TESTBANK p3
BASIC GERIATRIC NURSING
p3 p3
PATRICIAA. WILLIAMS
p3
8th Edition
p3
TESTBANK 3p
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
MULTIPLE CHOICE p3
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. Disability was viewed as unavoidable. p3 p3 p3 p3
b. Complications from disease increased mortality. p3 p3 p3 p3
c. Older adults‘ needs are similar to those of all adults.
p3 p3 p3 p3 p3 p3 p3 p3 p3
d. Preventive health care practices increased longevity. p3 p3 p3 p3 p3
ANS: D p3
Increased preventive health care practices, disease control, and focus on wellness helped people live
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
longer.
p3
PTS: 1 p 3 DIF: 4 p 3 REF: p. 2 OBJ: 2 p 3 p 3 p3 p 3
TOP: Aging Trends
p 3 KEY: Nursing Process Step: Data Collection
p3 p3 p3 p3 p3 p3
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
p3 p 3 p3 p3 p3 p3 p3 p3 p3
NOT: Understanding
p3
2. To which age group does the term ―aged‖ apply?
p3 p3 p3 p3 p3 p3 p3 p3
a. 55–64 years of age p3 p3 p3
b. 65–74 years of age p3 p3 p3
c. 75–84 years of age p3 p3 p3
d. 85 and older p3 p3
ANS: C p3
The term aged refers to persons who are 75–84 years of age.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 p 3 DIF: 1 p 3 REF: p. 2 | Table 1.1 p 3 p3 p3 p 3 p3
OBJ: 1 p 3 TOP: Age Categories p3 p3
KEY: Nursing Process Step: Data Collection
p3 p3 p3 p3 p3 p3
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
p3 p3 p3 p3 p3 p3 p3 p3
NOT: Remembering
p3 p3
3. Which is true of ageism? p3 p3 p3 p3
a. It is discrimination against persons solely on the basis of
p3 p3 p3 p3 p3 p3 p3 p3 p3
age. p3
b. It causes a person to fear aging.
p3 p3 p3 p3 p3 p3
, c. It involves the use of cultural sensitivity to address concerns of aging.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
d. It focuses on resources for the older adult.
p3 p3 p3 p3 p3 p3 p3
ANS: A p3
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
basis of age and can lead to destructive behaviors toward the older adult.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 p 3 DIF: 4p 3 REF: p. 4 OBJ: p 3 p 3 p3 p 3 3
TOP: Ageism p 3 KEY: Nursing Process Step: Data Collection p3 p3 p3 p3 p3
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
p3 p3 p3 p3 p3 p3
NOT: Understanding
p3 p3
4. Which legislation has been the most beneficial legislation that has influenced health care for the older
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
adult?
p3
a. Medicare and Medicaid p3 p3
b. Elimination of the mandatory retirement age p3 p3 p3 p3 p3
c. The Americans with Disabilities Act
p3 p3 p3 p3
d. The Drug Benefit Program p3 p3 p3
ANS: A p3
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
elimination of the mandatory retirement age does not apply to health care. The Americans with
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Program was added to Medicare, but deals only with medications.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 p 3DIF: 4 p 3 REF: p. 11 OBJ: p 3 p 3 p3 p 3 6
TOP: Legislation KEY: Nursing Process Step: Implementation
p 3 p3 p3 p3 p3
MSC: NCLEX: N/A
p3 p 3 NOT: p3
Understanding
p3
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
p3 meals and some medical and personal care services?
p3 p3 p3 p3 p3 p3 p3
a. Government-subsidized
p 3 housing
b. Long-term care facility p3 p3
c. Assisted-living center p3
d. Group housing plan p3 p3
ANS: C p3
Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
and served, limited medical care, and a variety of personal services.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 p 3 DIF: 3 p 3 REF: p. 14 OBJ: 9 p 3 p 3 p3 p 3
TOP: Housing Options
p 3 KEY: Nursing Process Step: Implementation
p3 p3 p3 p3 p3
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
p3 p 3 p3 p3 p3 p3
NOT: Remembering
p3
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for his care.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Which would be the most helpful response by the nurse?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. Medicare Part C pays 50% of all medical costs for persons older than
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
65. p3
b. Medicare Part B pays hospital costs and physician fees. p3 p3 p3 p3 p3 p3 p3 p3
, c. Medicare Part A pays for inpatient hospital costs. p3 p3 p3 p3 p3 p3 p3
d. Medicare Part D pays 80% of the charges made by p3 p3 p3 p3 p3 p3 p3 p3 p3
p3 physicians.
