TESTBANK b
BASICbGERIATRICbNURSING
PATRICIAbA.bWILLIAMS
8th Edition
b
TESTBANK b
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
b b b b b b b b b b
MULTIPLEbCHOICE
1. Whichbfactbexplainsbthebshiftbofbhealthbcarebfocusbtowardbthebolderbadultb inbtheblateb1960s?
a. Disabilitybwasbviewedbasbunavoidable.
b. Complicationsbfrombdiseasebincreasedbmortality.
c. Olderbadults’bneedsbarebsimilarbtobthosebofballbadults.
d. Preventivebhealthbcarebpracticesbincreasedblongevity.
ANS:b D
Increasedbpreventivebhealthbcarebpractices,bdiseasebcontrol,bandbfocusbonbwellnessbhelpedbpeoplebliveblonge
r.
PTS:b b 1 DIF: 4 REF:b b p.b2 OBJ:b 2
TOP:b AgingbTrends
KEY:bNursingbProcessbStep:bDatabCollectionb
MSC:b NCLEX:bHealthbPromotionbandbMaintenance:bGrowthbandbDevelopment
NOT:b Understanding
2. Tobwhichbagebgroupbdoesbthebtermb“aged”bapply?
a. 55–64byearsbofbage
b. 65–74byearsbofbage
c. 75–84byearsbofbage
d. 85bandbolder
ANS:b C
Thebtermbagedbrefersbtob personsbwhobareb75–84byearsbofbage.
PTS:b b 1 DIF: 1 REF:b p.b2b|b Tableb1.1
OBJ:b 1
TOP:bAgebCategoriesb
KEY:bNursingbProcessbStep:bDatabCollection
MSC:bNCLEX:bHealthbPromotionbandbMaintenance:bGrowthbandbDevelopmentbNO
T:bRemembering
3. Whichbisbtruebofbageism?
a. Itbisbdiscriminationbagainstbpersonsbsolelybonbthebbasisbofbage.
b. Itbcausesbabpersonbtobfearbaging.
, c. Itbinvolvesbthebusebofbculturalbsensitivitybtobaddressbconcernsbofbaging.
d. Itbfocusesbonbresourcesbforbthebolderbadult.
ANS:b A
Ageismbisbabnegativebbeliefbpatternbthatbinfluencesbpersonsbtobdiscriminatebagainstbpersonsbsolelybonbthebba
sisbofbagebandbcanbleadbtobdestructivebbehaviorsbtowardbthebolderbadult.
PTS:b b 1 DIF: 4 REF:b b p.b4 OBJ:b 3
TOP:b Ageism
KEY:bNursingbProcessbStep:bDatabCollectionb
MSC:bNCLEX:bPsychosocialbIntegrity:bPsychosocialbAdaptationbN
OT:bUnderstanding
4. Whichblegislationbhasbbeenbthebmostbbeneficialblegislationbthatbhasbinfluencedbhealthbcarebforbthebolderba
dult?
a. MedicarebandbMedicaid
b. Eliminationbofbthebmandatorybretirementbage
c. ThebAmericansbwithbDisabilitiesbAct
d. ThebDrugbBenefitbProgram
ANS:b A
ThebbroadestbsweepingblegislationbbeneficialbtobthebolderbadultbisbMedicarebandbMedicaid.bThebeliminatio
nbofbthebmandatorybretirementbagebdoesbnotbapplybtobhealthbcare.bThebAmericansbwithbDisabilitiesbActbdeal
sbwithballbAmericansbwithbdisabilities,bnotbjustbthebolderbadult.bThebDrugbBenefitbProgrambwasbaddedbtobMe
dicare,bbutbdealsbonlybwithbmedications.
PTS:b b 1 DIF: 4 REF:b b p.b11 OBJ:b 6
TOP:b Legislation
KEY:bNursingbProcessbStep:bImplementationb
MSC:b NCLEX:bN/A NOT:bUnderstanding
5. Whichbhousingboptionbforbthebolderbadultboffersbthebprivacybofbanbapartmentbwithbrestaurant-
stylebmealsbandbsomebmedicalbandbpersonalbcarebservices?
a. Government-subsidizedbhousing
b. Long-termbcarebfacility
c. Assisted-livingbcenter
d. Groupbhousingbplan
ANS:b C
Assisted-
livingbarrangementsbofferbthebprivacybofbanbapartmentborbcondominiumbwithbmealsbpreparedbandbserved,
blimitedbmedicalbcare,bandbabvarietybofbpersonalbservices.
