Test Bank Complete_ Basic Geriatric Nursing 7th Edition By Patricia A. Williams MSN RN CCRN (Author) All Chapters 1-20| 4 Units| With Answers and Detailed Explanations

TEST BANK ss




BASIC GERIATRIC NURSING
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7th Edition
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By Patricia A. Williams
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,TEST BANK: Basic Geriatric Nursing, 7th Edition by Patricia
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Test Bank: Basic Geriatric Nursing, 7th Edition by Patricia
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A. A. Williams ss




Contents
Unit One: Overview of Aging
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Chapter 1. Trends and Issues
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Chapter 2. Theories of Aging
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Chapter 3.Physiologic Changes
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Unit Two: Basic Skills for Gerontologic Nursing
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Chapter 4. Health Promotion, Health Maintenance, and Home Health Considerations
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Chapter 5. Communicating with Older Adults
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Chapter 6. Maintaining Fluid Balance and Meeting Nutrition Needs
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Chapter 7. Medications and Older Adults
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Chapter 8. Health Assessment for Older Adults
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Chapter 9. Meeting Safety Needs of Older Adults
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Unit Three: Psychosocial Care of the Elderly
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Chapter 10. Cognition and Perception
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Chapter 11.Self-Perception and Self-Concept
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Chapter 12. Roles and Relationships
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Chapter 13. Coping and Stress
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Chapter 14. Values and Beliefs
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Chapter 15. End-of-Life Care
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Chapter 16. Sexuality and Aging
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Unit Four: Physical Care of the Elderly
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Chapter 17. Care of Aging Skin and Mucous Membranes
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Chapter 18. Elimination
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Chapter 19. Activity and Exercise
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Chapter 20. Sleep and Rest
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, Basic Geriatric Nursing 7th Edition Williams
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Test
Chapter 01: Trends and Issues
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Williams: Basic Geriatric Nursing, 7th Edition
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MULTIPLE CHOICE ss




1. What fact explains the shift of health care focus toward the older adult in the late 1960s?
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a. Disability was viewed as unavoidable. ss ss ss ss



b. Complications from disease increased mortality. ss ss ss ss



c. Older adults‘ needs are similar to those of all adults. ss ss ss ss ss ss ss ss ss



d. Preventive health care practices increased longevity. ss ss ss ss ss




ss ANS: s s D

2. To what age group does the term ―aged‖ apply?
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a. 55–64 years of age ss ss ss



b. 65–74 years of age ss ss ss



c. 75–84 years of age ss ss ss



d. 85and older s pp




ANS:
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3. Which is true of ageism? ss ss ss ss



a. It is discrimination against persons solely on the basis of age.
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b. It causes a person to fear aging.
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c. It involves the use of cultural sensitivity to address concerns of aging.
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d. It focuses on resources for the older adult
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ss ANS: A

4. What is the most beneficial legislation that has influenced health care for the older adult?
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a. Medicare and Medicaid ss ss



b. Elimination of the mandatory retirement age ss ss ss ss ss



c. The Americans with Disabilities Act ss ss ss ss



d. TheDrug BenefitProgram s pp s




ss ANS: s s A

5. What housing option for the older adult offers the privacy of an apartment
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with restaurant-style meals and some medical and personal care services?
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a. Government-subsidized housing ss



b. Long-term care facility ss ss



c. Assisted-living center ss



d. Grouphousingplan s




ss ANS: s s C

6. The 75-year-old man who has been hospitalized following a severe case of
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pneumonia is concerned about his mounting hospital bill and asks if his
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Medicare coverage will pay for his care. What would be the most helpful response
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by the nurse?
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a. Medicare Part C pays 50% of all medical costs for persons older than 65. ss ss ss ss ss ss ss ss ss ss ss ss ss

, Basic Geriatric Nursing 7th Edition Williams ss ss ss ss ss



Test
b. Medicare Part B pays hospital costs and physician fees. ss ss ss ss ss ss ss ss



c. Medicare Part A pays for inpatient hospital costs. ss ss ss ss ss ss ss



d. Medicare Part D pays 80% of the charges made by physicians. ss ss ss ss ss ss ss ss ss ss




ss ANS: s s C

7. The daughter of a patient who has been diagnosed with terminal cancer asks which
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documents are required to allow her to make health care decisions for her parent.
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Which response would provide the most accurate information to the daughter?
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a. Advance directives indicate the degree of intervention desired by the patient. ss ss ss ss ss ss ss ss ss ss



b. A ‗Do Not Resuscitate‘ document signed by the patient transfers authority to
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the next of kin.
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c. A durable power of attorney for health care transfers decision-making authority
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for health care to a designated person.
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d. A living will transfers authority to the physician.
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ss ANS: s s C

8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-
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old mother‘s refusal to eat. Which response would be the most appropriate?
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a. The refusal to eat is an effort to maintain a portion of independence
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and self-direction.
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b. The refusal to eat is an indication of approaching Alzheimer disease.
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c. The refusal to eat is an effort to gain attention.
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d. The refusal to eat is an indication of the dislike of the institutional food.
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ANS: A
9. When do the conditions of a living will go into effect?
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a. When the patient declares that desire in writing ss ss ss ss ss ss ss



b. When a family member indicates the desire for curative therapy to cease
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c. When two physicians agree in writing that the criteria in the living will have
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been met ss ss



d. When the physician and a family member agree that the criteria in the living
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will have been met
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ANS: C

10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to
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reduce hospital costs. How did the DRGs reduce hospital costs?
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a. By classifying various diagnoses as ineligible for hospitalization
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b. By allotting a set amount of hospital days and prospective payment on the basis
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of the admitting diagnosis
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c. Byspecifying particular physicians to treat specified diagnoses
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d. By using frequency of a particular diagnosis to set a payment schedule
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ss ANS: s s B

11. Which facility would be recommended for a patient who has had a hip replacement
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and needs physical therapy?
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a. Basic care facility ss ss