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. Medicare Part A pays for inpatient hospital costs.
d. Medicare Part D pays 80% of the charges made by physicians.
ANS: C
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D
helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance
through private insurance companies and typically pays entire costs.
PTS: 1 DIF: 7 REF: p. 16 OBJ: 6
TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
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. Which response would provide the
most accurate information to the daughter?
a. Advance directives indicate the degree of intervention desired by the patient.
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the
next of kin.
c. A durable power of attorney for health care transfers decision-making authority for
health care to a designated person.
d. A living will transfers authority to the physician.
ANS: C
A durable power of attorney for health care transfers the authority for decision making to a designated
person. An advance directive specifies the type of care an individual desires when he cannot speak for
himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate”
document states that the patient wishes to die naturally with no intervention. A living will prohibits the
use of life-prolonging measures.
PTS: 1 DIF: 7 REF: p. 19 OBJ: 11
TOP: Advance Directives KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s
refusal to eat. Which response would be the most appropriate?
a. The refusal to eat is an effort to maintain a portion of independence and self-
direction.
b. The refusal to eat is an indication of approaching Alzheimer disease.
c. The refusal to eat is an effort to gain attention.
d. The refusal to eat is an indication of the dislike of the institutional food.
ANS: A
Loss of independence and control is a significant issue for the older adult. Some residents will exercise
whatever control they may retain.
PTS: 1 DIF: 7 REF: p. 21 OBJ: 11
TOP: Loss of Independence KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
9. When do the conditions of a living will go into effect?
, a. When fthe fpatient fdeclares fthat fdesire fin fwriting
b. When fa f family fmember f indicates fthe fdesire ffor fcurative ftherapy fto fcease
c. When ftwo fphysicians fagree fin fwriting fthat fthe fcriteria fin fthe fliving fwill
fhave f been f met
d. When fthe fphysician fand fa ffamily fmember fagree fthat fthe fcriteria fin fthe
f living fwill f have f been f met
ANS: f C
Two fphysicians fmust fagree fin fwriting fthat fthe fcriteria fof fthe fliving fwill fhave fbeen fmet fbefore
fthe fdocument fcan fgo f into feffect.
PTS: f f 1 DIF: 4 REF: f f p. f19 OBJ: f 11
TOP: f Living fWills KEY: fNursing fProcess fStep:
fImplementation fMSC: fNCLEX: fSafe, fEffective fCare
fEnvironment: fCoordinated fCare fNOT: fUnderstanding
10. In fthe f1980s, fMedicare finitiated fa fprogram fof fdiagnosis-related fgroups f(DRGs) fto freduce
fhospital fcosts. fHow fdid fthe fDRGs freduce f hospital fcosts?
a. By fclassifying fvarious fdiagnoses fas fineligible f for fhospitalization
b. By fallotting fa fset famount fof fhospital fdays fand fprospective fpayment fon fthe
fbasis fof fthe f admitting fdiagnosis
c. By fspecifying fparticular fphysicians fto ftreat fspecified fdiagnoses
d. By fusing f frequency fof fa fparticular fdiagnosis fto fset fa fpayment fschedule
ANS: f B
DRGs fset fup fa fsystem fof fpreset fhospitalization ftime fand fpayment fon fthe fbasis fof fthe
fadmitting fdiagnosis.
PTS: f f 1 DIF: 4 REF: f f p. f16 OBJ: f 6
TOP: f DRGs KEY: f Nursing fProcess fStep: fN/A MSC: fNCLEX:
fN/A fNOT: f Understanding
11. Which ffacility fwould fbe frecommended ffor fa fpatient fwith fdiabetes fwho fhas fhad fa fhip
freplacement fand f needs fphysical ftherapy?
a. Basic fcare f facility
b. Skilled fcare ffacility
c. Subacute fcare ffacility
d. Assisted-living fresidence
ANS: f B
Skilled fcare ffacilities foffer fnot fonly fbasic fcare fbut falso fservices ffrom fexperienced flicensed
fprofessionals fsuch fas fnurses, fphysical ftherapists, fspeech ftherapists, fand foccupational ftherapists.
