TEST BANK m
BASIC GERIATRIC NURSING
m m
7th Edition
m
By Patricia A. Williams
m m m
TEST BANK m
,TEST mBANK: Basic Geriatric Nursing, 7th Edition by Patricia
m m m m m
Test Bank: Basic Geriatric Nursing, 7th Edition by Patricia A. Willia
m m m m m m m m m m
m m
ms A. Williams
m
Contents
UnitmOne:mOverviewmofmAging
Chapterm1.mTrendsmandmIssues
Chapterm2.mTheoriesmofmAging
Chapterm3.PhysiologicmChanges
UnitmTwo:mBasicmSkillsmformGerontologicmNursing
Chapterm4.mHealthmPromotion,mHealthmMaintenance,mandmHomemHealthmConsiderations
Chapterm5.mCommunicatingmwithmOldermAdults
Chapterm6.mMaintainingmFluidmBalancemandmMeetingmNutritionmNeeds
Chapterm7.mMedicationsmandmOldermAdults
Chapterm8.mHealthmAssessmentmformOldermAdults
Chapterm9.mMeetingmSafetymNeedsmofmOldermAdults
UnitmThree:mPsychosocialmCaremofmthemElderly
Chapterm10.mCognitionmandmPerception
Chapterm11.Self-PerceptionmandmSelf-Concept
Chapterm12.mRolesmandmRelationships
Chapterm13.mCopingmandmStress
Chapterm14.mValuesmandmBeliefs
Chapterm15.mEnd-of-LifemCare
Chapterm16.mSexualitymandmAging
UnitmFour:mPhysicalmCaremofmthemElderly
Chapterm17.mCaremofmAgingmSkinmandmMucousmMembranes
Chapterm18.mElimination
Chapterm19.mActivitymandmExercise
Chapterm20.mSleepmandmRest
, BasicmGeriatricmNursingm7thmEditionmWilliamsmTestmBan
k
Chapter 01: Trends and Issues
m m m m
Williams: Basic Geriatric Nursing, 7th Edition
m m m m m
MULTIPLEmCHOICE
1. Whatmfactmexplainsmthemshiftmofmhealthmcaremfocusmtowardmthemoldermadultminmthemlatem1960s?
a. Disabilitymwasmviewedmasmunavoidable.
b. Complicationsmfrommdiseasemincreasedmmortality.
c. Oldermadults’mneedsmaremsimilarmtomthosemofmallmadults.
d. Preventivemhealthmcarempracticesmincreasedmlongevit
y.mANS:m D
2. Tomwhatmagemgroupmdoesmthemtermm“aged”mapply?
a. 55–64myearsmofmage
b. 65–74myearsmofmage
c. 75–84myearsmofmage
d. 85mandmolde
rmANS:m C
3. Whichmismtruemofmageism?
a. Itmismdiscriminationmagainstmpersonsmsolelymonmthembasismofmage.
b. Itmcausesmampersonmtomfearmaging.
c. Itminvolvesmthemusemofmculturalmsensitivitymtomaddressmconcernsmofmaging.
d. Itmfocusesmonmresourcesmformthemoldermadu
ltmANS:m A
4. Whatmismthemmostmbeneficialmlegislationmthatmhasminfluencedmhealthmcaremformthemoldermadult?
a. MedicaremandmMedicaid
b. Eliminationmofmthemmandatorymretirementmage
c. ThemAmericansmwithmDisabilitiesmAct
d. ThemDrugmBenefitmProgra
mmANS:m A
5. Whatmhousingmoptionmformthemoldermadultmoffersmthemprivacymofmanmapartmentmw
ithmrestaurant-stylemmealsmandmsomemmedicalmandmpersonalmcaremservices?
a. Government-subsidizedmhousing
b. Long-termmcaremfacility
c. Assisted-livingmcenter
d. Groupmhousingmpla
nmANS:m C
6. Them75-year-
oldmmanmwhomhasmbeenmhospitalizedmfollowingmamseveremcasemofmpneumoniamismconcerned
maboutmhismmountingmhospitalmbillmandmasksmifmhismMedicaremcoveragemwillmpaymform
hismcar
e.mWhatmwouldmbemthemmostmhelpfulmresponsembymthemnurse?
a. MedicaremPartmCmpaysm50%mofmallmmedicalmcostsmformpersonsmoldermthanm65.
, BasicmGeriatricmNursingm7thmEditionmWilliamsmTestmBan
k
b. MedicaremPartmBmpaysmhospitalmcostsmandmphysicianmfees.
c. MedicaremPartmAmpaysmforminpatientmhospitalmcosts.
d. MedicaremPartmDmpaysm80%mofmthemchargesmmadembymphysicia
ns.mANS:m C
7. Themdaughtermofmampatientmwhomhasmbeenmdiagnosedmwithmterminalmcancermasksmwhichmd
ocumentsmaremrequiredmtomallowmhermtommakemhealthmcaremdecisionsmformhermparent.mWhic
hmresponsemwouldmprovidemthemmostmaccurateminformationmtomthemdaughter?
a. Advancemdirectivesmindicatemthemdegreemofminterventionmdesiredmbymthempatient.
