TESTBANK N
BASIC GERIATRIC NURSING
N N
PATRICIAA. WILLIAMS
N N
8th Edition
N
TESTBANK N
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
N N N N N N N N N N
MULTIPLE CHOICE N
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
N N N N N N N N N N N N N N N N
a. Disability was viewed as unavoidable. N N N N
b. Complications from disease increased mortality. N N N N
c. Older adults’ needs are similar to those of all adults.
N N N N N N N N N
d. Preventive health care practices increased longevity. N N N N N
ANS: D N
Increased preventive health care practices, disease control, and focus on wellness helped people live longer.
N N N N N N N N N N N N N N
PTS: 1 N DIF: 4 N REF: p. 2 OBJ: 2 N N N N
TOP: Aging Trends N KEY: Nursing Process Step: Data Collection
N N N N N N
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
N N N N N N N N N
NOT: UnderstandingN
2. To which age group does the term “aged” apply?
N N N N N N N N
a. 55–64 years of age N N N
b. 65–74 years of age N N N
c. 75–84 years of age N N N
d. 85 and older N N
ANS: C N
The term aged refers to persons who are 75–84 years of age.
N N N N N N N N N N N
PTS: 1 N DIF: 1N REF: p. 2 | Table 1.1 N N N N N
OBJ: 1 N TOP: Age Categories N N
KEY: Nursing Process Step: Data Collection
N N N N N N
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
N N N N N N N N
NOT: Remembering
N N
3. Which is true of ageism? N N N N
a. It is discrimination against persons solely on the basis of age.
N N N N N N N N N N
b. It causes a person to fear aging.
N N N N N N
, c. It involves the use of cultural sensitivity to address concerns of aging.
N N N N N N N N N N N
d. It focuses on resources for the older adult.
N N N N N N N
ANS: A N
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the basis
N N N N N N N N N N N N N N N N
of age and can lead to destructive behaviors toward the older adult.
N N N N N N N N N N N N
PTS: 1 DIF: 4
N N REF: p. 4 OBJ: 3 N N N N
TOP: Ageism KEY: Nursing Process Step: Data Collection
N N N N N N
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
N N N N N N
NOT: Understanding
N N
4. Which legislation has been the most beneficial legislation that has influenced health care for the older
N N N N N N N N N N N N N N N
Nadult?
a. Medicare and Medicaid N N
b. Elimination of the mandatory retirement age N N N N N
c. The Americans with Disabilities Act N N N N
d. The Drug Benefit Program N N N
ANS: A N
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimination
N N N N N N N N N N N N N N
of the mandatory retirement age does not apply to health care. The Americans with Disabilities Act deals
N N N N N N N N N N N N N N N N N
with all Americans with disabilities, not just the older adult. The Drug Benefit Program was added to
N N N N N N N N N N N N N N N N N
Medicare, but deals only with medications.
N N N N N N
PTS: 1 DIF: 4
N N REF: p. 11 OBJ: 6 N N N N
TOP: Legislation KEY: Nursing Process Step: Implementation
N N N N N
MSC: NCLEX: N/A
N N NOT: Understanding N N
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style meals and
N N N N N N N N N N N N N N N N
Nsome medical and personal care services?
N N N N N
a. Government-subsidized housing N
b. Long-term care facility N N
c. Assisted-living center N
d. Group housing plan N N
ANS: C N
Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared and
N N N N N N N N N N N N N
served, limited medical care, and a variety of personal services.
N N N N N N N N N N
PTS: 1 DIF: 3
N N REF: p. 14 OBJ: 9 N N N N
TOP: Housing Options N KEY: Nursing Process Step: Implementation N N N N N
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
N N N N N N
NOT: Remembering N
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned
N N N N N N N N N N N N N N
Nabout his mounting hospital bill and asks if his Medicare coverage will pay for his care. Which would be
N N N N N N N N N N N N N N N N N N
Nthe most helpful response by the nurse?
N N N N N N
a. Medicare Part C pays 50% of all medical costs for persons older than 65.
N N N N N N N N N N N N N
b. Medicare Part B pays hospital costs and physician fees. N N N N N N N N
, c. Medicare Part A pays for inpatient hospital costs. N N N N N N N
d. Medicare Part D pays 80% of the charges made by physicians. N N N N N N N N N N
ANS: C N
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps
N N N N N N N N N N N N N N N N N
defray prescription drug costs. Medicare Part C allows individuals to receive health insurance through
N N N N N N N N N N N N N N
private insurance companies and typically pays entire costs.