ANS: C p3
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician‘s charges, and Part D
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
through private insurance companies and typically pays entire costs.
p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 DIF: 7
p 3 p 3 REF: p. 16 OBJ: 6 p 3 p 3 p3 p 3
TOP: Medicare Provisions
p 3 KEY: Nursing Process Step: Implementation p3 p3 p3 p3 p3
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
p3 p 3 p3 p3 p3 p3 p3 p3
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
required to allow her to make health care decisions for her parent. Which response would provide
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
the most accurate information to the daughter?
p3 p3 p3 p3 p3 p3 p3
a. Advance directives indicate the degree of intervention desired by the patient.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
b. A ‗Do Not Resuscitate‘ document signed by the patient transfers authority to the
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
next of kin.
p3 p3 p3
c. A durable power of attorney for health care transfers decision-making authority for
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
health care to a designated person.
p3 p3 p3 p3 p3 p3
d. A living will transfers authority to the physician.
p3 p3 p3 p3 p3 p3 p3
ANS: C p3
A durable power of attorney for health care transfers the authority for decision making to a
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
designated person. An advance directive specifies the type of care an individual desires when he
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
cannot speak for himself. The durable power of attorney is only one type of advance directive. A
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
―Do Not Resuscitate‖ document states that the patient wishes to die naturally with no intervention.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
A living will prohibits the use of life-prolonging measures.
p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 DIF: 7
p 3 p 3 REF: p. 19 OBJ: 11 p 3 p 3 p3 p 3
TOP: Advance Directives
p 3 KEY: Nursing Process Step: Implementation p3 p3 p3 p3 p3
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
p3 p 3 p3 p3 p3 p3 p3 p3
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother‘s
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
p3 refusal to eat. Which response would be the most appropriate?
p3 p3 p3 p3 p3 p3 p3 p3 p3
a. The refusal to eat is an effort to maintain a portion of independence and self-
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
direction.
p3
b. The refusal to eat is an indication of approaching Alzheimer disease.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
c. The refusal to eat is an effort to gain attention.
p3 p3 p3 p3 p3 p3 p3 p3 p3
d. The refusal to eat is an indication of the dislike of the institutional food.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
ANS: A p3
Loss of independence and control is a significant issue for the older adult. Some residents will exercise
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
whatever control they may retain.
p3 p3 p3 p3 p3
PTS: 1 DIF: 7
p 3 p 3 REF: p. 21 OBJ: 11 p 3 p 3 p3 p 3
TOP: Loss of Independence
p 3 KEY: Nursing Process Step: Implementation
p3 p3 p3 p3 p3 p3
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
p3 p 3 p3 p3 p3 p3 p3 p3
9. When do the conditions of a living will go into effect?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
BASIC GERIATRIC NURSING
p3 p3
PATRICIAA. WILLIAMS
p3
8th Edition
p3
TESTBANK 3p
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
MULTIPLE CHOICE p3
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. Disability was viewed as unavoidable. p3 p3 p3 p3
b. Complications from disease increased mortality. p3 p3 p3 p3
c. Older adults‘ needs are similar to those of all adults.
p3 p3 p3 p3 p3 p3 p3 p3 p3
d. Preventive health care practices increased longevity. p3 p3 p3 p3 p3
ANS: D p3
Increased preventive health care practices, disease control, and focus on wellness helped people live
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
longer.
p3
PTS: 1 p 3 DIF: 4 p 3 REF: p. 2 OBJ: 2 p 3 p 3 p3 p 3
TOP: Aging Trends
p 3 KEY: Nursing Process Step: Data Collection
p3 p3 p3 p3 p3 p3
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
p3 p 3 p3 p3 p3 p3 p3 p3 p3
NOT: Understanding
p3
2. To which age group does the term ―aged‖ apply?
p3 p3 p3 p3 p3 p3 p3 p3
a. 55–64 years of age p3 p3 p3
b. 65–74 years of age p3 p3 p3
c. 75–84 years of age p3 p3 p3
d. 85 and older p3 p3
ANS: C p3
The term aged refers to persons who are 75–84 years of age.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 p 3 DIF: 1 p 3 REF: p. 2 | Table 1.1 p 3 p3 p3 p 3 p3
OBJ: 1 p 3 TOP: Age Categories p3 p3
KEY: Nursing Process Step: Data Collection
p3 p3 p3 p3 p3 p3
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
p3 p3 p3 p3 p3 p3 p3 p3
NOT: Remembering
p3 p3
3. Which is true of ageism? p3 p3 p3 p3
a. It is discrimination against persons solely on the basis of
p3 p3 p3 p3 p3 p3 p3 p3 p3
age. p3
b. It causes a person to fear aging.
p3 p3 p3 p3 p3 p3
, c. It involves the use of cultural sensitivity to address concerns of aging.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
d. It focuses on resources for the older adult.
p3 p3 p3 p3 p3 p3 p3
ANS: A p3
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
basis of age and can lead to destructive behaviors toward the older adult.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 p 3 DIF: 4p 3 REF: p. 4 OBJ: p 3 p 3 p3 p 3 3
TOP: Ageism p 3 KEY: Nursing Process Step: Data Collection p3 p3 p3 p3 p3
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
p3 p3 p3 p3 p3 p3
NOT: Understanding
p3 p3
4. Which legislation has been the most beneficial legislation that has influenced health care for the older
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
adult?
