SCHOLARVAULT
,Basic Geriatric Nursing 8th Edition Williams Test Bank
Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. What 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
2. To what 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
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 N
for R
t he I
oldeGr a dBu .
l t .C M
ANS: A
4. What is 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
5. What 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
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. What would be the most helpful response by the nurse?
a. Medicare Part C pays 50% of all medical costs for persons older than 65.
SCHOLARVAULT
, b. Medicare #hjPart #hjB #hjpays #hjhospital #hjcosts #hjand #hjphysician #hjfees.
c. Medicare #hjPart #hjA #hjpays #hjfor #hjinpatient #hjhospital #hjcosts.
d. Medicare #hjPart #hjD #hjpays #hj80% #hjof #hjthe #hjcharges #hjmade #hjby
physicians. #hjANS: # h j C
#hj
7. The #hjdaughter #hjof #hja #hjpatient #hjwho #hjhas #hjbeen #hjdiagnosed #hjwith #hjterminal #hjcancer
#hjasks #hjwhich #hjdocuments #hjare #hjrequired #hjto #hjallow #hjher #hjto #hjmake #hjhealth #hjcare #hjdecisions
#hjfor #hjher #hjparent. #hjWhich #hjresponse #hjwould #hjprovide #hjthe #hjmost #hjaccurate #hjinformation
#hjto #hjthe #hjdaughter?
a. Advance #hjdirectives #hjindicate #hjthe #hjdegree #hjof #hjintervention #hjdesired #hjby #hjthe #hjpatient.
b. A #hj‘Do #hjNot #hjResuscitate’ #hjdocument #hjsigned #hjby#hjthe #hjpatient #hjtransfers
#hjauthority #hjto #hjthe #hjnext #hjof #hjkin.
c. A #hjdurable #hjpower #hjof #hjattorney #hjfor #hjhealth #hjcare #hjtransfers #hjdecision-making
#hjauthority #hjfor #hjhealth #hjcare #hjto #hja #hjdesignated #hjperson.
d. A #hjliving #hjwill #hjtransfers #hjauthority#hjto #hjthe
physician. #hjANS: # h j C
#hj
8. The #hjdaughter #hjof #hja #hjresident #hjin #hja #hjlong-term #hjcare #hjfacility#hjis #hjfrustrated #hjwith #hjher
#hj80-year-old #hjmother’s #hjrefusal #hjto #hjeat. #hjWhich #hjresponse #hjwould #hjbe #hjthe #hjmost
#hjappropriate?
a. The #hjrefusal #hjto #hjeat #hjis #hjan #hjeffort #hjto #hjmaintain #hja #hjportion #hjof
#hjindependence #hjand #hjself-direction.
b. The #hjrefusal #hjto #hjeat #hjis #hjan #hjindication #hjof #hjapproaching #hjAlzheimer #hjdisease.
c. The #hjrefusal #hjto #hjeat #hjis #hjan #hjeffort #hjto #hjgain #hjattention.
d. The #hjrefusal #hjto #hjeat #hjis #hjan #hjindication #hjof #hjthe #hjdislike #hjof #hjthe
#hj institutional #hjfood. #hjANS: # h j A
9. When #hjdo #hjthe #hjconditions #hjof #hja #hjliving #hjwill #hjgo #hjinto #hjeffect?
a. When #hjthe #hjpatient #hjdeclares #hjthat #hjdesire #hjin #hjwriting
b. When #hja #hjfamily #hjmember #hjindicates #hjthe #hjdesire #hjfor #hjcurative #hjtherapy #hjto #hjcease
c. When #hjtwo #hjphysicians #hjagree #hjin #hjwriting #hjthat #hjthe #hjcriteria #hjin #hjthe #hjliving #hjwill
#hjhave #hjbeen #hjmet
d. When #hjthe #hjphysician #hjand #hja #hjfamily#hjmember #hjagree #hjthat #hjthe #hjcriteria #hjin #hjthe
#hjliving #hjwill #hjhave #hjbeen #hjmet
ANS: # h j C
10. In #hjthe #hj1980s, #hjMedicare #hjinitiated #hja #hjprogram #hjof #hjdiagnosis-related #hjgroups #hj(DRGs)
#hjto #hjreduce #hjhospital #hjcosts. #hjHow #hjdid #hjthe #hjDRGs #hjreduce #hjhospital #hjcosts?
