Test Bank Gerontological Nursing, 9th Edition Charlotte Eliopoulos
1. A nurse who works on a subacute medical unit of a hospital has noticed
that the population of older adults being admitted to the unit has been
increasing over the past few years. The nurse engages a colleague in a
discussion about this finding. Which statement by the colleague would be
most reflective of current thinking about older adults?
A) "Fortunately, Social Security ensures a sufficient level of income for
people over 65."
B) "It helps that older people don't have to incur any costs for their
medical care."
C) "Most of the older clients on the unit will have come to us from
nursing homes."
D) "It's reassuring older adults are receiving more concern than in
decades past."
2. A public health nurse who directs a homecare program that serves an area with a large
population of older adults is conducting a long-term strategic plan. Which phenomenon
would be most important for the nurse to integrate when planning for the future?
A) While life expectancy will continue to rise, the percentage of older adults in the
United States relative to the overall population will decrease.
B) By 2030, it is expected that the number of adults over age 85 will triple.
C) Both life expectancy and the percentage of people over 65 in the population will
increase in coming decades.
D) Chronic conditions are expected to gradually cause a decrease in the number of
older adults in 10 years.
3. A nurse who practices in a long-term care facility is providing care for a 101-year-old
black female. The nurse's coworker states, “It's gratifying that black people in this
country are finally reaching the same levels of health that white people are enjoying.”
Which response would be most appropriate?
A) "Actually, the difference in life expectancy between blacks and whites is growing,
not shrinking."
B) "We've not yet arrived at a place where the life expectancies are equal between
black and white people, but the gap is decreasing gradually."
C) "Black women do tend to live longer than white women, but the overall life
expectancies when men are included are not yet equal."
D) "Since the 1980s, the life expectancies of black and white Americans have
remained nearly the same."
Page 1
, Test Bank Gerontological Nursing, 9th Edition Charlotte Eliopoulos
4. A nurse is providing care to a group of older adults who attend activities at the local
senior center. When interacting with the group, the nurse notes that more of the women
than men live alone. Which phenomena would the nurse most likely attribute to this
situation?
A) Women tend to live longer than men and marry men older than themselves.
B) Men tend to have greater access to care facilities due to higher incomes and
savings.
C) Men are more likely to live with younger family members following the death of a
spouse.
D) Social pressures tend to stigmatize older men who live alone.
5. A nurse is conducting a class for a group of nurses who are employed at the local
community health center that serves a large older adult population. As part of the class,
the nurse discusses the impact of the older adult's financial status on their life. The nurse
determines that the teaching was successful based on which statement by the group?
A) "The percentage of older people living below the poverty level has been
increasing."
B) "The financial needs of most older adults are well met by Social Security income
alone."
C) "The recent decline in housing prices has made many older adults 'asset rich and
cash poor.'"
D) "Women 65 years of age and older are the fastest growing group of employment."
6. A nursing care aide employed on a medical unit of a hospital expresses frustration that
"old people get sick so much more often than young people." Which response by the
nurse would be most appropriate?
A) "Truthfully, the prevalence of obesity and accompanying chronic illnesses mean
that young people actually have more chronic conditions than older adults."
B) "It's actually a myth that older adults require more hospitalization than young
people."
C) "Actually, older adults experience fewer acute illnesses than younger people; it's
just that they tend to take longer to recover from them."
D) "With the increase in life expectancies in recent years, most older people actually
live free of chronic diseases until very late in life."
7. A nurse is conducting a presentation for a group of older adults at the local community
center about chronic illnesses. When describing the effect of chronic illness on this
population, which concept would be most important for the nurse to integrate into the
discussion?
A) Chronic illnesses constitute the leading cause of death for older adults.
B) More older adults die from acute illnesses than from chronic diseases.
C) While chronic diseases used to be the leading cause of death, this trend is no longer
true.
D) While cancer rates have fallen, other chronic diseases remain a common cause of
death.
