TESTBANK n
BASICnGERIATRICnNURSING
PATRICIAnA.nWILLIAMS
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
MULTIPLEnCHOICE
1. nWhichnfactnexplainsnthenshiftnofnhealthncarenfocusntowardnthenoldernadultn innthenlaten1960s?
a. Disabilitynwasnviewednasnunavoidable.
b. Complicationsnfromndiseasenincreasednmortality.
c. Oldernadults’nneedsnarensimilarntonthosenofnallnadults.
d. Preventivenhealthncarenpracticesnincreasednlongevity.
ANS:n D
Increasednpreventivenhealthncarenpractices,ndiseasencontrol,nandnfocusnonnwellnessnhelpednpeoplenlivenlonge
r.
PTS:n n 1 DIF: 4 REF:n n p.n2 OBJ:n 2
TOP:n AgingnTrends
KEY:nNursingnProcessnStep:nDatanCollectionn
MSC:n NCLEX:nHealthnPromotionnandnMaintenance:nGrowthnandnDevelopment
NOT:n Understanding
2. Tonwhichnagengroupndoesnthentermn“aged”napply?
a. 55–64nyearsnofnage
b. 65–74nyearsnofnage
c. 75–84nyearsnofnage
d. 85nandnolder
ANS:n C
Thentermnagednrefersntonpersonsnwhonaren75–84nyearsnofnage.
PTS:n n 1 DIF: 1 REF:n p.n2n|n Tablen1.1
OBJ:n 1
TOP:nAgenCategoriesn
KEY:nNursingnProcessnStep:nDatanCollection
MSC:nNCLEX:nHealthnPromotionnandnMaintenance:nGrowthnandnDevelopmentnNO
T:nRemembering
3. Whichnisntruenofnageism?
a. Itnisndiscriminationnagainstn personsnsolelynonnthenbasisnofnage.
b. Itncausesnanpersonntonfearnaging.
, c. Itninvolvesnthenusenofnculturalnsensitivityntonaddressnconcernsnofnaging.
d. Itnfocusesnonnresourcesnfornthenoldernadult.
ANS:n A
Ageismnisnannegativenbeliefnpatternnthatninfluencesnpersonsntondiscriminatenagainstnpersonsnsolelynonnthenbas
isnofnagenandncannleadntondestructivenbehaviorsntowardnthenoldernadult.
PTS:n n 1 DIF: 4 REF:n n p.n4 OBJ:n 3
TOP:n Ageism
KEY:nNursingnProcessnStep:nDatanCollectionn
MSC:nNCLEX:nPsychosocialnIntegrity:nPsychosocialnAdaptationnN
OT:nUnderstanding
4. Whichnlegislationnhasnbeennthenmostnbeneficialnlegislationnthatnhasninfluencednhealthncarenfornthenolderna
dult?
a. MedicarenandnMedicaid
b. Eliminationnofnthenmandatorynretirementnage
c. ThenAmericansnwithnDisabilitiesnAct
d. ThenDrugnBenefitnProgram
ANS:n A
ThenbroadestnsweepingnlegislationnbeneficialntonthenoldernadultnisnMedicarenandnMedicaid.nThenelimination
nofnthenmandatorynretirementnagendoesnnotnapplyntonhealthncare.nThenAmericansnwithnDisabilitiesnActndealsn
withnallnAmericansnwithndisabilities,nnotnjustnthenoldernadult.nThenDrugnBenefitnProgramnwasnaddedntonMedi
care,nbutndealsnonlynwithnmedications.
PTS:n n 1 DIF: 4 REF:n n p.n11 OBJ:n 6
TOP:n Legislation
KEY:nNursingnProcessnStep:nImplementationn
MSC:n NCLEX:nN/A NOT:nUnderstanding
5. Whichnhousingnoptionnfornthenoldernadultnoffersnthenprivacynofnannapartmentnwithnrestaurant-
stylenmealsnandnsomenmedicalnandnpersonalncarenservices?
a. Government-subsidizedn housing
b. Long-termncarenfacility
c. Assisted-livingn center
d. Groupnhousingnplan
ANS:n C
Assisted-
livingnarrangementsnoffernthenprivacynofnannapartmentnorncondominiumnwithnmealsnpreparednandnserved,
nlimitednmedicalncare,nandnanvarietynofnpersonalnservices.
