TESTBANK B
BASIC GERIATRIC NURSING
B B
PATRICIAA. WILLIAMS
B
8th Edition
B
TESTBANK B
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
B B B B B B B B B B
MULTIPLE CHOICE B
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
B B B B B B B B B B B B B B B B
a. Disabilitywas viewed as unavoidable. B B B B
b. Complications from disease increased mortality. B B B B
c. Older adults’ needs are similar to those of all adults.
B B B B B B B B B
d. Preventive health care practices increased longevity. B B B B B
ANS: D B
Increased preventive health care practices, disease control, and focus on wellness helped people live longer.
B B B B B B B B B B B B B B
PTS: 1 B B DIF: 4 REF: p. 2 B B B OBJ: 2 B
TOP: Aging Trends B B
KEY: Nursing Process Step: Data Collection B B B B B B
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
B B B B B B B B
NOT: Understanding B
2. To which age group does the term “aged” apply?
B B B B B B B B
a. 55–64 years of age B B B
b. 65–74 years of age B B B
c. 75–84 years of age B B B
d. 85 and older B B
ANS: C B
The term aged refers to persons who are 75–84 years of age.
B B B B B B B B B B B
PTS: 1 B B DIF: 1 REF: p. 2 | Table 1.1
B B B B B
OBJ: 1 B
TOP: Age Categories B B B
KEY: Nursing Process Step: Data Collection
B B B B B
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development N
B B B B B B B B B
OT: Remembering
B
3. Which is true of ageism? B B B B
a. It is discrimination against persons solelyon the basis of age.
B B B B B B B B B B
b. It causes a person to fear aging.
B B B B B B
, c. It involves the use of cultural sensitivity to address concerns of aging.
B B B B B B B B B B B
d. It focuses on resources for the older adult.
B B B B B B B
ANS: A B
Ageism is a negative belief pattern that influences persons to discriminate against persons solelyon the basis
B B B B B B B B B B B B B B B B B
of age and can lead to destructive behaviors toward the older adult.
B B B B B B B B B B B
PTS: 1 B B DIF: 4 REF: p. 4 B B B OBJ: 3 B
TOP: Ageism B
KEY: Nursing Process Step: Data Collection B B B B B B
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation NO
B B B B B B
T: Understanding
B
4. Which legislation has been the most beneficial legislation that has influenced health care for the older adult
B B B B B B B B B B B B B B B B
?
a. Medicare and Medicaid B B
b. Elimination of the mandatoryretirement age B B B B B
c. The Americans with Disabilities Act B B B B
d. The Drug Benefit Program B B B
ANS: A B
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimination o
B B B B B B B B B B B B B B B
f the mandatory retirement age does not apply to health care. The Americans with Disabilities Act deals with
B B B B B B B B B B B B B B B B B
all Americans with disabilities, not just the older adult. The Drug Benefit Program was added to Medicare, b
B B B B B B B B B B B B B B B B B B
ut deals only with medications.
B B B B
PTS: 1 B B DIF: 4 REF: p. 11 B B B OBJ: 6 B
TOP: Legislation B
KEY: Nursing Process Step: Implementation
B B B B B
MSC: NCLEX: N/A B B NOT: Understanding B
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-
B B B B B B B B B B B B B B
style meals and some medical and personal care services?
B B B B B B B B
a. Government-subsidized housing B
b. Long-term care facility B B
c. Assisted-living center B
d. Group housing plan B B
ANS: C B
Assisted-
living arrangements offer the privacyof an apartment or condominium with meals prepared and served, limit
B B B B B B B B B B B B B B B
ed medical care, and a variety of personal services.
B B B B B B B B
PTS: 1 DIF: B B 3 REF: p. 14 B B B OBJ: 9 B
TOP: Housing Options B B
KEY: Nursing Process Step: Implementation B B B B B
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
B B B B B
NOT: Remembering B
6. The 75-year- B
old man who has been hospitalized following a severe case of pneumonia is concerned about his mounting
B B B B B B B B B B B B B B B B
hospital bill and asks if his Medicare coverage will pay for his care. Which would be the most helpful respo
B B B B B B B B B B B B B B B B B B B B
nse by the nurse? B B B
a. Medicare Part C pays 50% of all medical costs for persons older than 65. B B B B B B B B B B B B B
b. Medicare Part B pays hospital costs and physician fees. B B B B B B B B
, c. Medicare Part A pays for inpatient hospital costs. B B B B B B B
d. Medicare Part D pays 80% of the charges made by physicians. B B B B B B B B B B
ANS: C B
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps defr
B B B B B B B B B B B B B B B B B B
ayprescription drug costs. Medicare Part C allows individuals to receive health insurance through private in
B B B B B B B B B B B B B B B
surance companies and typically pays entire costs. B B B B B B
PTS: 1 DIF: B B 7 REF: p. 16 B B B OBJ: 6 B
TOP: Medicare Provisions B B
KEY: Nursing Process Step: Implementation B B B B B
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
B NOT: Applying B B B B B B
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are require
B B B B B B B B B B B B B B B B
d to allow her to make health care decisions for her parent. Which response would provide the most accurat
B B B B B B B B B B B B B B B B B B
e information to the daughter?
