Question 1

The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur.The nurse's best response to the family's concern about the client's planned transfer to a subacute care facility is:

Accepted Answer

A)  "Acute care facilities generally lack the long-term physical therapy support your dad requires."
B)  "Your dad will be much happier being in a more serene, private environment."
C)  "This new facility will focus on helping your dad maintain his independence."
D)  "Insurance including Medicare will cover only a limited amount of time here." C

Question 2

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 client's:

Accepted Answer

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

Question 3

When attempting to minimize the affect of ageism on the practice nursing of the older adult population, a nurse needs to first:

Accepted Answer

A)  recognize that nurses 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. C

Question 4

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):

Accepted Answer

A)  White male.
B)  Black female.
C)  Hispanic male.
D)  Oriental female.

Question 5

The clinic nurse caring for an older diabetic client with a sixth grade education anticipates that the client may experience difficulty (select all that apply):

Accepted Answer

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

Based on current data, when arranging to present an older adult's discharge teaching plan, the nurse includes the client's:

Accepted Answer

A)  nonrelated caretaker.
B)  paid caregiver.
C)  family member.
D)  intuitional representative.

Question 7

In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.The nurse would use these standards to:

Accepted Answer

A)  promote the practice of gerontologic nursing practice 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 8

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

Accepted Answer

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 9

In order to best assure both the quality of care and the safety of the older adult client who requires in-home unlicensed assistive personal (UAP) assistance, the geriatric nurse:

Accepted Answer

A)  evaluates the competency of the UAP staff.
B)  assumes the roles of case manager and client advocate.
C)  arranges for the needed UAP provided services.
D)  assesses the client for functional limitations.

Question 10

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

Accepted Answer

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

Exam 1: Overview of Gerontologic Nursing