Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
TEST BANK
Gerontological Nursing
Charlotte Eliopoulos
11th Edition
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
Table of Contents
UNIT 1 THE AGING EXPERIENCE
Chapter 1: The Aging Population
Chapter 2: Theories of Aging
Chapter 3: Diversity
Chapter 4: Life Transitions and Story
Chapter 5: Common Aging Changes
UNIT 2 FOUNDATIONS OF GERONTOLOGICAL NURSING
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
UNIT 3 HEALTH PROMOTION
Chapter 11: Nutrition and Hydration
Chapter 12: Sleep and Rest
Chapter 13: Comfort and Pain Management
Chapter 14: Safety
Chapter 15: Safe Medication Use
UNIT 4 GERIATRIC CARE
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
UNIT 5 SETTINGS AND SPECIAL ISSUES IN GERIATRIC CARE
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
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
Chapter 1 The Aging Population
Test Bank
MULTIPLE CHOICE
1. The nurse explains that in the late 1960s, health care focus was aimed at the older adult
because:
a. disability was viewed as unavoidable.
b. complications from disease increased mortality.
c. older adults needs are similar to those of all adults.
d. preventive health care practices increased longevity.
ANS: D
Increased preventive health care practices, disease control, and focus on wellness helped people
live longer.
DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2
TOP: Aging Trends KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The nurse clarifies that in the terminology defining specific age groups, the term aged refers to
persons who are:
a. 55 to 64 years of age.
b. 65 to 74 years of age.
c. 75 to 84 years of age.
d. 85 and older.
ANS: C
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
The term aged refers to persons who are 75 to 84 years of age.
DIF: Cognitive Level: Comprehension REF: 2, Table 1-1 OBJ: 1
TOP: Age Categories KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse cautions that ageism is a mindset that influences persons to:
a. discriminate against persons solely on the basis of age.
b. fear aging.
c. be culturally sensitive to concerns of aging.
d. focus on resources for the older adult.
ANS: A
Ageism is a negative belief pattern that influences persons to discriminate against persons solely
on the basis of age and can lead to destructive behaviors toward the older adult.
DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3
TOP: Ageism KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. The nurse points out that the most beneficial legislation that has influenced health care for the
older adult is:
a. Medicare and Medicaid.
b. elimination of the mandatory retirement age.
c. the Americans with Disabilities Act.
d. the Drug Benefit Program.
ANS: A
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid.
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A
5. The nurse clarifies that a housing option for the older adult that offers the privacy of an
apartment with restaurant-style meals and some medical and personal care services is the:
a. government-subsidized housing.
b. long-term care facility.
c. assisted-living center.
d. group housing plan.
ANS: C
Assisted-living arrangements offer the privacy of an apartment or condominium with meals
prepared and served, limited medical care, and a variety of personal services.
DIF: Cognitive Level: Application REF: 14 OBJ: 9
TOP: Housing Options KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for his
care. The nurses most helpful response is Yes. Medicare:
a. pays 100% of all medical costs for persons older than 65.
b. Part B pays hospital costs and physician fees.
c. Part A pays for inpatient hospital costs.
d. Part D pays 80% of the charges made by physicians.
ANS: C
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physicians charges, and Part D
helps defray prescription drug costs.
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents
are required to allow her to make health care decisions for her parent. The nurses most
informative response is:
a. Advance directives indicate the degree of intervention desired by the patient.
b. A Do Not Resuscitate document signed by the patient transfers authority to the next
of kin.
c. A durable power of attorney for health care transfers decision-making authority for
health care to a designated person.
d. A living will transfers authority to the physician.
ANS: C
A durable power of attorney for health care transfers the authority for decision making to a
designated person.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Advance Directives KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
mothers refusal to eat. The nurse explains that the refusal to eat is a behavior that is an:
a. effort to maintain a portion of independence and self direction.
b. indication of approaching Alzheimer disease.
c. effort to gain attention.
d. indication of the dislike of the institutional food.
