Deck 2: Gerontological Nursing: Past Present and Future

Question 1

Which of the following factors contribute to poor outcomes for older adults during transitions of care? (Select all that apply.)

A) Inability to read and understand discharge instructions
B) Inadequate financial resources to purchase medications
C) Lack of desire to comply with discharge instructions
D) Improved medication reconciliation during hospitalization
E) High levels of nurse-patient engagement

Answer 1

Inability to read and understand discharge instructions
Inadequate financial resources to purchase medications

Question 2

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

A) Approximately 10% of registered nurses (RNs) are certified in gerontological nursing
B) The number of geriatricians is expected to increase about 50% over the next 25 years
C) The professions of social work, physical therapy, and psychiatry are demonstrating the same trends as nursing
D) Europe and the developing countries are experiencing similar shortages in health care workers with geriatric expertise as in the United States
E) It is anticipated that there will be a need for approximately 3 million additional direct care and professional health care workers by the year 2030

Answer 2

The professions of social work, physical therapy, and psychiatry are demonstrating the same trends as nursing
Europe and the developing countries are experiencing similar shortages in health care workers with geriatric expertise as in the United States
It is anticipated that there will be a need for approximately 3 million additional direct care and professional health care workers by the year 2030

Question 3

The impact of the Patient Protection and Affordable Care Act of 2010 on gerontological nursing includes which of the following? (Select all that apply.)

A) Funding to support advanced education in gerontological nursing
B) Funding to support education of faculty in gerontology
C) Funding to increase the number of direct care workers in hospitals
D) Funding to increase nurse-patient ratios in long-term care
E) Funding for advanced training of direct care workers in long-term care

Answer 3

Funding to support advanced education in gerontological nursing
Funding to support education of faculty in gerontology
Funding for advanced training of direct care workers in long-term care

Question 4

A nurse interviews for a job in a hospital that advertises that it is "elderly friendly." The nurse would expect to see which of the following in place? (Select all that apply.)

A) An elder-assistance program to help patients remember their appointments and navigate the hospital services.
B) A long-term care facility that is affiliated with the hospital
C) Rooms furnished with foldout beds for family members/caregivers
D) An initiative to provide gerontological education for all nurses
E) An initiative to increase the number of patients referred to long-term care facilities upon discharge from the hospital

Question 5

Changes in certified nursing facilities in recent years include which of the following? (Select all that apply.)

A) Increase in the number of subacute beds
B) Decrease in nursing facility length of stay
C) Increase in level of acuity of the residents
D) Decrease in cost of care in the nursing facility
E) Decrease in the number of registered nurses employed in long-term care facilities

Question 6

The son of a nursing home resident asks a nurse: "What is the significance of being certified in gerontology? I see that you are, but not all of the nurses are." The best response by the nurse is which of the following?

A) "National certification as a gerontological nurse is a way to demonstrate special knowledge in caring for older adults"
B) "National 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 in nursing"
D) "Only advanced practice nurses, like nurse practitioners, are certified in gerontology"

Question 7

Significant factors contributing to the growth of community-based care include: (Select all that apply.)

A) a decrease in the number of available nursing home beds.
B) rapidly escalating health care costs.
C) older adults' preferences to "age in place."
D) inadequate numbers of nurses with gerontological specialty education.
E) decreasing numbers of family caregivers.

Question 8

Goals of the Eldercare Workforce Alliance include which of the following? (Select all that apply.)

A) Mandating a minimum of a Baccalaureate degree in nursing in order to care for older adults
B) Increasing wages of certified nursing assistants (CNAs) in nursing homes
C) Providing loan forgiveness for individuals who assume faculty roles
D) Developing a nursing certification specific to long-term care
E) Adopting cost-effective care coordination models for older adults across the continuum of care

Question 9

Serious and well-controlled research studies on aging have been available:

A) only in the past 60 years.
B) since the turn of the 20th century.
C) following the Great Depression.
D) since the year 2000.

Question 10

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

A) Provision of a "stand-alone" course in gerontological nursing
B) Integration of gerontological content throughout the curriculum
C) Replacement of acute care pediatric clinical experiences with gerontological clinical experiences
D) Recruitment of nurses with Masters and Doctoral degrees and a specialty in gerontology to faculty roles
E) Requiring all undergraduate nursing students to obtain gerontological certification as a requirement for graduation

Question 11

The major goal of the NICHE (Nurses Improving Care for Health System Elders) program includes which of the following?

A) Improve outcomes for hospitalized older adults
B) Increase the number of older adults cared for in hospitals
C) Increase the number of iatrogenic complications that occur in hospitalized older adults
D) Decrease 30-day readmission rates for hospitalized older adults