TEST BANK - BASIC GERIATRIC NURSING 8TH
EDITION BY PATRICIA A. WILLIAMS 2024| LATEST
UPDATE ||ALL CHAPTERS INCLUDED
,table of contents
chapter 01: trends and issues .............................................................................. 3
chapter 02: theories of aging ............................................................................ 11
chapter 03: physiologic changes ....................................................................... 20
chapter 04: health promotion, health maintenance, and home health
considerations .................................................................................................. 27
chapter 05: communicating with older adults ................................................... 33
chapter 06: maintaining fluid balance and meeting nutritional needs............... 41
chapter 07: medications and older adults ......................................................... 48
chapter 08: health assessment of older adults .................................................. 55
chapter 09: meeting safety needs of older adults .............................................. 61
chapter 10: cognition and perception................................................................ 68
chapter 11: self-perception and self-concept ..................................................... 74
chapter 12: roles and relationships ................................................................... 80
chapter 13: coping and stress............................................................................ 86
chapter 14: values and beliefs ........................................................................... 92
chapter 15: end-of-life care ............................................................................... 97
chapter 16: sexuality and aging ...................................................................... 104
chapter 17: care of aging skin and mucous membranes .................................. 110
chapter 18: elimination ................................................................................... 117
chapter 19: activity and exercise ..................................................................... 123
chapter 20: sleep and rest ............................................................................... 129
,CHAPTER 01: TRENDS AND ISSUES
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 FOR THE OLDER ADULT 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.
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
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
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
9. WHEN DO THE CONDITIONS OF A LIVING WILL GO INTO EFFECT?
A. WHEN THE PATIENT DECLARES THAT DESIRE IN WRITING
B. WHEN A FAMILY MEMBER INDICATES THE DESIRE FOR CURATIVE
THERAPY TO CEASE
C. WHEN TWO PHYSICIANS AGREE IN WRITING THAT THE CRITERIA IN THE
LIVING WILL HAVE BEEN MET
D. WHEN THE PHYSICIAN AND A FAMILY MEMBER AGREE THAT THE
CRITERIA IN THE LIVING WILL HAVE BEEN MET
ANS>>C
10. IN THE 1980S, MEDICARE INITIATED A PROGRAM OF DIAGNOSIS-RELATED
GROUPS (DRGS) TO REDUCE HOSPITAL COSTS. HOW DID THE DRGS REDUCE
HOSPITAL COSTS?
,A. BY CLASSIFYING VARIOUS DIAGNOSES AS INELIGIBLE FOR
HOSPITALIZATION
B. BY ALLOTTING A SET AMOUNT OF HOSPITAL DAYS AND PROSPECTIVE
PAYMENT ON THE BASIS OF THE ADMITTING DIAGNOSIS
C. BY SPECIFYING PARTICULAR PHYSICIANS TO TREAT SPECIFIED DIAGNOSES
D. BY USING FREQUENCY OF A PARTICULAR DIAGNOSIS TO SET A PAYMENT
SCHEDULE ANS>>B
11. WHICH FACILITY WOULD BE RECOMMENDED FOR A PATIENT WHO HAS
HAD A HIP REPLACEMENT AND NEEDS PHYSICAL THERAPY?
A. BASIC CARE FACILITY
B. SKILLED CARE FACILITY
C. SUBACUTE CARE FACILITY
D. ASSISTED-LIVING RESIDENCE ANS>>B
12. THE 80-YEAR-OLD WOMAN WHO IS RECOVERING FROM A STROKE IS
BEING SENT TO A SKILLED CARE FACILITY. SHE IS CONCERNED ABOUT THE
EXPENSE. THE NURSE CAN DECREASE ANXIETY BY EXPLAINING THAT MEDICARE
WILL COVER EXTENDED-CARE FACILITY COSTS FOR WHAT PERIOD OF TIME?
A. A PERIOD OF 30 DAYS
B. A PERIOD OF 45 DAYS FOR PHYSICAL THERAPY
C. A PERIOD OF 100 DAYS FOR NEEDED SKILLED CARE
D. UNTIL SHE IS ABLE TO BE DISCHARGED HOME ANS>>C
13. WHICH SENIOR CITIZEN POLITICAL ACTION GROUP USES VOLUNTEERS
AND LOBBYISTS TO ADVANCE THE INTERESTS OF OLDER ADULTS?
A. AMERICAN ASSOCIATION OF RETIRED PERSONS (AARP)
B. NATIONAL COUNCIL OF SENIOR CITIZENS (NCSC)
C. NATIONAL ALLIANCE OF SENIOR CITIZENS (NASC)
D. GRAY PANTHERS ANS>>A
,14. WHICH CAREGIVER COULD BE FOUND GUILTY OF ELDER ABUSE?