a. By#hjclassifying #hjvarious #hjdiagnoses #hjas #hjineligible #hjfor #hjhospitalization
b. By#hjallotting #hja #hjset #hjamount #hjof #hjhospital #hjdays #hjand #hjprospective #hjpayment #hjon
#hjthe #hjbasis #hjof #hjthe #hjadmitting #hjdiagnosis
c. By#hjspecifying #hjparticular #hjphysicians #hjto #hjtreat #hjspecified #hjdiagnoses
d. By#hjusing #hjfrequency#hjof #hja #hjparticular #hjdiagnosis #hjto #hjset #hja #hjpayment
#hj schedule #hjANS: # h j B
11. Which #hjfacility #hjwould #hjbe #hjrecommended #hjfor #hja #hjpatient #hjwho #hjhas #hjhad #hja #hjhip
#hjreplacement #hjand #hjneeds #hjphysical #hjtherapy?
a. Basic #hjcare #hjfacility
SCHOLARVAULT
, b. Skilled #hjcare #hjfacility
c. Subacute #hjcare #hjfacility
d. Assisted-living
residence #hjANS: # h j B
#hj
12. The #hj80-year-old #hjwoman #hjwho #hjis #hjrecovering #hjfrom #hja #hjstroke #hjis #hjbeing #hjsent #hjto #hja
#hjskilled #hjcare #hjfacility. #hjShe #hjis #hjconcerned #hjabout #hjthe #hjexpense. #hjThe #hjnurse #hjcan
#hjdecrease #hjanxiety #hjby #hjexplaining #hjthat #hjMedicare #hjwill #hjcover #hjextended-care #hjfacility
#hjcosts #hjfor #hjwhat #hjperiod #hjof #hjtime?
a. A #hjperiod #hjof #hj30 #hjdays
b. A #hjperiod #hjof #hj45 #hjdays #hjfor #hjphysical #hjtherapy
c. A #hjperiod #hjof #hj100 #hjdays #hjfor #hjneeded #hjskilled #hjcare
d. Until #hjshe #hjis #hjable #hjto #hjbe #hjdischarged
#hj home #hjANS: # h j C
13. Which #hjsenior #hjcitizen #hjpolitical #hjaction #hjgroup #hjuses #hjvolunteers #hjand #hjlobbyists #hjto
#hjadvance #hjthe #hjinterests #hjof #hjolder #hjadults?
a. American #hjAssociation #hjof #hjRetired #hjPersons #hj(AARP)
b. National #hjCouncil #hjof #hjSenior #hjCitizens #hj(NCSC)
c. National #hjAlliance #hjof #hjSenior #hjCitizens #hj(NASC)
d. Gray#hjPanthers
#hj ANS: # h j A
14. Which #hjcaregiver #hjcould #hjbe #hjfound #hjguilty #hjof #hjelder #hjabuse?
a. A #hjdaughter #hjwho #hjuses #hjher #hjmother’s #hjSocial #hjSecurity #hjmoney#hjto #hjpurchase #hjher
#hjmother’s #hjmedication
b. A #hjson #hjwho #hjputs #hjan #hjalarm #hjon #hjthe #hjfront #hjdoor #hjto #hjprevent #hjhis #hjmother #hjfrom #hjwandering
out #hjof #hjthe #hjhouse
c. A #hjwife #hjwho #hjallows #hjher #hjmentally #hjcompetent #hjhusband #hjto #hjrefuse #hjto #hjtake #hja
#hjbath #hjfor #hja #hjweek
d. A #hjson #hjwho #hjuses #hjhis #hjmother’s #hjchecking #hjaccount #hjfunds #hjto #hjpurchase
#hjalcohol #hjfor #hjhimself
ANS: # h j D
15. What #hjis #hjthe #hjmost #hjfrequent #hjresponse #hjto #hjelder #hjabuse #hjby #hjthe #hjabused #hjolder #hjadult?
a. Anger
b. Physical #hjretaliation
c. Notification #hjof #hjauthorities
d. Nothing#hjat
all #hjANS: # h j D
#hj
16. What #hjreason #hjis #hjoften #hjstated #hjby #hjnurses #hjtoday #hjfor #hjnot #hjseeking #hjcareers #hjin #hjgerontology?
a. The #hjphysical #hjwork #hjis #hjtoo #hjdifficult.
b. Their #hjtechnical #hjskills #hjare #hjnot #hjused.
c. There #hjis #hjtoo #hjmuch #hjchallenge.
d. There #hjare #hjlimited #hjoptions #hjfor
employment. #hjANS: # h j B
#hj
SCHOLARVAULT
,Basic Geriatric Nursing 8th Edition Williams Test Bank
Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. What 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
2. To what 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
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 N
for R
t he I
oldeGr a dBu .
l t .C M
ANS: A
4. What is 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
5. What 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
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. What would be the most helpful response by the nurse?
a. Medicare Part C pays 50% of all medical costs for persons older than 65.