PTS:b b 1 DIF: 3 REF:b b p.b14 OBJ:b 9
TOP:b HousingbOptions
KEY:bNursingbProcessbStep:bImplementationb
MSC:b NCLEX:bPhysiologicalbIntegrity:bPhysiologicalbAdaptation
NOT:bRemembering
6. Theb75-year-
oldbmanbwhobhasbbeenbhospitalizedbfollowingbabseverebcasebofbpneumoniabisbconcernedbaboutbhisbmoun
tingbhospitalbbillbandbasksbifbhisbMedicarebcoveragebwillbpaybforbhisbcare.bWhichbwouldbbebthebmostbhelpf
ulbresponsebbybthebnurse?
a. MedicarebPartbCbpaysb50%bofballbmedicalbcostsbforbpersonsbolderbthanb65.
b. MedicarebPartbBbpaysbhospitalbcostsbandbphysicianbfees.
, c. MedicarebPartbAbpaysbforbinpatientbhospitalbcosts.
d. MedicarebPartbDbpaysb80%bofbthebchargesbmadebbybphysicians.
ANS:b C
MedicarebPartbAbpaysbinpatientbhospitalbcosts,bPartbBbpaysb80%bofbphysician’sbcharges,bandbPartbDbhelp
sbdefraybprescriptionbdrugbcosts.bMedicarebPartbCballowsbindividualsbtobreceivebhealthbinsurancebthrough
bprivatebinsurancebcompaniesbandbtypicallybpaysbentirebcosts.
PTS:b b 1 DIF: 7 REF:b b p.b16 OBJ:b 6
TOP:b MedicarebProvisions
KEY:bNursingbProcessbStep:bImplementationb
MSC:b NCLEX:bPsychosocialbIntegrity:bCopingbandbAdaptation NOT:bApplying
7. Thebdaughterbofbabpatientbwhobhasbbeenbdiagnosedbwithbterminalbcancerbasksbwhichbdocumentsbarebreq
uiredbtoballowbherbtobmakebhealthbcarebdecisionsbforbherbparent.bWhichbresponsebwouldbprovidebthebmos
tbaccuratebinformationbtobthebdaughter?
a. Advancebdirectivesbindicatebthebdegreebofbinterventionbdesiredbbybthebpatient.
b. Ab‘DobNotbResuscitate’bdocumentbsignedbbybthebpatientbtransfersbauthoritybtobthebnext
bofbkin.
c. Abdurablebpowerbofbattorneybforbhealthbcarebtransfersbdecision-
makingbauthoritybforbhealthbcarebtobabdesignatedbperson.
d. Ablivingbwillbtransfersbauthoritybtobthebphysician.
ANS:b C
Abdurablebpowerbofbattorneybforbhealthbcarebtransfersbthebauthoritybforbdecisionbmakingbtobabdesignatedbp
erson.bAnbadvancebdirectivebspecifiesbthebtypebofbcarebanbindividualbdesiresbwhenbhebcannotbspeakbforbhi
mself.bThebdurablebpowerbofbattorneybisbonlybonebtypebofbadvancebdirective.bAb“DobNotbResuscitate”bdoc
umentbstatesbthatbthebpatientbwishesbtobdiebnaturallybwithbnobintervention.bAblivingbwillbprohibitsbthebusebo
fblife-prolongingbmeasures.
PTS:b b 1 DIF: 7 REF:b b p.b19 OBJ:b 11
TOP:b AdvancebDirectives
KEY:bNursingbProcessbStep:bImplementationb
MSC:b NCLEX:bPsychosocialbIntegrity:bCopingbandbAdaptation NOT:bApplying
8. Thebdaughterbofbabresidentbinbablong-termbcarebfacilitybisbfrustratedbwithbherb80-year-
oldbmother’sbrefusalbtobeat.bWhichbresponsebwouldbbebthebmostbappropriate?
a. Thebrefusalbtobeatbisbanbeffortbtobmaintainbabportionbofbindependencebandbself-
bdirection.
b. ThebrefusalbtobeatbisbanbindicationbofbapproachingbAlzheimerbdisease.
c. Thebrefusalbtobeatbisbanbeffortbtobgainbattention.
d. Thebrefusalbtobeatbisbanbindicationbofbthebdislikebofbthebinstitutionalbfood.
ANS:b A
Lossbofbindependencebandbcontrolbisbabsignificantbissuebforbthebolderbadult.bSomebresidentsbwillbexerciseb
whateverbcontrolbtheybmaybretain.