B B B B
a. Advance directives indicate the degree of intervention desired bythe patient. B B B B B B B B B B
b. A ‘Do Not Resuscitate’ document signed bythe patient transfers authorityto the next of
B B B B B B B B B B B B B B B
kin.
c. A durable power of attorney for health care transfers decision-
B B B B B B B B B
making authorityfor health care to a designated person. B B B B B B B B
d. A living will transfers authorityto the physician.
B B B B B B B
ANS: C B
A durable power of attorney for health care transfers the authority for decision making to a designated perso
B B B B B B B B B B B B B B B B B
n. An advance directive specifies the type of care an individual desires when he cannot speak for himself. Th
B B B B B B B B B B B B B B B B B B
e durable power of attorney is only one type of advance directive. A “Do Not Resuscitate” document states t
B B B B B B B B B B B B B B B B B B
hat the patient wishes to die naturally with no intervention. A living will prohibits the use of life-
B B B B B B B B B B B B B B B B B
prolonging measures. B
PTS: 1 DIF: B B 7 REF: p. 19 B B B OBJ: 11 B
TOP: Advance Directives B B
KEY: Nursing Process Step: Implementation B B B B B
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
B NOT: Applying B B B B B B
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-
B B B B B B B B B B B B B B
old mother’s refusal to eat. Which response would be the most appropriate?
B B B B B B B B B B B
a. The refusal to eat is an effort to maintain a portion of independence and self-
B B B B B B B B B B B B B B
direction. B
b. The refusal to eat is an indication of approaching Alzheimer disease.
B B B B B B B B B B
c. The refusal to eat is an effort to gain attention. B B B B B B B B B
d. The refusal to eat is an indication of the dislike of the institutional food.
B B B B B B B B B B B B B
ANS: A B
Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever c
B B B B B B B B B B B B B B B B B B
ontrol they may retain. B B B
PTS: 1 DIF: 7
B B REF: p. 21 B B B OBJ: 11 B
TOP: Loss of Independence B B B
KEY: Nursing Process Step: Implementation B B B B B
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
B NOT: Applying B B B B B B
9. When do the conditions of a living will go into effect?
B B B B B B B B B B
BASIC GERIATRIC NURSING
B B
PATRICIAA. WILLIAMS
B
8th Edition
B
TESTBANK B
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
B B B B B B B B B B
MULTIPLE CHOICE B
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
B B B B B B B B B B B B B B B B
a. Disabilitywas viewed as unavoidable. B B B B
b. Complications from disease increased mortality. B B B B
c. Older adults’ needs are similar to those of all adults.
B B B B B B B B B
d. Preventive health care practices increased longevity. B B B B B
ANS: D B
Increased preventive health care practices, disease control, and focus on wellness helped people live longer.
B B B B B B B B B B B B B B
PTS: 1 B B DIF: 4 REF: p. 2 B B B OBJ: 2 B
TOP: Aging Trends B B
KEY: Nursing Process Step: Data Collection B B B B B B
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
B B B B B B B B
NOT: Understanding B
2. To which age group does the term “aged” apply?
B B B B B B B B
a. 55–64 years of age B B B
b. 65–74 years of age B B B
c. 75–84 years of age B B B
d. 85 and older B B
ANS: C B
The term aged refers to persons who are 75–84 years of age.
B B B B B B B B B B B
PTS: 1 B B DIF: 1 REF: p. 2 | Table 1.1
B B B B B
OBJ: 1 B
TOP: Age Categories B B B
KEY: Nursing Process Step: Data Collection
B B B B B
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development N
B B B B B B B B B
OT: Remembering
B
3. Which is true of ageism? B B B B
a. It is discrimination against persons solelyon the basis of age.
B B B B B B B B B B
b. It causes a person to fear aging.
B B B B B B
, c. It involves the use of cultural sensitivity to address concerns of aging.
B B B B B B B B B B B
d. It focuses on resources for the older adult.
B B B B B B B
ANS: A B
Ageism is a negative belief pattern that influences persons to discriminate against persons solelyon the basis
B B B B B B B B B B B B B B B B B
of age and can lead to destructive behaviors toward the older adult.
