TEST BANK
BASIC GERIATRIC NURSING
PATRICIA A. WILLIAMS
8th Edition
TEST BANK
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
MULTIPLE CHOICE
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
a. Disability was viewed as unavoidable.
b. Complications from disease increased mortality.
c. Older adults’ needs are similar to those of all adults.
d. Preventive health care practices increased longevity.
ANS: D
Increased preventive health care practices, disease control, and focus on wellness helped people live
longer.
PTS: 1 DIF: 4 REF: p. 2 OBJ: 2
TOP: Aging Trends KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Understanding
2. To which age group does the term “aged” apply?
a. 55–64 years of age
b. 65–74 years of age
c. 75–84 years of age
d. 85 and older
ANS: C
The term aged refers to persons who are 75–84 years of age.
PTS: 1 DIF: 1 REF: p. 2 | Table 1.1
OBJ: 1 TOP: Age Categories
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Remembering
3. Which is true of ageism?
a. It is discrimination against persons solely on the basis of age.
b. It causes a person to fear aging.
, c. It involves the use of cultural sensitivity to address concerns of aging.
d. It focuses on resources for the older adult.
ANS: A
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the
basis of age and can lead to destructive behaviors toward the older adult.
PTS: 1 DIF: 4 REF: p. 4 OBJ: 3
TOP: Ageism KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
NOT: Understanding
4. Which legislation has been the most beneficial legislation that has influenced health care for the older
adult?
a. Medicare and Medicaid
b. Elimination of the mandatory retirement age
c. The Americans with Disabilities Act
d. The Drug Benefit Program
ANS: A
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
elimination of the mandatory retirement age does not apply to health care. The Americans with
Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit
Program was added to Medicare, but deals only with medications.
PTS: 1 DIF: 4 REF: p. 11 OBJ: 6
TOP: Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A NOT: Understanding
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style meals
and some medical and personal care services?
a. Government-subsidized housing
b. Long-term care facility
c. Assisted-living center
d. Group housing plan
ANS: C
Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared
and served, limited medical care, and a variety of personal services.
PTS: 1 DIF: 3 REF: p. 14 OBJ: 9
TOP: Housing Options KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
NOT: Remembering
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned
about his mounting hospital bill and asks if his Medicare coverage will pay for his care. Which would
be the most helpful response by the nurse?
a. Medicare Part C pays 50% of all medical costs for persons older than 65.
b. Medicare Part B pays hospital costs and physician fees.
, c. MedicarezPartzAzpayszforzinpatientzhospitalzcosts.
d. MedicarezPartzDzpaysz80%zofzthezchargeszmadezbyzphysicians
.
ANS:z C
MedicarezPartzAzpayszinpatientzhospitalzcosts,zPartzBzpaysz80%zofzphysician’szcharges,zandzPartzDzh
elpszdefrayzprescriptionzdrugzcosts.zMedicarezPartzCzallowszindividualsztozreceivezhealthzinsurancezth
roughzprivatezinsurancezcompanieszandztypicallyzpayszentirezcosts.
PTS:z z 1 DIF: 7 REF:z z p.z16 OBJ:z 6
TOP:z MedicarezProvisions
KEY:zNursingzProcesszStep:zImplementatio
nzMSC:z NCLEX:zPsychosocialzIntegrity:zCopingzandzAdaptation NOT:zApplying
7. Thezdaughterzofzazpatientzwhozhaszbeenzdiagnosedzwithzterminalzcancerzaskszwhichzdocumentszarez
requiredztozallowzherztozmakezhealthzcarezdecisionszforzherzparent.zWhichzresponsezwouldzprovidezt
hezmostzaccuratezinformationztozthezdaughter?
a. Advancezdirectiveszindicatezthezdegreezofzinterventionzdesiredzbyzthezpatient.
b. Az‘DozNotzResuscitate’zdocumentzsignedzbyzthezpatientztransferszauthorityztozthezn
extzofzkin.
c. Azdurablezpowerzofzattorneyzforzhealthzcareztransferszdecision-
makingzauthorityzforzhealthzcareztozazdesignatedzperson.
d. Azlivingzwillztransferszauthorityztozthezphysician.