PTS:b b 1 DIF: 7 REF:b b p.b21 OBJ:b 11
TOP:b LossbofbIndependence
KEY:bNursingbProcessbStep:bImplementationb
MSC:b NCLEX:bPsychosocialbIntegrity:bCopingbandbAdaptation NOT:bApplying
9. Whenbdobthebconditionsbofbablivingbwillbgobintobeffect?
BASICbGERIATRICbNURSING
PATRICIAbA.bWILLIAMS
8th Edition
b
TESTBANK b
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
b b b b b b b b b b
MULTIPLEbCHOICE
1. Whichbfactbexplainsbthebshiftbofbhealthbcarebfocusbtowardbthebolderbadultb inbtheblateb1960s?
a. Disabilitybwasbviewedbasbunavoidable.
b. Complicationsbfrombdiseasebincreasedbmortality.
c. Olderbadults’bneedsbarebsimilarbtobthosebofballbadults.
d. Preventivebhealthbcarebpracticesbincreasedblongevity.
ANS:b D
Increasedbpreventivebhealthbcarebpractices,bdiseasebcontrol,bandbfocusbonbwellnessbhelpedbpeoplebliveblonge
r.
PTS:b b 1 DIF: 4 REF:b b p.b2 OBJ:b 2
TOP:b AgingbTrends
KEY:bNursingbProcessbStep:bDatabCollectionb
MSC:b NCLEX:bHealthbPromotionbandbMaintenance:bGrowthbandbDevelopment
NOT:b Understanding
2. Tobwhichbagebgroupbdoesbthebtermb“aged”bapply?
a. 55–64byearsbofbage
b. 65–74byearsbofbage
c. 75–84byearsbofbage
d. 85bandbolder
ANS:b C
Thebtermbagedbrefersbtob personsbwhobareb75–84byearsbofbage.
PTS:b b 1 DIF: 1 REF:b p.b2b|b Tableb1.1
OBJ:b 1
TOP:bAgebCategoriesb
KEY:bNursingbProcessbStep:bDatabCollection
MSC:bNCLEX:bHealthbPromotionbandbMaintenance:bGrowthbandbDevelopmentbNO
T:bRemembering
3. Whichbisbtruebofbageism?
a. Itbisbdiscriminationbagainstbpersonsbsolelybonbthebbasisbofbage.
b. Itbcausesbabpersonbtobfearbaging.
, c. Itbinvolvesbthebusebofbculturalbsensitivitybtobaddressbconcernsbofbaging.
d. Itbfocusesbonbresourcesbforbthebolderbadult.
ANS:b A
Ageismbisbabnegativebbeliefbpatternbthatbinfluencesbpersonsbtobdiscriminatebagainstbpersonsbsolelybonbthebba
sisbofbagebandbcanbleadbtobdestructivebbehaviorsbtowardbthebolderbadult.
PTS:b b 1 DIF: 4 REF:b b p.b4 OBJ:b 3
TOP:b Ageism
KEY:bNursingbProcessbStep:bDatabCollectionb
MSC:bNCLEX:bPsychosocialbIntegrity:bPsychosocialbAdaptationbN
OT:bUnderstanding
4. Whichblegislationbhasbbeenbthebmostbbeneficialblegislationbthatbhasbinfluencedbhealthbcarebforbthebolderba
dult?
a. MedicarebandbMedicaid
b. Eliminationbofbthebmandatorybretirementbage
c. ThebAmericansbwithbDisabilitiesbAct
d. ThebDrugbBenefitbProgram
ANS:b A
ThebbroadestbsweepingblegislationbbeneficialbtobthebolderbadultbisbMedicarebandbMedicaid.bThebeliminatio
nbofbthebmandatorybretirementbagebdoesbnotbapplybtobhealthbcare.bThebAmericansbwithbDisabilitiesbActbdeal
sbwithballbAmericansbwithbdisabilities,bnotbjustbthebolderbadult.bThebDrugbBenefitbProgrambwasbaddedbtobMe
dicare,bbutbdealsbonlybwithbmedications.
PTS:b b 1 DIF: 4 REF:b b p.b11 OBJ:b 6
TOP:b Legislation
KEY:bNursingbProcessbStep:bImplementationb
MSC:b NCLEX:bN/A NOT:bUnderstanding
5. Whichbhousingboptionbforbthebolderbadultboffersbthebprivacybofbanbapartmentbwithbrestaurant-
stylebmealsbandbsomebmedicalbandbpersonalbcarebservices?
a. Government-subsidizedbhousing
b. Long-termbcarebfacility
c. Assisted-livingbcenter
d. Groupbhousingbplan
ANS:b C
Assisted-
livingbarrangementsbofferbthebprivacybofbanbapartmentborbcondominiumbwithbmealsbpreparedbandbserved,
blimitedbmedicalbcare,bandbabvarietybofbpersonalbservices.
