TESTBANK |
BASIC |GERIATRIC |NURSING
PATRICIA|A. |WILLIAMS
8th Edition
|
TESTBANK |
,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?
BASIC |GERIATRIC |NURSING
PATRICIA|A. |WILLIAMS
8th Edition
|
TESTBANK |
,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?
