TEST BANK FOR BASIC GERIATRIC NURSING 8th Edition by
Patricia A. Williams
,Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. Which of these facts explains the shift of health care focus toward the older adult in the late 1960s?
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. ANSWER✔✔ D
2. To which of these age groups does the term “aged” apply?
a. 55–64 years of age
b. 65–74 years of age
c. 75–84 years of age
d. 85 and older
ANSWER✔✔
C
3. Which of these is true of ageism?
a. It is discrimination against persons solely on the basis of age.
b. It causes a person to fear aging.
c. It involves the use of cultural sensitivity to address concerns of aging.
d. It focuses on resources for the older
adult ANSWER✔✔ A
4. Which of these is the most beneficial legislation that has influenced health care for the older adult?
a. Medicare and Medicaid
b. Elimination of the mandatory retirement age
c. The Americans with Disabilities Act
d. The Drug Benefit
Program
ANSWER✔✔ A
5. Which of these housing option for the older adult offers the privacy of an
apartment with restaurant-style meals and some medical and personal
care services?
a. Government-subsidized housing
b. Long-term care facility
c. Assisted-living center
d. Group housing
plan
ANSWER✔✔ C
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. Which of these would be the most helpful response by the nurse?
a. Medicare Part C pays 50% of all medical costs for persons older than 65.
b. Medicare Part B pays hospital costs and physician fees.
c. Medicare Part A pays for inclient hospital costs.
d. Medicare Part D pays 80% of the charges made by
physicians. ANSWER✔✔ C
7. The daughter of a client who has been diagnosed with terminal cancer asks which
documents are required to allow her to make health care decisions for her parent.
Which of these responses would provide the most accurate information to the
daughter?
a. Advance directives indicate the degree of intervention desired by the client.
b. A ‘Do Not Resuscitate’ document signed by the client 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. ANSWER✔✔ C
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
mother’s refusal to eat. Which of these responses would be the most appropriate?
a. The refusal to eat is an effort to maintain a portion of independence
and self-direction.
b. The refusal to eat is an indication of approaching Alzheimer disease.
c. The refusal to eat is an effort to gain attention.
d. The refusal to eat is an indication of the dislike of the institutional food.
ANSWER✔✔ A
9. When do the conditions of a living will go into effect?
a. When the client declares that desire in writing
b. When a family member indicates the desire for curative therapy to cease
c. When two physicians agree in writing that the criteria in the living will have
been met
d. When the physician and a family member agree that the criteria in the living
will have been met
ANSWER✔✔ C
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
hospital costs. How did the DRGs reduce hospital costs?
a. By classifying various diagnoses as ineligible for hospitalization
b. By allotting a set amount of hospital days and prospective payment on the basis
of the admitting diagnosis
c. By specifying particular physicians to treat specified diagnoses
d. By using frequency of a particular diagnosis to set a payment
schedule ANSWER✔✔ B
11. Which facility would be recommended for a client who has had a hip replacement
and needs physical therapy?
a. Basic care facility
, b. Skilled care facility
c. Subacute care facility
d. Assisted-living residence
ANSWER✔✔ B
12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care
facility. She is concerned about the expense. The professional nursing practitioner can
decrease anxiety by explaining that Medicare will cover extended-care facility costs for
which of these period of time?
a. A period of 30 days
b. A period of 45 days for physical therapy
c. A period of 100 days for needed skilled care
d. Until she is able to be discharged
home ANSWER✔✔ C
13. Which of these senior citizen political action groups uses volunteers and lobbyists
to advance the interests of older adults?
a. American Association of Retired Persons (AARP)
b. National Council of Senior Citizens (NCSC)
c. National Alliance of Senior Citizens (NASC)
d. Gray Panthers
ANSWER✔✔ A
14. Which of these caregivers could be found guilty of elder abuse?
a. A daughter who uses her mother’s Social Security money to purchase her mother’s
medication
b. A son who puts an alarm on the front door to prevent his mother from
wandering out of the house
c. A wife who allows her mentally competent husband to refuse to take a bath for
a week
d. A son who uses his mother’s checking account funds to purchase alcohol for
himself
ANSWER✔✔ D
15. Which of these is the most frequent response to elder abuse by the abused older adult?
a. Anger
b. Physical retaliation
c. Notification of authorities
d. Nothing at all
ANSWER✔✔ D
16. Which of these reason is often stated by nurses today for not seeking careers in gerontology?
a. The physical work is too difficult.
b. Their technical skills are not used.
c. There is too much challenge.
d. There are limited options for
Patricia A. Williams
,Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. Which of these facts explains the shift of health care focus toward the older adult in the late 1960s?