PTS:b b 1 DIF: 3 REF:b b p.b14 OBJ:b 9
TOP:b HousingbOptions
KEY:bNursingbProcessbStep:bImplementationb
MSC:b NCLEX:bPhysiologicalbIntegrity:bPhysiologicalbAdaptation
NOT:bRemembering
6. Theb75-year-
oldbmanbwhobhasbbeenbhospitalizedbfollowingbabseverebcasebofbpneumoniabisbconcernedbaboutbhisbmoun
tingbhospitalbbillbandbasksbifbhisbMedicarebcoveragebwillbpaybforbhisbcare.bWhichbwouldbbebthebmostbhelpf
ulbresponsebbybthebnurse?
a. MedicarebPartbCbpaysb50%bofballbmedicalbcostsbforbpersonsbolderbthanb65.
b. MedicarebPartbBbpaysbhospitalbcostsbandbphysicianbfees.
, c. MedicarebPartbAbpaysbforbinpatientbhospitalbcosts.
d. MedicarebPartbDbpaysb80%bofbthebchargesbmadebbybphysicians.
ANS:b C
MedicarebPartbAbpaysbinpatientbhospitalbcosts,bPartbBbpaysb80%bofbphysician’sbcharges,bandbPartbDbhelp
sbdefraybprescriptionbdrugbcosts.bMedicarebPartbCballowsbindividualsbtobreceivebhealthbinsurancebthrough
bprivatebinsurancebcompaniesbandbtypicallybpaysbentirebcosts.
PTS:b b 1 DIF: 7 REF:b b p.b16 OBJ:b 6
TOP:b MedicarebProvisions
KEY:bNursingbProcessbStep:bImplementationb
MSC:b NCLEX:bPsychosocialbIntegrity:bCopingbandbAdaptation NOT:bApplying
7. Thebdaughterbofbabpatientbwhobhasbbeenbdiagnosedbwithbterminalbcancerbasksbwhichbdocumentsbarebreq
uiredbtoballowbherbtobmakebhealthbcarebdecisionsbforbherbparent.bWhichbresponsebwouldbprovidebthebmos
tbaccuratebinformationbtobthebdaughter?
a. Advancebdirectivesbindicatebthebdegreebofbinterventionbdesiredbbybthebpatient.
b. Ab‘DobNotbResuscitate’bdocumentbsignedbbybthebpatientbtransfersbauthoritybtobthebnext
bofbkin.
c. Abdurablebpowerbofbattorneybforbhealthbcarebtransfersbdecision-
makingbauthoritybforbhealthbcarebtobabdesignatedbperson.
d. Ablivingbwillbtransfersbauthoritybtobthebphysician.
ANS:b C
Abdurablebpowerbofbattorneybforbhealthbcarebtransfersbthebauthoritybforbdecisionbmakingbtobabdesignatedbp
erson.bAnbadvancebdirectivebspecifiesbthebtypebofbcarebanbindividualbdesiresbwhenbhebcannotbspeakbforbhi
mself.bThebdurablebpowerbofbattorneybisbonlybonebtypebofbadvancebdirective.bAb“DobNotbResuscitate”bdoc
umentbstatesbthatbthebpatientbwishesbtobdiebnaturallybwithbnobintervention.bAblivingbwillbprohibitsbthebusebo
fblife-prolongingbmeasures.
PTS:b b 1 DIF: 7 REF:b b p.b19 OBJ:b 11
TOP:b AdvancebDirectives
KEY:bNursingbProcessbStep:bImplementationb
MSC:b NCLEX:bPsychosocialbIntegrity:bCopingbandbAdaptation NOT:bApplying
8. Thebdaughterbofbabresidentbinbablong-termbcarebfacilitybisbfrustratedbwithbherb80-year-
oldbmother’sbrefusalbtobeat.bWhichbresponsebwouldbbebthebmostbappropriate?
a. Thebrefusalbtobeatbisbanbeffortbtobmaintainbabportionbofbindependencebandbself-
bdirection.
b. ThebrefusalbtobeatbisbanbindicationbofbapproachingbAlzheimerbdisease.
c. Thebrefusalbtobeatbisbanbeffortbtobgainbattention.
d. Thebrefusalbtobeatbisbanbindicationbofbthebdislikebofbthebinstitutionalbfood.
ANS:b A
Lossbofbindependencebandbcontrolbisbabsignificantbissuebforbthebolderbadult.bSomebresidentsbwillbexerciseb
whateverbcontrolbtheybmaybretain.
PTS:b b 1 DIF: 7 REF:b b p.b21 OBJ:b 11
TOP:b LossbofbIndependence
KEY:bNursingbProcessbStep:bImplementationb
MSC:b NCLEX:bPsychosocialbIntegrity:bCopingbandbAdaptation NOT:bApplying
9. Whenbdobthebconditionsbofbablivingbwillbgobintobeffect?
