Toward Healthy Aging Human Needs and Nursing Response 11th Edition – Test Bank

Toward Healthy Aging Human Needs and Nursing Response 11th Edition – Test Bank

Chapter 01: Gerontological Nursing Across the Continuum of Care Touhy: Toward Healthy Aging, 11th Edition

TOWARD HEALTHY AGING

MULTIPLE CHOICE

TEST BANK

1. When did serious and well-controlled research stodies on aging first become available?

Only in the past 60 yers.

Since the turn of the 20th century

Following the Great Depression.

4. Since the year 2000.

ANS: A

Only in the past 60 years have serious and carefully controlled research studies nourished Before that, anecdotal evidence was sused to illustrate issues assumed to be universal, making all the remaining options incomect

DIF: Cognitive Level Remembering

TOP Process: Teaching Leaning

MSC: Cheat Needs Health Promotion and Mаіолишмаси

2. The son of a nursing home resident asks a nurse: “What is the significance of being ortified in gerontollogy? 1 see that you are, but not all of the nurses are. What response best answers the family member’s question?

“National certification as a gerontological marse is a way to demonstrate special knowledge in caring for older adults”

“Nanonal certification in gerontology is required for all nurses who have worked in this setting for 2 or more years.”

c. “National certification is only available to nurses who have a Baccalaureate degree

4. “Only advanced practice surses, like surse practitioners, are certified in gerontology.”

ANS: A

Nathional orrtification is a way to demonstrate special expertise in caring for older adults. It is not required for practice in any setting across the cont of care, and it is not exclusive to nurses with Baccalaureate degrees. There is both a generalist and a specialist gerontologicall nursing cerndicanon. The generalist functions in a variety of settings providing care to older adults and their families. The specialist has advanced gerontological education at a master’s level

DIF: Cogative Level Understanding

TOP lategrated Process Communication and Docum

3. The major goal of the NICHE (Nurses Improving Care for Healthsystem Elders) program

inchodes which of the following?

Improve outcomes for hospitalized older adults

Increase the number of older adults cared for inhospitals

Increase the number of strogenic complications that occur in hospitalized older

4 Decrease 30-day readmission rates for hospitalized older adults

ANS: A

The goal of NICHE is to improve outcomes for hospitalized older adults. Although option D is a good outcome for hospitalized older adults, it is not one of the major goals of NICHE which are broader. Options B and C are not goals that would improve care for older adults but would be negative outcomes themselves.

D: Cogative Level: Understanding

TOP Integrated Process: Teaching Lewning

MSC: Clear Needs Health Promotion and Mашламас

MULTIPLE RESPONSE

1. What is the impact of the Hospital Readmission Reduction Program (HRRP) on avoidable

readmissions? (Select all that apply

Readmission rates for the selected conditions have dropped nationwide

Many hospitals have instituted system wide interventions to prevent readmissions.

e. Hospitals are keeping patients longer to avoid readmissions

4 Potentially avoidable hospitalizations among orsing home residents is increasing

e. Hospitals have a financial incentive to develop grograms to reduce readmissions

ANS: A.B.E

The Hospital Readmission Reduction Program (RRP) was established as a possion in the Affidabile Care Act (ACA) requiring Medicare to reduce payments to hospitals with relatively high readmission rates for selected conditions for patients in traditional Medicare Since the HRRP, seadmission rates for the selected conditions have dropped nationwide but estimates are that in 2008, about 80% of hospitals evaluated by CMS will face penalties totaling $564 milion (Advisory Board, 2017) Additionally, the HRRP has been the impetus for many hospitals to institute system-wide interventions to prevent readmissions that have also contributed to the decline in readmission rates. The rite of potentially avoidable hospitalizations among SNF residents has fallen by nearly a third in recent years as a result of many quality improvement insatives.

DC: Cognitive Level: Understanding

TOP

tegrated Process Teaching Leasing

2. Which of the following are true statements about the current health care workforce? (Select all that apply)

Approximately 10% of registered nurses (RNs) are certified in gerontological

The number of geriatricians is expected to increase about 50% over the next 25

e. The professions of social work, physical therapy, and psychiatry are demonstrating the same trends as muring

& The world’s older population is expected to grow to at least 1.3 bilion in the next

20 years.

It is anticipated that there will be a need for approximately million additional duect care and professional health care workers by the year 2000.

ANS: C, D, E

Less than 1% of RNs are certified in gerontological nursing Geriatric medicine faces similar challenges with about 7000 prepared geriatricians, 1 for every 2546 older Americans, and this number is falling with the trend predicted to be less than 5000 by 2040 (10M, 2008). By 2040 the number of older adults in the world will be at least 1.3 billion. Other professions such as social work, physicall therapy, and psychiatry have similar shortages. It is estimated that by 2030 nearly 3 million additional health care professionals and direct care workers will be needed to meet the care needs of a growing older adult population. Healthy People 2030 has addressed this concers.

DF: Cognitive Level: Understanding TOP Integrated Process: Teaching Leang MSC: Client Need Health Promotion and Mалнамас

Best practice recommendations for nursing education in relation to gerontology include which of the following? (Select all that apply

Provision of a “stand-alone” course in gerontological nursing blanegration of gerontological contest throughout the curriculum

c. Replacement of acute care pediatric clinical experiences with gerontological clinical experiences

Recruitment of nurses with Master and Doctoral degrees and a specialty in gerontology to faculty olles

e. Requiring all undergraduate surung students to obtain gerontological certification as a requirement for graduation

ANS: A.B.D

Best practices include geoviding a stand-alone gerontological mesing course as well as integrating geronnology throughout the curriculus. Recruitmest of nurses with a specially in gerontology and a Master or Doctoral degree to faculty roles is a critical step in making sure that the next generation of nurses is prepared to care for older adults. Best practices do not recommend removing pediatric clinical experiences and replacing them with gerontological experiences. Narsing certification is only available to practicing surses who meet specific education and practice requirements. It is not applicable to nursing students

DF: Cognitive Level: Understand TOP tegrated Process: Teaching

MSC Clientes Promotion and Maintenanсе

4. What are the current initiatives being implemented to enhance the specialty of gerontological mursing? (Select all that apply) Mandaring of a minimum of a Baccalaureate degree in sing in order to care for

older adults Geriatric Nursing Leadership Academy (GNLA) project

c. Promotion of germatic maring to excellence to the mursing community

Requring ring certification specifically required to long-term care Offering scholarships for shady and research in geriatricing

ANS: B, C,E