PTS: f f 1 DIF: 7 REF: f f p. f15 OBJ: f 9
TOP: f Extended-Care fFacilities KEY: fNursing fProcess fStep:
fImplementation fMSC: f NCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated
fCare
NOT: fApplying
,12. The f80-year-old fwoman fwho fis frecovering ffrom fa fstroke fis fbeing fsent fto fa fskilled fcare
f facility. fShe f is fconcerned fabout fthe fexpense. fThe f nurse f can fdecrease fanxiety fby fexplaining
fthat fMedicare fwill fcover fextended-care f facility fcosts f for fwhich fperiod fof ftime?
a. A fperiod fof f30 fdays
b. A fperiod fof f45 fdays f for fphysical ftherapy
c. A fperiod fof f100 fdays ffor fneeded fskilled
fcare
d. Until fshe fis fable fto fbe fdischarged fhome
ANS: f C
Medicare fwill fcover fskilled fcare fcosts ffor f100 fdays. fAfter f100 fdays, fthe fresident fmust frevert fto
fprivate fpay for fancillary f long-term fcare f insurance.
PTS: f f 1 DIF: 4 REF: f f p. f16 OBJ: f 8
TOP: f Extended fCare KEY: fNursing fProcess fStep:
fImplementation fMSC: f NCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated
fCare
NOT: f Understanding
13. Which fsenior fcitizen fpolitical faction fgroup fuses fvolunteers fand flobbyists fto fadvance fthe
f interests fof folder fadults?
a. American fAssociation fof fRetired fPersons
f(AARP)
b. National fCouncil fof fSenior fCitizens f(NCSC)
c. National fAlliance fof fSenior fCitizens f(NASC)
d. Gray fPanthers
ANS: f A
The fAARP fuses fvolunteers fand flobbyists fto fadvance fthe finterests fand fwelfare fof folder fadults.
PTS: f f 1 DIF: 2 REF: f f p. f12 OBJ: f 7
TOP: f Political fAction fGroups KEY: fNursing fProcess fStep:
fN/A fMSC: f NCLEX: fN/A NOT: fRemembering
14. Which fcaregiver fcould fbe ffound fguilty fof felder fabuse?
a. A fdaughter fwho fuses fher fmother’s fSocial fSecurity fmoney fto fpurchase fher
fmother’s f medication
b. A fson fwho fputs fan falarm fon fthe ffront fdoor fto fprevent fhis fmother ffrom
fwandering fout fof fthe f house
c. A fwife fwho fallows fher fmentally fcompetent fhusband fto frefuse fto ftake fa fbath
ffor fa fweek
d. A fson fwho fuses fhis fmother’s fchecking faccount ffunds fto fpurchase falcohol ffor
fhimself
ANS: f D
It fis ffinancial fabuse f if fthe folder fperson’s fmoney fis ftaken fand fspent fby fothers ffor ftheir fown
fpurposes.
PTS: f f 1 DIF: 8 REF: f f p. f23 OBJ: f 13
TOP: f Elder fAbuse KEY: fNursing fProcess fStep: fData
fCollection fMSC: fNCLEX: fPhysiological fIntegrity: f Basic fCare
fand fComfort fNOT: fAnalyzing
15. Which fis fthe fmost ffrequent fresponse fto felder fabuse f by fthe fabused folder fadult?
, a. Anger
b. Physical fretaliation
c. Notification fof
fauthorities
d. Nothing fat fall
ANS: f D
Fear fof fretaliation for fabandonment fkeeps fmost fabused folder fadults fsilent.
PTS: f f 1 DIF: 5 REF: f f p. f24 OBJ: f 14
TOP: f Response fto fAbuse KEY: fNursing fProcess fStep: fData
fCollection fMSC: f NCLEX: fPsychosocial f Integrity: fCoping fand f Adaptation NOT:
fUnderstanding
16. Which freason fis foften fstated fby fnurses ftoday ffor fnot fseeking fcareers f in fgerontology?
a. The fphysical fwork fis ftoo fdifficult.
b. Their ftechnical fskills fare fnot fused.
c. There fis ftoo fmuch fchallenge.
d. There fare flimited foptions ffor
femployment.