b. Am‘DomNotmResuscitate’mdocumentmsignedmbymthempatientmtransfersmauthoritymtomt
hemnextmofmkin.
c. Amdurablempowermofmattorneymformhealthmcaremtransfersmdecision-
makingmauthoritymformhealthmcaremtomamdesignatedmperson.
d. Amlivingmwillmtransfersmauthoritymtomthemphysicia
n.mANS:m C
8. Themdaughtermofmamresidentminmamlong-termmcaremfacilitymismfrustratedmwithmherm80-year-
oldmmother’smrefusalmtomeat.mWhichmresponsemwouldmbemthemmostmappropriate?
a. Themrefusalmtomeatmismanmeffortmtommaintainmamportionmofmindependencema
ndmself-direction.
b. ThemrefusalmtomeatmismanmindicationmofmapproachingmAlzheimermdisease.
c. Themrefusalmtomeatmismanmeffortmtomgainmattention.
d. Themrefusalmtomeatmismanmindicationmofmthemdislikemofmtheminstitutionalmfood.
ANS:m A
9. Whenmdomthemconditionsmofmamlivingmwillmgomintomeffect?
a. Whenmthempatientmdeclaresmthatmdesireminmwriting
b. Whenmamfamilymmembermindicatesmthemdesiremformcurativemtherapymtomcease
c. Whenmtwomphysiciansmagreeminmwritingmthatmthemcriteriaminmthemlivingmwillmhavemb
eenmmet
d. Whenmthemphysicianmandmamfamilymmembermagreemthatmthemcriteriaminmthemlivingm
willmhavembeenmmet
ANS:m C
10. Inmthem1980s,mMedicareminitiatedmamprogrammofmdiagnosis-
relatedmgroupsm(DRGs)mtomreducemhospitalmcosts.mHowmdidmthemDRGsmreducemhospitalmcos
ts?
a. Bymclassifyingmvariousmdiagnosesmasmineligiblemformhospitalization
b. Bymallottingmamsetmamountmofmhospitalmdaysmandmprospectivempaymentmonmthembasis
mofm
themadmittingmdiagnosis
c. Bymspecifyingmparticularmphysiciansmtomtreatmspecifiedmdiagnoses
d. Bymusingmfrequencymofmamparticularmdiagnosismtomsetmampaymentmsched
ulemANS:m B
11. Whichmfacilitymwouldmbemrecommendedmformampatientmwhomhasmhadmamhipmreplacementma
ndmneedsmphysicalmtherapy?
a. Basicmcaremfacility
BASIC GERIATRIC NURSING
m m
7th Edition
m
By Patricia A. Williams
m m m
TEST BANK m
,TEST mBANK: Basic Geriatric Nursing, 7th Edition by Patricia
m m m m m
Test Bank: Basic Geriatric Nursing, 7th Edition by Patricia A. Willia
m m m m m m m m m m
m m
ms A. Williams
m
Contents
UnitmOne:mOverviewmofmAging
Chapterm1.mTrendsmandmIssues
Chapterm2.mTheoriesmofmAging
Chapterm3.PhysiologicmChanges
UnitmTwo:mBasicmSkillsmformGerontologicmNursing
Chapterm4.mHealthmPromotion,mHealthmMaintenance,mandmHomemHealthmConsiderations
Chapterm5.mCommunicatingmwithmOldermAdults
Chapterm6.mMaintainingmFluidmBalancemandmMeetingmNutritionmNeeds
Chapterm7.mMedicationsmandmOldermAdults
Chapterm8.mHealthmAssessmentmformOldermAdults
Chapterm9.mMeetingmSafetymNeedsmofmOldermAdults
UnitmThree:mPsychosocialmCaremofmthemElderly
Chapterm10.mCognitionmandmPerception
Chapterm11.Self-PerceptionmandmSelf-Concept
Chapterm12.mRolesmandmRelationships
Chapterm13.mCopingmandmStress
Chapterm14.mValuesmandmBeliefs
Chapterm15.mEnd-of-LifemCare
Chapterm16.mSexualitymandmAging
UnitmFour:mPhysicalmCaremofmthemElderly
Chapterm17.mCaremofmAgingmSkinmandmMucousmMembranes
Chapterm18.mElimination
Chapterm19.mActivitymandmExercise
Chapterm20.mSleepmandmRest
, BasicmGeriatricmNursingm7thmEditionmWilliamsmTestmBan
k
Chapter 01: Trends and Issues
m m m m
Williams: Basic Geriatric Nursing, 7th Edition
m m m m m
MULTIPLEmCHOICE
1. Whatmfactmexplainsmthemshiftmofmhealthmcaremfocusmtowardmthemoldermadultminmthemlatem1960s?
a. Disabilitymwasmviewedmasmunavoidable.
b. Complicationsmfrommdiseasemincreasedmmortality.
c. Oldermadults’mneedsmaremsimilarmtomthosemofmallmadults.