ANS: A
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
Loss of independence and control is a significant issue for the older adult. Some residents will
exercise whatever control they may retain.
DIF: Cognitive Level: Application REF: 21 OBJ: 11
TOP: Loss of Independence KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
9. The nurse clarifies that the conditions of a living will go into effect when:
a. the patient declares that desire in writing.
b. a family member indicates the desire for curative therapy to cease.
c. two physicians agree in writing that the criteria in the living will have been met.
d. the physician and a family member agree that the criteria in the living will have
been met.
ANS: C
Two physicians must agree in writing that the criteria of the living will have been met before the
document can go into effect.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Living Wills KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
hospital costs by:
a. classifying various diagnoses as ineligible for hospitalization.
b. allotting a set amount of hospital days and prospective payment on the basis of the
admitting diagnosis.
c. specifying particular physicians to treat specified diagnoses.
d. using frequency of a particular diagnosis to set a payment schedule.
ANS: B
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
DRGs set up a system of preset hospitalization time and payment on the basis of the admitting
diagnosis.
DIF: Cognitive Level: Comprehension REF: 16 OBJ: 6
TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
11. When discussing extended care with a patient who has had a hip replacement and needs
physical therapy, the nurse would recommend a(n):
a. basic care facility.
b. skilled care facility.
c. subacute care facility.
d. assisted-living residence.
ANS: B
Skilled care facilities offer not only basic care but also services from trained licensed
professionals such as nurses, physical therapists, speech therapists, and occupational therapists.
DIF: Cognitive Level: Application REF: 16 OBJ: 9
TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. The 80-year-old woman who is recovering from a stroke is being sent to an extended-care
facility. She is concerned about the expense. The nurse can allay anxiety by explaining that
Medicare will cover extended-care facility costs:
a. for a period of 30 days.
b. for a period of 45 days for physical therapy.
c. for a period of 100 days for needed skilled care.
d. until she is able to be discharged home.
ANS: C
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
Medicare will cover extended-care costs for 100 days while skilled care is being applied to the
resident. After 100 days, the resident must revert to private pay or ancillary long-term care
insurance.
DIF: Cognitive Level: Application REF: 16 OBJ: 8
TOP: Extended Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
13. The senior citizen political action group that uses volunteers and lobbyists to advance the
interests of older adults is the:
a. American Association of Retired Persons (AARP).
b. National Council of Senior Citizens (NCSC).
c. National Alliance of Senior Citizens (NASC).
d. Gray Panthers.
ANS: A
The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults.
DIF: Cognitive Level: Knowledge REF: 12 OBJ: 7
TOP: Political Action Groups KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
14. The nurse gives an example of the caregiver who is guilty of elder abuse as the:
a. daughter who uses her mothers Social Security money to purchase her mothers
medication.
b. son who puts an alarm on the front door to prevent his mother from wandering out
of the house.
c. wife who allows her mentally competent husband to refuse to take a bath for a
week.
d. frail spouse who is unable to bathe or change the clothes of her physically
dependent husband.
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
ANS: D
Unintentional abuse or neglect can occur when the caregiver lacks the stamina to meet care
needs. Even though physically unable, the frail wife is guilty of elder abuse. The wife should
seek assistance to prevent neglect.
DIF: Cognitive Level: Analysis REF: 22 OBJ: 13
TOP: Elder Abuse KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
15. The nurse cautions that the most frequent response to elder abuse by the abused older adult
is:
a. anger.
b. physical retaliation.
c. notification of authorities.
d. nothing at all.
ANS: D
Fear of retaliation or abandonment keeps most abused elders silent.
DIF: Cognitive Level: Application REF: 25-26 OBJ: 14
TOP: Response to Abuse KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
16. Many nurses today do not seek careers in gerontology because:
a. the physical work is too difficult.
b. their technological skills are not used.
c. there is not enough challenge.
d. there are limited options for employment.