PTS:n n 1 DIF: 3 REF:n n p.n14 OBJ:n 9
TOP:n HousingnOptions
KEY:nNursingnProcessnStep:nImplementationn
MSC:n NCLEX:nPhysiologicalnIntegrity:nPhysiologicalnAdaptation
NOT:n Remembering
6. Then75-year-
oldnmannwhonhasnbeennhospitalizednfollowingnanseverencasenofnpneumonianisnconcernednaboutnhisnmoun
tingnhospitalnbillnandnasksnifnhisnMedicarencoveragenwillnpaynfornhisncare.nWhichnwouldnbenthenmostnhelpf
ulnresponsenbynthennurse?
a. MedicarenPartnCnpaysn50%nofnallnmedicalncostsnfornpersonsnoldernthann65.
b. MedicarenPartnBnpaysnhospitalncostsnandnphysiciannfees.
, c. MedicarenPartnAnpaysnforninpatientnhospitalncosts.
d. MedicarenPartnDnpaysn80%nofnthenchargesnmadenbynphysicians.
ANS:n C
MedicarenPartnAnpaysninpatientnhospitalncosts,nPartnBnpaysn80%nofnphysician’sncharges,nandnPartnDnhelp
sndefraynprescriptionndrugncosts.nMedicarenPartnCnallowsnindividualsntonreceivenhealthninsurancenthrough
nprivateninsurancencompaniesnandntypicallynpaysnentirencosts.
PTS:n n 1 DIF: 7 REF:n n p.n16 OBJ:n 6
TOP:n MedicarenProvisions
KEY:nNursingnProcessnStep:nImplementationn
MSC:n NCLEX:nPsychosocialnIntegrity:nCopingnandnAdaptation NOT:nApplying
7. Thendaughternofnanpatientnwhonhasnbeenndiagnosednwithnterminalncancernasksnwhichndocumentsnarenreq
uiredntonallownherntonmakenhealthncarendecisionsnfornhernparent.nWhichnresponsenwouldnprovidenthenmos
tnaccurateninformationntonthendaughter?
a. Advancendirectivesnindicatenthendegreenofninterventionndesirednbynthenpatient.
b. An‘DonNotnResuscitate’ndocumentnsignednbynthenpatientntransfersnauthorityntonthennext
nofnkin.
c. Andurablenpowernofnattorneynfornhealthncarentransfersndecision-
makingnauthoritynfornhealthncarentonandesignatednperson.
d. Anlivingnwillntransfersnauthorityntonthenphysician.
ANS:n C
Andurablenpowernofnattorneynfornhealthncarentransfersnthenauthoritynforndecisionnmakingntonandesignatednp
erson.nAnnadvancendirectivenspecifiesnthentypenofncarenannindividualndesiresnwhennhencannotnspeaknfornhi
mself.nThendurablenpowernofnattorneynisnonlynonentypenofnadvancendirective.nAn“DonNotnResuscitate”ndoc
umentnstatesnthatnthenpatientnwishesntondiennaturallynwithnnonintervention.nAnlivingnwillnprohibitsnthenuseno
fnlife-prolongingnmeasures.
PTS:n n 1 DIF: 7 REF:n n p.n19 OBJ:n 11
TOP:n AdvancenDirectives
KEY:nNursingnProcessnStep:nImplementationn
MSC:n NCLEX:nPsychosocialnIntegrity:nCopingnandnAdaptation NOT:nApplying
8. Thendaughternofnanresidentninnanlong-termncarenfacilitynisnfrustratednwithnhern80-year-
oldnmother’snrefusalntoneat.nWhichnresponsenwouldnbenthenmostnappropriate?
a. Thenrefusalntoneatnisnanneffortntonmaintainnanportionnofnindependencenandnself-
ndirection.
b. ThenrefusalntoneatnisnannindicationnofnapproachingnAlzheimerndisease.
c. Thenrefusalntoneatnisnanneffortnton gainnattention.
d. Thenrefusalntoneatnisnannindicationnofnthendislikenofnthen institutionalnfood.
ANS:n A
Lossnofnindependencenandncontrolnisnansignificantnissuenfornthenoldernadult.nSomenresidentsnwillnexercisen
whateverncontrolntheynmaynretain.
