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BASIC GERIATRIC NURSING
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7th Edition
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By Patricia A. Williams
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,TEST
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BANK:BasicGeriatricNursing,7thEditionbyPatricia
Test Bank: Basic Geriatric Nursing, 7th Edition by Patricia A.
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A.Williams qa
Contents
Unit One: Overview of Aging
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Chapter 1. Trends and Issues
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Chapter 2. Theories of Aging
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Chapter 3.Physiologic Changes
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Unit Two: Basic Skills for Gerontologic Nursing
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Chapter 4. Health Promotion, Health Maintenance, and Home Health Considerations
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Chapter 5. Communicating with Older Adults
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Chapter 6. Maintaining Fluid Balance and Meeting Nutrition Needs
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Chapter 7. Medications and Older Adults
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Chapter 8. Health Assessment for Older Adults
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Chapter 9. Meeting Safety Needs of Older Adults
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Unit Three: Psychosocial Care of the Elderly
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Chapter 10. Cognition and Perception
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Chapter 11.Self-Perception and Self-Concept
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Chapter 12. Roles and Relationships
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Chapter 13. Coping and Stress
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Chapter 14. Values and Beliefs
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Chapter 15. End-of-Life Care
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Chapter 16. Sexuality and Aging
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Unit Four: Physical Care of the Elderly
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Chapter 17. Care of Aging Skin and Mucous Membranes
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Chapter 18. Elimination
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Chapter 19. Activity and Exercise
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Chapter 20. Sleep and Rest
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Chapter01: Trendsand Issues
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Williams:BasicGeriatricNursing,7th Edition
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MULTIPLE CHOICE q a
1. What fact explains the shift of health care focus toward the older adult in the late 1960s?
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a. Disabilitywas viewed as unavoidable. qa qa q a q a
b. Complications from disease increased mortality. qa qa qa q a
c. Older adults’ needs are similar to those of all adults. q a q a q a q a q a q a q a qa q a
d. Preventivehealthcarepracticesincreasedlongevity. qa qa qa qa qa
qa ANS: q a D
2. To what age group does the term “aged” apply?
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a. 55–64 years of age q a q a q a
b. 65–74 years of age q a q a q a
c. 75–84 years of age q a q a q a
d. 85and older qa bq
ANS:
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3. Which is true of ageism? q a q a q a q a
a. It is discrimination against persons solelyon the basis of age.
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b. It causes a person to fear aging. q a q a qa q a q a q a
c. It involves the use of cultural sensitivityto address concerns of aging.
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d. Itfocusesonresourcesfortheolderadult
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qa ANS: A
4. What is the most beneficial legislation that has influenced health care for the older adult?
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a. Medicare and Medicaid qa q a
b. Elimination of the mandatory retirement age q a qa qa qa q a
c. The Americans with Disabilities Act qa q a q a q a
d. TheDrug Benefit Program qa bq bq
ANS:
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5. What housing option forthe older adult offers the privacyof an apartment with
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restaurant-style meals and some medical and personal care services?
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a. Government-subsidized housing qa
b. Long-termcare facility qa qa
c. Assisted-livingcenter qa
d. Grouphousingplan qa qa
ANS:
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6. The 75-year-old man who has been hospitalized following a severe case of pneumonia
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is concerned about his mounting hospital bill and asks if his Medicare coverage will
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pay for his care. What would be 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. qa q a q a q a qa q a q a q a q a qa q a q a q a
, Basic Geriatric Nursing 7th Edition Williams Test q a q a qa q a q a q a
b. Medicare Part B pays hospital costs and physician fees. qa q a qa qa q a q a q a q a
c. Medicare Part A pays for inpatient hospital costs. qa q a q a q a q a q a q a
d. MedicarePart Dpays 80%ofthecharges madebyphysicians. qa qa qa qa qa qa qa qa qa qa
qa ANS: q a C
7. The daughter of a patient who has been diagnosed with terminal cancer asks which
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documents are required to allow her to make health care decisions for her parent. Which
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response would provide the most accurate information to the daughter?
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a. Advance directives indicate the degree of intervention desired bythe patient. qa q a q a q a q a qa q a q a qa q a
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authorityto the
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next of kin. qa qa qa
c. A durable power of attorneyfor health care transfers decision-making authority for
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health care to a designated person.
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d. Alivingwill transfersauthoritytothephysician.
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qa ANS: q a C
8. The daughter of a resident in a long-term care facilityis frustrated with her 80-year- old
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mother’s refusal to eat. Which response would be the most appropriate?
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a. Therefusal to eat is an effort to maintain aportion of independence and
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self-direction. qa
b. Therefusal 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
9. When do the conditions of a living will go into effect?
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a. When the patient declares that desire in writing q a q a q a q a q a qa q a
b. When a family member indicates the desire for curative therapy to cease
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c. When two physicians agree in writing that thecriteriain the living will have been
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met qa
d. When the physician and afamilymember agree that the criteriain the living will
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have been met qa qa qa
ANS: C
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to
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reduce hospital costs. How did the DRGs reduce hospital costs?
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a. Byclassifying various diagnoses as ineligible for hospitalization
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b. Byallotting a set amount of hospital days and prospective payment on the basis of the
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admitting diagnosis
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c. Byspecifying particular physicians to treat specified diagnoses
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d. Byusingfrequencyof a particulardiagnosis toset apayment schedule
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qa ANS: q a B
11. Which facilitywould be recommended for a patient who has had ahip replacement and
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needs physical therapy?
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a. Basic care facility qa qa