TESTBANK i
BASIC iGERIATRIC iNURSING
PATRICIAiA. iWILLIAMS
8th Edition
i
TESTBANK i
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
i i i i i i i i i i
MULTIPLE iCHOICE
1. Which ifact iexplains ithe ishift iof ihealth icare ifocus itoward ithe iolder iadult iin ithe ilate i1960s?
a. Disability iwas iviewed ias iunavoidable.
b. Complications ifrom idisease iincreased imortality.
c. Older iadults’ ineeds iare isimilar ito ithose iof iall iadults.
d. Preventive ihealth icare ipractices iincreased ilongevity.
ANS: i D
Increased ipreventive ihealth icare ipractices, idisease icontrol, iand ifocus ion iwellness ihelped ipeople ilive
ilonger.
PTS: i i 1 DIF: 4 REF: i i p. i2 OBJ: i 2
TOP: i Aging iTrends KEY: iNursing iProcess iStep: iData
iCollection iMSC: i NCLEX: iHealth iPromotion iand iMaintenance: iGrowth iand
iDevelopment
NOT: i Understanding
2. To iwhich iage igroup idoes ithe iterm i“aged” iapply?
a. 55–64 iyears iof iage
b. 65–74 iyears iof iage
c. 75–84 iyears iof iage
d. 85 iand iolder
ANS: i C
The iterm iaged irefers ito ipersons iwho iare i75–84 iyears iof iage.
PTS: i i 1 DIF: 1 REF: i p. i2 i| i Table i1.1
OBJ: i 1 TOP: iAge iCategories
iKEY: iNursing iProcess iStep: iData
iCollection
MSC: iNCLEX: iHealth iPromotion iand iMaintenance: iGrowth iand iDevelopment
iNOT: iRemembering
3. Which iis itrue iof iageism?
a. It iis idiscrimination iagainst ipersons isolely ion ithe ibasis iof iage.
b. It icauses ia iperson ito ifear iaging.
, c. It iinvolves ithe iuse iof icultural isensitivity ito iaddress iconcerns iof iaging.
d. It ifocuses ion iresources ifor ithe iolder iadult.
ANS: i A
Ageism iis ia inegative ibelief ipattern ithat iinfluences ipersons ito idiscriminate iagainst ipersons isolely ion ithe
ibasis iof iage iand ican ilead ito idestructive ibehaviors itoward ithe iolder iadult.
PTS: i i 1 DIF: 4 REF: i i p. i4 OBJ: i 3
TOP: i Ageism KEY: iNursing iProcess iStep: iData iCollection
iMSC: iNCLEX: iPsychosocial iIntegrity: iPsychosocial iAdaptation
iNOT: iUnderstanding
4. Which ilegislation ihas ibeen ithe imost ibeneficial ilegislation ithat ihas iinfluenced ihealth icare ifor ithe
older iadult?
i
a. Medicare iand iMedicaid
b. Elimination iof ithe imandatory iretirement iage
c. The iAmericans iwith iDisabilities iAct
d. The iDrug iBenefit iProgram
ANS: i A
The ibroadest isweeping ilegislation ibeneficial ito ithe iolder iadult iis iMedicare iand iMedicaid. iThe
ielimination iof ithe imandatory iretirement iage idoes inot iapply ito ihealth icare. iThe iAmericans iwith
iDisabilities iAct ideals iwith iall iAmericans iwith idisabilities, inot ijust ithe iolder iadult. iThe iDrug iBenefit
iProgram iwas iadded ito iMedicare, ibut ideals ionly i with imedications.
PTS: i i 1 DIF: 4 REF: i i p. i11 OBJ: i 6
TOP: i Legislation KEY: iNursing iProcess iStep: iImplementation
iMSC: i NCLEX: iN/A NOT:
iUnderstanding
5. Which ihousing ioption ifor ithe iolder iadult ioffers ithe iprivacy iof ian iapartment iwith irestaurant-style
i meals iand isome imedical iand ipersonal icare iservices?
a. Government-subsidized i housing
b. Long-term icare ifacility
c. Assisted-living i center
d. Group ihousing iplan
ANS: i C
Assisted-living iarrangements ioffer ithe iprivacy iof ian iapartment ior icondominium iwith imeals iprepared
iand iserved, ilimited imedical icare, iand ia ivariety iof ipersonal iservices.