PTS:n n 1 DIF: 7 REF:n n p.n21 OBJ:n 11
TOP:n LossnofnIndependence
KEY:nNursingnProcessnStep:nImplementationn
MSC:n NCLEX:nPsychosocialnIntegrity:nCopingnandnAdaptation NOT:nApplying
9. Whenndonthenconditionsnofnanlivingnwillngon inton effect?
BASICnGERIATRICnNURSING
PATRICIAnA.nWILLIAMS
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
MULTIPLEnCHOICE
1. nWhichnfactnexplainsnthenshiftnofnhealthncarenfocusntowardnthenoldernadultn innthenlaten1960s?
a. Disabilitynwasnviewednasnunavoidable.
b. Complicationsnfromndiseasenincreasednmortality.
c. Oldernadults’nneedsnarensimilarntonthosenofnallnadults.
d. Preventivenhealthncarenpracticesnincreasednlongevity.
ANS:n D
Increasednpreventivenhealthncarenpractices,ndiseasencontrol,nandnfocusnonnwellnessnhelpednpeoplenlivenlonge
r.
PTS:n n 1 DIF: 4 REF:n n p.n2 OBJ:n 2
TOP:n AgingnTrends
KEY:nNursingnProcessnStep:nDatanCollectionn
MSC:n NCLEX:nHealthnPromotionnandnMaintenance:nGrowthnandnDevelopment
NOT:n Understanding
2. Tonwhichnagengroupndoesnthentermn“aged”napply?
a. 55–64nyearsnofnage
b. 65–74nyearsnofnage
c. 75–84nyearsnofnage
d. 85nandnolder
ANS:n C
Thentermnagednrefersntonpersonsnwhonaren75–84nyearsnofnage.
PTS:n n 1 DIF: 1 REF:n p.n2n|n Tablen1.1
OBJ:n 1
TOP:nAgenCategoriesn
KEY:nNursingnProcessnStep:nDatanCollection
MSC:nNCLEX:nHealthnPromotionnandnMaintenance:nGrowthnandnDevelopmentnNO
T:nRemembering
3. Whichnisntruenofnageism?
a. Itnisndiscriminationnagainstn personsnsolelynonnthenbasisnofnage.
b. Itncausesnanpersonntonfearnaging.
, c. Itninvolvesnthenusenofnculturalnsensitivityntonaddressnconcernsnofnaging.
d. Itnfocusesnonnresourcesnfornthenoldernadult.
ANS:n A
Ageismnisnannegativenbeliefnpatternnthatninfluencesnpersonsntondiscriminatenagainstnpersonsnsolelynonnthenbas
isnofnagenandncannleadntondestructivenbehaviorsntowardnthenoldernadult.
PTS:n n 1 DIF: 4 REF:n n p.n4 OBJ:n 3
TOP:n Ageism
KEY:nNursingnProcessnStep:nDatanCollectionn
MSC:nNCLEX:nPsychosocialnIntegrity:nPsychosocialnAdaptationnN
OT:nUnderstanding
4. Whichnlegislationnhasnbeennthenmostnbeneficialnlegislationnthatnhasninfluencednhealthncarenfornthenolderna
dult?
a. MedicarenandnMedicaid
b. Eliminationnofnthenmandatorynretirementnage
c. ThenAmericansnwithnDisabilitiesnAct
d. ThenDrugnBenefitnProgram
ANS:n A
ThenbroadestnsweepingnlegislationnbeneficialntonthenoldernadultnisnMedicarenandnMedicaid.nThenelimination
nofnthenmandatorynretirementnagendoesnnotnapplyntonhealthncare.nThenAmericansnwithnDisabilitiesnActndealsn
withnallnAmericansnwithndisabilities,nnotnjustnthenoldernadult.nThenDrugnBenefitnProgramnwasnaddedntonMedi
care,nbutndealsnonlynwithnmedications.
PTS:n n 1 DIF: 4 REF:n n p.n11 OBJ:n 6
TOP:n Legislation
KEY:nNursingnProcessnStep:nImplementationn
MSC:n NCLEX:nN/A NOT:nUnderstanding
5. Whichnhousingnoptionnfornthenoldernadultnoffersnthenprivacynofnannapartmentnwithnrestaurant-
stylenmealsnandnsomenmedicalnandnpersonalncarenservices?
a. Government-subsidizedn housing
b. Long-termncarenfacility
c. Assisted-livingn center
d. Groupnhousingnplan
ANS:n C
Assisted-
livingnarrangementsnoffernthenprivacynofnannapartmentnorncondominiumnwithnmealsnpreparednandnserved,
nlimitednmedicalncare,nandnanvarietynofnpersonalnservices.
