Basic Geriatric Nursing 8th Edition Williams Test Bank

Basic Geriatric Nursing 8th Edition Williams Test BankChapter 01: Trends and Issues Williams: Basic Geriatric Nursing, 8th Edition MULTIPLE CHOICE 1. What 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 similarto those of all adults. d. Preventive health care practicesincreased longevity. ANSWER: D 2. To what 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 ANSWER: C 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 resourcesNforRthe IoldeGr adBul. t.CM ANSWER: A 4. What isthe 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 ANSWER: A 5. What 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 ANSWER: C lOM oARc PSD| Basic Geriatric Nursing 8th Edition Williams Test Bank Downloaded by Paul Mwangi () 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. What would be the most helpful response by the nurse? a. Medicare Part C pays 50% of all medical costs for persons older than 65. lOM oARc PSD| Basic Geriatric Nursing 8th Edition Williams Test Bank Downloaded by Paul Mwangi () lOM oARc PSD| Basic Geriatric Nursing 8th Edition Williams Test Bank Downloaded by Paul Mwangi () 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. ANSWER: C 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. ANSWER: C 8. The daughter of a resident in a long−term care facility isfrustrated 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. ANSWER: A 9. When do the conditions of a living will go into effect? a. When the patient declares that desire in writing b. When a familymember 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 ANSWER: C 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 ANSWER: B 11. Which facility would be recommended for a patient who has had a hip replacement and needs physical therapy? a. Basic care facility lOM oARc PSD| Basic Geriatric Nursing 8th Edition Williams Test Bank Downloaded by Paul Mwangi () b. Skilled care facility c. Subacute care facility d. Assisted−living residence ANSWER: B 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 costsfor what 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 ANSWER: C 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 ANSWER: A 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 ANSWER: D 15. What isthe most frequent response to elder abuse by the abused older adult? a. Anger b. Physicalretaliation c. Notification of authorities d. Nothing at all ANSWER: D 16. What reason is often stated by nurses today for not seeking careers in gerontology? a. The physical work is too difficult. b. Theirtechnical skills are not used. c. There is too much challenge. d. There are limited options for employment. ANSWER: B lOM oARc PSD| Basic Geriatric Nursing 8th Edition Williams Test Bank Downloaded by Paul Mwangi () . lOM oARc PSD| Basic Geriatric Nursing 8th Edition Williams Test Bank Downloaded by Paul Mwangi () 17. “Baby boomers” is a term used to classify which of the following persons? a. Those who entered school in 1945 b. Those who served in the military in World War II c. Those who were born between 1946 and 1964 d. Those who were eligible for Social Security benefits in 2000 ANSWER: C 18. What type of abuse is demonstrated by restraining an older adult in a recliner? a. Physical abuse b. Neglect c. Emotional abuse d. Self−neglect ANSWER: A 19. Which type of elder abuse is demonstrated by the nonprovision of medical care? a. Physical abuse b. Neglect c. Emotional abuse d. Self−neglect ANSWER: B 20. Which type of elder abuse is demonstrated by a health care worker telling a nursing home resident she will be left without a call light if she continues to use it excessively. a. Physical abuse b. Neglect c. Emotional abuse d. Self−neglect ANSWER: C