,
,
,
,Loss of independence and control is a significant issue for the older adult. Some residents will
exercise whatever control they may retain.
DIF: Cognitive Level: Application REF: 21 OBJ: 11
TOP: Loss of Independence KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
9. The nurse clarifies that the conditions of a living will go into effect when:
a. the patient declares that desire in writing.
b. a family member indicates the desire for curative therapy to cease.
c. two physicians agree in writing that the criteria in the living will have been met.
d. the physician and a family member agree that the criteria in the living will have
been met.
ANS: C
Two physicians must agree in writing that the criteria of the living will have been met before the
document can go into effect.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Living Wills KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
hospital costs by:
a. classifying various diagnoses as ineligible for hospitalization.
b. allotting a set amount of hospital days and prospective payment on the basis of the
admitting diagnosis.
c. specifying particular physicians to treat specified diagnoses.
d. using frequency of a particular diagnosis to set a payment schedule.
ANS: B
,DRGs set up a system of preset hospitalization time and payment on the basis of the admitting
diagnosis.
DIF: Cognitive Level: Comprehension REF: 16 OBJ: 6
TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
11. When discussing extended care with a patient who has had a hip replacement and needs
physical therapy, the nurse would recommend a(n):
a. basic care facility.
b. skilled care facility.
c. subacute care facility.
d. assisted-living residence.
ANS: B
Skilled care facilities offer not only basic care but also services from trained licensed
professionals such as nurses, physical therapists, speech therapists, and occupational therapists.
DIF: Cognitive Level: Application REF: 16 OBJ: 9
TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. The 80-year-old woman who is recovering from a stroke is being sent to an extended-care
facility. She is concerned about the expense. The nurse can allay anxiety by explaining that
Medicare will cover extended-care facility costs:
a. for a period of 30 days.
b. for a period of 45 days for physical therapy.
c. for a period of 100 days for needed skilled care.
d. until she is able to be discharged home.
ANS: C
,Medicare will cover extended-care costs for 100 days while skilled care is being applied to the
resident. After 100 days, the resident must revert to private pay or ancillary long-term care
insurance.
DIF: Cognitive Level: Application REF: 16 OBJ: 8
TOP: Extended Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
13. The senior citizen political action group that uses volunteers and lobbyists to advance the
interests of older adults is the:
a. American Association of Retired Persons (AARP).
b. National Council of Senior Citizens (NCSC).
c. National Alliance of Senior Citizens (NASC).
d. Gray Panthers.
ANS: A
The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults.
DIF: Cognitive Level: Knowledge REF: 12 OBJ: 7
TOP: Political Action Groups KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
14. The nurse gives an example of the caregiver who is guilty of elder abuse as the:
a. daughter who uses her mothers Social Security money to purchase her mothers
medication.
b. son who puts an alarm on the front door to prevent his mother from wandering out
of the house.
c. wife who allows her mentally competent husband to refuse to take a bath for a
week.
d. frail spouse who is unable to bathe or change the clothes of her physically
dependent husband.
,ANS: D
Unintentional abuse or neglect can occur when the caregiver lacks the stamina to meet care
needs. Even though physically unable, the frail wife is guilty of elder abuse. The wife should
seek assistance to prevent neglect.
DIF: Cognitive Level: Analysis REF: 22 OBJ: 13
TOP: Elder Abuse KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
15. The nurse cautions that the most frequent response to elder abuse by the abused older adult
is:
a. anger.
b. physical retaliation.
c. notification of authorities.
d. nothing at all.
ANS: D
Fear of retaliation or abandonment keeps most abused elders silent.
DIF: Cognitive Level: Application REF: 25-26 OBJ: 14
TOP: Response to Abuse KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
16. Many nurses today do not seek careers in gerontology because:
a. the physical work is too difficult.
b. their technological skills are not used.
c. there is not enough challenge.
d. there are limited options for employment.
ANS: B
,Many nurses feel that their technical skills will not be used in the care of the older adult. There
are many employment options that offer challenge and fulfillment.
