GERONTOLOGICAL NURSING 10TH EDITION
BY ELIOPOULOS||COMPLETE CHAPTERS 1-36||100% VERIFIED
ANSWERS
,Table of Contents
Chapter 1 The Aging Population ......................................................................................................................... 4
Chapter 2 Theories Of Aging .............................................................................................................................. 19
Chapter 3 Diversity............................................................................................................................................... 27
Chapter 4 Life Transitions And Story ............................................................................................................. 39
Chapter 5 Common Aging Changes ................................................................................................................. 51
Chapter 6 The Specialty Of Gerontological Nursing .................................................................................. 66
Chapter 7 Holistic Assessment And Care Planning .................................................................................. 78
Chapter 8 Legal Aspects Of Gerontological Nursing ................................................................................ 92
Chapter 9 Ethical Aspects Of Gerontological Nursing ............................................................................ 105
Chapter 10 Continuum Of Care In Gerontological Nursing ..................................................................... 115
Chapter 11 Nutrition And Hydration ............................................................................................................... 128
Chapter 12 Sleep And Rest............................................................................................................................... 143
Chapter 13 Comfort And Pain Management................................................................................................ 155
Chapter 14 Safety ................................................................................................................................................. 167
Chapter 15 Spirituality ........................................................................................................................................ 179
Chapter 16 Sexuality And Intimacy .................................................................................................................187
Chapter 17 Safe Medication Use ...................................................................................................................... 199
Chapter 18 Respiration ....................................................................................................................................... 212
Chapter 19 Circulations .....................................................................................................................................224
Chapter 20 Digestion And Bowel Elimination ............................................................................................ 236
Chapter 21 Urinary Elimination ...................................................................................................................... 248
Chapter 22 Reproductive System Health ..................................................................................................... 261
Chapter 23 Mobility ............................................................................................................................................294
Chapter 24 Neurologic Function .................................................................................................................... 306
Chapter 25 Vision And Hearing ...................................................................................................................... 318
Chapter 26 Endocrine Function ...................................................................................................................... 325
Chapter 27 Skin Health ..................................................................................................................................... 337
Chapter 28 Cancer.............................................................................................................................................. 351
Chapter 29 Mental Health Disorders ............................................................................................................ 363
Chapter 30 Delirium And Dementia .............................................................................................................. 379
Chapter 31 Living In Harmony With Chronic Conditions ......................................................................... 392
Chapter 32 Rehabilitative And Restorative Care Cha ............................................................................ 405
,Chapter 34 Long-Term Care ........................................................................................................................... 417
Chapter 35 Family Caregiving ........................................................................................................................ 431
Chapter 36 End-Of-Life Care .......................................................................................................................... 441
,Test Bank For Gerontological Nursing 10th Edition By Eliopoulos
Chapter 1 The Aging Population
MULTIPLE CHOICE
1. The Nurse Explains That In The Late 1960s, Health Care Focus Was Aimed At The Older Adult
Because:
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.
ANSWER>>D
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.
ANSWER>>C
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. Discriminate Against Persons Solely On The Basis Of Age.
B. Fear Aging.
C. Be Culturally Sensitive To Concerns Of Aging.
D. Focus On Resources For The Older Adult.
ANSWER>>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.
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.
ANSWER>>A
,The Broadest Sweeping Legislation Beneficial To The Older Adult Is Medicare And Medicaid.
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.
B. Long-Term Care Facility.
C. Assisted-Living Center.
D. Group Housing Plan.
ANSWER>>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.
DIF: Cognitive Level: Application
REF: 14
OBJ: 9
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.
ANSWER>>C
Medicare Part A Pays Inpatient Hospital Costs, Part B Pays 80% Of Physicians Charges, And
Part D Helps Defray Prescription Drug Costs.
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.
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.
ANSWER>>C
A Durable Power Of Attorney For Health Care Transfers The Authority For Decision Making To
A Designated Person.
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.
ANSWER>>A
Loss Of Independence And Control Is A Significant Issue For The Older Adult. Some Residents
Will Exercise Whatever Control They May Retain.
DIF: Cognitive Level: Application
REF: 21
OBJ: 11
TOP: Loss Of Independence
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping And Adaptation
9. The Nurse Clarifies That The Conditions Of A Living Will Go Into Effect When:
A. The Patient Declares That Desire In Writing.
B. A Family Member Indicates The Desire For Curative Therapy To Cease.
C. Two Physicians Agree In Writing That The Criteria In The Living Will Have Been Met.
D. The Physician And A Family Member Agree That The Criteria In The Living Will Have
Been Met.
ANSWER>>C
Two Physicians Must Agree In Writing That The Criteria Of The Living Will Have Been Met
Before The Document Can Go Into Effect.
DIF: Cognitive Level: Application
REF: 19
OBJ: 11
TOP: Living Wills KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. In The 1980s, Medicare Initiated A Program Of Diagnosis-Related Groups (Drgs) To Reduce
Hospital Costs By:
,A. Classifying Various Diagnoses As Ineligible For Hospitalization.