A. A DAUGHTER WHO USES HER MOTHER’S SOCIAL SECURITY MONEY TO
PURCHASE HER MOTHER’S
MEDICATION
B. A SON WHO PUTS AN ALARM ON THE FRONT DOOR TO PREVENT HIS
MOTHER FROM WANDERING OUT OF THE HOUSE
C. A WIFE WHO ALLOWS HER MENTALLY COMPETENT HUSBAND TO REFUSE
TO TAKE A BATH FOR A WEEK
D. A SON WHO USES HIS MOTHER’S CHECKING ACCOUNT FUNDS TO
PURCHASE ALCOHOL FOR HIMSELF
ANS>>D
15. WHAT IS THE MOST FREQUENT RESPONSE TO ELDER ABUSE BY THE
ABUSED OLDER ADULT?
A. ANGER
B. PHYSICAL RETALIATION
C. NOTIFICATION OF AUTHORITIES
D. NOTHING AT ALL ANS>>D
16. WHAT REASON IS OFTEN STATED BY NURSES TODAY FOR NOT SEEKING
CAREERS IN GERONTOLOGY?
A. THE PHYSICAL WORK IS TOO DIFFICULT.
B. THEIR TECHNICAL SKILLS ARE NOT USED.
C. THERE IS TOO MUCH CHALLENGE.
D. THERE ARE LIMITED OPTIONS FOR EMPLOYMENT. ANS>>B
, 17. “BABY BOOMERS” IS A TERM USED TO CLASSIFY WHICH OF THE
FOLLOWING PERSONS?
A. THOSE WHO ENTERED SCHOOL IN 1945
B. THOSE WHO SERVED IN THE MILITARY IN WORLD WAR II
C. THOSE WHO WERE BORN BETWEEN 1946 AND 1964
D. THOSE WHO WERE ELIGIBLE FOR SOCIAL SECURITY BENEFITS IN 2000
ANS>>C
18. WHAT TYPE OF ABUSE IS DEMONSTRATED BY RESTRAINING AN OLDER
ADULT IN A RECLINER?
A. PHYSICAL ABUSE
B. NEGLECT
C. EMOTIONAL ABUSE
D. SELF-NEGLECT ANS>>A
19. Which Type Of Elder Abuse Is Demonstrated By The Nonprovision Of Medical Care?
A. Physical Abuse
B. Neglect
C. Emotional Abuse
D. Self-Neglect ANS>>B
20. Which Type Of Elder Abuse Is Demonstrated By A HEALTH Care Worker Telling A Nursing Home
Resident She Will Be Left Without A Call Light If She Continues To Use It Excessively.
A. Physical Abuse
B. Neglect
C. Emotional Abuse
D. Self-Neglect ANS>>C
MULTIPLE RESPONSE
EDITION BY PATRICIA A. WILLIAMS 2024| LATEST
UPDATE ||ALL CHAPTERS INCLUDED
,table of contents
chapter 01: trends and issues .............................................................................. 3
chapter 02: theories of aging ............................................................................ 11
chapter 03: physiologic changes ....................................................................... 20
chapter 04: health promotion, health maintenance, and home health
considerations .................................................................................................. 27
chapter 05: communicating with older adults ................................................... 33
chapter 06: maintaining fluid balance and meeting nutritional needs............... 41
chapter 07: medications and older adults ......................................................... 48
chapter 08: health assessment of older adults .................................................. 55
chapter 09: meeting safety needs of older adults .............................................. 61
chapter 10: cognition and perception................................................................ 68
chapter 11: self-perception and self-concept ..................................................... 74
chapter 12: roles and relationships ................................................................... 80
chapter 13: coping and stress............................................................................ 86
chapter 14: values and beliefs ........................................................................... 92
chapter 15: end-of-life care ............................................................................... 97
chapter 16: sexuality and aging ...................................................................... 104
chapter 17: care of aging skin and mucous membranes .................................. 110
chapter 18: elimination ................................................................................... 117
chapter 19: activity and exercise ..................................................................... 123
chapter 20: sleep and rest ............................................................................... 129
,CHAPTER 01: TRENDS AND ISSUES
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 FOR THE OLDER ADULT 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.
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
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
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
9. WHEN DO THE CONDITIONS OF A LIVING WILL GO INTO EFFECT?
A. WHEN THE PATIENT DECLARES THAT DESIRE IN WRITING
B. WHEN A FAMILY MEMBER INDICATES THE DESIRE FOR CURATIVE
THERAPY TO CEASE
C. WHEN TWO PHYSICIANS AGREE IN WRITING THAT THE CRITERIA IN THE
LIVING WILL HAVE BEEN MET
D. WHEN THE PHYSICIAN AND A FAMILY MEMBER AGREE THAT THE
CRITERIA IN THE LIVING WILL HAVE BEEN MET
ANS>>C
10. IN THE 1980S, MEDICARE INITIATED A PROGRAM OF DIAGNOSIS-RELATED
GROUPS (DRGS) TO REDUCE HOSPITAL COSTS. HOW DID THE DRGS REDUCE
HOSPITAL COSTS?