N N N N N N N N
PTS: 1 N DIF: 7N REF: p. 16 OBJ: 6 N N N N
TOP: Medicare Provisions
N KEY: Nursing Process Step: Implementation N N N N N
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
N N N N N N N N
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are
N N N N N N N N N N N N N N N
Nrequired to allow her to make health care decisions for her parent. Which response would provide the
N N N N N N N N N N N N N N N N
Nmost accurate information to the daughter?
N N N N N
a. Advance directives indicate the degree of intervention desired by the patient.
N N N N N N N N N N
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the next
N N N N N N N N N N N N N
of kin.
N N
c. A durable power of attorney for health care transfers decision-making authority for
N N N N N N N N N N N
health care to a designated person.
N N N N N N
d. A living will transfers authority to the physician.
N N N N N N N
ANS: C N
A durable power of attorney for health care transfers the authority for decision making to a designated
N N N N N N N N N N N N N N N N
person. An advance directive specifies the type of care an individual desires when he cannot speak for
N N N N N N N N N N N N N N N N N
himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate”
N N N N N N N N N N N N N N N N N
document states that the patient wishes to die naturally with no intervention. A living will prohibits the use
N N N N N N N N N N N N N N N N N N
of life-prolonging measures.
N N N
PTS: 1 N DIF: 7N REF: p. 19 OBJ: 11 N N N N
TOP: Advance Directives
N KEY: Nursing Process Step: Implementation N N N N N
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
N N N N N N N N
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s
N N N N N N N N N N N N N N N
Nrefusal to eat. Which response would be the most appropriate?
N N N N N N N N N
a. The refusal to eat is an effort to maintain a portion of independence and self-
N N N N N N N N N N N N N N
direction.
N
b. The refusal to eat is an indication of approaching Alzheimer disease.
N N N N N N N N N N
c. The refusal to eat is an effort to gain attention.
N N N N N N N N N
d. The refusal to eat is an indication of the dislike of the institutional food.
N N N N N N N N N N N N N
ANS: A N
Loss of independence and control is a significant issue for the older adult. Some residents will exercise
N N N N N N N N N N N N N N N N
whatever control they may retain.
N N N N N
PTS: 1 N DIF: 7
N REF: p. 21 OBJ: 11 N N N N
TOP: Loss of Independence
N KEY: Nursing Process Step: Implementation
N N N N N N
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
N N N N N N N N
9. When do the conditions of a living will go into effect?
N N N N N N N N N N
BASIC GERIATRIC NURSING
N N
PATRICIAA. WILLIAMS
N N
8th Edition
N
TESTBANK N
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
N N N N N N N N N N
MULTIPLE CHOICE N
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
N N N N N N N N N N N N N N N N
a. Disability was viewed as unavoidable. N N N N
b. Complications from disease increased mortality. N N N N
c. Older adults’ needs are similar to those of all adults.
N N N N N N N N N
d. Preventive health care practices increased longevity. N N N N N
ANS: D N
Increased preventive health care practices, disease control, and focus on wellness helped people live longer.
N N N N N N N N N N N N N N
PTS: 1 N DIF: 4 N REF: p. 2 OBJ: 2 N N N N
TOP: Aging Trends N KEY: Nursing Process Step: Data Collection
N N N N N N
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
N N N N N N N N N
NOT: UnderstandingN
2. To which age group does the term “aged” apply?
N N N N N N N N
a. 55–64 years of age N N N
b. 65–74 years of age N N N
c. 75–84 years of age N N N
d. 85 and older N N
ANS: C N
The term aged refers to persons who are 75–84 years of age.
N N N N N N N N N N N
PTS: 1 N DIF: 1N REF: p. 2 | Table 1.1 N N N N N
OBJ: 1 N TOP: Age Categories N N
KEY: Nursing Process Step: Data Collection
N N N N N N
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
N N N N N N N N
NOT: Remembering
N N
3. Which is true of ageism? N N N N
a. It is discrimination against persons solely on the basis of age.
N N N N N N N N N N
b. It causes a person to fear aging.
N N N N N N
, c. It involves the use of cultural sensitivity to address concerns of aging.
N N N N N N N N N N N
d. It focuses on resources for the older adult.
N N N N N N N
ANS: A N
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the basis
N N N N N N N N N N N N N N N N
of age and can lead to destructive behaviors toward the older adult.
