Gerontological Nurse Certification Review » (New Edition)

Meredith Wallace PhD, APRN-BC is currently an Associate Professor at Yale School of Nursing.
Dr. Wallace is the author of numerous articles, book chapters, and has authored or edited such books as Prostate Cancer: Nursing Assessment Management and Care (Springer Publishing, 2002), an AJN Book of the Year Award winner; the Encyclopedia of Nursing Research, as Associate Editor (Springer Publishing, 2006), another AJN winner; and Essentials of Gerontological Nursing (Springer Publishing, 2007). . She is an adult nurse practitioner and currently maintains a practice in primary care with a focus on chronic illness in the elderly.

Sheila Grossman, PhD, FNP-BC, APRN, is a Professor of Nursing and Coordinator of the Family Nurse Practitioner Track at Fairfield University School of Nursing. She received a BS in nursing from the University of Connecticut, her MS as a Respiratory Clinical Nurse Specialist from the University of Massachusetts/Amherst, a post-masters degree as a Family Nurse Practitioner from Fairfield University, and her PhD from the University of Connecticut. She has worked many years as a clinician on a variety of medical, surgical, and critical care units and presently practices as a Family Nurse Practitioner in a primary care clinic. She is the coauthor of The New Leadership Challenge: Creating A Preferred Future for Nursing, which is in its third edition (2009) and received an AJN book of the Year Award and has also received an AJN Book of the Year Award for Mentoring in Nursing: A Dynamic and Collaborative Process (2007), and coauthored Gerontological Nurse Certification Review in 2008 with Dr. Meredith Wallace Kazer. She is the author of multiple chapters and journal articles on leadership, mentoring, gerontology, adult health, and palliative care. Her research interests focus on symptom management in palliative care, leadership, pedagogy, cultural competence, and adult patient outcome studies. She is active in Sigma Theta Tau International Honor Society, American Association of Critical Care Nurses, National Organization of Nurse Practitioner Faculty, American College of Nurse Practitioners, and is a certified End of Life Nursing Education Consortium Educator and a Commission on Collegiate Nursing Education Accreditation Site Visitor. She is the winner of the
2009 Josephine Dolan Award for Outstanding Contributions to Nursing Education sponsored by the CT Nurses Association.

The Gerontological Nurse Certification Review is an invaluable reference and certification test review guide for nurses preparing for RN Gerontological certification. Students studying gerontology, teachers preparing gerontology classes, and RNs working with older adults will also find this a practical and useful resource. The text presents information about preparing for the certification exam, a comprehensive compilation of content specific to gerontology, and a test bank of questions specifically developed for the RN.

Why this is the only test review you need:

• Developed to address all aspects of ANCC exam
  
• Formatted for easy review and understanding of concepts
  
• Up-to-date and evidence-based
  
• 500 review questions to adequately prepare future gerontological nurses
  
• One of a kind--no other gerontological review books are currently available
  

Foreword     xiii
Preface     xv
Information for Taking the Certification Exam     1
Certification Exam Format     2
Detailed Test Content Outline     2
Total Number of Questions     3
Total Time     3
Obtaining the Application     3
Eligibility to Take the Exam     3
Scheduling the Test     3
What to Bring on the Day of the Exam     4
Time of Arrival     4
During the Exam     4
Receiving Test Results     4
Receiving Certificate and Pin     5
Hints for the Certification Exam     5
Question Dissection and Analysis     7
Preparation Strategies     7
Review Content of Frequent Conditions Experienced by Older Adults     9
Strategies for Analyzing the Questions     9
Clues to Memorizing Information     10
Two Different Ideas in One Question     10
Prioritizing     11
Conclusion     12
The Aging Population     13
Demographics     13
Categories of Aging     14
Ageism and Myths Among Nurses and Other Health Care Staff     14
Cultural Sensitivity     18
Theories of Nursing, Aging, Family, and Motivation     19
Nursing Theories     19
Aging Theories     21
Family Theory     22
Motivational Theory     23
Communication With Older Adults     23
Teaching-Learning Theories and Principles     26
Gerontological Nursing Today     27
Assessment     29
History and Physical Exam Considerations     29
Health History     29
Physical Assessment     32
Normal Aging Changes     37
Cardiovascular System     37
Peripheral Vascular System     37
Respiratory System     38
Integumentary System     38
Gastrointestinal System     38
Urinary System     39
Sexual/Reproductive System     40
Sensory System     40
Neurological System     41
Health Promotion     43
Levels of Prevention     43
Primary Prevention     43
Secondary Prevention (Screening)     44
Tertiary Prevention (Disease Management)     44
Barriers to Health Promotion Among Older Adults      44
Alcohol Use     44
Smoking     47
Nutrition and Hydration     47
Exercise     48
Sleep     48
Adult Immunization     51
Alternative and Complementary Health Care     55
Environments of Care     59
Safety and Security Issues     59
Falls     59
Use of Restraints     60
Hypo- and Hyperthermia     62
Relocation     62
Transportation     63
Territoriality and Personal Space     64
Community-Based Services and Resources     65
Residential Facilities     66
Skilled Nursing Facilities     66
Assisted Living Facilities     67
Continuing Care Retirement Communities     67
Homeless Elders     68
Spirituality and Death and Dying     71
Principles of Effective End-of-Life Care     71
Physical Dimension     72
Psychological Dimension     72
Social Dimension     75
Spiritual Dimension     75
Advanced Directives     78
Hospice and Palliative Care     80
Grieving      81
Widowhood     82
Acute and Chronic Physical Illnesses     83
Cardiac and Peripheral Vascular Problems     83
Hypertension     83
Congestive Heart Failure     84
Angina and Myocardial Infarction     86
Peripheral Vascular Disease     88
Respiratory Problems     89
Pneumonia     89
Influenza     90
Tuberculosis     91
Obstructive Airway Disease     92
Gastrointestinal Problems     92
Gastroesophageal Reflux Disease     92
Hematological Problems     93
Anemia     93
Genitourinary Problems     94
Urinary Tract Infections     94
Sexually Transmitted Diseases     94
Cancer     96
Prostate Cancer     97
Breast Cancer     98
Musculoskeletal Problems     98
Osteoarthritis and Degenerative Joint Disease     98
Osteoporosis     99
Metabolic and Endocrine Problems     100
Diabetes Mellitus     100
Immunologic Problems     101
Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome      101
Neurological Problems     102
Parkinson's Disease     102
Cerebral Vascular Accident     104
Decubitus     105
Decubitus Ulcers     105
Sensory Problems     108
Common Eye Diseases     108
Common Ear Disease: Presbycusis     110
Cognitive and Psychological Disorders     111
Introduction     111
Relationship of Depression and Suicidal Ideation     118
Dementia     119
Delirium     122
Medication     125
Polypharmacy     125
Pharmacokinetics and Pharmacodynamics     126
Adverse Drug Reactions and Side Effects     128
Compliance Issues     129
Special Issues     131
Pain     131
Sexuality     133
Elder Neglect and Abuse     136
Organizational and Health Policy Issues     139
Advocacy for Older Adults     139
Health Care Delivery Systems     140
Reimbursement     140
Older Americans Act     141
Medicare and Medigap     141
Medicare Managed Care, Prospective Payment Systems, and Other Medicare Systems      162
Medicaid     163
Long-Term Care Insurance     165
Veteran's Benefits     166
Scope and Standards of Geriatric Nursing Practice     169
Leadership and Management     169
Quality Improvement     171
Organizational Concepts     172
Professional Development     172
Legal and Ethical Issues     173
Regulatory Guidelines     173
Ethical Principles and Decision Making     173
Research     174
Evidence-Based Practice     175
Posttest     177
Index     271