,A. BY CLASSIFYING VARIOUS DIAGNOSES AS INELIGIBLE FOR
HOSPITALIZATION
B. BY ALLOTTING A SET AMOUNT OF HOSPITAL DAYS AND PROSPECTIVE
PAYMENT ON THE BASIS OF THE ADMITTING DIAGNOSIS
C. BY SPECIFYING PARTICULAR PHYSICIANS TO TREAT SPECIFIED DIAGNOSES
D. BY USING FREQUENCY OF A PARTICULAR DIAGNOSIS TO SET A PAYMENT
SCHEDULE ANS>>B
11. WHICH FACILITY WOULD BE RECOMMENDED FOR A PATIENT WHO HAS
HAD A HIP REPLACEMENT AND NEEDS PHYSICAL THERAPY?
A. BASIC CARE FACILITY
B. SKILLED CARE FACILITY
C. SUBACUTE CARE FACILITY
D. ASSISTED-LIVING RESIDENCE ANS>>B
12. THE 80-YEAR-OLD WOMAN WHO IS RECOVERING FROM A STROKE IS
BEING SENT TO A SKILLED CARE FACILITY. SHE IS CONCERNED ABOUT THE
EXPENSE. THE NURSE CAN DECREASE ANXIETY BY EXPLAINING THAT MEDICARE
WILL COVER EXTENDED-CARE FACILITY COSTS FOR WHAT PERIOD OF TIME?
A. A PERIOD OF 30 DAYS
B. A PERIOD OF 45 DAYS FOR PHYSICAL THERAPY
C. A PERIOD OF 100 DAYS FOR NEEDED SKILLED CARE
D. UNTIL SHE IS ABLE TO BE DISCHARGED HOME ANS>>C
13. WHICH SENIOR CITIZEN POLITICAL ACTION GROUP USES VOLUNTEERS
AND LOBBYISTS TO ADVANCE THE INTERESTS OF OLDER ADULTS?
A. AMERICAN ASSOCIATION OF RETIRED PERSONS (AARP)
B. NATIONAL COUNCIL OF SENIOR CITIZENS (NCSC)
C. NATIONAL ALLIANCE OF SENIOR CITIZENS (NASC)
D. GRAY PANTHERS ANS>>A
,14. WHICH CAREGIVER COULD BE FOUND GUILTY OF ELDER ABUSE?
A. A DAUGHTER WHO USES HER MOTHER’S SOCIAL SECURITY MONEY TO
PURCHASE HER MOTHER’S
MEDICATION
B. A SON WHO PUTS AN ALARM ON THE FRONT DOOR TO PREVENT HIS
MOTHER FROM WANDERING OUT OF THE HOUSE
C. A WIFE WHO ALLOWS HER MENTALLY COMPETENT HUSBAND TO REFUSE
TO TAKE A BATH FOR A WEEK
D. A SON WHO USES HIS MOTHER’S CHECKING ACCOUNT FUNDS TO
PURCHASE ALCOHOL FOR HIMSELF
ANS>>D
15. WHAT IS THE MOST FREQUENT RESPONSE TO ELDER ABUSE BY THE
ABUSED OLDER ADULT?
A. ANGER
B. PHYSICAL RETALIATION
C. NOTIFICATION OF AUTHORITIES
D. NOTHING AT ALL ANS>>D
16. WHAT REASON IS OFTEN STATED BY NURSES TODAY FOR NOT SEEKING
CAREERS IN GERONTOLOGY?
A. THE PHYSICAL WORK IS TOO DIFFICULT.
B. THEIR TECHNICAL SKILLS ARE NOT USED.
C. THERE IS TOO MUCH CHALLENGE.
D. THERE ARE LIMITED OPTIONS FOR EMPLOYMENT. ANS>>B
, 17. “BABY BOOMERS” IS A TERM USED TO CLASSIFY WHICH OF THE
FOLLOWING PERSONS?
A. THOSE WHO ENTERED SCHOOL IN 1945
B. THOSE WHO SERVED IN THE MILITARY IN WORLD WAR II
C. THOSE WHO WERE BORN BETWEEN 1946 AND 1964
D. THOSE WHO WERE ELIGIBLE FOR SOCIAL SECURITY BENEFITS IN 2000
ANS>>C
18. WHAT TYPE OF ABUSE IS DEMONSTRATED BY RESTRAINING AN OLDER
ADULT IN A RECLINER?
A. PHYSICAL ABUSE
B. NEGLECT
C. EMOTIONAL ABUSE
D. SELF-NEGLECT ANS>>A
19. Which Type Of Elder Abuse Is Demonstrated By The Nonprovision Of Medical Care?
A. Physical Abuse
B. Neglect
C. Emotional Abuse
D. Self-Neglect ANS>>B
20. Which Type Of Elder Abuse Is Demonstrated By A HEALTH Care Worker Telling A Nursing Home
Resident She Will Be Left Without A Call Light If She Continues To Use It Excessively.
A. Physical Abuse
B. Neglect
C. Emotional Abuse
D. Self-Neglect ANS>>C
MULTIPLE RESPONSE