PTS: i i 1 DIF: 3 REF: i i p. i14 OBJ: i 9
TOP: i Housing iOptions KEY: iNursing iProcess iStep: iImplementation
iMSC: i NCLEX: iPhysiological iIntegrity: iPhysiological iAdaptation
NOT: iRemembering
6. The i75-year-old iman iwho ihas ibeen ihospitalized ifollowing ia isevere icase iof ipneumonia iis
concerned iabout ihis imounting ihospital ibill iand iasks iif ihis iMedicare icoverage iwill ipay ifor ihis icare.
i
Which iwould ibe ithe imost ihelpful iresponse iby ithe inurse?
i
a. Medicare iPart iC ipays i50% iof iall imedical icosts ifor ipersons iolder ithan
i65.
b. Medicare iPart iB ipays ihospital icosts iand iphysician ifees.
, c. Medicare iPart iA ipays ifor iinpatient ihospital icosts.
d. Medicare iPart iD ipays i80% iof ithe icharges imade iby
iphysicians.
ANS: i C
Medicare iPart iA ipays iinpatient ihospital icosts, iPart iB ipays i80% iof iphysician’s icharges, iand iPart iD
ihelps idefray iprescription idrug icosts. iMedicare iPart iC iallows iindividuals ito ireceive ihealth iinsurance
ithrough iprivate iinsurance icompanies iand itypically ipays ientire icosts.
PTS: i i 1 DIF: 7 REF: i i p. i16 OBJ: i 6
TOP: i Medicare iProvisions KEY: iNursing iProcess iStep: iImplementation
iMSC: i NCLEX: iPsychosocial iIntegrity: iCoping iand iAdaptation NOT: iApplying
7. The idaughter iof ia ipatient iwho ihas ibeen idiagnosed iwith iterminal icancer iasks iwhich idocuments iare
required ito iallow iher ito imake ihealth icare idecisions ifor iher iparent. iWhich iresponse iwould iprovide
i
the imost iaccurate iinformation ito ithe idaughter?
i
a. Advance idirectives iindicate ithe idegree iof iintervention idesired iby ithe ipatient.
b. A i‘Do iNot iResuscitate’ idocument isigned iby ithe ipatient itransfers iauthority ito ithe
inext iof ikin.
c. A idurable ipower iof iattorney ifor ihealth icare itransfers idecision-making iauthority ifor
ihealth icare ito ia idesignated iperson.
d. A iliving iwill itransfers iauthority ito ithe iphysician.
ANS: i C
A idurable ipower iof iattorney ifor ihealth icare itransfers ithe iauthority ifor idecision imaking ito ia
idesignated iperson. iAn iadvance idirective ispecifies ithe itype iof icare ian iindividual idesires iwhen ihe
icannot ispeak ifor ihimself. iThe idurable ipower iof iattorney iis ionly ione itype iof iadvance idirective. iA
i“Do iNot iResuscitate” idocument istates ithat ithe ipatient iwishes ito idie inaturally iwith ino iintervention.
iA iliving iwill iprohibits ithe iuse iof ilife-prolonging imeasures.
PTS: i i 1 DIF: 7 REF: i i p. i19 OBJ: i 11
TOP: i Advance iDirectives KEY: iNursing iProcess iStep: iImplementation
iMSC: i NCLEX: iPsychosocial iIntegrity: iCoping iand iAdaptation NOT: iApplying
8. The idaughter iof ia iresident iin ia ilong-term icare ifacility iis ifrustrated iwith iher i80-year-old
i mother’s irefusal ito ieat. iWhich iresponse iwould ibe ithe imost iappropriate?
a. The irefusal ito ieat iis ian ieffort ito imaintain ia iportion iof iindependence iand
i self- idirection.
b. The irefusal ito ieat iis ian iindication iof iapproaching iAlzheimer idisease.
c. The irefusal ito ieat iis ian ieffort ito igain iattention.
d. The irefusal ito ieat iis ian iindication iof ithe idislike iof ithe iinstitutional ifood.
ANS: i A
Loss iof iindependence iand icontrol iis ia isignificant iissue ifor ithe iolder iadult. iSome iresidents iwill
iexercise iwhatever icontrol ithey imay iretain.