B. Allotting A Set Amount Of Hospital Days And Prospective Payment On The Basis Of The
Admitting Diagnosis.
C. Specifying Particular Physicians To Treat Specified Diagnoses.
D. Using Frequency Of A Particular Diagnosis To Set A Payment Schedule.
ANSWER>>B
Drgs Set Up A System Of Preset Hospitalization Time And Payment On The Basis Of The
Admitting Diagnosis.
DIF: Cognitive Level: Comprehension
REF: 16
OBJ: 6
TOP: Drgs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
11. When Discussing Extended Care With A Patient Who Has Had A Hip Replacement And Needs
Physical Therapy, The Nurse Would Recommend A(N):
A. Basic Care Facility.
B. Skilled Care Facility.
C. Subacute Care Facility.
D. Assisted-Living Residence.
ANSWER>>B
Skilled Care Facilities Offer Not Only Basic Care But Also Services From Trained Licensed
Professionals Such As Nurses, Physical Therapists, Speech Therapists, And Occupational
Therapists.
DIF: Cognitive Level: Application
REF: 16
OBJ: 9
TOP: Extended-Care Facilities
KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. The 80-Year-Old Woman Who Is Recovering From A Stroke Is Being Sent To An Extended-
Care Facility. She Is Concerned About The Expense. The Nurse Can Allay Anxiety By Explaining
That Medicare Will Cover Extended-Care Facility Costs:
A. For A Period Of 30 Days.
B. For A Period Of 45 Days For Physical Therapy.
C. For A Period Of 100 Days For Needed Skilled Care.
D. Until She Is Able To Be Discharged Home.
ANSWER>>C
Medicare Will Cover Extended-Care Costs For 100 Days While Skilled Care Is Being Applied To
The Resident. After 100 Days, The Resident Must Revert To Private Pay Or Ancillary Long-Term
Care Insurance.
DIF: Cognitive Level: Application
REF: 16
OBJ: 8
TOP: Extended Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
13. The Senior Citizen Political Action Group That Uses Volunteers And Lobbyists To Advance
The Interests Of Older Adults Is The:
A. American Association Of Retired Persons (AARP).
B. National Council Of Senior Citizens (NCSC).
C. National Alliance Of Senior Citizens (NASC).
D. Gray Panthers.
ANSWER>>A
The AARP Uses Volunteers And Lobbyists To Advance The Interests And Welfare Of Older
Adults. DIF: Cognitive Level: Knowledge
BY ELIOPOULOS||COMPLETE CHAPTERS 1-36||100% VERIFIED
ANSWERS
,Table of Contents
Chapter 1 The Aging Population ......................................................................................................................... 4
Chapter 2 Theories Of Aging .............................................................................................................................. 19
Chapter 3 Diversity............................................................................................................................................... 27
Chapter 4 Life Transitions And Story ............................................................................................................. 39
Chapter 5 Common Aging Changes ................................................................................................................. 51
Chapter 6 The Specialty Of Gerontological Nursing .................................................................................. 66
Chapter 7 Holistic Assessment And Care Planning .................................................................................. 78
Chapter 8 Legal Aspects Of Gerontological Nursing ................................................................................ 92
Chapter 9 Ethical Aspects Of Gerontological Nursing ............................................................................ 105
Chapter 10 Continuum Of Care In Gerontological Nursing ..................................................................... 115
Chapter 11 Nutrition And Hydration ............................................................................................................... 128
Chapter 12 Sleep And Rest............................................................................................................................... 143
Chapter 13 Comfort And Pain Management................................................................................................ 155
Chapter 14 Safety ................................................................................................................................................. 167
Chapter 15 Spirituality ........................................................................................................................................ 179
Chapter 16 Sexuality And Intimacy .................................................................................................................187
Chapter 17 Safe Medication Use ...................................................................................................................... 199
Chapter 18 Respiration ....................................................................................................................................... 212
Chapter 19 Circulations .....................................................................................................................................224
Chapter 20 Digestion And Bowel Elimination ............................................................................................ 236
Chapter 21 Urinary Elimination ...................................................................................................................... 248
Chapter 22 Reproductive System Health ..................................................................................................... 261
Chapter 23 Mobility ............................................................................................................................................294
Chapter 24 Neurologic Function .................................................................................................................... 306
Chapter 25 Vision And Hearing ...................................................................................................................... 318
Chapter 26 Endocrine Function ...................................................................................................................... 325
Chapter 27 Skin Health ..................................................................................................................................... 337
Chapter 28 Cancer.............................................................................................................................................. 351
Chapter 29 Mental Health Disorders ............................................................................................................ 363
Chapter 30 Delirium And Dementia .............................................................................................................. 379
Chapter 31 Living In Harmony With Chronic Conditions ......................................................................... 392
Chapter 32 Rehabilitative And Restorative Care Cha ............................................................................ 405
,Chapter 34 Long-Term Care ........................................................................................................................... 417
Chapter 35 Family Caregiving ........................................................................................................................ 431
Chapter 36 End-Of-Life Care .......................................................................................................................... 441
,Test Bank For Gerontological Nursing 10th Edition By Eliopoulos
Chapter 1 The Aging Population
MULTIPLE CHOICE
1. The Nurse Explains That In The Late 1960s, Health Care Focus Was Aimed At The Older Adult
Because:
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.
