TEST BANK BASIC GERIATRIC NURSING PATRICIA A. WILLIAMS

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BASIC GERIATRIC NURSING
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7th Edition
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By Patricia A. Williams
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,TEST BANK: Basic Geriatric Nursing, 7th Edition by Patricia
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Test Bank: Basic Geriatric Nursing, 7th Edition by Patricia A.
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Williams
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Contents
Unit One: Overview of Aging
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Chapter 1. Trends and Issues
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Chapter 2. Theories of Aging
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Chapter 3.Physiologic Changes
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Unit Two: Basic Skills for Gerontologic Nursing
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Chapter 4. Health Promotion, Health Maintenance, and Home Health Considerations
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Chapter 5. Communicating with Older Adults
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Chapter 6. Maintaining Fluid Balance and Meeting Nutrition Needs
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Chapter 7. Medications and Older Adults
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Chapter 8. Health Assessment for Older Adults
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Chapter 9. Meeting Safety Needs of Older Adults
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Unit Three: Psychosocial Care of the Elderly
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Chapter 10. Cognition and Perception
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Chapter 11.Self-Perception and Self-Concept
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Chapter 12. Roles and Relationships
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Chapter 13. Coping and Stress
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Chapter 14. Values and Beliefs
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Chapter 15. End-of-Life Care
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Chapter 16. Sexuality and Aging
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Unit Four: Physical Care of the Elderly
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Chapter 17. Care of Aging Skin and Mucous Membranes
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Chapter 18. Elimination
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Chapter 19. Activity and Exercise
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Chapter 20. Sleep and Rest
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, Basic Geriatric Nursing 7th Edition Williams Test
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Bank
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Chapter 01: Trends and Issues
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Williams: Basic Geriatric Nursing, 7th Edition
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MULTIPLE CHOICE bq




1. What fact explains the shift of health care focus toward the older adult in the late 1960s?
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a. Disability was viewed as unavoidable. bq bq bq bq



b. Complications from disease increased mortality. bq bq bq bq



c. Older adults’ needs are similar to those of all adults.
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d. Preventive health care practices increased longevity. bq bq bq bq bq




bq ANS: D b q




2. To what age group does the term “aged” apply?
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a. 55–64 years of age bq bq bq



b. 65–74 years of age bq bq bq



c. 75–84 years of age bq bq bq



d. 85 and older bq bq




bq ANS: C b q




3. Which is true of ageism? bq bq bq bq



a. It is discrimination against persons solely on the basis of age.
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b. It causes a person to fear aging.
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c. It involves the use of cultural sensitivity to address concerns of aging.
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d. It focuses on resources for the older adult
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bq ANS: b q A

4. What is the most beneficial legislation that has influenced health care for the older adult?
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a. Medicare and Medicaid bq bq



b. Elimination of the mandatory retirement age bq bq bq bq bq



c. The Americans with Disabilities Act
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d. The Drug Benefit Program bq bq bq




bq ANS: A b q




5. What housing option for the older adult offers the privacy of an apartment
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with restaurant-style meals and some medical and personal care services?
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a. Government-subsidized housing bq



b. Long-term care facility bq bq



c. Assisted-living center bq



d. Group housing plan bq bq




bq ANS: C b q




6. The 75-year-old man who has been hospitalized following a severe case of pneumonia
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is concerned about his mounting hospital bill and asks if his Medicare coverage will
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pay for his care. What would be the most helpful response by the nurse?
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a. Medicare Part C pays 50% of all medical costs for persons older than 65.
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, Basic Geriatric Nursing 7th Edition Williams Test
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Bank
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b. Medicare Part B pays hospital costs and physician fees. bq bq bq bq bq bq bq bq



c. Medicare Part A pays for inpatient hospital costs. bq bq bq bq bq bq bq



d. Medicare Part D pays 80% of the charges made by physicians. bq bq bq bq bq bq bq bq bq bq




bq ANS: C b q




7. The daughter of a patient who has been diagnosed with terminal cancer asks which
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documents are required to allow her to make health care decisions for her parent.
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Which response would provide the most accurate information to the daughter?
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a. Advance directives indicate the degree of intervention desired by the patient.
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b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to
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the next of kin.
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c. A durable power of attorney for health care transfers decision-making authority
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for health care to a designated person.
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d. A living will transfers authority to the physician.
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bq ANS: C b q




8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-
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old mother’s refusal to eat. Which response would be the most appropriate?
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a. The refusal to eat is an effort to maintain a portion of independence
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and self-direction.
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b. The refusal to eat is an indication of approaching Alzheimer disease.
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c. The refusal to eat is an effort to gain attention.
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d. The refusal to eat is an indication of the dislike of the institutional food.
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ANS: A b q



9. When do the conditions of a living will go into effect?
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a. When the patient declares that desire in writing
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b. When a family member indicates the desire for curative therapy to cease
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c. When two physicians agree in writing that the criteria in the living will have
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been met
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d. When the physician and a family member agree that the criteria in the living
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will have been met
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ANS: b q C

10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to
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reduce hospital costs. How did the DRGs reduce hospital costs?
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a. By classifying various diagnoses as ineligible for hospitalization
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b. By allotting a set amount of hospital days and prospective payment on the basis
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of the admitting diagnosis
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c. By specifying particular physicians to treat specified diagnoses
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d. By using frequency of a particular diagnosis to set a payment schedule
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bq ANS: B b q




11. Which facility would be recommended for a patient who has had a hip replacement
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and needs physical therapy?
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a. Basic care facility bq bq