p3
a. Medicare and Medicaid p3 p3
b. Elimination of the mandatory retirement age p3 p3 p3 p3 p3
c. The Americans with Disabilities Act
p3 p3 p3 p3
d. The Drug Benefit Program p3 p3 p3
ANS: A p3
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
elimination of the mandatory retirement age does not apply to health care. The Americans with
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Program was added to Medicare, but deals only with medications.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 p 3DIF: 4 p 3 REF: p. 11 OBJ: p 3 p 3 p3 p 3 6
TOP: Legislation KEY: Nursing Process Step: Implementation
p 3 p3 p3 p3 p3
MSC: NCLEX: N/A
p3 p 3 NOT: p3
Understanding
p3
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
p3 meals and some medical and personal care services?
p3 p3 p3 p3 p3 p3 p3
a. Government-subsidized
p 3 housing
b. Long-term care facility p3 p3
c. Assisted-living center p3
d. Group housing plan p3 p3
ANS: C p3
Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
and served, limited medical care, and a variety of personal services.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 p 3 DIF: 3 p 3 REF: p. 14 OBJ: 9 p 3 p 3 p3 p 3
TOP: Housing Options
p 3 KEY: Nursing Process Step: Implementation
p3 p3 p3 p3 p3
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
p3 p 3 p3 p3 p3 p3
NOT: Remembering
p3
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for his care.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Which would be the most helpful response by the nurse?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. Medicare Part C pays 50% of all medical costs for persons older than
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
65. p3
b. Medicare Part B pays hospital costs and physician fees. p3 p3 p3 p3 p3 p3 p3 p3
, c. Medicare Part A pays for inpatient hospital costs. p3 p3 p3 p3 p3 p3 p3
d. Medicare Part D pays 80% of the charges made by p3 p3 p3 p3 p3 p3 p3 p3 p3
p3 physicians.
ANS: C p3
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician‘s charges, and Part D
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
through private insurance companies and typically pays entire costs.
p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 DIF: 7
p 3 p 3 REF: p. 16 OBJ: 6 p 3 p 3 p3 p 3
TOP: Medicare Provisions
p 3 KEY: Nursing Process Step: Implementation p3 p3 p3 p3 p3
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
p3 p 3 p3 p3 p3 p3 p3 p3
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
required to allow her to make health care decisions for her parent. Which response would provide
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
the most accurate information to the daughter?
p3 p3 p3 p3 p3 p3 p3
a. Advance directives indicate the degree of intervention desired by the patient.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
b. A ‗Do Not Resuscitate‘ document signed by the patient transfers authority to the
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
next of kin.
p3 p3 p3
c. A durable power of attorney for health care transfers decision-making authority for
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
health care to a designated person.
p3 p3 p3 p3 p3 p3
d. A living will transfers authority to the physician.
p3 p3 p3 p3 p3 p3 p3
ANS: C p3
A durable power of attorney for health care transfers the authority for decision making to a
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
designated person. An advance directive specifies the type of care an individual desires when he
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
cannot speak for himself. The durable power of attorney is only one type of advance directive. A
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
―Do Not Resuscitate‖ document states that the patient wishes to die naturally with no intervention.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
A living will prohibits the use of life-prolonging measures.
p3 p3 p3 p3 p3 p3 p3 p3 p3
PTS: 1 DIF: 7
p 3 p 3 REF: p. 19 OBJ: 11 p 3 p 3 p3 p 3
TOP: Advance Directives
p 3 KEY: Nursing Process Step: Implementation p3 p3 p3 p3 p3
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
p3 p 3 p3 p3 p3 p3 p3 p3
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother‘s
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
p3 refusal to eat. Which response would be the most appropriate?
p3 p3 p3 p3 p3 p3 p3 p3 p3
a. The refusal to eat is an effort to maintain a portion of independence and self-
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
direction.
p3
b. The refusal to eat is an indication of approaching Alzheimer disease.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
c. The refusal to eat is an effort to gain attention.
p3 p3 p3 p3 p3 p3 p3 p3 p3
d. The refusal to eat is an indication of the dislike of the institutional food.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
ANS: A p3
Loss of independence and control is a significant issue for the older adult. Some residents will exercise
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
whatever control they may retain.
p3 p3 p3 p3 p3
PTS: 1 DIF: 7
p 3 p 3 REF: p. 21 OBJ: 11 p 3 p 3 p3 p 3
TOP: Loss of Independence
p 3 KEY: Nursing Process Step: Implementation
p3 p3 p3 p3 p3 p3
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
p3 p 3 p3 p3 p3 p3 p3 p3
9. When do the conditions of a living will go into effect?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