d. Preventivemhealthmcarempracticesmincreasedmlongevit
y.mANS:m D
2. Tomwhatmagemgroupmdoesmthemtermm“aged”mapply?
a. 55–64myearsmofmage
b. 65–74myearsmofmage
c. 75–84myearsmofmage
d. 85mandmolde
rmANS:m C
3. Whichmismtruemofmageism?
a. Itmismdiscriminationmagainstmpersonsmsolelymonmthembasismofmage.
b. Itmcausesmampersonmtomfearmaging.
c. Itminvolvesmthemusemofmculturalmsensitivitymtomaddressmconcernsmofmaging.
d. Itmfocusesmonmresourcesmformthemoldermadu
ltmANS:m A
4. Whatmismthemmostmbeneficialmlegislationmthatmhasminfluencedmhealthmcaremformthemoldermadult?
a. MedicaremandmMedicaid
b. Eliminationmofmthemmandatorymretirementmage
c. ThemAmericansmwithmDisabilitiesmAct
d. ThemDrugmBenefitmProgra
mmANS:m A
5. Whatmhousingmoptionmformthemoldermadultmoffersmthemprivacymofmanmapartmentmw
ithmrestaurant-stylemmealsmandmsomemmedicalmandmpersonalmcaremservices?
a. Government-subsidizedmhousing
b. Long-termmcaremfacility
c. Assisted-livingmcenter
d. Groupmhousingmpla
nmANS:m C
6. Them75-year-
oldmmanmwhomhasmbeenmhospitalizedmfollowingmamseveremcasemofmpneumoniamismconcerned
maboutmhismmountingmhospitalmbillmandmasksmifmhismMedicaremcoveragemwillmpaymform
hismcar
e.mWhatmwouldmbemthemmostmhelpfulmresponsembymthemnurse?
a. MedicaremPartmCmpaysm50%mofmallmmedicalmcostsmformpersonsmoldermthanm65.
, BasicmGeriatricmNursingm7thmEditionmWilliamsmTestmBan
k
b. MedicaremPartmBmpaysmhospitalmcostsmandmphysicianmfees.
c. MedicaremPartmAmpaysmforminpatientmhospitalmcosts.
d. MedicaremPartmDmpaysm80%mofmthemchargesmmadembymphysicia
ns.mANS:m C
7. Themdaughtermofmampatientmwhomhasmbeenmdiagnosedmwithmterminalmcancermasksmwhichmd
ocumentsmaremrequiredmtomallowmhermtommakemhealthmcaremdecisionsmformhermparent.mWhic
hmresponsemwouldmprovidemthemmostmaccurateminformationmtomthemdaughter?
a. Advancemdirectivesmindicatemthemdegreemofminterventionmdesiredmbymthempatient.
b. Am‘DomNotmResuscitate’mdocumentmsignedmbymthempatientmtransfersmauthoritymtomt
hemnextmofmkin.
c. Amdurablempowermofmattorneymformhealthmcaremtransfersmdecision-
makingmauthoritymformhealthmcaremtomamdesignatedmperson.
d. Amlivingmwillmtransfersmauthoritymtomthemphysicia
n.mANS:m C
8. Themdaughtermofmamresidentminmamlong-termmcaremfacilitymismfrustratedmwithmherm80-year-
oldmmother’smrefusalmtomeat.mWhichmresponsemwouldmbemthemmostmappropriate?
a. Themrefusalmtomeatmismanmeffortmtommaintainmamportionmofmindependencema
ndmself-direction.
b. ThemrefusalmtomeatmismanmindicationmofmapproachingmAlzheimermdisease.
c. Themrefusalmtomeatmismanmeffortmtomgainmattention.
d. Themrefusalmtomeatmismanmindicationmofmthemdislikemofmtheminstitutionalmfood.
ANS:m A
9. Whenmdomthemconditionsmofmamlivingmwillmgomintomeffect?
a. Whenmthempatientmdeclaresmthatmdesireminmwriting
b. Whenmamfamilymmembermindicatesmthemdesiremformcurativemtherapymtomcease
c. Whenmtwomphysiciansmagreeminmwritingmthatmthemcriteriaminmthemlivingmwillmhavemb
eenmmet
d. Whenmthemphysicianmandmamfamilymmembermagreemthatmthemcriteriaminmthemlivingm
willmhavembeenmmet
ANS:m C
10. Inmthem1980s,mMedicareminitiatedmamprogrammofmdiagnosis-
relatedmgroupsm(DRGs)mtomreducemhospitalmcosts.mHowmdidmthemDRGsmreducemhospitalmcos
ts?
a. Bymclassifyingmvariousmdiagnosesmasmineligiblemformhospitalization
b. Bymallottingmamsetmamountmofmhospitalmdaysmandmprospectivempaymentmonmthembasis
mofm
themadmittingmdiagnosis
c. Bymspecifyingmparticularmphysiciansmtomtreatmspecifiedmdiagnoses
d. Bymusingmfrequencymofmamparticularmdiagnosismtomsetmampaymentmsched
ulemANS:m B
11. Whichmfacilitymwouldmbemrecommendedmformampatientmwhomhasmhadmamhipmreplacementma
ndmneedsmphysicalmtherapy?
a. Basicmcaremfacility