TEST BANK
** All Chapters included
** MCQs
,Table of Contents are given below
Chapter 1: The Aging Population
Chapter 2: Theories of Aging
Chapter 3: Diversity
Chapter 4: Life Transitions and Story
Chapter 5: Common Aging Changes
Chapter 6: The Specialty of Gerontological Nursing
Chapter 7: Holistic Assessment and Care Planning
Chapter 8: Legal Aspects of Gerontological Nursing
Chapter 9: Ethical Aspects of Gerontological Nursing
Chapter 10: Continuum of Care in Gerontological Nursing
Chapter 11: Nutrition and Hydration
Chapter 12: Sleep and Rest
Chapter 13: Comfort and Pain Management
Chapter 14: Safety
Chapter 15: Safe Medication Use
Chapter 16: Respiration
Chapter 17: Circulation
Chapter 18: Digestion and Bowel Elimination
Chapter 19: Urinary Elimination
Chapter 20: Reproductive System Health
Chapter 21: Mobility
Chapter 22: Neurologic Function
Chapter 23: Vision and Hearing
Chapter 24: Endocrine Function
Chapter 25: Skin Health
Chapter 26: Cancer
Chapter 27: Mental Health Disorders
Chapter 28: Delirium and Dementia
Chapter 29: Living in Harmony with Chronic Conditions
Chapter 30: Spirituality
Chapter 31: Sexuality and Intimacy
Chapter 32: Rehabilitative and Restorative Care
Chapter 33: Acute Care
Chapter 34: Long-Term Care
Chapter 35: Family Caregiving
Chapter 36: End-of-Life Care
,Chapter 1: The Aging Population
1. While reviewing information about older adults throughout history, the
gerontology nurse identifies which publicly supported program as the first
significant step in improving the lives of older Americans?
A. Federal Old Age Insurance Law
B. Medicare (Title 18)
C. Supplemental Security Income
D. Omnibus Budget Reconciliation Act
Answer: A
Rationale: The first significant step in improving the lives of older Americans was
the passage of the Federal Old Age Insurance Law under the Social Security Act
in 1935, which provided some financial security for older persons. In 1961, the
United States formed the Administration on Aging, and in 1965 introduced
Medicaid and Medicare. Since that time, the United States enacted Supplemental
Security Income in 1972 and the Omnibus Budget Reconciliation Act (nursing
home reform law) in 1991.
Question format: Multiple Choice
Chapter 1: The Aging Population
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 4
2. A nurse who works on a subacute medical unit of a hospital has noticed that
the population of older adults being admitted to the unit has been increasing
over the past few years. The nurse engages a colleague in a discussion about
this finding. Which statement by the colleague would be most reflective of
current thinking about older adults?
A. "Fortunately, most people over 65 have a sufficient level of income."
B. "It helps that older people do not have to incur any costs for their medical
care."
C. "Most of the older clients on the unit will have come to us from nursing
homes."
D. "It is reassuring older adults are receiving more concern than in decades
past."
Answer: D
Rationale: In recent years society has demonstrated a growing concern for its
older members. Myths about older people include the belief that living to old age
ensures them an adequate income, that they do not have to pay for medical
care, and that most older adults live in nursing homes.
Question format: Multiple Choice
Chapter 1: The Aging Population
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Caring
Reference: p. 4
, Chapter 1: The Aging Population
3. A public health nurse who directs a homecare program that serves an area
with a large population of older adults is creating a long-term strategic plan.
Which information would the nurse integrate into the plan for optimal outcomes?
A. While life expectancy will continue to rise, the percentage of older adults
relative to the overall population will decrease.
B. By 2030, it is expected that the number of adults over age 85 will triple.
C. Both life expectancy and the percentage of people over 65 in the population
will increase in coming decades.
D. Chronic conditions are expected to gradually cause a decrease in the number
of older adults in 10 years.
Answer: C
Rationale: Currently, persons older than 65 years represent more than 13% of
the population. This growth of the older adult population is due in part to
increasing life expectancy. Advancements in disease control and health
technology, lower infant and child mortality rates, improved sanitation, and
better living conditions have increased life expectancy. More people are surviving
to their senior years than ever before. Not only are more people reaching old
age, but they are living longer once they do; the number of people in their
seventies and eighties has been steadily increasing and is expected to continue
to increase. The population over age 85 years is projected to double by the year
2036 and triple by 2049.
Question format: Multiple Choice
Chapter 1: The Aging Population
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 5
4. A nurse is conducting a class for a group of nurses who are employed at the
local community health center that serves a large older adult population. As part
of the class, the nurse discusses the impact of the older adult's financial status
on their life. The nurse determines that the teaching was successful based on
which statement by the group?
A. The percentage of older people living below the poverty level has been
increasing.
B. The financial needs of most older adults are well met by savings alone.
C. The prevalence of home ownership by older adults has made many older
adults "asset rich and cash poor."
D. Women 65 years of age and older are the fastest growing group of employed
persons.
Answer: C
Rationale: The percentage of older people living below the poverty level has
been declining, with about 10% now falling into this category. Most older people
depend on finances, other than savings, for more than half of their income.
