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