TEST BANK BASIC GERIATRIC NURSING PATRICIA A. WILLIAMS

TEST BANK BASIC GERIATRIC NURSING PATRICIA A. WILLIAMS. 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 Part A pays for inpatient hospital costs. d. Medicare Part D pays 80% of the charges made by physicians. ANS: C Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance through private insurance companies and typically pays entire costs. PTS: 1 DIF: 7 REF: p. 16 OBJ: 6 TOP: Medicare Provisions KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are required to allow her to make health care decisions for her parent. Which response would provide the most accurate information to the daughter? a. Advance directives indicate the degree of intervention desired by the patient. b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the next of kin. c. A durable power of attorney for health care transfers decision-making authority for health care to a designated person. d. A living will transfers authority to the physician. ANS: C A durable power of attorney for health care transfers the authority for decision making to a designated person. An advance directive specifies the type of care an individual desires when he cannot speak for himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate” document states that the patient wishes to die naturally with no intervention. A living will prohibits the use of life-prolonging measures. PTS: 1 DIF: 7 REF: p. 19 OBJ: 11 TOP: Advance Directives KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s refusal to eat. Which response would be the most appropriate? a. The refusal to eat is an effort to maintain a portion of independence and self￾direction. b. The refusal to eat is an indication of approaching Alzheimer disease. c. The refusal to eat is an effort to gain attention. d. The refusal to eat is an indication of the dislike of the institutional food. ANS: A Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever control they may retain. PTS: 1 DIF: 7 REF: p. 21 OBJ: 11 TOP: Loss of Independence KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 9. When do the conditions of a living will go into effect? a. When the patient declares that desire in writing b. When a family member indicates the desire for curative therapy to cease c. When two physicians agree in writing that the criteria in the living will have been met d. When the physician and a family member agree that the criteria in the living will have been met ANS: C Two physicians must agree in writing that the criteria of the living will have been met before the document can go into effect. PTS: 1 DIF: 4 REF: p. 19 OBJ: 11 TOP: Living Wills KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs. How did the DRGs reduce hospital costs? a. By classifying various diagnoses as ineligible for hospitalization b. By allotting a set amount of hospital days and prospective payment on the basis of the admitting diagnosis c. By specifying particular physicians to treat specified diagnoses d. By using frequency of a particular diagnosis to set a payment schedule ANS: B DRGs set up a system of preset hospitalization time and payment on the basis of the admitting diagnosis. PTS: 1 DIF: 4 REF: p. 16 OBJ: 6 TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Understanding 11. Which facility would be recommended for a patient with diabetes who has had a hip replacement and needs physical therapy? a. Basic care facility b. Skilled care facility c. Subacute care facility d. Assisted-living residence ANS: B Skilled care facilities offer not only basic care but also services from experienced licensed professionals such as nurses, physical therapists, speech therapists, and occupational therapists. PTS: 1 DIF: 7 REF: p. 15 OBJ: 9 TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Applying 12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care facility. She is concerned about the expense. The nurse can decrease anxiety by explaining that Medicare will cover extended-care facility costs for which period of time? a. A period of 30 days b. A period of 45 days for physical therapy c. A period of 100 days for needed skilled care d. Until she is able to be discharged home ANS: C Medicare will cover skilled care costs for 100 days. After 100 days, the resident must revert to private pay or ancillary long-term care insurance. PTS: 1 DIF: 4 REF: p. 16 OBJ: 8 TOP: Extended Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 13. Which senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults? a. American Association of Retired Persons (AARP) b. National Council of Senior Citizens (NCSC) c. National Alliance of Senior Citizens (NASC) d. Gray Panthers ANS: A The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults. PTS: 1 DIF: 2 REF: p. 12 OBJ: 7 TOP: Political Action Groups KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Remembering 14. Which caregiver could be found guilty of elder abuse? a. A daughter who uses her mother’s Social Security money to purchase her mother’s medication b. A son who puts an alarm on the front door to prevent his mother from wandering out of the house c. A wife who allows her mentally competent husband to refuse to take a bath for a week d. A son who uses his mother’s checking account funds to purchase alcohol for himself ANS: D It is financial abuse if the older person’s money is taken and spent by others for their own purposes. 