ANS: f B
Many fnurses ffeel fthat ftheir ftechnical fskills fwill fnot fbe fused fin fthe fcare fof fthe folder fadult.
fThere fare f many femployment foptions fthat foffer fchallenge fand f fulfillment.
PTS: f f 1 DIF: 4 REF: f f p. f5 OBJ: f 2
TOP: f Employment fOptions KEY: fNursing fProcess fStep: fN/A
MSC: f NCLEX: fN/A NOT: f Understanding
17. “Baby fboomers” f is fa fterm fused fto fclassify fwhich fof fthe f following fpersons?
a. Those fwho fentered fschool fin f1945
b. Those fwho fserved fin fthe fmilitary fin fWorld fWar fII
c. Those fwho fwere fborn fbetween f1946 fand f1964
d. Those fwho fwere feligible ffor fSocial fSecurity fbenefits fin
f2000
ANS: f C
Baby fboomers fare fthose fborn fbetween f1946 fand f1964. fThe fimpact fof fthe fretirement fof fthis
fcohort fis funprecedented f in fterms fof fthe f impact fon fsociety.
PTS: f f 1 DIF: 3 REF: f f p. f8 OBJ: f 5
TOP: f Baby fBoomers KEY: fNursing fProcess fStep:
fN/A fMSC: f NCLEX: fPsychosocial fIntegrity: fPsychosocial f Adaptation
NOT: fRemembering
18. The fhome fhealth fnurse frecognizes fwhich ftype fof fabuse fis foccurring fwhen ffinding fan
folder fadult frestrained f in fa frecliner?
a. Physical fabuse
b. Neglect
c. Emotional fabuse
d. Self-neglect
ANS: f A
Physical fabuse fis fany faction fthat fcauses fphysical fpain for finjury. fInappropriate fuse fof fdrugs,
f force- ffeeding, fphysical frestraints, fand fpunishment fof fany fkind fare fexamples fof fphysical fabuse.
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. Medicare Part A pays for inpatient hospital costs.
d. Medicare Part D pays 80% of the charges made by physicians.
ANS: C
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D
helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance
through private insurance companies and typically pays entire costs.
PTS: 1 DIF: 7 REF: p. 16 OBJ: 6
TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
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. Which response would provide the
most accurate information to the daughter?
a. Advance directives indicate the degree of intervention desired by the patient.
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the
next of kin.
c. A durable power of attorney for health care transfers decision-making authority for
health care to a designated person.
d. A living will transfers authority to the physician.
ANS: C
A durable power of attorney for health care transfers the authority for decision making to a designated
person. An advance directive specifies the type of care an individual desires when he cannot speak for
himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate”
document states that the patient wishes to die naturally with no intervention. A living will prohibits the
use of life-prolonging measures.
PTS: 1 DIF: 7 REF: p. 19 OBJ: 11
TOP: Advance Directives KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s
refusal to eat. Which response would be the most appropriate?
a. The refusal to eat is an effort to maintain a portion of independence and self-
direction.
b. The refusal to eat is an indication of approaching Alzheimer disease.
c. The refusal to eat is an effort to gain attention.
d. The refusal to eat is an indication of the dislike of the institutional food.
ANS: A
Loss of independence and control is a significant issue for the older adult. Some residents will exercise
whatever control they may retain.
PTS: 1 DIF: 7 REF: p. 21 OBJ: 11
TOP: Loss of Independence KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
9. When do the conditions of a living will go into effect?
, a. When fthe fpatient fdeclares fthat fdesire fin fwriting
b. When fa f family fmember f indicates fthe fdesire ffor fcurative ftherapy fto fcease
c. When ftwo fphysicians fagree fin fwriting fthat fthe fcriteria fin fthe fliving fwill
fhave f been f met
d. When fthe fphysician fand fa ffamily fmember fagree fthat fthe fcriteria fin fthe
f living fwill f have f been f met
ANS: f C
Two fphysicians fmust fagree fin fwriting fthat fthe fcriteria fof fthe fliving fwill fhave fbeen fmet fbefore
fthe fdocument fcan fgo f into feffect.