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. ANSWER✔✔ D
2. To which of these age groups does the term “aged” apply?
a. 55–64 years of age
b. 65–74 years of age
c. 75–84 years of age
d. 85 and older
ANSWER✔✔
C
3. Which of these is true of ageism?
a. It is discrimination against persons solely on the basis of age.
b. It causes a person to fear aging.
c. It involves the use of cultural sensitivity to address concerns of aging.
d. It focuses on resources for the older
adult ANSWER✔✔ A
4. Which of these is the most beneficial legislation that has influenced health care for the older adult?
a. Medicare and Medicaid
b. Elimination of the mandatory retirement age
c. The Americans with Disabilities Act
d. The Drug Benefit
Program
ANSWER✔✔ A
5. Which of these housing option for the older adult offers the privacy of an
apartment with restaurant-style meals and some medical and personal
care services?
a. Government-subsidized housing
b. Long-term care facility
c. Assisted-living center
d. Group housing
plan
ANSWER✔✔ C
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. Which of these would be the most helpful response by the nurse?
a. Medicare Part C pays 50% of all medical costs for persons older than 65.
b. Medicare Part B pays hospital costs and physician fees.
c. Medicare Part A pays for inclient hospital costs.
d. Medicare Part D pays 80% of the charges made by
physicians. ANSWER✔✔ C
7. The daughter of a client who has been diagnosed with terminal cancer asks which
documents are required to allow her to make health care decisions for her parent.
Which of these responses would provide the most accurate information to the
daughter?
a. Advance directives indicate the degree of intervention desired by the client.
b. A ‘Do Not Resuscitate’ document signed by the client 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. ANSWER✔✔ C
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
mother’s refusal to eat. Which of these responses would be the most appropriate?
a. The refusal to eat is an effort to maintain a portion of independence
and self-direction.
b. The refusal to eat is an indication of approaching Alzheimer disease.
c. The refusal to eat is an effort to gain attention.
d. The refusal to eat is an indication of the dislike of the institutional food.
ANSWER✔✔ A
9. When do the conditions of a living will go into effect?
a. When the client declares that desire in writing
b. When a family member indicates the desire for curative therapy to cease
c. When two physicians agree in writing that the criteria in the living will have
been met
d. When the physician and a family member agree that the criteria in the living
will have been met
ANSWER✔✔ C
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
hospital costs. How did the DRGs reduce hospital costs?
a. By classifying various diagnoses as ineligible for hospitalization
b. By allotting a set amount of hospital days and prospective payment on the basis
of the admitting diagnosis
c. By specifying particular physicians to treat specified diagnoses
d. By using frequency of a particular diagnosis to set a payment
schedule ANSWER✔✔ B
11. Which facility would be recommended for a client who has had a hip replacement
and needs physical therapy?
a. Basic care facility
, b. Skilled care facility
c. Subacute care facility
d. Assisted-living residence
ANSWER✔✔ B
12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care
facility. She is concerned about the expense. The professional nursing practitioner can
decrease anxiety by explaining that Medicare will cover extended-care facility costs for
which of these period of time?
a. A period of 30 days
b. A period of 45 days for physical therapy
c. A period of 100 days for needed skilled care
d. Until she is able to be discharged
home ANSWER✔✔ C
13. Which of these senior citizen political action groups uses volunteers and lobbyists
to advance the interests of older adults?
a. American Association of Retired Persons (AARP)
b. National Council of Senior Citizens (NCSC)
c. National Alliance of Senior Citizens (NASC)
d. Gray Panthers
ANSWER✔✔ A
14. Which of these caregivers could be found guilty of elder abuse?
a. A daughter who uses her mother’s Social Security money to purchase her mother’s
medication
b. A son who puts an alarm on the front door to prevent his mother from
wandering out of the house
c. A wife who allows her mentally competent husband to refuse to take a bath for
a week
d. A son who uses his mother’s checking account funds to purchase alcohol for
himself
ANSWER✔✔ D
15. Which of these is the most frequent response to elder abuse by the abused older adult?
a. Anger
b. Physical retaliation
c. Notification of authorities
d. Nothing at all
ANSWER✔✔ D
16. Which of these reason is often stated by nurses today for not seeking careers in gerontology?
a. The physical work is too difficult.
b. Their technical skills are not used.
c. There is too much challenge.
d. There are limited options for
