TEST BANK
BASIC GERIATRIC NURSING
PATRICIA A. WILLIAMS
8th Edition
TEST BANK
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
MULTIPLE CHOICE
1. Which 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
Increased preventive health care practices, disease control, and focus on wellness helped people live
longer.
PTS: 1 DIF: 4 REF: p. 2 OBJ: 2
TOP: Aging Trends KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Understanding
2. To which 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
The term aged refers to persons who are 75–84 years of age.
PTS: 1 DIF: 1 REF: p. 2 | Table 1.1
OBJ: 1 TOP: Age Categories
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Remembering
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
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the
basis of age and can lead to destructive behaviors toward the older adult.
PTS: 1 DIF: 4 REF: p. 4 OBJ: 3
TOP: Ageism KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
NOT: Understanding
4. Which legislation has been 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
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
elimination of the mandatory retirement age does not apply to health care. The Americans with
Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit
Program was added to Medicare, but deals only with medications.
PTS: 1 DIF: 4 REF: p. 11 OBJ: 6
TOP: Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A NOT: Understanding
5. Which 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
Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared
and served, limited medical care, and a variety of personal services.
PTS: 1 DIF: 3 REF: p. 14 OBJ: 9
TOP: Housing Options KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
NOT: Remembering
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. Which 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 fPart fA fpays ffor finpatient fhospital fcosts.
d. Medicare fPart fD fpays f80% fof fthe fcharges fmade fby
fphysicians.
ANS: f C
Medicare fPart fA fpays finpatient fhospital fcosts, fPart fB fpays f80% fof fphysician’s fcharges, fand fPart
fD fhelps fdefray fprescription fdrug fcosts. fMedicare fPart fC fallows findividuals fto freceive fhealth
finsurance fthrough fprivate finsurance fcompanies fand ftypically fpays fentire fcosts.
PTS: f f 1 DIF: 7 REF: f f p. f16 OBJ: f 6
TOP: f Medicare fProvisions KEY: fNursing fProcess fStep:
fImplementation fMSC: f NCLEX: fPsychosocial fIntegrity: fCoping fand fAdaptation
NOT: fApplying
7. The fdaughter fof fa fpatient fwho fhas fbeen fdiagnosed fwith fterminal fcancer fasks fwhich fdocuments
fare frequired fto fallow fher fto fmake fhealth fcare fdecisions ffor fher fparent. fWhich fresponse fwould
fprovide fthe fmost faccurate finformation fto fthe fdaughter?
a. Advance fdirectives findicate fthe fdegree fof fintervention fdesired fby fthe fpatient.
b. A f‘Do fNot fResuscitate’ fdocument fsigned fby fthe fpatient ftransfers fauthority fto fthe
fnext fof fkin.
c. A fdurable fpower fof fattorney ffor fhealth fcare ftransfers fdecision-making fauthority
ffor fhealth fcare fto fa fdesignated fperson.
d. A fliving fwill ftransfers fauthority fto fthe fphysician.
ANS: f C
A fdurable fpower fof fattorney ffor fhealth fcare ftransfers fthe fauthority ffor fdecision fmaking fto fa
fdesignated fperson. fAn fadvance fdirective fspecifies fthe ftype fof fcare fan findividual fdesires fwhen fhe
fcannot fspeak ffor fhimself. fThe fdurable fpower fof fattorney fis fonly fone ftype fof fadvance fdirective. fA
f“Do fNot fResuscitate” fdocument fstates fthat fthe fpatient fwishes fto fdie fnaturally fwith fno
fintervention. fA fliving fwill fprohibits fthe fuse fof flife-prolonging fmeasures.
PTS: f f 1 DIF: 7 REF: f f p. f19 OBJ: f 11
TOP: f Advance fDirectives KEY: fNursing fProcess fStep:
fImplementation fMSC: f NCLEX: fPsychosocial fIntegrity: fCoping fand fAdaptation
NOT: fApplying
8. The fdaughter fof fa fresident fin fa flong-term fcare ffacility fis ffrustrated fwith fher f80-year-old
fmother’s frefusal fto feat. fWhich fresponse fwould fbe fthe fmost fappropriate?
a. The frefusal fto feat fis fan feffort fto fmaintain fa fportion fof findependence fand
fself- fdirection.
b. The frefusal fto feat fis fan findication fof fapproaching fAlzheimer fdisease.
c. The frefusal fto feat fis fan feffort fto fgain fattention.
d. The frefusal fto feat fis fan findication fof fthe fdislike fof fthe finstitutional ffood.
ANS: f A
Loss fof findependence fand fcontrol fis fa fsignificant fissue ffor fthe folder fadult. fSome fresidents fwill
fexercise fwhatever fcontrol fthey fmay fretain.
PTS: f f 1 DIF: 7 REF: f f p. f21 OBJ: f 11
TOP: f Loss fof fIndependence KEY: fNursing fProcess fStep:
fImplementation fMSC: f NCLEX: fPsychosocial fIntegrity: fCoping fand fAdaptation
NOT: fApplying
9. When fdo fthe fconditions fof fa fliving fwill fgo finto feffect?
BASIC GERIATRIC NURSING
PATRICIA A. WILLIAMS
8th Edition
TEST BANK
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
MULTIPLE CHOICE
1. Which 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
Increased preventive health care practices, disease control, and focus on wellness helped people live
longer.