SCHOLARVAULT
, b. Medicare #hjPart #hjB #hjpays #hjhospital #hjcosts #hjand #hjphysician #hjfees.
c. Medicare #hjPart #hjA #hjpays #hjfor #hjinpatient #hjhospital #hjcosts.
d. Medicare #hjPart #hjD #hjpays #hj80% #hjof #hjthe #hjcharges #hjmade #hjby
physicians. #hjANS: # h j C
#hj
7. The #hjdaughter #hjof #hja #hjpatient #hjwho #hjhas #hjbeen #hjdiagnosed #hjwith #hjterminal #hjcancer
#hjasks #hjwhich #hjdocuments #hjare #hjrequired #hjto #hjallow #hjher #hjto #hjmake #hjhealth #hjcare #hjdecisions
#hjfor #hjher #hjparent. #hjWhich #hjresponse #hjwould #hjprovide #hjthe #hjmost #hjaccurate #hjinformation
#hjto #hjthe #hjdaughter?
a. Advance #hjdirectives #hjindicate #hjthe #hjdegree #hjof #hjintervention #hjdesired #hjby #hjthe #hjpatient.
b. A #hj‘Do #hjNot #hjResuscitate’ #hjdocument #hjsigned #hjby#hjthe #hjpatient #hjtransfers
#hjauthority #hjto #hjthe #hjnext #hjof #hjkin.
c. A #hjdurable #hjpower #hjof #hjattorney #hjfor #hjhealth #hjcare #hjtransfers #hjdecision-making
#hjauthority #hjfor #hjhealth #hjcare #hjto #hja #hjdesignated #hjperson.
d. A #hjliving #hjwill #hjtransfers #hjauthority#hjto #hjthe
physician. #hjANS: # h j C
#hj
8. The #hjdaughter #hjof #hja #hjresident #hjin #hja #hjlong-term #hjcare #hjfacility#hjis #hjfrustrated #hjwith #hjher
#hj80-year-old #hjmother’s #hjrefusal #hjto #hjeat. #hjWhich #hjresponse #hjwould #hjbe #hjthe #hjmost
#hjappropriate?
a. The #hjrefusal #hjto #hjeat #hjis #hjan #hjeffort #hjto #hjmaintain #hja #hjportion #hjof
#hjindependence #hjand #hjself-direction.
b. The #hjrefusal #hjto #hjeat #hjis #hjan #hjindication #hjof #hjapproaching #hjAlzheimer #hjdisease.
c. The #hjrefusal #hjto #hjeat #hjis #hjan #hjeffort #hjto #hjgain #hjattention.
d. The #hjrefusal #hjto #hjeat #hjis #hjan #hjindication #hjof #hjthe #hjdislike #hjof #hjthe
#hj institutional #hjfood. #hjANS: # h j A
9. When #hjdo #hjthe #hjconditions #hjof #hja #hjliving #hjwill #hjgo #hjinto #hjeffect?
a. When #hjthe #hjpatient #hjdeclares #hjthat #hjdesire #hjin #hjwriting
b. When #hja #hjfamily #hjmember #hjindicates #hjthe #hjdesire #hjfor #hjcurative #hjtherapy #hjto #hjcease
c. When #hjtwo #hjphysicians #hjagree #hjin #hjwriting #hjthat #hjthe #hjcriteria #hjin #hjthe #hjliving #hjwill
#hjhave #hjbeen #hjmet
d. When #hjthe #hjphysician #hjand #hja #hjfamily#hjmember #hjagree #hjthat #hjthe #hjcriteria #hjin #hjthe
#hjliving #hjwill #hjhave #hjbeen #hjmet
ANS: # h j C
10. In #hjthe #hj1980s, #hjMedicare #hjinitiated #hja #hjprogram #hjof #hjdiagnosis-related #hjgroups #hj(DRGs)
#hjto #hjreduce #hjhospital #hjcosts. #hjHow #hjdid #hjthe #hjDRGs #hjreduce #hjhospital #hjcosts?