ANS:z C
Azdurablezpowerzofzattorneyzforzhealthzcareztransferszthezauthorityzforzdecisionzmakingztozazdesignate
dzperson.zAnzadvancezdirectivezspecifiesztheztypezofzcarezanzindividualzdesireszwhenzhezcannotzspeak
zforzhimself.zThezdurablezpowerzofzattorneyziszonlyzoneztypezofzadvancezdirective.zAz“DozNotzResusc
itate”zdocumentzstateszthatzthezpatientzwishesztozdieznaturallyzwithznozintervention.zAzlivingzwillzprohi
bitszthezusezofzlife-prolongingzmeasures.
PTS:z z 1 DIF: 7 REF:z z p.z19 OBJ:z 11
TOP:z AdvancezDirectives
KEY:zNursingzProcesszStep:zImplementatio
nzMSC:z NCLEX:zPsychosocialzIntegrity:zCopingzandzAdaptation NOT:zApplying
8. Thezdaughterzofzazresidentzinzazlong-termzcarezfacilityziszfrustratedzwithzherz80-year-
oldzmother’szrefusalztozeat.zWhichzresponsezwouldzbezthezmostzappropriate?
a. Thezrefusalztozeatziszanzeffortztozmaintainzazportionzofzindependencezandzself
-zdirection.
b. ThezrefusalztozeatziszanzindicationzofzapproachingzAlzheimerzdisease.
c. Thezrefusalztozeatziszanzeffortztozgainzattention.
d. Thezrefusalztozeatziszanzindicationzofzthezdislikezofzthezinstitutionalzfood.
ANS:z A
Losszofzindependencezandzcontrolziszazsignificantzissuezforzthezolderzadult.zSomezresidentszwillzexerci
sezwhateverzcontrolztheyzmayzretain.
PTS:z z 1 DIF: 7 REF:z z p.z21 OBJ:z 11
TOP:z LosszofzIndependence
KEY:zNursingzProcesszStep:zImplementatio
nzMSC:z NCLEX:zPsychosocialzIntegrity:zCopingzandzAdaptation NOT:zApplying
9. Whenzdozthezconditionszofzazlivingzwillzgozintozeffect?
BASIC GERIATRIC NURSING
PATRICIA A. WILLIAMS
8th Edition
TEST BANK
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
MULTIPLE CHOICE
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
a. Disability was viewed as unavoidable.
b. Complications from disease increased mortality.
c. Older adults’ needs are similar to those of all adults.
d. Preventive health care practices increased longevity.
ANS: D
Increased preventive health care practices, disease control, and focus on wellness helped people live
longer.
PTS: 1 DIF: 4 REF: p. 2 OBJ: 2
TOP: Aging Trends KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Understanding
2. To which age group does the term “aged” apply?
a. 55–64 years of age
b. 65–74 years of age
c. 75–84 years of age
d. 85 and older
ANS: C
The term aged refers to persons who are 75–84 years of age.
PTS: 1 DIF: 1 REF: p. 2 | Table 1.1
OBJ: 1 TOP: Age Categories
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Remembering
3. Which is true of ageism?
a. It is discrimination against persons solely on the basis of age.
b. It causes a person to fear aging.
, c. It involves the use of cultural sensitivity to address concerns of aging.
d. It focuses on resources for the older adult.
ANS: A
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the
basis of age and can lead to destructive behaviors toward the older adult.
PTS: 1 DIF: 4 REF: p. 4 OBJ: 3
TOP: Ageism KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
NOT: Understanding
4. Which legislation has been the most beneficial legislation that has influenced health care for the older
adult?
a. Medicare and Medicaid
b. Elimination of the mandatory retirement age
c. The Americans with Disabilities Act
d. The Drug Benefit Program
ANS: A
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
elimination of the mandatory retirement age does not apply to health care. The Americans with
Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit
Program was added to Medicare, but deals only with medications.
PTS: 1 DIF: 4 REF: p. 11 OBJ: 6
TOP: Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A NOT: Understanding
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style meals
and some medical and personal care services?
a. Government-subsidized housing
b. Long-term care facility
c. Assisted-living center
d. Group housing plan
ANS: C
Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared
and served, limited medical care, and a variety of personal services.