N N N N N N N N N N N N
PTS: 1 DIF: 4
N N REF: p. 4 OBJ: 3 N N N N
TOP: Ageism KEY: Nursing Process Step: Data Collection
N N N N N N
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
N N N N N N
NOT: Understanding
N N
4. Which legislation has been the most beneficial legislation that has influenced health care for the older
N N N N N N N N N N N N N N N
Nadult?
a. Medicare and Medicaid N N
b. Elimination of the mandatory retirement age N N N N N
c. The Americans with Disabilities Act N N N N
d. The Drug Benefit Program N N N
ANS: A N
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimination
N N N N N N N N N N N N N N
of the mandatory retirement age does not apply to health care. The Americans with Disabilities Act deals
N N N N N N N N N N N N N N N N N
with all Americans with disabilities, not just the older adult. The Drug Benefit Program was added to
N N N N N N N N N N N N N N N N N
Medicare, but deals only with medications.
N N N N N N
PTS: 1 DIF: 4
N N REF: p. 11 OBJ: 6 N N N N
TOP: Legislation KEY: Nursing Process Step: Implementation
N N N N N
MSC: NCLEX: N/A
N N NOT: Understanding N N
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style meals and
N N N N N N N N N N N N N N N N
Nsome medical and personal care services?
N N N N N
a. Government-subsidized housing N
b. Long-term care facility N N
c. Assisted-living center N
d. Group housing plan N N
ANS: C N
Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared and
N N N N N N N N N N N N N
served, limited medical care, and a variety of personal services.
N N N N N N N N N N
PTS: 1 DIF: 3
N N REF: p. 14 OBJ: 9 N N N N
TOP: Housing Options N KEY: Nursing Process Step: Implementation N N N N N
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
N N N N N N
NOT: Remembering N
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned
N N N N N N N N N N N N N N
Nabout his mounting hospital bill and asks if his Medicare coverage will pay for his care. Which would be
N N N N N N N N N N N N N N N N N N
Nthe most helpful response by the nurse?
N N N N N N
a. Medicare Part C pays 50% of all medical costs for persons older than 65.
N N N N N N N N N N N N N
b. Medicare Part B pays hospital costs and physician fees. N N N N N N N N
, c. Medicare Part A pays for inpatient hospital costs. N N N N N N N
d. Medicare Part D pays 80% of the charges made by physicians. N N N N N N N N N N
ANS: C N
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps
N N N N N N N N N N N N N N N N N
defray prescription drug costs. Medicare Part C allows individuals to receive health insurance through
N N N N N N N N N N N N N N
private insurance companies and typically pays entire costs.
N N N N N N N N
PTS: 1 N DIF: 7N REF: p. 16 OBJ: 6 N N N N
TOP: Medicare Provisions
N KEY: Nursing Process Step: Implementation N N N N N
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
N N N N N N N N
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are
N N N N N N N N N N N N N N N
Nrequired to allow her to make health care decisions for her parent. Which response would provide the
N N N N N N N N N N N N N N N N
Nmost accurate information to the daughter?
N N N N N
a. Advance directives indicate the degree of intervention desired by the patient.
N N N N N N N N N N
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the next
N N N N N N N N N N N N N
of kin.
N N
c. A durable power of attorney for health care transfers decision-making authority for
N N N N N N N N N N N
health care to a designated person.
N N N N N N
d. A living will transfers authority to the physician.
N N N N N N N
ANS: C N
A durable power of attorney for health care transfers the authority for decision making to a designated
N N N N N N N N N N N N N N N N
person. An advance directive specifies the type of care an individual desires when he cannot speak for
N N N N N N N N N N N N N N N N N
himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate”
N N N N N N N N N N N N N N N N N
document states that the patient wishes to die naturally with no intervention. A living will prohibits the use
N N N N N N N N N N N N N N N N N N
of life-prolonging measures.
N N N
PTS: 1 N DIF: 7N REF: p. 19 OBJ: 11 N N N N
TOP: Advance Directives
N KEY: Nursing Process Step: Implementation N N N N N
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
N N N N N N N N
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s
N N N N N N N N N N N N N N N
Nrefusal to eat. Which response would be the most appropriate?
N N N N N N N N N
a. The refusal to eat is an effort to maintain a portion of independence and self-
N N N N N N N N N N N N N N
direction.
N
b. The refusal to eat is an indication of approaching Alzheimer disease.
N N N N N N N N N N
c. The refusal to eat is an effort to gain attention.
N N N N N N N N N
d. The refusal to eat is an indication of the dislike of the institutional food.
N N N N N N N N N N N N N
ANS: A N
Loss of independence and control is a significant issue for the older adult. Some residents will exercise
N N N N N N N N N N N N N N N N
whatever control they may retain.
N N N N N
PTS: 1 N DIF: 7
N REF: p. 21 OBJ: 11 N N N N
TOP: Loss of Independence
N KEY: Nursing Process Step: Implementation
N N N N N N
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
N N N N N N N N
9. When do the conditions of a living will go into effect?
N N N N N N N N N N