a. By#hjclassifying #hjvarious #hjdiagnoses #hjas #hjineligible #hjfor #hjhospitalization
b. By#hjallotting #hja #hjset #hjamount #hjof #hjhospital #hjdays #hjand #hjprospective #hjpayment #hjon
#hjthe #hjbasis #hjof #hjthe #hjadmitting #hjdiagnosis
c. By#hjspecifying #hjparticular #hjphysicians #hjto #hjtreat #hjspecified #hjdiagnoses
d. By#hjusing #hjfrequency#hjof #hja #hjparticular #hjdiagnosis #hjto #hjset #hja #hjpayment
#hj schedule #hjANS: # h j B
11. Which #hjfacility #hjwould #hjbe #hjrecommended #hjfor #hja #hjpatient #hjwho #hjhas #hjhad #hja #hjhip
#hjreplacement #hjand #hjneeds #hjphysical #hjtherapy?
a. Basic #hjcare #hjfacility
SCHOLARVAULT
, b. Skilled #hjcare #hjfacility
c. Subacute #hjcare #hjfacility
d. Assisted-living
residence #hjANS: # h j B
#hj
12. The #hj80-year-old #hjwoman #hjwho #hjis #hjrecovering #hjfrom #hja #hjstroke #hjis #hjbeing #hjsent #hjto #hja
#hjskilled #hjcare #hjfacility. #hjShe #hjis #hjconcerned #hjabout #hjthe #hjexpense. #hjThe #hjnurse #hjcan
#hjdecrease #hjanxiety #hjby #hjexplaining #hjthat #hjMedicare #hjwill #hjcover #hjextended-care #hjfacility
#hjcosts #hjfor #hjwhat #hjperiod #hjof #hjtime?
a. A #hjperiod #hjof #hj30 #hjdays
b. A #hjperiod #hjof #hj45 #hjdays #hjfor #hjphysical #hjtherapy
c. A #hjperiod #hjof #hj100 #hjdays #hjfor #hjneeded #hjskilled #hjcare
d. Until #hjshe #hjis #hjable #hjto #hjbe #hjdischarged
#hj home #hjANS: # h j C
13. Which #hjsenior #hjcitizen #hjpolitical #hjaction #hjgroup #hjuses #hjvolunteers #hjand #hjlobbyists #hjto
#hjadvance #hjthe #hjinterests #hjof #hjolder #hjadults?
a. American #hjAssociation #hjof #hjRetired #hjPersons #hj(AARP)
b. National #hjCouncil #hjof #hjSenior #hjCitizens #hj(NCSC)
c. National #hjAlliance #hjof #hjSenior #hjCitizens #hj(NASC)
d. Gray#hjPanthers
#hj ANS: # h j A
14. Which #hjcaregiver #hjcould #hjbe #hjfound #hjguilty #hjof #hjelder #hjabuse?
a. A #hjdaughter #hjwho #hjuses #hjher #hjmother’s #hjSocial #hjSecurity #hjmoney#hjto #hjpurchase #hjher
#hjmother’s #hjmedication
b. A #hjson #hjwho #hjputs #hjan #hjalarm #hjon #hjthe #hjfront #hjdoor #hjto #hjprevent #hjhis #hjmother #hjfrom #hjwandering
out #hjof #hjthe #hjhouse
c. A #hjwife #hjwho #hjallows #hjher #hjmentally #hjcompetent #hjhusband #hjto #hjrefuse #hjto #hjtake #hja
#hjbath #hjfor #hja #hjweek
d. A #hjson #hjwho #hjuses #hjhis #hjmother’s #hjchecking #hjaccount #hjfunds #hjto #hjpurchase
#hjalcohol #hjfor #hjhimself
ANS: # h j D
15. What #hjis #hjthe #hjmost #hjfrequent #hjresponse #hjto #hjelder #hjabuse #hjby #hjthe #hjabused #hjolder #hjadult?
a. Anger
b. Physical #hjretaliation
c. Notification #hjof #hjauthorities
d. Nothing#hjat
all #hjANS: # h j D
#hj
16. What #hjreason #hjis #hjoften #hjstated #hjby #hjnurses #hjtoday #hjfor #hjnot #hjseeking #hjcareers #hjin #hjgerontology?
a. The #hjphysical #hjwork #hjis #hjtoo #hjdifficult.
b. Their #hjtechnical #hjskills #hjare #hjnot #hjused.
c. There #hjis #hjtoo #hjmuch #hjchallenge.
d. There #hjare #hjlimited #hjoptions #hjfor
employment. #hjANS: # h j B
#hj
SCHOLARVAULT