Page 2
, Test Bank Gerontological Nursing, 9th Edition Charlotte Eliopoulos
8. The board of a large chain of hospitals has commissioned a strategic plan to meet the
care needs of baby boomers in coming years. When developing a plan for the future,
which characteristic would be most important to incorporate into the plan? Select all
that apply.
A) Baby boomers typically have fewer children to help with care later than those of
earlier generations.
B) Adjusting for inflation, baby boomers have lower incomes than their parents had.
C) Due to technology, baby boomers have more leisure time than other adults.
D) Baby boomers perform physical exercise more frequently than other adults.
E) The educational level of baby boomers is usually lower than preceding generations.
9. An 85-year-old man has been admitted to the hospital with exacerbation of his chronic
obstructive pulmonary disease (COPD). His family has expressed concern about their
ability to pay for his present and future care. The nurse offers support and guidance to
the family, offering suggestions based on which aspect associated with the payment for
care services by older adults?
A) The financial burden of care for most older adults is minimal due to ownership of
high-value assets.
B) Private insurers most often cover the payment for long-term care of older adults.
C) Most older adults have their basic care needs provided in a long-term facility.
D) Federal money pays for more care than do older adults or private insurers.
10. A nurse is providing care to an 89-year-old female resident of a nursing home. While
visiting, the resident’s daughter makes a statement about older adults. Which statement,
if made by the resident’s daughter, would require the nurse to respond?
A) "It seems like more and more people are living well into their 80s like my mom."
B) "My mom has a house worth loads of money but little cash flow, like many older
adults."
C) "It seems like heart disease is getting more common even though people live longer
than they used to."
D) "There are more women living to my mother's age than there are men."
11. A gerontological nurse is conducting an in-service program for a group of nurses
working at a local long-term care facility. The nurse is describing how older adults have
been viewed over time, comparing the relationship between age and value of the present
with those of the past. The nurse determines that the program was successful when the
group describes which view as reflecting that of ancient times?
A) Increased value was associated with advanced age.
B) As age increased, the level of respect declined.
C) Respect was highly variable, depending on the underlying culture and times.
D) Respect for older adults remained fairly consistent through the ages.
Page 3
, Test Bank Gerontological Nursing, 9th Edition Charlotte Eliopoulos
12. A gerontological nurse is working with a group of local officials to develop programs to
address the health of older adults in the community. As part of this process, the group is
reviewing information about the views of older adults throughout history and legislation
related to health care and financial security for the older adult. Which situation would
the group most likely identify as playing a major role in laws enacted during the 20th
century?
A) England's 17th-century Poor Laws
B) Child labor laws of the 19th century
C) The Biblical commandment, “Honor your father and your mother”
D) The tradition of respect for the elderly passed down from ancient Roman law
13. A female patient is newly admitted to a long-term care facility. The patient is not
satisfied with the conditions of the facility, takes a highly active role in her health care,
and because of her ability to access information, has as much knowledge as her health
care providers on some health issues. The nurse interprets these findings as indicating
that the patient is most likely:
A) A young-old female baby boomer who just turned 65 years of age
B) An older woman between 75 to 85 years of age
C) An old-old woman over age 85
D) An elite older woman older than 100 years
14. A gerontological nurse is participating in a local job fair. When discussing the
increasing importance of gerontological nursing when looking toward the future, one of
the attendees asks, “But why will its importance increase?” The nurse would incorporate
understanding about which trend when responding?
A) More people will be presenting with the same health care challenges
B) More older adults are living in increasingly squalid living conditions
C) More people are surviving the previously hazardous period of infancy
D) More people are spending a longer time span in old age
15. A gerontological nurse is working with a group of nurses in the community that serves a
large older adult population. When developing appropriate plans of care, which factor
would be most important for the group to address?
