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,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
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MULTIPLE CHOICE dt




1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
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a. Disability was viewed as unavoidable. dt dt dt dt



b. Complications from disease increased mortality. dt dt dt dt



c. Older adults’ needs are similar to those of all adults.
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d. Preventive health care practices increased longevity. dt dt dt dt dt




ANS: D dt



Increased preventive health care practices, disease control, and focus on wellness helped people live longe
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r.

PTS: 1 DIF:
d t d t 4 REF: p. 2 d t d t dt OBJ: 2 d t



TOP: Aging Trends
d t dt



KEY: Nursing Process Step: Data Collection dt dt dt dt dt dt



MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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NOT: Understanding
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2. To which age group does the term “aged” apply?
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a. 55–64 years of age dt dt dt



b. 65–74 years of age dt dt dt



c. 75–84 years of age dt dt dt



d. 85 and older dt dt




ANS: C dt



The term aged refers to persons who are 75–84 years of age.
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PTS: 1 d t d t DIF: 1 REF: p. 2 | Table 1.1 d t dt dt d t dt



OBJ: 1 d t



TOP: Age Categories dt dt dt



KEY: Nursing Process Step: Data Collection
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development N
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OT: Remembering
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3. Which is true of ageism? dt dt dt dt



a. It is discrimination against persons solely on the basis of age.
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b. It causes a person to fear aging.
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, c. It involves the use of cultural sensitivity to address concerns of aging.
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d. It focuses on resources for the older adult.
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ANS: A dt



Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the bas
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is of age and can lead to destructive behaviors toward the older adult.
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PTS: 1 d t d t DIF: 4 REF: p. 4 d t d t dt OBJ: 3 d t



TOP: Ageism d t



KEY: Nursing Process Step: Data Collection dt dt dt dt dt dt



MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation N
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OT: Understanding
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4. Which legislation has been the most beneficial legislation that has influenced health care for the older ad
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ult?
a. Medicare and Medicaid dt dt



b. Elimination of the mandatory retirement age dt dt dt dt dt



c. The Americans with Disabilities Act
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d. The Drug Benefit Program dt dt dt




ANS: A dt



The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The eliminatio
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n of the mandatory retirement age does not apply to health care. The Americans with Disabilities Act dea
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ls with all Americans with disabilities, not just the older adult. The Drug Benefit Program was added to M
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edicare, but deals only with medications. dt dt dt dt dt




PTS: 1 d t d t DIF: 4 REF: p. 11 d t d t dt OBJ: 6 d t



TOP: Legislation d t



KEY: Nursing Process Step: Implementation dt dt dt dt dt



MSC: NCLEX: N/A d t dt NOT: Understanding dt




5. Which housing option for the older adult offers the privacy of an apartment with restaurant-
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style meals and some medical and personal care services?
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a. Government-subsidized housing d t



b. Long-term care facility dt dt



c. Assisted-living center dt



d. Group housing plan dt dt




ANS: C dt



Assisted-
living arrangements offer the privacy of an apartment or condominium with meals prepared and served, li
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mited medical care, and a variety of personal services.
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PTS: 1 DIF:
d t d t 3 REF: p. 14 d t d t dt OBJ: 9 d t



TOP: Housing Options d t dt



KEY: Nursing Process Step: Implementation dt dt dt dt dt



MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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NOT: Remembering dt




6. The 75-year- dt



old man who has been hospitalized following a severe case of pneumonia is concerned about his mount
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ing hospital bill and asks if his Medicare coverage will pay for his care. Which would be the most helpful
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response by the nurse?
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a. Medicare Part C pays 50% of all medical costs for persons older than 65. dt dt dt dt dt dt dt dt dt dt dt dt dt



b. Medicare Part B pays hospital costs and physician fees. dt dt dt dt dt dt dt dt