ANSWER>>D
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.
ANSWER>>C
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. Discriminate Against Persons Solely On The Basis Of Age.
B. Fear Aging.
C. Be Culturally Sensitive To Concerns Of Aging.
D. Focus On Resources For The Older Adult.
ANSWER>>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.
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.
ANSWER>>A
,The Broadest Sweeping Legislation Beneficial To The Older Adult Is Medicare And Medicaid.
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.
B. Long-Term Care Facility.
C. Assisted-Living Center.
D. Group Housing Plan.
ANSWER>>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.
DIF: Cognitive Level: Application
REF: 14
OBJ: 9
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.
ANSWER>>C
Medicare Part A Pays Inpatient Hospital Costs, Part B Pays 80% Of Physicians Charges, And
Part D Helps Defray Prescription Drug Costs.
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.
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.
ANSWER>>C
A Durable Power Of Attorney For Health Care Transfers The Authority For Decision Making To
A Designated Person.
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.
ANSWER>>A
Loss Of Independence And Control Is A Significant Issue For The Older Adult. Some Residents
Will Exercise Whatever Control They May Retain.
DIF: Cognitive Level: Application
REF: 21
OBJ: 11
TOP: Loss Of Independence
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping And Adaptation
9. The Nurse Clarifies That The Conditions Of A Living Will Go Into Effect When:
A. The Patient Declares That Desire In Writing.
B. A Family Member Indicates The Desire For Curative Therapy To Cease.
C. Two Physicians Agree In Writing That The Criteria In The Living Will Have Been Met.
D. The Physician And A Family Member Agree That The Criteria In The Living Will Have
Been Met.
ANSWER>>C
Two Physicians Must Agree In Writing That The Criteria Of The Living Will Have Been Met
Before The Document Can Go Into Effect.
DIF: Cognitive Level: Application
REF: 19
OBJ: 11
TOP: Living Wills KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. In The 1980s, Medicare Initiated A Program Of Diagnosis-Related Groups (Drgs) To Reduce
Hospital Costs By:
,A. Classifying Various Diagnoses As Ineligible For Hospitalization.
B. Allotting A Set Amount Of Hospital Days And Prospective Payment On The Basis Of The
Admitting Diagnosis.
C. Specifying Particular Physicians To Treat Specified Diagnoses.
D. Using Frequency Of A Particular Diagnosis To Set A Payment Schedule.
ANSWER>>B
Drgs Set Up A System Of Preset Hospitalization Time And Payment On The Basis Of The
Admitting Diagnosis.
DIF: Cognitive Level: Comprehension
REF: 16
OBJ: 6
TOP: Drgs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
11. When Discussing Extended Care With A Patient Who Has Had A Hip Replacement And Needs
Physical Therapy, The Nurse Would Recommend A(N):
A. Basic Care Facility.
B. Skilled Care Facility.
C. Subacute Care Facility.
D. Assisted-Living Residence.
ANSWER>>B
Skilled Care Facilities Offer Not Only Basic Care But Also Services From Trained Licensed
Professionals Such As Nurses, Physical Therapists, Speech Therapists, And Occupational
Therapists.
DIF: Cognitive Level: Application
REF: 16
OBJ: 9
TOP: Extended-Care Facilities
KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. The 80-Year-Old Woman Who Is Recovering From A Stroke Is Being Sent To An Extended-
Care Facility. She Is Concerned About The Expense. The Nurse Can Allay Anxiety By Explaining
That Medicare Will Cover Extended-Care Facility Costs:
A. For A Period Of 30 Days.
B. For A Period Of 45 Days For Physical Therapy.
C. For A Period Of 100 Days For Needed Skilled Care.
D. Until She Is Able To Be Discharged Home.
ANSWER>>C
Medicare Will Cover Extended-Care Costs For 100 Days While Skilled Care Is Being Applied To
The Resident. After 100 Days, The Resident Must Revert To Private Pay Or Ancillary Long-Term
Care Insurance.
DIF: Cognitive Level: Application
REF: 16
OBJ: 8
TOP: Extended Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
13. The Senior Citizen Political Action Group That Uses Volunteers And Lobbyists To Advance
The Interests Of Older Adults Is The:
A. American Association Of Retired Persons (AARP).
B. National Council Of Senior Citizens (NCSC).
C. National Alliance Of Senior Citizens (NASC).
D. Gray Panthers.
ANSWER>>A
The AARP Uses Volunteers And Lobbyists To Advance The Interests And Welfare Of Older
Adults. DIF: Cognitive Level: Knowledge