PTS: i i 1 DIF: 7 REF: i i p. i21 OBJ: i 11
TOP: i Loss iof iIndependence KEY: iNursing iProcess iStep: iImplementation
iMSC: i NCLEX: iPsychosocial iIntegrity: iCoping iand iAdaptation NOT: iApplying
9. When ido ithe iconditions iof ia iliving iwill igo iinto ieffect?
BASIC iGERIATRIC iNURSING
PATRICIAiA. iWILLIAMS
8th Edition
i
TESTBANK i
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
i i i i i i i i i i
MULTIPLE iCHOICE
1. Which ifact iexplains ithe ishift iof ihealth icare ifocus itoward ithe iolder iadult iin ithe ilate i1960s?
a. Disability iwas iviewed ias iunavoidable.
b. Complications ifrom idisease iincreased imortality.
c. Older iadults’ ineeds iare isimilar ito ithose iof iall iadults.
d. Preventive ihealth icare ipractices iincreased ilongevity.
ANS: i D
Increased ipreventive ihealth icare ipractices, idisease icontrol, iand ifocus ion iwellness ihelped ipeople ilive
ilonger.
PTS: i i 1 DIF: 4 REF: i i p. i2 OBJ: i 2
TOP: i Aging iTrends KEY: iNursing iProcess iStep: iData
iCollection iMSC: i NCLEX: iHealth iPromotion iand iMaintenance: iGrowth iand
iDevelopment
NOT: i Understanding
2. To iwhich iage igroup idoes ithe iterm i“aged” iapply?
a. 55–64 iyears iof iage
b. 65–74 iyears iof iage
c. 75–84 iyears iof iage
d. 85 iand iolder
ANS: i C
The iterm iaged irefers ito ipersons iwho iare i75–84 iyears iof iage.
PTS: i i 1 DIF: 1 REF: i p. i2 i| i Table i1.1
OBJ: i 1 TOP: iAge iCategories
iKEY: iNursing iProcess iStep: iData
iCollection
MSC: iNCLEX: iHealth iPromotion iand iMaintenance: iGrowth iand iDevelopment
iNOT: iRemembering
3. Which iis itrue iof iageism?
a. It iis idiscrimination iagainst ipersons isolely ion ithe ibasis iof iage.
b. It icauses ia iperson ito ifear iaging.
, c. It iinvolves ithe iuse iof icultural isensitivity ito iaddress iconcerns iof iaging.
d. It ifocuses ion iresources ifor ithe iolder iadult.
ANS: i A
Ageism iis ia inegative ibelief ipattern ithat iinfluences ipersons ito idiscriminate iagainst ipersons isolely ion ithe
ibasis iof iage iand ican ilead ito idestructive ibehaviors itoward ithe iolder iadult.
PTS: i i 1 DIF: 4 REF: i i p. i4 OBJ: i 3
TOP: i Ageism KEY: iNursing iProcess iStep: iData iCollection
iMSC: iNCLEX: iPsychosocial iIntegrity: iPsychosocial iAdaptation
iNOT: iUnderstanding
4. Which ilegislation ihas ibeen ithe imost ibeneficial ilegislation ithat ihas iinfluenced ihealth icare ifor ithe
older iadult?
i
a. Medicare iand iMedicaid
b. Elimination iof ithe imandatory iretirement iage
c. The iAmericans iwith iDisabilities iAct
d. The iDrug iBenefit iProgram
ANS: i A
The ibroadest isweeping ilegislation ibeneficial ito ithe iolder iadult iis iMedicare iand iMedicaid. iThe
ielimination iof ithe imandatory iretirement iage idoes inot iapply ito ihealth icare. iThe iAmericans iwith
iDisabilities iAct ideals iwith iall iAmericans iwith idisabilities, inot ijust ithe iolder iadult. iThe iDrug iBenefit
iProgram iwas iadded ito iMedicare, ibut ideals ionly i with imedications.
PTS: i i 1 DIF: 4 REF: i i p. i11 OBJ: i 6
TOP: i Legislation KEY: iNursing iProcess iStep: iImplementation
iMSC: i NCLEX: iN/A NOT:
iUnderstanding
5. Which ihousing ioption ifor ithe iolder iadult ioffers ithe iprivacy iof ian iapartment iwith irestaurant-style
i meals iand isome imedical iand ipersonal icare iservices?
a. Government-subsidized i housing
b. Long-term icare ifacility
c. Assisted-living i center
d. Group ihousing iplan
ANS: i C
Assisted-living iarrangements ioffer ithe iprivacy iof ian iapartment ior icondominium iwith imeals iprepared
iand iserved, ilimited imedical icare, iand ia ivariety iof ipersonal iservices.