PTS: 1 DIF: 3 REF: p. 14 OBJ: 9
TOP: Housing Options KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
NOT: Remembering
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned
about his mounting hospital bill and asks if his Medicare coverage will pay for his care. Which would
be the most helpful response by the nurse?
a. Medicare Part C pays 50% of all medical costs for persons older than 65.
b. Medicare Part B pays hospital costs and physician fees.
, c. MedicarezPartzAzpayszforzinpatientzhospitalzcosts.
d. MedicarezPartzDzpaysz80%zofzthezchargeszmadezbyzphysicians
.
ANS:z C
MedicarezPartzAzpayszinpatientzhospitalzcosts,zPartzBzpaysz80%zofzphysician’szcharges,zandzPartzDzh
elpszdefrayzprescriptionzdrugzcosts.zMedicarezPartzCzallowszindividualsztozreceivezhealthzinsurancezth
roughzprivatezinsurancezcompanieszandztypicallyzpayszentirezcosts.
PTS:z z 1 DIF: 7 REF:z z p.z16 OBJ:z 6
TOP:z MedicarezProvisions
KEY:zNursingzProcesszStep:zImplementatio
nzMSC:z NCLEX:zPsychosocialzIntegrity:zCopingzandzAdaptation NOT:zApplying
7. Thezdaughterzofzazpatientzwhozhaszbeenzdiagnosedzwithzterminalzcancerzaskszwhichzdocumentszarez
requiredztozallowzherztozmakezhealthzcarezdecisionszforzherzparent.zWhichzresponsezwouldzprovidezt
hezmostzaccuratezinformationztozthezdaughter?
a. Advancezdirectiveszindicatezthezdegreezofzinterventionzdesiredzbyzthezpatient.
b. Az‘DozNotzResuscitate’zdocumentzsignedzbyzthezpatientztransferszauthorityztozthezn
extzofzkin.
c. Azdurablezpowerzofzattorneyzforzhealthzcareztransferszdecision-
makingzauthorityzforzhealthzcareztozazdesignatedzperson.
d. Azlivingzwillztransferszauthorityztozthezphysician.
ANS:z C
Azdurablezpowerzofzattorneyzforzhealthzcareztransferszthezauthorityzforzdecisionzmakingztozazdesignate
dzperson.zAnzadvancezdirectivezspecifiesztheztypezofzcarezanzindividualzdesireszwhenzhezcannotzspeak
zforzhimself.zThezdurablezpowerzofzattorneyziszonlyzoneztypezofzadvancezdirective.zAz“DozNotzResusc
itate”zdocumentzstateszthatzthezpatientzwishesztozdieznaturallyzwithznozintervention.zAzlivingzwillzprohi
bitszthezusezofzlife-prolongingzmeasures.
PTS:z z 1 DIF: 7 REF:z z p.z19 OBJ:z 11
TOP:z AdvancezDirectives
KEY:zNursingzProcesszStep:zImplementatio
nzMSC:z NCLEX:zPsychosocialzIntegrity:zCopingzandzAdaptation NOT:zApplying
8. Thezdaughterzofzazresidentzinzazlong-termzcarezfacilityziszfrustratedzwithzherz80-year-
oldzmother’szrefusalztozeat.zWhichzresponsezwouldzbezthezmostzappropriate?
a. Thezrefusalztozeatziszanzeffortztozmaintainzazportionzofzindependencezandzself
-zdirection.
b. ThezrefusalztozeatziszanzindicationzofzapproachingzAlzheimerzdisease.
c. Thezrefusalztozeatziszanzeffortztozgainzattention.
d. Thezrefusalztozeatziszanzindicationzofzthezdislikezofzthezinstitutionalzfood.
ANS:z A
Losszofzindependencezandzcontrolziszazsignificantzissuezforzthezolderzadult.zSomezresidentszwillzexerci
sezwhateverzcontrolztheyzmayzretain.
PTS:z z 1 DIF: 7 REF:z z p.z21 OBJ:z 11
TOP:z LosszofzIndependence
KEY:zNursingzProcesszStep:zImplementatio
nzMSC:z NCLEX:zPsychosocialzIntegrity:zCopingzandzAdaptation NOT:zApplying
9. Whenzdozthezconditionszofzazlivingzwillzgozintozeffect?
