Which profession first developed standards of gerontological care and provided a certification mechanism to ensure expertise?


Introduction

The nursing profession has a long history of providing healthcare to sick older people. Initially, geriatric nursing focused on physical care, comfort measures and palliation. The care was often given almost entirely by nurses and their assistants in nursing homes or in people’s own homes. As knowledge, technology, public policy and societal expectations changed, the scope, types of geriatric services and quality of nursing care also changed. The establishment of the first formal standards for nursing care for older adults, adopted in 1970 by the American Nurses Association (ANA), was a landmark initiative for nurses in geriatrics. It provided a link to nursing science, which is defined by the ANA as the deliberate problem-solving process, grounded in the biopsychosocial sciences, of diagnosing and treating actual or potential health problems (American Nurses Association, 1970).

As these practice standards were reviewed and modified over time, patient-centered care, family participation and nursing services related to the prevention of disease and disability and the promotion of good health for older adults were articulated more explicitly as major components of geriatric nursing practice. This paved the way for the use of the term ‘gerontological nursing’ to refer to a domain in the continuum of the science and practice of nursing that is devoted to the complex care of older people and their families and to balancing the effects of normal aging and pathology. Today, the term ‘geriatric nursing’ indicates specialized clinical care for the health problems of the elderly in various interdisciplinary patient-care settings. Nurses with advanced training who practice in this area are known as primary care or acute care adult/gerontologic nurse practitioners or gerontologic clinical nurse specialists.

An overall goal for gerontological and geriatric nursing is to provide humanistic healthcare to older adults and their families by paying careful attention to individual circumstances, needs and goals. Preventing impairment, restoring function and maintaining an enduring state of health and wellbeing are embedded in these goals. A key strategy that is used to meet these goals is the application of the nursing process that consists of assessment, planning, intervention and evaluation within the context of healthcare issues presented by the elder and their family.

Gerontological and geriatric nurses have critical roles in the collaboration of the healthcare team, as they must be involved in planning, implementing and evaluating patient care. The nurses’ roles and functions include nursing management and other therapeutic activities for direct patient care, case management, patient and family health education and counseling, administration, advocacy, public policy development and education and research.

Gerontological Nursing Exam Sample Questions

The following sample questions are similar to those on the examination but do not represent the full range of content or levels of difficulty. The answers to the sample questions are provided after the last question. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination.

To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). Then click the button corresponding to the best answer for each question. When you are finished, click the "Evaluate" button at the bottom of the page. A new browser window will open, displaying your results, which you may print, if you wish.

This practice exam is not timed, and you may take it as many times as you wish. Good luck!

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Which profession first developed standards of gerontological care and provided a certification mechanism to ensure expertise?

When did Ana developed the standards and scope of gerontological nursing?

The first edition of The Scope and Standards of Gerontological Nursing was published by the American Nurses Association in 1995, followed by the second edition in 2001 and the third edition in 2010 (ANA 1995, 2001, 2010).

Why are standards important in the practice of gerontological nursing?

The standards of gerontological nursing practice are authoritative statements that identify the responsibilities for which gerontological nurses are accountable, reflect the values and priorities of gerontological nursing, are written in measurable terms, and provide a framework for the evaluation of gerontological ...

Which was the first formal action the ANA took in relation to gerontological nursing?

Which was the first formal action the ANA took in relation to gerontological nursing? The first formal act of the ANA to promote gerontological nursing was to form a national geriatric nursing group in 1962. In 1973, the ANA defined educational standards for geriatric nursing.

When teaching an old adult client the gerontological nurse's most appropriate initial strategy is to?

In teaching an older adult client, the gerontological nurse's most appropriate initial strategy is to: assess the client and individualize the teaching methods.