PTS: i i 1 DIF: 3 REF: i i p. i14 OBJ: i 9
TOP: i Housing iOptions KEY: iNursing iProcess iStep: iImplementation
iMSC: i NCLEX: iPhysiological iIntegrity: iPhysiological iAdaptation
NOT: iRemembering
6. The i75-year-old iman iwho ihas ibeen ihospitalized ifollowing ia isevere icase iof ipneumonia iis
concerned iabout ihis imounting ihospital ibill iand iasks iif ihis iMedicare icoverage iwill ipay ifor ihis icare.
i
Which iwould ibe ithe imost ihelpful iresponse iby ithe inurse?
i
a. Medicare iPart iC ipays i50% iof iall imedical icosts ifor ipersons iolder ithan
i65.
b. Medicare iPart iB ipays ihospital icosts iand iphysician ifees.
, c. Medicare iPart iA ipays ifor iinpatient ihospital icosts.
d. Medicare iPart iD ipays i80% iof ithe icharges imade iby
iphysicians.
ANS: i C
Medicare iPart iA ipays iinpatient ihospital icosts, iPart iB ipays i80% iof iphysician’s icharges, iand iPart iD
ihelps idefray iprescription idrug icosts. iMedicare iPart iC iallows iindividuals ito ireceive ihealth iinsurance
ithrough iprivate iinsurance icompanies iand itypically ipays ientire icosts.
PTS: i i 1 DIF: 7 REF: i i p. i16 OBJ: i 6
TOP: i Medicare iProvisions KEY: iNursing iProcess iStep: iImplementation
iMSC: i NCLEX: iPsychosocial iIntegrity: iCoping iand iAdaptation NOT: iApplying
7. The idaughter iof ia ipatient iwho ihas ibeen idiagnosed iwith iterminal icancer iasks iwhich idocuments iare
required ito iallow iher ito imake ihealth icare idecisions ifor iher iparent. iWhich iresponse iwould iprovide
i
the imost iaccurate iinformation ito ithe idaughter?
i
a. Advance idirectives iindicate ithe idegree iof iintervention idesired iby ithe ipatient.
b. A i‘Do iNot iResuscitate’ idocument isigned iby ithe ipatient itransfers iauthority ito ithe
inext iof ikin.
c. A idurable ipower iof iattorney ifor ihealth icare itransfers idecision-making iauthority ifor
ihealth icare ito ia idesignated iperson.
d. A iliving iwill itransfers iauthority ito ithe iphysician.
ANS: i C
A idurable ipower iof iattorney ifor ihealth icare itransfers ithe iauthority ifor idecision imaking ito ia
idesignated iperson. iAn iadvance idirective ispecifies ithe itype iof icare ian iindividual idesires iwhen ihe
icannot ispeak ifor ihimself. iThe idurable ipower iof iattorney iis ionly ione itype iof iadvance idirective. iA
i“Do iNot iResuscitate” idocument istates ithat ithe ipatient iwishes ito idie inaturally iwith ino iintervention.
iA iliving iwill iprohibits ithe iuse iof ilife-prolonging imeasures.
PTS: i i 1 DIF: 7 REF: i i p. i19 OBJ: i 11
TOP: i Advance iDirectives KEY: iNursing iProcess iStep: iImplementation
iMSC: i NCLEX: iPsychosocial iIntegrity: iCoping iand iAdaptation NOT: iApplying
8. The idaughter iof ia iresident iin ia ilong-term icare ifacility iis ifrustrated iwith iher i80-year-old
i mother’s irefusal ito ieat. iWhich iresponse iwould ibe ithe imost iappropriate?
a. The irefusal ito ieat iis ian ieffort ito imaintain ia iportion iof iindependence iand
i self- idirection.
b. The irefusal ito ieat iis ian iindication iof iapproaching iAlzheimer idisease.
c. The irefusal ito ieat iis ian ieffort ito igain iattention.
d. The irefusal ito ieat iis ian iindication iof ithe idislike iof ithe iinstitutional ifood.
ANS: i A
Loss iof iindependence iand icontrol iis ia isignificant iissue ifor ithe iolder iadult. iSome iresidents iwill
iexercise iwhatever icontrol ithey imay iretain.
PTS: i i 1 DIF: 7 REF: i i p. i21 OBJ: i 11
TOP: i Loss iof iIndependence KEY: iNursing iProcess iStep: iImplementation
iMSC: i NCLEX: iPsychosocial iIntegrity: iCoping iand iAdaptation NOT: iApplying
9. When ido ithe iconditions iof ia iliving iwill igo iinto ieffect?