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 Part A pays for inpatient hospital costs. d. Medicare Part D pays 80% of the charges made by physicians. ANS: C Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance through private insurance companies and typically pays entire costs. PTS: 1 DIF: 7 REF: p. 16 OBJ: 6 TOP: Medicare Provisions KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are required to allow her to make health care decisions for her parent. Which response would provide the most accurate information to the daughter? a. Advance directives indicate the degree of intervention desired by the patient. b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the next of kin. c. A durable power of attorney for health care transfers decision-making authority for health care to a designated person. d. A living will transfers authority to the physician. ANS: C A durable power of attorney for health care transfers the authority for decision making to a designated person. An advance directive specifies the type of care an individual desires when he cannot speak for himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate” document states that the patient wishes to die naturally with no intervention. A living will prohibits the use of life-prolonging measures. PTS: 1 DIF: 7 REF: p. 19 OBJ: 11 TOP: Advance Directives KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s refusal to eat. Which response would be the most appropriate? a. The refusal to eat is an effort to maintain a portion of independence and self￾direction. b. The refusal to eat is an indication of approaching Alzheimer disease. c. The refusal to eat is an effort to gain attention. d. The refusal to eat is an indication of the dislike of the institutional food. ANS: A Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever control they may retain. PTS: 1 DIF: 7 REF: p. 21 OBJ: 11 TOP: Loss of Independence KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 9. When do the conditions of a living will go into effect? a. When the patient declares that desire in writing b. When a family member indicates the desire for curative therapy to cease c. When two physicians agree in writing that the criteria in the living will have been met d. When the physician and a family member agree that the criteria in the living will have been met ANS: C Two physicians must agree in writing that the criteria of the living will have been met before the document can go into effect. PTS: 1 DIF: 4 REF: p. 19 OBJ: 11 TOP: Living Wills KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs. How did the DRGs reduce hospital costs? a. By classifying various diagnoses as ineligible for hospitalization b. By allotting a set amount of hospital days and prospective payment on the basis of the admitting diagnosis c. By specifying particular physicians to treat specified diagnoses d. By using frequency of a particular diagnosis to set a payment schedule ANS: B DRGs set up a system of preset hospitalization time and payment on the basis of the admitting diagnosis. PTS: 1 DIF: 4 REF: p. 16 OBJ: 6 TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Understanding 11. Which facility would be recommended for a patient with diabetes who has had a hip replacement and needs physical therapy? a. Basic care facility b. Skilled care facility c. Subacute care facility d. Assisted-living residence ANS: B Skilled care facilities offer not only basic care but also services from experienced licensed professionals such as nurses, physical therapists, speech therapists, and occupational therapists. PTS: 1 DIF: 7 REF: p. 15 OBJ: 9 TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Applying 12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care facility. She is concerned about the expense. The nurse can decrease anxiety by explaining that Medicare will cover extended-care facility costs for which period of time? a. A period of 30 days b. A period of 45 days for physical therapy c. A period of 100 days for needed skilled care d. Until she is able to be discharged home ANS: C Medicare will cover skilled care costs for 100 days. After 100 days, the resident must revert to private pay or ancillary long-term care insurance. PTS: 1 DIF: 4 REF: p. 16 OBJ: 8 TOP: Extended Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 13. Which senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults? a. American Association of Retired Persons (AARP) b. National Council of Senior Citizens (NCSC) c. National Alliance of Senior Citizens (NASC) d. Gray Panthers ANS: A The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults. PTS: 1 DIF: 2 REF: p. 12 OBJ: 7 TOP: Political Action Groups KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Remembering 14. Which caregiver could be found guilty of elder abuse? a. A daughter who uses her mother’s Social Security money to purchase her mother’s medication b. A son who puts an alarm on the front door to prevent his mother from wandering out of the house c. A wife who allows her mentally competent husband to refuse to take a bath for a week d. A son who uses his mother’s checking account funds to purchase alcohol for himself ANS: D It is financial abuse if the older person’s money is taken and spent by others for their own purposes. 