Basic Geriatric Nursing 8th Edition Williams Test Bank – Complete Questions & Answers

,Basic Geriatric Nursing 8th Edition Williams Test Bank
Y Y Y Y Y Y Y




Chapter 01: Trends and Issues
Y Y Y Y

Williams: Basic Geriatric Nursing, 8th Edition
Y Y Y Y Y




MULTIPLEYCHOICE

1. WhatYfactYexplainsYtheYshiftYofYhealthYcareYfocusYtowardYtheYolderYadultYinYtheYlateY1960s?
a. DisabilityYwasYviewedYasYunavoidable.
b. ComplicationsYfromYdiseaseYincreasedYmortality.
c. OlderYadults’YneedsYareYsimilarYtoYthoseYofYallYadults.
d. PreventiveYhealthYcareYpracticesYincreasedYlongevity
.YANS:Y D

2. ToYwhatYageYgroupYdoesYtheYtermY“aged”Yapply?
a. 55–64YyearsYofYage
b. 65–74YyearsYofYage
c. 75–84YyearsYofYage
d. 85YandYolder
YANS:Y C

3. WhichYisYtrueYofYageism?
a. ItYisYdiscriminationYagainstYpersonsYsolelyYonYtheYbasisYofYage.
b. ItYcausesYaYpersonYtoYfearYaging.
c. ItYinvolvesYtheYuseYofYculturalYsensitivityYtoYaddressYconcernsYofYaging.
d. ItYfocusesYonYresources N
forYR
tYheYI
oldeG
rYaYdBu .
lYtY.CYM

ANS:Y Y A

4. WhatYisYtheYmostYbeneficialYlegislationYthatYhasYinfluencedYhealthYcareYforYtheYolderYadult?
a. MedicareYandYMedicaid
b. EliminationYofYtheYmandatoryYretirementYage
c. TheYAmericansYwithYDisabilitiesYAct
d. TheYDrugYBenefitYProgram
YANS:Y A

5. WhatYhousingYoptionYforYtheYolderYadultYoffersYtheYprivacyYofYanYapartmentYwit
hYrestaurant-styleYmealsYandYsomeYmedicalYandYpersonalYcareYservices?
a. Government-subsidizedYhousing
b. Long-termYcareYfacility
c. Assisted-livingYcenter
d. GroupYhousingYplan
YANS:Y C

6. TheY75-year-
oldYmanYwhoYhasYbeenYhospitalizedYfollowingYaYsevereYcaseYofYpneumoniaYisYconcernedY
aboutYhisYmountingYhospitalYbillYandYasksYifYhisYMedicareYcoverageYwillYpayYforYhisYcare.
YWhatYwouldYbeYtheYmostYhelpfulYresponseYbyYtheYnurse?

a. MedicareYPartYCYpaysY50%YofYallYmedicalYcostsYforYpersonsYolderYthanY65.

, b. MedicareYPartYBYpaysYhospitalYcostsYandYphysicianYfees.
c. MedicareYPartYAYpaysYforYinpatientYhospitalYcosts.
d. MedicareYPartYDYpaysY80%YofYtheYchargesYmadeYbyYphysician
s.YANS:Y C

7. TheYdaughterYofYaYpatientYwhoYhasYbeenYdiagnosedYwithYterminalYcancerYasksYwhichYd
ocumentsYareYrequiredYtoYallowYherYtoYmakeYhealthYcareYdecisionsYforYherYparent.YWhic
hYresponseYwouldYprovideYtheYmostYaccurateYinformationYtoYtheYdaughter?
a. AdvanceYdirectivesYindicateYtheYdegreeYofYinterventionYdesiredYbyYtheYpatient.
b. AY‘DoYNotYResuscitate’YdocumentYsignedYbyYtheYpatientYtransfersYauthorityYtoYth
eYnextYofYkin.
c. AYdurableYpowerYofYattorneyYforYhealthYcareYtransfersYdecision-
makingYauthorityYforYhealthYcareYtoYaYdesignatedYperson.
d. AYlivingYwillYtransfersYauthorityYtoYtheYphysician
.YANS:Y C

8. TheYdaughterYofYaYresidentYinYaYlong-termYcareYfacilityYisYfrustratedYwithYherY80-year-
oldYmother’sYrefusalYtoYeat.YWhichYresponseYwouldYbeYtheYmostYappropriate?
a. TheYrefusalYtoYeatYisYanYeffortYtoYmaintainYaYportionYofYindependenceYan
dYself-direction.
b. TheYrefusalYtoYeatYisYanYindicationYofYapproachingYAlzheimerYdisease.
c. TheYrefusalYtoYeatYisYanYeffortYtoYgainYattention.
d. TheYrefusalYtoYeatYisYanYindicationYofYtheYdislikeYofYtheYinstitutionalYfoo
d.YANS:Y A