ANS: B
TEST BANK
Gerontological Nursing
Charlotte Eliopoulos
11th Edition
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
Table of Contents
UNIT 1 THE AGING EXPERIENCE
Chapter 1: The Aging Population
Chapter 2: Theories of Aging
Chapter 3: Diversity
Chapter 4: Life Transitions and Story
Chapter 5: Common Aging Changes
UNIT 2 FOUNDATIONS OF GERONTOLOGICAL NURSING
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
UNIT 3 HEALTH PROMOTION
Chapter 11: Nutrition and Hydration
Chapter 12: Sleep and Rest
Chapter 13: Comfort and Pain Management
Chapter 14: Safety
Chapter 15: Safe Medication Use
UNIT 4 GERIATRIC CARE
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
UNIT 5 SETTINGS AND SPECIAL ISSUES IN GERIATRIC CARE
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
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
Chapter 1 The Aging Population
Test Bank
MULTIPLE CHOICE
1. The nurse explains that in the late 1960s, health care focus was aimed at the older adult
because:
a. disability was viewed as unavoidable.
b. complications from disease increased mortality.
c. older adults needs are similar to those of all adults.
d. preventive health care practices increased longevity.
ANS: D
Increased preventive health care practices, disease control, and focus on wellness helped people
live longer.
DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2
TOP: Aging Trends KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The nurse clarifies that in the terminology defining specific age groups, the term aged refers to
persons who are:
a. 55 to 64 years of age.
b. 65 to 74 years of age.
c. 75 to 84 years of age.
d. 85 and older.
ANS: C
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
The term aged refers to persons who are 75 to 84 years of age.
DIF: Cognitive Level: Comprehension REF: 2, Table 1-1 OBJ: 1
TOP: Age Categories KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse cautions that ageism is a mindset that influences persons to:
a. discriminate against persons solely on the basis of age.
b. fear aging.
c. be culturally sensitive to concerns of aging.
d. focus on resources for the older adult.
ANS: A
Ageism is a negative belief pattern that influences persons to discriminate against persons solely
on the basis of age and can lead to destructive behaviors toward the older adult.
DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3
TOP: Ageism KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. The nurse points out that the most beneficial legislation that has influenced health care for the
older adult is:
a. Medicare and Medicaid.
b. elimination of the mandatory retirement age.
c. the Americans with Disabilities Act.
d. the Drug Benefit Program.
ANS: A
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid.
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A
5. The nurse clarifies that a housing option for the older adult that offers the privacy of an
apartment with restaurant-style meals and some medical and personal care services is the:
a. government-subsidized housing.
b. long-term care facility.
c. assisted-living center.
d. group housing plan.
ANS: C
Assisted-living arrangements offer the privacy of an apartment or condominium with meals
prepared and served, limited medical care, and a variety of personal services.
DIF: Cognitive Level: Application REF: 14 OBJ: 9
TOP: Housing Options KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for his
care. The nurses most helpful response is Yes. Medicare:
a. pays 100% of all medical costs for persons older than 65.
b. Part B pays hospital costs and physician fees.
c. Part A pays for inpatient hospital costs.
d. Part D pays 80% of the charges made by physicians.
ANS: C
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physicians charges, and Part D
helps defray prescription drug costs.
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents
are required to allow her to make health care decisions for her parent. The nurses most
informative response is:
a. Advance directives indicate the degree of intervention desired by the patient.
b. A Do Not Resuscitate document signed by the patient transfers authority to the next
of kin.
c. A durable power of attorney for health care transfers decision-making authority for
health care to a designated person.
d. A living will transfers authority to the physician.
ANS: C
A durable power of attorney for health care transfers the authority for decision making to a
designated person.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Advance Directives KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
mothers refusal to eat. The nurse explains that the refusal to eat is a behavior that is an:
a. effort to maintain a portion of independence and self direction.
b. indication of approaching Alzheimer disease.
c. effort to gain attention.
d. indication of the dislike of the institutional food.