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 Part A pays for inpatient hospital costs. d. Medicare Part D pays 80% of the charges made by physicians. ANS: C Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance through private insurance companies and typically pays entire costs. PTS: 1 DIF: 7 REF: p. 16 OBJ: 6 TOP: Medicare Provisions KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are required to allow her to make health care decisions for her parent. Which response would provide the most accurate information to the daughter? a. Advance directives indicate the degree of intervention desired by the patient. b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the next of kin. c. A durable power of attorney for health care transfers decision-making authority for health care to a designated person. d. A living will transfers authority to the physician. ANS: C A durable power of attorney for health care transfers the authority for decision making to a designated person. An advance directive specifies the type of care an individual desires when he cannot speak for himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate” document states that the patient wishes to die naturally with no intervention. A living will prohibits the use of life-prolonging measures. PTS: 1 DIF: 7 REF: p. 19 OBJ: 11 TOP: Advance Directives KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s refusal to eat. Which response would be the most appropriate? a. The refusal to eat is an effort to maintain a portion of independence and self￾direction. b. The refusal to eat is an indication of approaching Alzheimer disease. c. The refusal to eat is an effort to gain attention. d. The refusal to eat is an indication of the dislike of the institutional food. ANS: A Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever control they may retain. PTS: 1 DIF: 7 REF: p. 21 OBJ: 11 TOP: Loss of Independence KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 9. When do the conditions of a living will go into effect? a. When the patient declares that desire in writing b. When a family member indicates the desire for curative therapy to cease c. When two physicians agree in writing that the criteria in the living will have been met d. When the physician and a family member agree that the criteria in the living will have been met ANS: C Two physicians must agree in writing that the criteria of the living will have been met before the document can go into effect. PTS: 1 DIF: 4 REF: p. 19 OBJ: 11 TOP: Living Wills KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs. How did the DRGs reduce hospital costs? a. By classifying various diagnoses as ineligible for hospitalization b. By allotting a set amount of hospital days and prospective payment on the basis of the admitting diagnosis c. By specifying particular physicians to treat specified diagnoses d. By using frequency of a particular diagnosis to set a payment schedule ANS: B DRGs set up a system of preset hospitalization time and payment on the basis of the admitting diagnosis. PTS: 1 DIF: 4 REF: p. 16 OBJ: 6 TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Understanding 11. Which facility would be recommended for a patient with diabetes who has had a hip replacement and needs physical therapy? a. Basic care facility b. Skilled care facility c. Subacute care facility d. Assisted-living residence ANS: B Skilled care facilities offer not only basic care but also services from experienced licensed professionals such as nurses, physical therapists, speech therapists, and occupational therapists. PTS: 1 DIF: 7 REF: p. 15 OBJ: 9 TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Applying 12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care facility. She is concerned about the expense. The nurse can decrease anxiety by explaining that Medicare will cover extended-care facility costs for which period of time? a. A period of 30 days b. A period of 45 days for physical therapy c. A period of 100 days for needed skilled care d. Until she is able to be discharged home ANS: C Medicare will cover skilled care costs for 100 days. After 100 days, the resident must revert to private pay or ancillary long-term care insurance. PTS: 1 DIF: 4 REF: p. 16 OBJ: 8 TOP: Extended Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 13. Which senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults? a. American Association of Retired Persons (AARP) b. National Council of Senior Citizens (NCSC) c. National Alliance of Senior Citizens (NASC) d. Gray Panthers ANS: A The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults. PTS: 1 DIF: 2 REF: p. 12 OBJ: 7 TOP: Political Action Groups KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Remembering 14. Which caregiver could be found guilty of elder abuse? a. A daughter who uses her mother’s Social Security money to purchase her mother’s medication b. A son who puts an alarm on the front door to prevent his mother from wandering out of the house c. A wife who allows her mentally competent husband to refuse to take a bath for a week d. A son who uses his mother’s checking account funds to purchase alcohol for himself ANS: D It is financial abuse if the older person’s money is taken and spent by others for their own purposes. 