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