)A desire to give back

Question 18

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"

Question 19

A nurse 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.

Question 20

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's:

A)age.
B)financial status.
C)gender.
D)functional status.

Question 21

The gerontologic nurse plans community programming for older women,noting what facts about this population subgroup? (Select all that apply. )

A)More likely to live alone
B)Increased chance of living in poverty
C)Taking care of a spouse
D)Suffering many chronic diseases
E)Living with extended families

Question 22

The nurse knows that the most common causes of death in the older population result from which diseases? (Select all that apply. )

A)Cerebrovascular disease
B)End-stage kidney disease
C)Heart disease
D)Cancer
E)Diabetes

Question 23

The student asks the gerontologic clinic nurse why so many older people are women.What information does the nurse provide? (Select all that apply. )

A)Reduced maternal mortality
B)Decreased deaths from infectious diseases
C)More deaths from chronic disease in men
D)More deaths in war occur in men
E)Women tend to smoke and drink less than men