9. WhenYdoYtheYconditionsYofYaYlivingYwillYgoYintoYeffect?
a. WhenYtheYpatientYdeclaresYthatYdesireYinYwriting
b. WhenYaYfamilyYmemberYindicatesYtheYdesireYforYcurativeYtherapyYtoYcease
c. WhenYtwoYphysiciansYagreeYinYwritingYthatYtheYcriteriaYinYtheYlivingYwillYhaveYbe
enYmet
d. WhenYtheYphysicianYandYaYfamilyYmemberYagreeYthatYtheYcriteriaYinYtheYlivingYwi
llYhaveYbeenYmet
ANS:Y C

10. InYtheY1980s,YMedicareYinitiatedYaYprogramYofYdiagnosis-
relatedYgroupsY(DRGs)YtoYreduceYhospitalYcosts.YHowYdidYtheYDRGsYreduceYhospitalYcos
ts?
a. ByYclassifyingYvariousYdiagnosesYasYineligibleYforYhospitalization
b. ByYallottingYaYsetYamountYofYhospitalYdaysYandYprospectiveYpaymentYonYtheYbasisY
ofYtheYadmittingYdiagnosis
c. ByYspecifyingYparticularYphysiciansYtoYtreatYspecifiedYdiagnoses
d. ByYusingYfrequencyYofYaYparticularYdiagnosisYtoYsetYaYpaymentYschedul
eYANS:Y B

11. WhichYfacilityYwouldYbeYrecommendedYforYaYpatientYwhoYhasYhadYaYhipYreplacementYa
ndYneedsYphysicalYtherapy?
a. BasicYcareYfacility

, b. SkilledYcareYfacility
c. SubacuteYcareYfacility
d. Assisted-
livingYresidenceYANS:Y B

12. TheY80-year-
oldYwomanYwhoYisYrecoveringYfromYaYstrokeYisYbeingYsentYtoYaYskilledYcareYfacility.YSheYi
sYconcernedYaboutYtheYexpense.YTheYnurseYcanYdecreaseYanxietyYbyYexplainingYthatYMedic
areYwillYcoverYextended-careYfacilityYcostsYforYwhatYperiodYofYtime?
a. AYperiodYofY30Ydays
b. AYperiodYofY45YdaysYforYphysicalYtherapy
c. AYperiodYofY100YdaysYforYneededYskilledYcare
d. UntilYsheYisYableYtoYbeYdischargedYhom
eYANS:Y C

13. WhichYseniorYcitizenYpoliticalYactionYgroupYusesYvolunteersYandYlobbyistsYtoYadvanceYth
eYinterestsYofYolderYadults?
a. AmericanYAssociationYofYRetiredYPersonsY(AARP)
b. NationalYCouncilYofYSeniorYCitizensY(NCSC)
c. NationalYAllianceYofYSeniorYCitizensY(NASC)
d. GrayYPanthers
YANS:Y A

14. WhichYcaregiverYcouldYbeYfoundYguiltyYofYelderYabuse?
a. AYdaughterYwhoYusesYherYmother’sYSocialYSecurityYmoneyYtoYpurchaseYherYmother
’sYmedication
b. AYsonYwhoYputsYanYalarmYonYtheYfrontYdoorYtoYpreventYhisYmotherYfromYwandering
outYofYtheYhouse
c. AYwifeYwhoYallowsYherYmentallyYcompetentYhusbandYtoYrefuseYtoYtakeYaYbathYfor
YaYweek

d. AYsonYwhoYusesYhisYmother’sYcheckingYaccountYfundsYtoYpurchaseYalcoholYf
orYhimself
ANS:Y D

15. WhatYisYtheYmostYfrequentYresponseYtoYelderYabuseYbyYtheYabusedYolderYadult?
a. Anger
b. PhysicalYretaliation
c. NotificationYofYauthorities
d. NothingYatYall
YANS:Y D

16. WhatYreasonYisYoftenYstatedYbyYnursesYtodayYforYnotYseekingYcareersYinYgerontology?
a. TheYphysicalYworkYisYtooYdifficult.
b. TheirYtechnicalYskillsYareYnotYused.
c. ThereYisYtooYmuchYchallenge.
d. ThereYareYlimitedYoptionsYforYemployment
.YANS:Y B