A) The high prevalence of mental impairment among this population
B) The diversity of the older adult population
C) The fact that most older people live below the poverty line
D) The lack of family support that is the norm among the older adults
Page 4
1. A nurse who works on a subacute medical unit of a hospital has noticed
that the population of older adults being admitted to the unit has been
increasing over the past few years. The nurse engages a colleague in a
discussion about this finding. Which statement by the colleague would be
most reflective of current thinking about older adults?
A) "Fortunately, Social Security ensures a sufficient level of income for
people over 65."
B) "It helps that older people don't have to incur any costs for their
medical care."
C) "Most of the older clients on the unit will have come to us from
nursing homes."
D) "It's reassuring older adults are receiving more concern than in
decades past."
2. A public health nurse who directs a homecare program that serves an area with a large
population of older adults is conducting a long-term strategic plan. Which phenomenon
would be most important for the nurse to integrate when planning for the future?
A) While life expectancy will continue to rise, the percentage of older adults in the
United States relative to the overall population will decrease.
B) By 2030, it is expected that the number of adults over age 85 will triple.
C) Both life expectancy and the percentage of people over 65 in the population will
increase in coming decades.
D) Chronic conditions are expected to gradually cause a decrease in the number of
older adults in 10 years.
3. A nurse who practices in a long-term care facility is providing care for a 101-year-old
black female. The nurse's coworker states, “It's gratifying that black people in this
country are finally reaching the same levels of health that white people are enjoying.”
Which response would be most appropriate?
A) "Actually, the difference in life expectancy between blacks and whites is growing,
not shrinking."
B) "We've not yet arrived at a place where the life expectancies are equal between
black and white people, but the gap is decreasing gradually."
C) "Black women do tend to live longer than white women, but the overall life
expectancies when men are included are not yet equal."
D) "Since the 1980s, the life expectancies of black and white Americans have
remained nearly the same."
Page 1
, Test Bank Gerontological Nursing, 9th Edition Charlotte Eliopoulos
4. A nurse is providing care to a group of older adults who attend activities at the local
senior center. When interacting with the group, the nurse notes that more of the women
than men live alone. Which phenomena would the nurse most likely attribute to this
situation?
A) Women tend to live longer than men and marry men older than themselves.
B) Men tend to have greater access to care facilities due to higher incomes and
savings.
C) Men are more likely to live with younger family members following the death of a
spouse.
D) Social pressures tend to stigmatize older men who live alone.
5. A nurse is conducting a class for a group of nurses who are employed at the local
community health center that serves a large older adult population. As part of the class,
the nurse discusses the impact of the older adult's financial status on their life. The nurse
determines that the teaching was successful based on which statement by the group?
A) "The percentage of older people living below the poverty level has been
increasing."
B) "The financial needs of most older adults are well met by Social Security income
alone."
C) "The recent decline in housing prices has made many older adults 'asset rich and
cash poor.'"
D) "Women 65 years of age and older are the fastest growing group of employment."
6. A nursing care aide employed on a medical unit of a hospital expresses frustration that
"old people get sick so much more often than young people." Which response by the
nurse would be most appropriate?
A) "Truthfully, the prevalence of obesity and accompanying chronic illnesses mean
that young people actually have more chronic conditions than older adults."
B) "It's actually a myth that older adults require more hospitalization than young
people."
C) "Actually, older adults experience fewer acute illnesses than younger people; it's
just that they tend to take longer to recover from them."
D) "With the increase in life expectancies in recent years, most older people actually
live free of chronic diseases until very late in life."
7. A nurse is conducting a presentation for a group of older adults at the local community
center about chronic illnesses. When describing the effect of chronic illness on this
population, which concept would be most important for the nurse to integrate into the
discussion?
A) Chronic illnesses constitute the leading cause of death for older adults.
B) More older adults die from acute illnesses than from chronic diseases.
C) While chronic diseases used to be the leading cause of death, this trend is no longer
true.
D) While cancer rates have fallen, other chronic diseases remain a common cause of
death.