PTS: f f 1 DIF: 4 REF: f f p. f19 OBJ: f 11
TOP: f Living fWills KEY: fNursing fProcess fStep:
fImplementation fMSC: fNCLEX: fSafe, fEffective fCare
fEnvironment: fCoordinated fCare fNOT: fUnderstanding
10. In fthe f1980s, fMedicare finitiated fa fprogram fof fdiagnosis-related fgroups f(DRGs) fto freduce
fhospital fcosts. fHow fdid fthe fDRGs freduce f hospital fcosts?
a. By fclassifying fvarious fdiagnoses fas fineligible f for fhospitalization
b. By fallotting fa fset famount fof fhospital fdays fand fprospective fpayment fon fthe
fbasis fof fthe f admitting fdiagnosis
c. By fspecifying fparticular fphysicians fto ftreat fspecified fdiagnoses
d. By fusing f frequency fof fa fparticular fdiagnosis fto fset fa fpayment fschedule
ANS: f B
DRGs fset fup fa fsystem fof fpreset fhospitalization ftime fand fpayment fon fthe fbasis fof fthe
fadmitting fdiagnosis.
PTS: f f 1 DIF: 4 REF: f f p. f16 OBJ: f 6
TOP: f DRGs KEY: f Nursing fProcess fStep: fN/A MSC: fNCLEX:
fN/A fNOT: f Understanding
11. Which ffacility fwould fbe frecommended ffor fa fpatient fwith fdiabetes fwho fhas fhad fa fhip
freplacement fand f needs fphysical ftherapy?
a. Basic fcare f facility
b. Skilled fcare ffacility
c. Subacute fcare ffacility
d. Assisted-living fresidence
ANS: f B
Skilled fcare ffacilities foffer fnot fonly fbasic fcare fbut falso fservices ffrom fexperienced flicensed
fprofessionals fsuch fas fnurses, fphysical ftherapists, fspeech ftherapists, fand foccupational ftherapists.
PTS: f f 1 DIF: 7 REF: f f p. f15 OBJ: f 9
TOP: f Extended-Care fFacilities KEY: fNursing fProcess fStep:
fImplementation fMSC: f NCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated
fCare
NOT: fApplying
,12. The f80-year-old fwoman fwho fis frecovering ffrom fa fstroke fis fbeing fsent fto fa fskilled fcare
f facility. fShe f is fconcerned fabout fthe fexpense. fThe f nurse f can fdecrease fanxiety fby fexplaining
fthat fMedicare fwill fcover fextended-care f facility fcosts f for fwhich fperiod fof ftime?
a. A fperiod fof f30 fdays
b. A fperiod fof f45 fdays f for fphysical ftherapy
c. A fperiod fof f100 fdays ffor fneeded fskilled
fcare
d. Until fshe fis fable fto fbe fdischarged fhome
ANS: f C
Medicare fwill fcover fskilled fcare fcosts ffor f100 fdays. fAfter f100 fdays, fthe fresident fmust frevert fto
fprivate fpay for fancillary f long-term fcare f insurance.
PTS: f f 1 DIF: 4 REF: f f p. f16 OBJ: f 8
TOP: f Extended fCare KEY: fNursing fProcess fStep:
fImplementation fMSC: f NCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated
fCare
NOT: f Understanding
13. Which fsenior fcitizen fpolitical faction fgroup fuses fvolunteers fand flobbyists fto fadvance fthe
f interests fof folder fadults?
a. American fAssociation fof fRetired fPersons
f(AARP)
b. National fCouncil fof fSenior fCitizens f(NCSC)
c. National fAlliance fof fSenior fCitizens f(NASC)
d. Gray fPanthers
ANS: f A
The fAARP fuses fvolunteers fand flobbyists fto fadvance fthe finterests fand fwelfare fof folder fadults.
