Gerontological Nursing 10th Edition Eliopoulos Test Bank.
Gerontological Nursing 10th
Edition Eliopoulos Test
Bank
Chapter 1 The Aging Population
Test Bank
MULTIPLE CHOICE a
1. The nurse explains that in the late 1960s, health care focus was aimed at the older
h
adult because: hki
a. disability was viewed as unavoidable.
b.
e
n
complications from disease increased mortality.
t
c. older adults needs are similar to those of all adults.
ur
a
d. preventive health care practices increased longevity.
ba
r
ANS: D
MK
F
Increased preventive health care practices, disease control, and focus on wellness helped people
live longer.
DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2
TOP: Aging Trends KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The nurse clarifies that in the terminology defining specific age groups, the term aged refers
to persons who are:
a. 55 to 64 years of age.
b. 65 to 74 years of age.
c. 75 to 84 years of age.
d. 85 and older.
ANS: C
,Gerontological Nursing 10th Edition Eliopoulos Test Bank.
The term aged refers to persons who are 75 to 84 years of age.
DIF: Cognitive Level: Comprehension REF: 2, Table 1-1 OBJ: 1
TOP: Age Categories KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse cautions that ageism is a mindset that influences persons to:
a
a. discriminate against persons solely on the basis of age.
h
b. fear aging.
c.
ki
be culturally sensitive to concerns of aging.
e
nh
d. focus on resources for the older adult.
r
at
ANS: A au
Ageism is a negative belief pattern that influences persons to discriminate against persons solely
br
on the basis of age and can lead to destructive behaviors toward the older adult.
MK
F
DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3
TOP: Ageism KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. The nurse points out that the most beneficial legislation that has influenced health care for
the older adult is:
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.
,Gerontological Nursing 10th Edition Eliopoulos Test Bank.
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A
5. The nurse clarifies that a housing option for the older adult that offers the privacy of
an apartment with restaurant-style meals and some medical and personal care services is
the:
a. government-subsidized housing. a
b. long-term care facility.
c. assisted-living center.
d. group housing plan. e
nhh
ki
ANS: C
ur
at
Assisted-living arrangements offer the privacy of an apartment or condominium with meals
K
Fba
prepared and served, limited medical care, and a variety of personal services.
r
DIF: Cognitive Level: Application REF: 14 OBJ: 9
M
TOP: Housing Options KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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. The nurses most helpful response is Yes. Medicare:
a. pays 100% of all medical costs for persons older than 65.
b. Part B pays hospital costs and physician fees.
c. Part A pays for inpatient hospital costs.
d. Part D pays 80% of the charges made by physicians.
ANS: C
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physicians charges, and Part D
helps defray prescription drug costs.
, Gerontological Nursing 10th Edition Eliopoulos Test Bank.
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
7. The daughter of a patient who has been diagnosed with terminal cancer asks which
documents are required to allow her to make health care decisions for her parent. The nurses
most informative response is:
a. Advance directives indicate the degree of intervention desired by the patient.
a
b. A Do Not Resuscitate document signed by the patient transfers authority to the
next of kin.
h
k
c. A durable power of attorney for health care transfers decision-making authority for
i
health care to a designated person.
e
nh
d. A living will transfers authority to the physician.
r
at
ANS: C au
A durable power of attorney for health care transfers the authority for decision making to a
br
designated person.
MK
F
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Advance Directives KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-
old mothers refusal to eat. The nurse explains that the refusal to eat is a behavior that is
an:
a. effort to maintain a portion of independence and self direction.
b. indication of approaching Alzheimer disease.
c. effort to gain attention.
d. indication of the dislike of the institutional food.
ANS: A
Gerontological Nursing 10th
Edition Eliopoulos Test
Bank
Chapter 1 The Aging Population
Test Bank
MULTIPLE CHOICE a
1. The nurse explains that in the late 1960s, health care focus was aimed at the older
h
adult because: hki
a. disability was viewed as unavoidable.
b.
e
n
complications from disease increased mortality.
t
c. older adults needs are similar to those of all adults.
ur
a
d. preventive health care practices increased longevity.
ba
r
ANS: D
MK
F
Increased preventive health care practices, disease control, and focus on wellness helped people
live longer.
DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2
TOP: Aging Trends KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The nurse clarifies that in the terminology defining specific age groups, the term aged refers
to persons who are:
a. 55 to 64 years of age.
b. 65 to 74 years of age.
c. 75 to 84 years of age.
d. 85 and older.
ANS: C
,Gerontological Nursing 10th Edition Eliopoulos Test Bank.
The term aged refers to persons who are 75 to 84 years of age.
DIF: Cognitive Level: Comprehension REF: 2, Table 1-1 OBJ: 1
TOP: Age Categories KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse cautions that ageism is a mindset that influences persons to:
a
a. discriminate against persons solely on the basis of age.
h
b. fear aging.
c.
ki
be culturally sensitive to concerns of aging.
e
nh
d. focus on resources for the older adult.
r
at
ANS: A au
Ageism is a negative belief pattern that influences persons to discriminate against persons solely
br
on the basis of age and can lead to destructive behaviors toward the older adult.
MK
F
DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3
TOP: Ageism KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. The nurse points out that the most beneficial legislation that has influenced health care for
the older adult is:
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.
,Gerontological Nursing 10th Edition Eliopoulos Test Bank.
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A
5. The nurse clarifies that a housing option for the older adult that offers the privacy of
an apartment with restaurant-style meals and some medical and personal care services is
the:
a. government-subsidized housing. a
b. long-term care facility.
c. assisted-living center.
d. group housing plan. e
nhh
ki
ANS: C
ur
at
Assisted-living arrangements offer the privacy of an apartment or condominium with meals
K
Fba
prepared and served, limited medical care, and a variety of personal services.
r
DIF: Cognitive Level: Application REF: 14 OBJ: 9
M
TOP: Housing Options KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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. The nurses most helpful response is Yes. Medicare:
a. pays 100% of all medical costs for persons older than 65.
b. Part B pays hospital costs and physician fees.
c. Part A pays for inpatient hospital costs.
d. Part D pays 80% of the charges made by physicians.
ANS: C
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physicians charges, and Part D
helps defray prescription drug costs.
, Gerontological Nursing 10th Edition Eliopoulos Test Bank.
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
7. The daughter of a patient who has been diagnosed with terminal cancer asks which
documents are required to allow her to make health care decisions for her parent. The nurses
most informative response is:
a. Advance directives indicate the degree of intervention desired by the patient.
a
b. A Do Not Resuscitate document signed by the patient transfers authority to the
next of kin.
h
k
c. A durable power of attorney for health care transfers decision-making authority for
i
health care to a designated person.
e
nh
d. A living will transfers authority to the physician.
r
at
ANS: C au
A durable power of attorney for health care transfers the authority for decision making to a
br
designated person.
MK
F
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Advance Directives KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-
old mothers refusal to eat. The nurse explains that the refusal to eat is a behavior that is
an:
a. effort to maintain a portion of independence and self direction.
b. indication of approaching Alzheimer disease.
c. effort to gain attention.
d. indication of the dislike of the institutional food.
ANS: A