Full Download Gerontologic Nursing Meiner 4th Edition Test Bank PDF Full Chapter
Full Download Gerontologic Nursing Meiner 4th Edition Test Bank PDF Full Chapter
Full Download Gerontologic Nursing Meiner 4th Edition Test Bank PDF Full Chapter
3. When discussing factors that have helped to increase the number of healthy,
independent older Americans, the nurse includes the importance of:
Copyright © 2011, 2006, 2000, 1996 by Mosby, Inc., an affiliate of Elsevier Inc. All rights
reserved.
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1-2
ANS: c
The health and ultimate autonomy of older Americans has been positively impacted by
the development and administration of antibiotics, resulting in the management of many
otherwise life-altering diseases.
DIF: Apply (Application)
OBJ: Nursing Process: Implementation
MSC: Health Promotion and Maintenance
TOP: NA
REF: p. 6
4. Based on current data, when arranging to present an older adult’s discharge teaching
plan, the nurse includes the client’s:
a. nonrelated caretaker.
b. paid caregiver.
c. family member.
d. intuitional representative.
ANS: c
Less than 5% of older adults live in a formal health care environment. The majority of the
geriatric population lives at home or with family members.
DIF: Apply (Application)
OBJ: Nursing Process: Planning
MSC: Safe and Effective Care Environment
TOP: NA
REF: p. 6
5. 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:
a. age.
b. financial status.
c. gender.
d. functional status.
ANS: d
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.
Copyright © 2011, 2006, 2000, 1996 by Mosby, Inc., an affiliate of Elsevier Inc. All rights
reserved.
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6. 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. Oriental female.
ANS: b
The poverty rate among older black women is substantially higher than that seen among
males or females of other ethnic groups.
DIF: Apply (Application)
OBJ: Nursing Process: Assessment
MSC: Safe and Effective Care Environment
TOP: NA
REF: p. 7
ANS: d
It is a misconception that old age is synonymous with disease and illness. The nurse
should always determine the client’s sense of wellness and independence when
conducting a health and history assessment.
DIF: Analysis (Analyze)
OBJ: Nursing Process: Assessment
MSC: Safe and Effective Care Environment
TOP: NA
REF: p. 8
8. 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:
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.”
Copyright © 2011, 2006, 2000, 1996 by Mosby, Inc., an affiliate of Elsevier Inc. All rights
reserved.
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1-4
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.”
ANS: c
The transfer of the client to a subacute facility is based on the need to maintain the
client’s level of function and independence; a task the acute care facility is not prepared
to address once the client is physiologically stable.
DIF: Apply (Application)
OBJ: Nursing Process: Implementation
MSC: Health Promotion and Maintenance
TOP: NA
REF: p. 9
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:
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.
ANS: a
As more care traditionally provided by professional nurses is being transferred to UAP,
the nurse must assume more responsibility for the educating, training, and evaluation of
UAP staff competency to provide safe, effective care for the older adult client.
DIF: Apply (Application)
OBJ: Nursing Process: Planning
MSC: Safe and Effective Care Environment
TOP: NA
REF: p. 11
MULTIPLE RESPONSE
1. 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):
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.
ANS: a, b, c
Even though the educational level of the older population has steadily increased, as a
population they are less educated than the general population. This deficiency can
account for a lack of understanding regarding the need for medical care, the importance
Copyright © 2011, 2006, 2000, 1996 by Mosby, Inc., an affiliate of Elsevier Inc. All rights
reserved.
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