DIF: Cognitive Level: Application REF: 5 OBJ: 2
TOP: Employment Options KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
17. The nurse clarifies that the term baby boomers refers to persons who:
a. entered school in 1945.
b. served in the military in World War II.
c. were born between 1946 and 1964.
d. were eligible for Social Security benefits in 2000.
ANS: C
Baby boomers are those born between 1946 and 1964. The impact of the retirement of this
cohort is unprecedented in terms of the impact on society.
DIF: Cognitive Level: Comprehension REF: 8 OBJ: 5
TOP: Baby boomers KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
18. Restraining an older adult in a recliner to prevent wandering is an example of:
a. physical abuse.
b. neglect.
c. emotional abuse.
d. self-neglect.
ANS: A
Physical abuse is any action that causes physical pain or injury. Inappropriate use of drugs,
force-feeding, physical restraints, or punishment of any kind are examples of physical abuse.
, DIF: Cognitive Level: Application REF: 23 OBJ: 13
TOP: Types of Abuse KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
19. Nonprovision of medical care because of lack of finances is an example of:
a. physical abuse.
b. neglect.
c. emotional abuse.
d. self-neglect.
ANS: B
Neglect is a passive form of abuse in which caregivers fail to provide for the needs of the older
person under their care. Failure to provide necessary medical care may constitute neglect because
with no means of going to the doctor or pharmacy, the older person may suffer or even die.
DIF: Cognitive Level: Application REF: 23 OBJ: 13
TOP: Types of Abuse KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
20. Health care workers eating a residents candy without permission is an example of:
a. physical abuse.
b. neglect.
c. emotional abuse.
d. self-neglect.
ANS: C
Emotional abuse is more subtle and difficult to recognize than physical abuse or neglect. It often
includes behaviors such as isolating, ignoring, or depersonalizing older adults. Health care
workers eating a residents candy without permission is an ignorant behavior that can be
depersonalizing.
,
,
,Loss of independence and control is a significant issue for the older adult. Some residents will
exercise whatever control they may retain.
DIF: Cognitive Level: Application REF: 21 OBJ: 11
TOP: Loss of Independence KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
9. The nurse clarifies that the conditions of a living will go into effect when:
a. the patient declares that desire in writing.
b. a family member indicates the desire for curative therapy to cease.
c. two physicians agree in writing that the criteria in the living will have been met.
d. the physician and a family member agree that the criteria in the living will have
been met.
ANS: C
Two physicians must agree in writing that the criteria of the living will have been met before the
document can go into effect.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Living Wills KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
hospital costs by:
a. classifying various diagnoses as ineligible for hospitalization.
b. allotting a set amount of hospital days and prospective payment on the basis of the
admitting diagnosis.
c. specifying particular physicians to treat specified diagnoses.
d. using frequency of a particular diagnosis to set a payment schedule.
ANS: B
,DRGs set up a system of preset hospitalization time and payment on the basis of the admitting
diagnosis.
DIF: Cognitive Level: Comprehension REF: 16 OBJ: 6
TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
11. When discussing extended care with a patient who has had a hip replacement and needs
physical therapy, the nurse would recommend a(n):
a. basic care facility.
b. skilled care facility.
c. subacute care facility.
d. assisted-living residence.
ANS: B
Skilled care facilities offer not only basic care but also services from trained licensed
professionals such as nurses, physical therapists, speech therapists, and occupational therapists.
DIF: Cognitive Level: Application REF: 16 OBJ: 9
TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. The 80-year-old woman who is recovering from a stroke is being sent to an extended-care
facility. She is concerned about the expense. The nurse can allay anxiety by explaining that
Medicare will cover extended-care facility costs:
a. for a period of 30 days.
b. for a period of 45 days for physical therapy.
c. for a period of 100 days for needed skilled care.
d. until she is able to be discharged home.