PTS: f f 1 DIF: 2 REF: f f p. f12 OBJ: f 7
TOP: f Political fAction fGroups KEY: fNursing fProcess fStep:
fN/A fMSC: f NCLEX: fN/A NOT: fRemembering
14. Which fcaregiver fcould fbe ffound fguilty fof felder fabuse?
a. A fdaughter fwho fuses fher fmother’s fSocial fSecurity fmoney fto fpurchase fher
fmother’s f medication
b. A fson fwho fputs fan falarm fon fthe ffront fdoor fto fprevent fhis fmother ffrom
fwandering fout fof fthe f house
c. A fwife fwho fallows fher fmentally fcompetent fhusband fto frefuse fto ftake fa fbath
ffor fa fweek
d. A fson fwho fuses fhis fmother’s fchecking faccount ffunds fto fpurchase falcohol ffor
fhimself
ANS: f D
It fis ffinancial fabuse f if fthe folder fperson’s fmoney fis ftaken fand fspent fby fothers ffor ftheir fown
fpurposes.
PTS: f f 1 DIF: 8 REF: f f p. f23 OBJ: f 13
TOP: f Elder fAbuse KEY: fNursing fProcess fStep: fData
fCollection fMSC: fNCLEX: fPhysiological fIntegrity: f Basic fCare
fand fComfort fNOT: fAnalyzing
15. Which fis fthe fmost ffrequent fresponse fto felder fabuse f by fthe fabused folder fadult?
, a. Anger
b. Physical fretaliation
c. Notification fof
fauthorities
d. Nothing fat fall
ANS: f D
Fear fof fretaliation for fabandonment fkeeps fmost fabused folder fadults fsilent.
PTS: f f 1 DIF: 5 REF: f f p. f24 OBJ: f 14
TOP: f Response fto fAbuse KEY: fNursing fProcess fStep: fData
fCollection fMSC: f NCLEX: fPsychosocial f Integrity: fCoping fand f Adaptation NOT:
fUnderstanding
16. Which freason fis foften fstated fby fnurses ftoday ffor fnot fseeking fcareers f in fgerontology?
a. The fphysical fwork fis ftoo fdifficult.
b. Their ftechnical fskills fare fnot fused.
c. There fis ftoo fmuch fchallenge.
d. There fare flimited foptions ffor
femployment.
ANS: f B
Many fnurses ffeel fthat ftheir ftechnical fskills fwill fnot fbe fused fin fthe fcare fof fthe folder fadult.
fThere fare f many femployment foptions fthat foffer fchallenge fand f fulfillment.
PTS: f f 1 DIF: 4 REF: f f p. f5 OBJ: f 2
TOP: f Employment fOptions KEY: fNursing fProcess fStep: fN/A
MSC: f NCLEX: fN/A NOT: f Understanding
17. “Baby fboomers” f is fa fterm fused fto fclassify fwhich fof fthe f following fpersons?
a. Those fwho fentered fschool fin f1945
b. Those fwho fserved fin fthe fmilitary fin fWorld fWar fII
c. Those fwho fwere fborn fbetween f1946 fand f1964
d. Those fwho fwere feligible ffor fSocial fSecurity fbenefits fin
f2000
ANS: f C
Baby fboomers fare fthose fborn fbetween f1946 fand f1964. fThe fimpact fof fthe fretirement fof fthis
fcohort fis funprecedented f in fterms fof fthe f impact fon fsociety.
PTS: f f 1 DIF: 3 REF: f f p. f8 OBJ: f 5
TOP: f Baby fBoomers KEY: fNursing fProcess fStep:
fN/A fMSC: f NCLEX: fPsychosocial fIntegrity: fPsychosocial f Adaptation
NOT: fRemembering
18. The fhome fhealth fnurse frecognizes fwhich ftype fof fabuse fis foccurring fwhen ffinding fan
folder fadult frestrained f in fa frecliner?
a. Physical fabuse
b. Neglect
c. Emotional fabuse
d. Self-neglect
ANS: f A
Physical fabuse fis fany faction fthat fcauses fphysical fpain for finjury. fInappropriate fuse fof fdrugs,
f force- ffeeding, fphysical frestraints, fand fpunishment fof fany fkind fare fexamples fof fphysical fabuse.