ANS: A
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
Loss of independence and control is a significant issue for the older adult. Some residents will
exercise whatever control they may retain.
DIF: Cognitive Level: Application REF: 21 OBJ: 11
TOP: Loss of Independence KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
9. The nurse clarifies that the conditions of a living will go into effect when:
a. the patient declares that desire in writing.
b. a family member indicates the desire for curative therapy to cease.
c. two physicians agree in writing that the criteria in the living will have been met.
d. the physician and a family member agree that the criteria in the living will have
been met.
ANS: C
Two physicians must agree in writing that the criteria of the living will have been met before the
document can go into effect.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Living Wills KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
hospital costs by:
a. classifying various diagnoses as ineligible for hospitalization.
b. allotting a set amount of hospital days and prospective payment on the basis of the
admitting diagnosis.
c. specifying particular physicians to treat specified diagnoses.
d. using frequency of a particular diagnosis to set a payment schedule.
ANS: B
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
DRGs set up a system of preset hospitalization time and payment on the basis of the admitting
diagnosis.
DIF: Cognitive Level: Comprehension REF: 16 OBJ: 6
TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
11. When discussing extended care with a patient who has had a hip replacement and needs
physical therapy, the nurse would recommend a(n):
a. basic care facility.
b. skilled care facility.
c. subacute care facility.
d. assisted-living residence.
ANS: B
Skilled care facilities offer not only basic care but also services from trained licensed
professionals such as nurses, physical therapists, speech therapists, and occupational therapists.
DIF: Cognitive Level: Application REF: 16 OBJ: 9
TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. The 80-year-old woman who is recovering from a stroke is being sent to an extended-care
facility. She is concerned about the expense. The nurse can allay anxiety by explaining that
Medicare will cover extended-care facility costs:
a. for a period of 30 days.
b. for a period of 45 days for physical therapy.
c. for a period of 100 days for needed skilled care.
d. until she is able to be discharged home.
ANS: C
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
Medicare will cover extended-care costs for 100 days while skilled care is being applied to the
resident. After 100 days, the resident must revert to private pay or ancillary long-term care
insurance.
DIF: Cognitive Level: Application REF: 16 OBJ: 8
TOP: Extended Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
13. The senior citizen political action group that uses volunteers and lobbyists to advance the
interests of older adults is the:
a. American Association of Retired Persons (AARP).
b. National Council of Senior Citizens (NCSC).
c. National Alliance of Senior Citizens (NASC).
d. Gray Panthers.
ANS: A
The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults.
DIF: Cognitive Level: Knowledge REF: 12 OBJ: 7
TOP: Political Action Groups KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
14. The nurse gives an example of the caregiver who is guilty of elder abuse as the:
a. daughter who uses her mothers Social Security money to purchase her mothers
medication.
b. son who puts an alarm on the front door to prevent his mother from wandering out
of the house.
c. wife who allows her mentally competent husband to refuse to take a bath for a
week.
d. frail spouse who is unable to bathe or change the clothes of her physically
dependent husband.
, Gerontological Nursing 11th Edition (Eliopoulos, 2026) - Test Bank
ANS: D
Unintentional abuse or neglect can occur when the caregiver lacks the stamina to meet care
needs. Even though physically unable, the frail wife is guilty of elder abuse. The wife should
seek assistance to prevent neglect.
DIF: Cognitive Level: Analysis REF: 22 OBJ: 13
TOP: Elder Abuse KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
15. The nurse cautions that the most frequent response to elder abuse by the abused older adult
is:
a. anger.
b. physical retaliation.
c. notification of authorities.
d. nothing at all.
ANS: D
Fear of retaliation or abandonment keeps most abused elders silent.
DIF: Cognitive Level: Application REF: 25-26 OBJ: 14
TOP: Response to Abuse KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
16. Many nurses today do not seek careers in gerontology because:
a. the physical work is too difficult.
b. their technological skills are not used.
c. there is not enough challenge.
d. there are limited options for employment.
ANS: B