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 Part A pays for inpatient hospital costs. d. Medicare Part D pays 80% of the charges made by physicians. ANS: C Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance through private insurance companies and typically pays entire costs. PTS: 1 DIF: 7 REF: p. 16 OBJ: 6 TOP: Medicare Provisions KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are required to allow her to make health care decisions for her parent. Which response would provide the most accurate information to the daughter? a. Advance directives indicate the degree of intervention desired by the patient. b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the next of kin. c. A durable power of attorney for health care transfers decision-making authority for health care to a designated person. d. A living will transfers authority to the physician. ANS: C A durable power of attorney for health care transfers the authority for decision making to a designated person. An advance directive specifies the type of care an individual desires when he cannot speak for himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate” document states that the patient wishes to die naturally with no intervention. A living will prohibits the use of life-prolonging measures. PTS: 1 DIF: 7 REF: p. 19 OBJ: 11 TOP: Advance Directives KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s refusal to eat. Which response would be the most appropriate? a. The refusal to eat is an effort to maintain a portion of independence and self￾direction. b. The refusal to eat is an indication of approaching Alzheimer disease. c. The refusal to eat is an effort to gain attention. d. The refusal to eat is an indication of the dislike of the institutional food. ANS: A Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever control they may retain. PTS: 1 DIF: 7 REF: p. 21 OBJ: 11 TOP: Loss of Independence KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 9. When do the conditions of a living will go into effect? a. When the patient declares that desire in writing b. When a family member indicates the desire for curative therapy to cease c. When two physicians agree in writing that the criteria in the living will have been met d. When the physician and a family member agree that the criteria in the living will have been met ANS: C Two physicians must agree in writing that the criteria of the living will have been met before the document can go into effect. PTS: 1 DIF: 4 REF: p. 19 OBJ: 11 TOP: Living Wills KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs. How did the DRGs reduce hospital costs? a. By classifying various diagnoses as ineligible for hospitalization b. By allotting a set amount of hospital days and prospective payment on the basis of the admitting diagnosis c. By specifying particular physicians to treat specified diagnoses d. By using frequency of a particular diagnosis to set a payment schedule ANS: B DRGs set up a system of preset hospitalization time and payment on the basis of the admitting diagnosis. PTS: 1 DIF: 4 REF: p. 16 OBJ: 6 TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Understanding 11. Which facility would be recommended for a patient with diabetes who has had a hip replacement and needs physical therapy? a. Basic care facility b. Skilled care facility c. Subacute care facility d. Assisted-living residence ANS: B Skilled care facilities offer not only basic care but also services from experienced licensed professionals such as nurses, physical therapists, speech therapists, and occupational therapists. PTS: 1 DIF: 7 REF: p. 15 OBJ: 9 TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Applying 12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care facility. She is concerned about the expense. The nurse can decrease anxiety by explaining that Medicare will cover extended-care facility costs for which period of time? a. A period of 30 days b. A period of 45 days for physical therapy c. A period of 100 days for needed skilled care d. Until she is able to be discharged home ANS: C Medicare will cover skilled care costs for 100 days. After 100 days, the resident must revert to private pay or ancillary long-term care insurance. PTS: 1 DIF: 4 REF: p. 16 OBJ: 8 TOP: Extended Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 13. Which senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults? a. American Association of Retired Persons (AARP) b. National Council of Senior Citizens (NCSC) c. National Alliance of Senior Citizens (NASC) d. Gray Panthers ANS: A The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults. PTS: 1 DIF: 2 REF: p. 12 OBJ: 7 TOP: Political Action Groups KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Remembering 14. Which caregiver could be found guilty of elder abuse? a. A daughter who uses her mother’s Social Security money to purchase her mother’s medication b. A son who puts an alarm on the front door to prevent his mother from wandering out of the house c. A wife who allows her mentally competent husband to refuse to take a bath for a week d. A son who uses his mother’s checking account funds to purchase alcohol for himself ANS: D It is financial abuse if the older person’s money is taken and spent by others for their own purposes. 