PTS:n n 1 DIF: 3 REF:n n p.n14 OBJ:n 9
TOP:n HousingnOptions
KEY:nNursingnProcessnStep:nImplementationn
MSC:n NCLEX:nPhysiologicalnIntegrity:nPhysiologicalnAdaptation
NOT:n Remembering
6. Then75-year-
oldnmannwhonhasnbeennhospitalizednfollowingnanseverencasenofnpneumonianisnconcernednaboutnhisnmoun
tingnhospitalnbillnandnasksnifnhisnMedicarencoveragenwillnpaynfornhisncare.nWhichnwouldnbenthenmostnhelpf
ulnresponsenbynthennurse?
a. MedicarenPartnCnpaysn50%nofnallnmedicalncostsnfornpersonsnoldernthann65.
b. MedicarenPartnBnpaysnhospitalncostsnandnphysiciannfees.
, c. MedicarenPartnAnpaysnforninpatientnhospitalncosts.
d. MedicarenPartnDnpaysn80%nofnthenchargesnmadenbynphysicians.
ANS:n C
MedicarenPartnAnpaysninpatientnhospitalncosts,nPartnBnpaysn80%nofnphysician’sncharges,nandnPartnDnhelp
sndefraynprescriptionndrugncosts.nMedicarenPartnCnallowsnindividualsntonreceivenhealthninsurancenthrough
nprivateninsurancencompaniesnandntypicallynpaysnentirencosts.
PTS:n n 1 DIF: 7 REF:n n p.n16 OBJ:n 6
TOP:n MedicarenProvisions
KEY:nNursingnProcessnStep:nImplementationn
MSC:n NCLEX:nPsychosocialnIntegrity:nCopingnandnAdaptation NOT:nApplying
7. Thendaughternofnanpatientnwhonhasnbeenndiagnosednwithnterminalncancernasksnwhichndocumentsnarenreq
uiredntonallownherntonmakenhealthncarendecisionsnfornhernparent.nWhichnresponsenwouldnprovidenthenmos
tnaccurateninformationntonthendaughter?
a. Advancendirectivesnindicatenthendegreenofninterventionndesirednbynthenpatient.
b. An‘DonNotnResuscitate’ndocumentnsignednbynthenpatientntransfersnauthorityntonthennext
nofnkin.
c. Andurablenpowernofnattorneynfornhealthncarentransfersndecision-
makingnauthoritynfornhealthncarentonandesignatednperson.
d. Anlivingnwillntransfersnauthorityntonthenphysician.
ANS:n C
Andurablenpowernofnattorneynfornhealthncarentransfersnthenauthoritynforndecisionnmakingntonandesignatednp
erson.nAnnadvancendirectivenspecifiesnthentypenofncarenannindividualndesiresnwhennhencannotnspeaknfornhi
mself.nThendurablenpowernofnattorneynisnonlynonentypenofnadvancendirective.nAn“DonNotnResuscitate”ndoc
umentnstatesnthatnthenpatientnwishesntondiennaturallynwithnnonintervention.nAnlivingnwillnprohibitsnthenuseno
fnlife-prolongingnmeasures.
PTS:n n 1 DIF: 7 REF:n n p.n19 OBJ:n 11
TOP:n AdvancenDirectives
KEY:nNursingnProcessnStep:nImplementationn
MSC:n NCLEX:nPsychosocialnIntegrity:nCopingnandnAdaptation NOT:nApplying
8. Thendaughternofnanresidentninnanlong-termncarenfacilitynisnfrustratednwithnhern80-year-
oldnmother’snrefusalntoneat.nWhichnresponsenwouldnbenthenmostnappropriate?
a. Thenrefusalntoneatnisnanneffortntonmaintainnanportionnofnindependencenandnself-
ndirection.
b. ThenrefusalntoneatnisnannindicationnofnapproachingnAlzheimerndisease.
c. Thenrefusalntoneatnisnanneffortnton gainnattention.
d. Thenrefusalntoneatnisnannindicationnofnthendislikenofnthen institutionalnfood.
ANS:n A
Lossnofnindependencenandncontrolnisnansignificantnissuenfornthenoldernadult.nSomenresidentsnwillnexercisen
whateverncontrolntheynmaynretain.
PTS:n n 1 DIF: 7 REF:n n p.n21 OBJ:n 11
TOP:n LossnofnIndependence
KEY:nNursingnProcessnStep:nImplementationn
MSC:n NCLEX:nPsychosocialnIntegrity:nCopingnandnAdaptation NOT:nApplying
9. Whenndonthenconditionsnofnanlivingnwillngon inton effect?