PTS: 1 DIF: 4 REF: p. 2 OBJ: 2
TOP: Aging Trends KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Understanding
2. To which 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
The term aged refers to persons who are 75–84 years of age.
PTS: 1 DIF: 1 REF: p. 2 | Table 1.1
OBJ: 1 TOP: Age Categories
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Remembering
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
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the
basis of age and can lead to destructive behaviors toward the older adult.
PTS: 1 DIF: 4 REF: p. 4 OBJ: 3
TOP: Ageism KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
NOT: Understanding
4. Which legislation has been 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
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
elimination of the mandatory retirement age does not apply to health care. The Americans with
Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit
Program was added to Medicare, but deals only with medications.
PTS: 1 DIF: 4 REF: p. 11 OBJ: 6
TOP: Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A NOT: Understanding
5. Which 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
Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared
and served, limited medical care, and a variety of personal services.
PTS: 1 DIF: 3 REF: p. 14 OBJ: 9
TOP: Housing Options KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
NOT: Remembering
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. Which 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 fPart fA fpays ffor finpatient fhospital fcosts.
d. Medicare fPart fD fpays f80% fof fthe fcharges fmade fby
fphysicians.
ANS: f C
Medicare fPart fA fpays finpatient fhospital fcosts, fPart fB fpays f80% fof fphysician’s fcharges, fand fPart
fD fhelps fdefray fprescription fdrug fcosts. fMedicare fPart fC fallows findividuals fto freceive fhealth
finsurance fthrough fprivate finsurance fcompanies fand ftypically fpays fentire fcosts.
PTS: f f 1 DIF: 7 REF: f f p. f16 OBJ: f 6
TOP: f Medicare fProvisions KEY: fNursing fProcess fStep:
fImplementation fMSC: f NCLEX: fPsychosocial fIntegrity: fCoping fand fAdaptation
NOT: fApplying
7. The fdaughter fof fa fpatient fwho fhas fbeen fdiagnosed fwith fterminal fcancer fasks fwhich fdocuments
fare frequired fto fallow fher fto fmake fhealth fcare fdecisions ffor fher fparent. fWhich fresponse fwould
fprovide fthe fmost faccurate finformation fto fthe fdaughter?
a. Advance fdirectives findicate fthe fdegree fof fintervention fdesired fby fthe fpatient.
b. A f‘Do fNot fResuscitate’ fdocument fsigned fby fthe fpatient ftransfers fauthority fto fthe
fnext fof fkin.
c. A fdurable fpower fof fattorney ffor fhealth fcare ftransfers fdecision-making fauthority
ffor fhealth fcare fto fa fdesignated fperson.
d. A fliving fwill ftransfers fauthority fto fthe fphysician.
ANS: f C
A fdurable fpower fof fattorney ffor fhealth fcare ftransfers fthe fauthority ffor fdecision fmaking fto fa
fdesignated fperson. fAn fadvance fdirective fspecifies fthe ftype fof fcare fan findividual fdesires fwhen fhe
fcannot fspeak ffor fhimself. fThe fdurable fpower fof fattorney fis fonly fone ftype fof fadvance fdirective. fA
f“Do fNot fResuscitate” fdocument fstates fthat fthe fpatient fwishes fto fdie fnaturally fwith fno
fintervention. fA fliving fwill fprohibits fthe fuse fof flife-prolonging fmeasures.
PTS: f f 1 DIF: 7 REF: f f p. f19 OBJ: f 11
TOP: f Advance fDirectives KEY: fNursing fProcess fStep:
fImplementation fMSC: f NCLEX: fPsychosocial fIntegrity: fCoping fand fAdaptation
NOT: fApplying
8. The fdaughter fof fa fresident fin fa flong-term fcare ffacility fis ffrustrated fwith fher f80-year-old
fmother’s frefusal fto feat. fWhich fresponse fwould fbe fthe fmost fappropriate?
a. The frefusal fto feat fis fan feffort fto fmaintain fa fportion fof findependence fand
fself- fdirection.
b. The frefusal fto feat fis fan findication fof fapproaching fAlzheimer fdisease.
c. The frefusal fto feat fis fan feffort fto fgain fattention.
d. The frefusal fto feat fis fan findication fof fthe fdislike fof fthe finstitutional ffood.
ANS: f A
Loss fof findependence fand fcontrol fis fa fsignificant fissue ffor fthe folder fadult. fSome fresidents fwill
fexercise fwhatever fcontrol fthey fmay fretain.
PTS: f f 1 DIF: 7 REF: f f p. f21 OBJ: f 11
TOP: f Loss fof fIndependence KEY: fNursing fProcess fStep:
fImplementation fMSC: f NCLEX: fPsychosocial fIntegrity: fCoping fand fAdaptation
NOT: fApplying
9. When fdo fthe fconditions fof fa fliving fwill fgo finto feffect?