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 Part A pays for inpatient hospital costs. d. Medicare Part D pays 80% of the charges made by physicians. ANS: C Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance through private insurance companies and typically pays entire costs. PTS: 1 DIF: 7 REF: p. 16 OBJ: 6 TOP: Medicare Provisions KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are required to allow her to make health care decisions for her parent. Which response would provide the most accurate information to the daughter? a. Advance directives indicate the degree of intervention desired by the patient. b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the next of kin. c. A durable power of attorney for health care transfers decision-making authority for health care to a designated person. d. A living will transfers authority to the physician. ANS: C A durable power of attorney for health care transfers the authority for decision making to a designated person. An advance directive specifies the type of care an individual desires when he cannot speak for himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate” document states that the patient wishes to die naturally with no intervention. A living will prohibits the use of life-prolonging measures. PTS: 1 DIF: 7 REF: p. 19 OBJ: 11 TOP: Advance Directives KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s refusal to eat. Which response would be the most appropriate? a. The refusal to eat is an effort to maintain a portion of independence and self￾direction. b. The refusal to eat is an indication of approaching Alzheimer disease. c. The refusal to eat is an effort to gain attention. d. The refusal to eat is an indication of the dislike of the institutional food. ANS: A Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever control they may retain. PTS: 1 DIF: 7 REF: p. 21 OBJ: 11 TOP: Loss of Independence KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 9. When do the conditions of a living will go into effect? a. When the patient declares that desire in writing b. When a family member indicates the desire for curative therapy to cease c. When two physicians agree in writing that the criteria in the living will have been met d. When the physician and a family member agree that the criteria in the living will have been met ANS: C Two physicians must agree in writing that the criteria of the living will have been met before the document can go into effect. PTS: 1 DIF: 4 REF: p. 19 OBJ: 11 TOP: Living Wills KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs. How did the DRGs reduce hospital costs? a. By classifying various diagnoses as ineligible for hospitalization b. By allotting a set amount of hospital days and prospective payment on the basis of the admitting diagnosis c. By specifying particular physicians to treat specified diagnoses d. By using frequency of a particular diagnosis to set a payment schedule ANS: B DRGs set up a system of preset hospitalization time and payment on the basis of the admitting diagnosis. PTS: 1 DIF: 4 REF: p. 16 OBJ: 6 TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Understanding 11. Which facility would be recommended for a patient with diabetes who has had a hip replacement and needs physical therapy? a. Basic care facility b. Skilled care facility c. Subacute care facility d. Assisted-living residence ANS: B Skilled care facilities offer not only basic care but also services from experienced licensed professionals such as nurses, physical therapists, speech therapists, and occupational therapists. PTS: 1 DIF: 7 REF: p. 15 OBJ: 9 TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Applying 12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care facility. She is concerned about the expense. The nurse can decrease anxiety by explaining that Medicare will cover extended-care facility costs for which period of time? a. A period of 30 days b. A period of 45 days for physical therapy c. A period of 100 days for needed skilled care d. Until she is able to be discharged home ANS: C Medicare will cover skilled care costs for 100 days. After 100 days, the resident must revert to private pay or ancillary long-term care insurance. PTS: 1 DIF: 4 REF: p. 16 OBJ: 8 TOP: Extended Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 13. Which senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults? a. American Association of Retired Persons (AARP) b. National Council of Senior Citizens (NCSC) c. National Alliance of Senior Citizens (NASC) d. Gray Panthers ANS: A The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults. PTS: 1 DIF: 2 REF: p. 12 OBJ: 7 TOP: Political Action Groups KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Remembering 14. Which caregiver could be found guilty of elder abuse? a. A daughter who uses her mother’s Social Security money to purchase her mother’s medication b. A son who puts an alarm on the front door to prevent his mother from wandering out of the house c. A wife who allows her mentally competent husband to refuse to take a bath for a week d. A son who uses his mother’s checking account funds to purchase alcohol for himself ANS: D It is financial abuse if the older person’s money is taken and spent by others for their own purposes. 