B B B B B B B B B B B
PTS: 1 B B DIF: 4 REF: p. 4 B B B OBJ: 3 B
TOP: Ageism B
KEY: Nursing Process Step: Data Collection B B B B B B
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation NO
B B B B B B
T: Understanding
B
4. Which legislation has been the most beneficial legislation that has influenced health care for the older adult
B B B B B B B B B B B B B B B B
?
a. Medicare and Medicaid B B
b. Elimination of the mandatoryretirement age B B B B B
c. The Americans with Disabilities Act B B B B
d. The Drug Benefit Program B B B
ANS: A B
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimination o
B B B B B B B B B B B B B B B
f the mandatory retirement age does not apply to health care. The Americans with Disabilities Act deals with
B B B B B B B B B B B B B B B B B
all Americans with disabilities, not just the older adult. The Drug Benefit Program was added to Medicare, b
B B B B B B B B B B B B B B B B B B
ut deals only with medications.
B B B B
PTS: 1 B B DIF: 4 REF: p. 11 B B B OBJ: 6 B
TOP: Legislation B
KEY: Nursing Process Step: Implementation
B B B B B
MSC: NCLEX: N/A B B NOT: Understanding B
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-
B B B B B B B B B B B B B B
style meals and some medical and personal care services?
B B B B B B B B
a. Government-subsidized housing B
b. Long-term care facility B B
c. Assisted-living center B
d. Group housing plan B B
ANS: C B
Assisted-
living arrangements offer the privacyof an apartment or condominium with meals prepared and served, limit
B B B B B B B B B B B B B B B
ed medical care, and a variety of personal services.
B B B B B B B B
PTS: 1 DIF: B B 3 REF: p. 14 B B B OBJ: 9 B
TOP: Housing Options B B
KEY: Nursing Process Step: Implementation B B B B B
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
B B B B B
NOT: Remembering B
6. The 75-year- B
old man who has been hospitalized following a severe case of pneumonia is concerned about his mounting
B B B B B B B B B B B B B B B B
hospital bill and asks if his Medicare coverage will pay for his care. Which would be the most helpful respo
B B B B B B B B B B B B B B B B B B B B
nse by the nurse? B B B
a. Medicare Part C pays 50% of all medical costs for persons older than 65. B B B B B B B B B B B B B
b. Medicare Part B pays hospital costs and physician fees. B B B B B B B B
, c. Medicare Part A pays for inpatient hospital costs. B B B B B B B
d. Medicare Part D pays 80% of the charges made by physicians. B B B B B B B B B B
ANS: C B
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps defr
B B B B B B B B B B B B B B B B B B
ayprescription drug costs. Medicare Part C allows individuals to receive health insurance through private in
B B B B B B B B B B B B B B B
surance companies and typically pays entire costs. B B B B B B
PTS: 1 DIF: B B 7 REF: p. 16 B B B OBJ: 6 B
TOP: Medicare Provisions B B
KEY: Nursing Process Step: Implementation B B B B B
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
B NOT: Applying B B B B B B
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are require
B B B B B B B B B B B B B B B B
d to allow her to make health care decisions for her parent. Which response would provide the most accurat
B B B B B B B B B B B B B B B B B B
e information to the daughter?
B B B B
a. Advance directives indicate the degree of intervention desired bythe patient. B B B B B B B B B B
b. A ‘Do Not Resuscitate’ document signed bythe patient transfers authorityto the next of
B B B B B B B B B B B B B B B
kin.
c. A durable power of attorney for health care transfers decision-
B B B B B B B B B
making authorityfor health care to a designated person. B B B B B B B B
d. A living will transfers authorityto the physician.
B B B B B B B
ANS: C B
A durable power of attorney for health care transfers the authority for decision making to a designated perso
B B B B B B B B B B B B B B B B B
n. An advance directive specifies the type of care an individual desires when he cannot speak for himself. Th
B B B B B B B B B B B B B B B B B B
e durable power of attorney is only one type of advance directive. A “Do Not Resuscitate” document states t
B B B B B B B B B B B B B B B B B B
hat the patient wishes to die naturally with no intervention. A living will prohibits the use of life-
B B B B B B B B B B B B B B B B B
prolonging measures. B
PTS: 1 DIF: B B 7 REF: p. 19 B B B OBJ: 11 B
TOP: Advance Directives B B
KEY: Nursing Process Step: Implementation B B B B B
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
B NOT: Applying B B B B B B
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-
B B B B B B B B B B B B B B
old mother’s refusal to eat. Which response would be the most appropriate?
B B B B B B B B B B B
a. The refusal to eat is an effort to maintain a portion of independence and self-
B B B B B B B B B B B B B B
direction. B
b. The refusal to eat is an indication of approaching Alzheimer disease.
B B B B B B B B B B
c. The refusal to eat is an effort to gain attention. B B B B B B B B B
d. The refusal to eat is an indication of the dislike of the institutional food.
B B B B B B B B B B B B B
ANS: A B
Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever c
B B B B B B B B B B B B B B B B B B
ontrol they may retain. B B B
PTS: 1 DIF: 7
B B REF: p. 21 B B B OBJ: 11 B
TOP: Loss of Independence B B B
KEY: Nursing Process Step: Implementation B B B B B
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
B NOT: Applying B B B B B B
9. When do the conditions of a living will go into effect?
B B B B B B B B B B