ANS: C
,Medicare will cover extended-care costs for 100 days while skilled care is being applied to the
resident. After 100 days, the resident must revert to private pay or ancillary long-term care
insurance.
DIF: Cognitive Level: Application REF: 16 OBJ: 8
TOP: Extended Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
13. The senior citizen political action group that uses volunteers and lobbyists to advance the
interests of older adults is the:
a. American Association of Retired Persons (AARP).
b. National Council of Senior Citizens (NCSC).
c. National Alliance of Senior Citizens (NASC).
d. Gray Panthers.
ANS: A
The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults.
DIF: Cognitive Level: Knowledge REF: 12 OBJ: 7
TOP: Political Action Groups KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
14. The nurse gives an example of the caregiver who is guilty of elder abuse as the:
a. daughter who uses her mothers Social Security money to purchase her mothers
medication.
b. son who puts an alarm on the front door to prevent his mother from wandering out
of the house.
c. wife who allows her mentally competent husband to refuse to take a bath for a
week.
d. frail spouse who is unable to bathe or change the clothes of her physically
dependent husband.
,ANS: D
Unintentional abuse or neglect can occur when the caregiver lacks the stamina to meet care
needs. Even though physically unable, the frail wife is guilty of elder abuse. The wife should
seek assistance to prevent neglect.
DIF: Cognitive Level: Analysis REF: 22 OBJ: 13
TOP: Elder Abuse KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
15. The nurse cautions that the most frequent response to elder abuse by the abused older adult
is:
a. anger.
b. physical retaliation.
c. notification of authorities.
d. nothing at all.
ANS: D
Fear of retaliation or abandonment keeps most abused elders silent.
DIF: Cognitive Level: Application REF: 25-26 OBJ: 14
TOP: Response to Abuse KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
16. Many nurses today do not seek careers in gerontology because:
a. the physical work is too difficult.
b. their technological skills are not used.
c. there is not enough challenge.
d. there are limited options for employment.
ANS: B
,Many nurses feel that their technical skills will not be used in the care of the older adult. There
are many employment options that offer challenge and fulfillment.
DIF: Cognitive Level: Application REF: 5 OBJ: 2
TOP: Employment Options KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
17. The nurse clarifies that the term baby boomers refers to persons who:
a. entered school in 1945.
b. served in the military in World War II.
c. were born between 1946 and 1964.
d. were eligible for Social Security benefits in 2000.
ANS: C
Baby boomers are those born between 1946 and 1964. The impact of the retirement of this
cohort is unprecedented in terms of the impact on society.
DIF: Cognitive Level: Comprehension REF: 8 OBJ: 5
TOP: Baby boomers KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
18. Restraining an older adult in a recliner to prevent wandering is an example of:
a. physical abuse.
b. neglect.
c. emotional abuse.
d. self-neglect.
ANS: A
Physical abuse is any action that causes physical pain or injury. Inappropriate use of drugs,
force-feeding, physical restraints, or punishment of any kind are examples of physical abuse.
, DIF: Cognitive Level: Application REF: 23 OBJ: 13
TOP: Types of Abuse KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
19. Nonprovision of medical care because of lack of finances is an example of:
a. physical abuse.
b. neglect.
c. emotional abuse.
d. self-neglect.
ANS: B
Neglect is a passive form of abuse in which caregivers fail to provide for the needs of the older
person under their care. Failure to provide necessary medical care may constitute neglect because
with no means of going to the doctor or pharmacy, the older person may suffer or even die.
DIF: Cognitive Level: Application REF: 23 OBJ: 13
TOP: Types of Abuse KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
20. Health care workers eating a residents candy without permission is an example of:
a. physical abuse.
b. neglect.
c. emotional abuse.
d. self-neglect.
ANS: C
Emotional abuse is more subtle and difficult to recognize than physical abuse or neglect. It often
includes behaviors such as isolating, ignoring, or depersonalizing older adults. Health care
workers eating a residents candy without permission is an ignorant behavior that can be
depersonalizing.
