Gerontological Nursing
Final Exam Test Bank
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,The nurse cautions that ageism is a mindset that ANS: A
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.
The nurse points out that the most beneficial legislation ANS: A
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.
The nurse clarifies that a housing option for the older ANS: C
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.
The 75-year-old man who has been hospitalized ANS: C
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.
The daughter of a patient who has been diagnosed with ANS: C
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.
,The daughter of a resident in a long-term care facility is ANS: A
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.
The nurse clarifies that the conditions of a living will go ANS: C
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
In the 1980s, Medicare initiated a program of diagnosis- ANS: B
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.
When discussing extended care with a patient who has ANS: B
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.
The 80-year-old woman who is recovering from a ANS: C
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.
, The senior citizen political action group that uses ANS: A
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.
The nurse gives an example of the caregiver who is ANS: D
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.
The nurse cautions that the most frequent response to ANS: D
elder abuse by the abused older adult is:
a. anger.
b. physical retaliation.
c. notification of authorities.
d. nothing at all.
Many nurses today do not seek careers in gerontology ANS: B
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.
The nurse clarifies that the term baby boomers refers to ANS: C
persons who:
a. entered school in 1945.
b. served in the military in World War II.
c. were born between 1946 and 1964.
d. were eligible for Social Security benefits in 2000.
Restraining an older adult in a recliner to prevent ANS: A
wandering is an example of:
a. physical abuse.
b. neglect.
c. emotional abuse.
d. self-neglect.
Final Exam Test Bank
Questions | Study Guide
& Exam Review
|Guaranteed success|
,The nurse cautions that ageism is a mindset that ANS: A
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.
The nurse points out that the most beneficial legislation ANS: A
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.
The nurse clarifies that a housing option for the older ANS: C
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.
The 75-year-old man who has been hospitalized ANS: C
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.
The daughter of a patient who has been diagnosed with ANS: C
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.
,The daughter of a resident in a long-term care facility is ANS: A
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.
The nurse clarifies that the conditions of a living will go ANS: C
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
In the 1980s, Medicare initiated a program of diagnosis- ANS: B
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.
When discussing extended care with a patient who has ANS: B
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.
The 80-year-old woman who is recovering from a ANS: C
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.
, The senior citizen political action group that uses ANS: A
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.
The nurse gives an example of the caregiver who is ANS: D
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.
The nurse cautions that the most frequent response to ANS: D
elder abuse by the abused older adult is:
a. anger.
b. physical retaliation.
c. notification of authorities.
d. nothing at all.
Many nurses today do not seek careers in gerontology ANS: B
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.
The nurse clarifies that the term baby boomers refers to ANS: C
persons who:
a. entered school in 1945.
b. served in the military in World War II.
c. were born between 1946 and 1964.
d. were eligible for Social Security benefits in 2000.
Restraining an older adult in a recliner to prevent ANS: A
wandering is an example of:
a. physical abuse.
b. neglect.
c. emotional abuse.
d. self-neglect.