Page 2
, Test Bank Gerontological Nursing, 9th Edition Charlotte Eliopoulos
8. The board of a large chain of hospitals has commissioned a strategic plan to meet the
care needs of baby boomers in coming years. When developing a plan for the future,
which characteristic would be most important to incorporate into the plan? Select all
that apply.
A) Baby boomers typically have fewer children to help with care later than those of
earlier generations.
B) Adjusting for inflation, baby boomers have lower incomes than their parents had.
C) Due to technology, baby boomers have more leisure time than other adults.
D) Baby boomers perform physical exercise more frequently than other adults.
E) The educational level of baby boomers is usually lower than preceding generations.
9. An 85-year-old man has been admitted to the hospital with exacerbation of his chronic
obstructive pulmonary disease (COPD). His family has expressed concern about their
ability to pay for his present and future care. The nurse offers support and guidance to
the family, offering suggestions based on which aspect associated with the payment for
care services by older adults?
A) The financial burden of care for most older adults is minimal due to ownership of
high-value assets.
B) Private insurers most often cover the payment for long-term care of older adults.
C) Most older adults have their basic care needs provided in a long-term facility.
D) Federal money pays for more care than do older adults or private insurers.
10. A nurse is providing care to an 89-year-old female resident of a nursing home. While
visiting, the resident’s daughter makes a statement about older adults. Which statement,
if made by the resident’s daughter, would require the nurse to respond?
A) "It seems like more and more people are living well into their 80s like my mom."
B) "My mom has a house worth loads of money but little cash flow, like many older
adults."
C) "It seems like heart disease is getting more common even though people live longer
than they used to."
D) "There are more women living to my mother's age than there are men."
11. A gerontological nurse is conducting an in-service program for a group of nurses
working at a local long-term care facility. The nurse is describing how older adults have
been viewed over time, comparing the relationship between age and value of the present
with those of the past. The nurse determines that the program was successful when the
group describes which view as reflecting that of ancient times?
A) Increased value was associated with advanced age.
B) As age increased, the level of respect declined.
C) Respect was highly variable, depending on the underlying culture and times.
D) Respect for older adults remained fairly consistent through the ages.
Page 3
, Test Bank Gerontological Nursing, 9th Edition Charlotte Eliopoulos
12. A gerontological nurse is working with a group of local officials to develop programs to
address the health of older adults in the community. As part of this process, the group is
reviewing information about the views of older adults throughout history and legislation
related to health care and financial security for the older adult. Which situation would
the group most likely identify as playing a major role in laws enacted during the 20th
century?
A) England's 17th-century Poor Laws
B) Child labor laws of the 19th century
C) The Biblical commandment, “Honor your father and your mother”
D) The tradition of respect for the elderly passed down from ancient Roman law
13. A female patient is newly admitted to a long-term care facility. The patient is not
satisfied with the conditions of the facility, takes a highly active role in her health care,
and because of her ability to access information, has as much knowledge as her health
care providers on some health issues. The nurse interprets these findings as indicating
that the patient is most likely:
A) A young-old female baby boomer who just turned 65 years of age
B) An older woman between 75 to 85 years of age
C) An old-old woman over age 85
D) An elite older woman older than 100 years
14. A gerontological nurse is participating in a local job fair. When discussing the
increasing importance of gerontological nursing when looking toward the future, one of
the attendees asks, “But why will its importance increase?” The nurse would incorporate
understanding about which trend when responding?
A) More people will be presenting with the same health care challenges
B) More older adults are living in increasingly squalid living conditions
C) More people are surviving the previously hazardous period of infancy
D) More people are spending a longer time span in old age
15. A gerontological nurse is working with a group of nurses in the community that serves a
large older adult population. When developing appropriate plans of care, which factor
would be most important for the group to address?
A) The high prevalence of mental impairment among this population
B) The diversity of the older adult population
C) The fact that most older people live below the poverty line
D) The lack of family support that is the norm among the older adults
Page 4
