TEST BANK
Basic Geriatric Nursing
8th Edition by Williams
,Table of Contents
Test Bank – Basic Geriatric Nursing, 8th Edition by Williams
Chapters 1–20
1. Chapter 1 – Introduction to Gerontological Nursing
2. Chapter 2 – The Aging Process
3. Chapter 3 – Theories of Aging
4. Chapter 4 – Health Promotion and Disease Prevention in Older Adults
5. Chapter 5 – Nutrition and Hydration
6. Chapter 6 – Medication Use and Safety in Older Adults
7. Chapter 7 – Psychological and Mental Health Needs
8. Chapter 8 – Cognitive Changes and Dementia
9. Chapter 9 – Delirium and Other Acute Cognitive Disorders
10. Chapter 10 – Communication with Older Adults
11. Chapter 11 – Social, Cultural, and Spiritual Considerations
12. Chapter 12 – Functional Assessment and Activities of Daily Living
13. Chapter 13 – Mobility, Exercise, and Musculoskeletal Health
14. Chapter 14 – Falls and Injury Prevention
15. Chapter 15 – Cardiovascular Disorders
16. Chapter 16 – Respiratory Disorders
17. Chapter 17 – Neurological Disorders
18. Chapter 18 – Endocrine and Metabolic Disorders
19. Chapter 19 – Gastrointestinal Disorders
20. Chapter 20 – Genitourinary and Reproductive Health
,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
AM
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
AZ
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
IN
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Remembering
G
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.
TI
c. It involves the use of cultural sensitivity to address concerns of aging.
d. It focuses on resources for the older adult.
ANS: A
PS
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
, 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
AM
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
AZ
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
IN
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
G
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.
TI
c. Medicare Part A pays for inpatient hospital costs.
d. Medicare Part D pays 80% of the charges made by physicians.
ANS: C
PS
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
Basic Geriatric Nursing
8th Edition by Williams
,Table of Contents
Test Bank – Basic Geriatric Nursing, 8th Edition by Williams
Chapters 1–20
1. Chapter 1 – Introduction to Gerontological Nursing
2. Chapter 2 – The Aging Process
3. Chapter 3 – Theories of Aging
4. Chapter 4 – Health Promotion and Disease Prevention in Older Adults
5. Chapter 5 – Nutrition and Hydration
6. Chapter 6 – Medication Use and Safety in Older Adults
7. Chapter 7 – Psychological and Mental Health Needs
8. Chapter 8 – Cognitive Changes and Dementia
9. Chapter 9 – Delirium and Other Acute Cognitive Disorders
10. Chapter 10 – Communication with Older Adults
11. Chapter 11 – Social, Cultural, and Spiritual Considerations
12. Chapter 12 – Functional Assessment and Activities of Daily Living
13. Chapter 13 – Mobility, Exercise, and Musculoskeletal Health
14. Chapter 14 – Falls and Injury Prevention
15. Chapter 15 – Cardiovascular Disorders
16. Chapter 16 – Respiratory Disorders
17. Chapter 17 – Neurological Disorders
18. Chapter 18 – Endocrine and Metabolic Disorders
19. Chapter 19 – Gastrointestinal Disorders
20. Chapter 20 – Genitourinary and Reproductive Health
,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
AM
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
AZ
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
IN
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Remembering
G
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.
TI
c. It involves the use of cultural sensitivity to address concerns of aging.
d. It focuses on resources for the older adult.
ANS: A
PS
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
, 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
AM
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
AZ
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
IN
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
G
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.
TI
c. Medicare Part A pays for inpatient hospital costs.
d. Medicare Part D pays 80% of the charges made by physicians.
ANS: C
PS
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
