Chapter 1 The Aging Population L L L L L
Test BankL
MULTIPLE CHOICE L
1. The nurse explains that in the late 1960s, health care focus was aimed at the older adult
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because:
a. disability was viewed as unavoidable. L L L L
b. complications from disease increased mortality. L L L L
c. older adults needs are similar to those of all adults.
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d. preventive health care practices increased longevity. L L L L L
ANS: D L
Increased preventive health care practices, disease control, and focus on wellness helped people
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live longer.
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DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2
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TOP: Aging Trends KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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2. The nurse clarifies that in the terminology defining specific age groups, the term aged refers to
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persons who are: L L
a. 55 to 64 years of age.
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b. 65 to 74 years of age.
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c. 75 to 84 years of age.
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d. 85 and older.
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ANS: C L
,The term aged refers to persons who are 75 to 84 years of age.
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DIF: Cognitive Level: Comprehension REF: 2, Table 1-1 OBJ: 1
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TOP: Age Categories KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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3. The nurse cautions that ageism is a mindset that influences persons to:
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a. discriminate against persons solely on the basis of age. L L L L L L L L
b. fear aging. L
c. be culturally sensitive to concerns of aging.
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d. focus on resources for the older adult.
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ANS: A L
Ageism is a negative belief pattern that influences persons to discriminate against persons solely
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on the basis of age and can lead to destructive behaviors toward the older adult.
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DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3
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TOP: Ageism KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
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4. The nurse points out that the most beneficial legislation that has influenced health care for the
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older adult is: L L
a. Medicare and Medicaid. L L
b. elimination of the mandatory retirement age. L L L L L
c. the Americans with Disabilities Act.
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d. the Drug Benefit Program.
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ANS: A L
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid.
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,DIF: Cognitive Level: Application REF: 16 OBJ: 6
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TOP: Legislation KEY: Nursing Process Step: Implementation
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MSC: NCLEX: N/A
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5. The nurse clarifies that a housing option for the older adult that offers the privacy of an
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apartment with restaurant-style meals and some medical and personal care services is the:
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a. government-subsidized housing. L
b. long-term care facility. L L
c. assisted-living center. L
d. group housing plan. L L
ANS: C L
Assisted-living arrangements offer the privacy of an apartment or condominium with meals
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prepared and served, limited medical care, and a variety of personal services.
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DIF: Cognitive Level: Application REF: 14 OBJ: 9
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TOP: Housing Options KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
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concerned about his mounting hospital bill and asks if his Medicare coverage will pay for his
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care. The nurses most helpful response is Yes. Medicare:
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a. pays 100% of all medical costs for persons older than 65.
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b. Part B pays hospital costs and physician fees.
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c. Part A pays for inpatient hospital costs.
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d. Part D pays 80% of the charges made by physicians.
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ANS: C L
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physicians charges, and Part D helps
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defray prescription drug costs.
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, DIF: Cognitive Level: Application REF: 16 OBJ: 6
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TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
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7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents
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are required to allow her to make health care decisions for her parent. The nurses most
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informative response is: L L
a. Advance directives indicate the degree of intervention desired by the patient.
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b. A Do Not Resuscitate document signed by the patient transfers authority to the next
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of kin. L
c. A durable power of attorney for health care transfers decision-making authority for
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health care to a designated person.
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d. A living will transfers authority to the physician.
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ANS: C L
A durable power of attorney for health care transfers the authority for decision making to a
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designated person. L
DIF: Cognitive Level: Application REF: 19 OBJ: 11
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TOP: Advance Directives KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
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8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
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mothers refusal to eat. The nurse explains that the refusal to eat is a behavior that is an:
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a. effort to maintain a portion of independence and self direction.
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b. indication of approaching Alzheimer disease. L L L L
c. effort to gain attention.
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d. indication of the dislike of the institutional food. L L L L L L L
ANS: A L