Women and minority groups have considerably less income than white men. A
high prevalence of home ownership by older adults has made many older adults
are "asset rich and cash poor." Despite a significant rise in the percentage of
** All Chapters included
** MCQs
,Table of Contents are given below
Chapter 1: The Aging Population
Chapter 2: Theories of Aging
Chapter 3: Diversity
Chapter 4: Life Transitions and Story
Chapter 5: Common Aging Changes
Chapter 6: The Specialty of Gerontological Nursing
Chapter 7: Holistic Assessment and Care Planning
Chapter 8: Legal Aspects of Gerontological Nursing
Chapter 9: Ethical Aspects of Gerontological Nursing
Chapter 10: Continuum of Care in Gerontological Nursing
Chapter 11: Nutrition and Hydration
Chapter 12: Sleep and Rest
Chapter 13: Comfort and Pain Management
Chapter 14: Safety
Chapter 15: Safe Medication Use
Chapter 16: Respiration
Chapter 17: Circulation
Chapter 18: Digestion and Bowel Elimination
Chapter 19: Urinary Elimination
Chapter 20: Reproductive System Health
Chapter 21: Mobility
Chapter 22: Neurologic Function
Chapter 23: Vision and Hearing
Chapter 24: Endocrine Function
Chapter 25: Skin Health
Chapter 26: Cancer
Chapter 27: Mental Health Disorders
Chapter 28: Delirium and Dementia
Chapter 29: Living in Harmony with Chronic Conditions
Chapter 30: Spirituality
Chapter 31: Sexuality and Intimacy
Chapter 32: Rehabilitative and Restorative Care
Chapter 33: Acute Care
Chapter 34: Long-Term Care
Chapter 35: Family Caregiving
Chapter 36: End-of-Life Care
,Chapter 1: The Aging Population
1. While reviewing information about older adults throughout history, the
gerontology nurse identifies which publicly supported program as the first
significant step in improving the lives of older Americans?
A. Federal Old Age Insurance Law
B. Medicare (Title 18)
C. Supplemental Security Income
D. Omnibus Budget Reconciliation Act
Answer: A
Rationale: The first significant step in improving the lives of older Americans was
the passage of the Federal Old Age Insurance Law under the Social Security Act
in 1935, which provided some financial security for older persons. In 1961, the
United States formed the Administration on Aging, and in 1965 introduced
Medicaid and Medicare. Since that time, the United States enacted Supplemental
Security Income in 1972 and the Omnibus Budget Reconciliation Act (nursing
home reform law) in 1991.
Question format: Multiple Choice
Chapter 1: The Aging Population
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 4
2. A nurse who works on a subacute medical unit of a hospital has noticed that
the population of older adults being admitted to the unit has been increasing
over the past few years. The nurse engages a colleague in a discussion about
this finding. Which statement by the colleague would be most reflective of
current thinking about older adults?
A. "Fortunately, most people over 65 have a sufficient level of income."
B. "It helps that older people do not have to incur any costs for their medical
care."
C. "Most of the older clients on the unit will have come to us from nursing
homes."
D. "It is reassuring older adults are receiving more concern than in decades
past."
Answer: D
Rationale: In recent years society has demonstrated a growing concern for its
older members. Myths about older people include the belief that living to old age
ensures them an adequate income, that they do not have to pay for medical
care, and that most older adults live in nursing homes.
Question format: Multiple Choice
Chapter 1: The Aging Population
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Caring
Reference: p. 4
, Chapter 1: The Aging Population
3. A public health nurse who directs a homecare program that serves an area
with a large population of older adults is creating a long-term strategic plan.
Which information would the nurse integrate into the plan for optimal outcomes?
A. While life expectancy will continue to rise, the percentage of older adults
relative to the overall population will decrease.
B. By 2030, it is expected that the number of adults over age 85 will triple.
C. Both life expectancy and the percentage of people over 65 in the population
will increase in coming decades.
D. Chronic conditions are expected to gradually cause a decrease in the number
of older adults in 10 years.
Answer: C
Rationale: Currently, persons older than 65 years represent more than 13% of
the population. This growth of the older adult population is due in part to
increasing life expectancy. Advancements in disease control and health
technology, lower infant and child mortality rates, improved sanitation, and
better living conditions have increased life expectancy. More people are surviving
to their senior years than ever before. Not only are more people reaching old
age, but they are living longer once they do; the number of people in their
seventies and eighties has been steadily increasing and is expected to continue
to increase. The population over age 85 years is projected to double by the year
2036 and triple by 2049.
Question format: Multiple Choice
Chapter 1: The Aging Population
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 5
4. A nurse is conducting a class for a group of nurses who are employed at the
local community health center that serves a large older adult population. As part
of the class, the nurse discusses the impact of the older adult's financial status
on their life. The nurse determines that the teaching was successful based on
which statement by the group?
A. The percentage of older people living below the poverty level has been
increasing.
B. The financial needs of most older adults are well met by savings alone.
C. The prevalence of home ownership by older adults has made many older
adults "asset rich and cash poor."
D. Women 65 years of age and older are the fastest growing group of employed
persons.
Answer: C
Rationale: The percentage of older people living below the poverty level has
been declining, with about 10% now falling into this category. Most older people
depend on finances, other than savings, for more than half of their income.
Women and minority groups have considerably less income than white men. A
high prevalence of home ownership by older adults has made many older adults
are "asset rich and cash poor." Despite a significant rise in the percentage of