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 Part A pays for inpatient hospital costs. d. Medicare Part D pays 80% of the charges made by physicians. ANS: C Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance through private insurance companies and typically pays entire costs. PTS: 1 DIF: 7 REF: p. 16 OBJ: 6 TOP: Medicare Provisions KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are required to allow her to make health care decisions for her parent. Which response would provide the most accurate information to the daughter? a. Advance directives indicate the degree of intervention desired by the patient. b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the next of kin. c. A durable power of attorney for health care transfers decision-making authority for health care to a designated person. d. A living will transfers authority to the physician. ANS: C A durable power of attorney for health care transfers the authority for decision making to a designated person. An advance directive specifies the type of care an individual desires when he cannot speak for himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate” document states that the patient wishes to die naturally with no intervention. A living will prohibits the use of life-prolonging measures. PTS: 1 DIF: 7 REF: p. 19 OBJ: 11 TOP: Advance Directives KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s refusal to eat. Which response would be the most appropriate? a. The refusal to eat is an effort to maintain a portion of independence and self￾direction. b. The refusal to eat is an indication of approaching Alzheimer disease. c. The refusal to eat is an effort to gain attention. d. The refusal to eat is an indication of the dislike of the institutional food. ANS: A Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever control they may retain. PTS: 1 DIF: 7 REF: p. 21 OBJ: 11 TOP: Loss of Independence KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying 9. When do the conditions of a living will go into effect? a. When the patient declares that desire in writing b. When a family member indicates the desire for curative therapy to cease c. When two physicians agree in writing that the criteria in the living will have been met d. When the physician and a family member agree that the criteria in the living will have been met ANS: C Two physicians must agree in writing that the criteria of the living will have been met before the document can go into effect. PTS: 1 DIF: 4 REF: p. 19 OBJ: 11 TOP: Living Wills KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs. How did the DRGs reduce hospital costs? a. By classifying various diagnoses as ineligible for hospitalization b. By allotting a set amount of hospital days and prospective payment on the basis of the admitting diagnosis c. By specifying particular physicians to treat specified diagnoses d. By using frequency of a particular diagnosis to set a payment schedule ANS: B DRGs set up a system of preset hospitalization time and payment on the basis of the admitting diagnosis. PTS: 1 DIF: 4 REF: p. 16 OBJ: 6 TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Understanding 11. Which facility would be recommended for a patient with diabetes who has had a hip replacement and needs physical therapy? a. Basic care facility b. Skilled care facility c. Subacute care facility d. Assisted-living residence ANS: B Skilled care facilities offer not only basic care but also services from experienced licensed professionals such as nurses, physical therapists, speech therapists, and occupational therapists. PTS: 1 DIF: 7 REF: p. 15 OBJ: 9 TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Applying 12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care facility. She is concerned about the expense. The nurse can decrease anxiety by explaining that Medicare will cover extended-care facility costs for which period of time? a. A period of 30 days b. A period of 45 days for physical therapy c. A period of 100 days for needed skilled care d. Until she is able to be discharged home ANS: C Medicare will cover skilled care costs for 100 days. After 100 days, the resident must revert to private pay or ancillary long-term care insurance. PTS: 1 DIF: 4 REF: p. 16 OBJ: 8 TOP: Extended Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care NOT: Understanding 13. Which senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults? a. American Association of Retired Persons (AARP) b. National Council of Senior Citizens (NCSC) c. National Alliance of Senior Citizens (NASC) d. Gray Panthers ANS: A The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults. PTS: 1 DIF: 2 REF: p. 12 OBJ: 7 TOP: Political Action Groups KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NOT: Remembering 14. Which caregiver could be found guilty of elder abuse? a. A daughter who uses her mother’s Social Security money to purchase her mother’s medication b. A son who puts an alarm on the front door to prevent his mother from wandering out of the house c. A wife who allows her mentally competent husband to refuse to take a bath for a week d. A son who uses his mother’s checking account funds to purchase alcohol for himself ANS: D It is financial abuse if the older person’s money is taken and spent by others for their own purposes.