Test Bank For Basic Geriatric Nursing 8th Edition Patricia GRADED A+ PUREPASS

TESTBANK V




BASIC GERIATRIC NURSING
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PATRICIAA. WILLIAMS
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8th Edition
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TESTBANK V

,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
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MULTIPLE CHOICE V




1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
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a. Disability was viewed as unavoidable. V V V V



b. Complications from disease increased mortality. V V V V



c. Older adults’ needs are similar to those of all adults.
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d. Preventive health care practices increased longevity.
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ANS: D V



Increased preventive health care practices, disease control, and focus on wellness helped people live
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Vlonger.

PTS: 1 V DIF: 4
V REF: p. 2 OBJ: 2 V V V V



TOP: Aging Trends
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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NOT: Understanding
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2. To which age group does the term “aged” apply?
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a. 55–64 years of age V V V



b. 65–74 years of age V V V



c. 75–84 years of age V V V



d. 85 and older V V




ANS: C V



The term aged refers to persons who are 75–84 years of age.
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PTS: 1 V DIF: 1
V REF: p. 2 | Table 1.1 V V V V V



OBJ: 1 V TOP: Age Categories V V



KEY: Nursing Process Step: Data Collection
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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NOT: Remembering
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3. Which is true of ageism?
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a. It is discrimination against persons solely on the basis of age.
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b. It causes a person to fear aging.
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, c. It involves the use of cultural sensitivity to address concerns of aging.
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d. It focuses on resources for the older adult.
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ANS: A V



Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the
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basis of age and can lead to destructive behaviors toward the older adult.
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PTS: 1 V DIF: 4
V REF: p. 4 OBJ: 3 V V V V



TOP: Ageism V KEY: Nursing Process Step: Data Collection V V V V V



MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
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NOT: Understanding
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4. Which legislation has been the most beneficial legislation that has influenced health care for the older
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Vadult?
a. Medicare and Medicaid V V



b. Elimination of the mandatory retirement age V V V V V



c. The Americans with Disabilities Act
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d. The Drug Benefit Program
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ANS: A V



The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
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elimination of the mandatory retirement age does not apply to health care. The Americans with
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Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit
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Program was added to Medicare, but deals only with medications.
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PTS: 1 V DIF: 4
V REF: p. 11 OBJ: 6 V V V V



TOP: Legislation
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MSC: NCLEX: N/A
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5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style meals
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Vand some medical and personal care services?
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a. Government-subsidized housing V



b. Long-term care facility V V



c. Assisted-living center V



d. Group housing plan V V




ANS: C V



Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared
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and served, limited medical care, and a variety of personal services.
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PTS: 1 V DIF: 3
V REF: p. 14 OBJ: 9 V V V V



TOP: Housing Options
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MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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NOT: Remembering
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6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned
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Vabout his mounting hospital bill and asks if his Medicare coverage will pay for his care. Which would
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Vbe the most helpful response by the nurse?
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a. Medicare Part C pays 50% of all medical costs for persons older than 65.
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b. Medicare Part B pays hospital costs and physician fees.
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, c. Medicare Part A pays for inpatient hospital costs. V V V V V V V



d. Medicare Part D pays 80% of the charges made by physicians. V V V V V V V V V V




ANS: C V



Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D
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helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance
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through private insurance companies and typically pays entire costs.
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PTS: 1 V DIF: 7
V REF: p. 16 OBJ: 6 V V V V



TOP: Medicare Provisions
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MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
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7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are
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Vrequired to allow her to make health care decisions for her parent. Which response would provide the
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Vmost accurate information to the daughter?
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a. Advance directives indicate the degree of intervention desired by the patient.
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b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the next
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of kin.
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c. A durable power of attorney for health care transfers decision-making authority for
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health care to a designated person.
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d. A living will transfers authority to the physician.
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ANS: C V



A durable power of attorney for health care transfers the authority for decision making to a designated
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person. An advance directive specifies the type of care an individual desires when he cannot speak for
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himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate”
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document states that the patient wishes to die naturally with no intervention. A living will prohibits the
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use of life-prolonging measures.
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PTS: 1 V DIF: 7V REF: p. 19 OBJ: 11 V V V V



TOP: Advance Directives
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MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
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8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s
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Vrefusal to eat. Which response would be the most appropriate?
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a. The refusal to eat is an effort to maintain a portion of independence and self-
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V direction.
b. The refusal to eat is an indication of approaching Alzheimer disease.
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c. The refusal to eat is an effort to gain attention.
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d. The refusal to eat is an indication of the dislike of the institutional food.
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ANS: A V



Loss of independence and control is a significant issue for the older adult. Some residents will exercise
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whatever control they may retain.
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PTS: 1 V DIF: 7
V REF: p. 21 OBJ: 11 V V V V



TOP: Loss of Independence
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MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
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9. When do the conditions of a living will go into effect?
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