Basic Geriatric Nursing 7th Edition Williams Test Bank

BasicGeriatricNursing7thEditionWilliamsTestBank

Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 7th Edition


MULTIPLECHOICE

1. Whatfactexplainstheshiftofhealthcarefocustowardtheolderadultinthelate1960s?
a. Disabilitywasviewedasunavoidable.
b. Complicationsfromdiseaseincreasedmortality.
c. Olderadults’needsaresimilartothoseofalladults.
d. Preventivehealthcarepracticesincreasedlongevity.
ANS: D

2. Towhatagegroupdoestheterm“aged”apply?
a. 55–64yearsofage
b. 65–74yearsofage
c. 75–84yearsofage
d. 85andolder
ANS: C

3. Whichistrueofageism?
a. Itisdiscriminationagainstpersonssolelyonthebasisofage.
b. Itcausesapersontofearaging.
c. Itinvolvestheuseofculturalsensitivitytoaddressconcernsofaging.
d. Itfocusesonresourcesfortheolderadult

ANS: A

4. Whatisthemostbeneficiallegislationthathasinfluencedhealthcarefortheolderadult?
a. MedicareandMedicaid
b. Eliminationofthemandatoryretirementage
c. TheAmericanswithDisabilitiesAct
d. TheDrugBenefitProgram
ANS: A

5. Whathousingoptionfortheolderadultofferstheprivacyofanapartmentwithrestaur
ant-stylemealsandsomemedicalandpersonalcareservices?
a. Government-subsidizedhousing
b. Long-termcarefacility
c. Assisted-livingcenter
d. Grouphousingplan
ANS: C

6. The75-year-
oldmanwhohasbeenhospitalizedfollowingaseverecaseofpneumoniaisconcernedabouthism
ountinghospitalbillandasksifhisMedicarecoveragewillpayforhiscare.Whatwouldbethemos
thelpfulresponsebythenurse?
a. MedicarePartCpays50%ofallmedicalcostsforpersonsolderthan65.

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b. MedicarePartBpayshospitalcostsandphysicianfees.
c. MedicarePartApaysforinpatienthospitalcosts.
d. MedicarePartDpays80%ofthechargesmadebyphysicians.AN
S:C

7. Thedaughterofapatientwhohasbeendiagnosedwithterminalcanceraskswhichdocumentsar
erequiredtoallowhertomakehealthcaredecisionsforherparent.Whichresponsewouldprovi
dethemostaccurateinformationtothedaughter?
a. Advancedirectivesindicatethedegreeofinterventiondesiredbythepatient.
b. A‘DoNotResuscitate’documentsignedbythepatienttransfersauthoritytothenextof
kin.
c. Adurablepowerofattorneyforhealthcaretransfersdecision-
makingauthorityforhealthcaretoadesignatedperson.
d. Alivingwilltransfersauthoritytothephysician.A
NS:C

8. Thedaughterofaresidentinalong-termcarefacilityisfrustratedwithher80-year-
oldmother’srefusaltoeat.Whichresponsewouldbethemostappropriate?
a. Therefusaltoeatisanefforttomaintainaportionofindependenceandself-
direction.
b. TherefusaltoeatisanindicationofapproachingAlzheimerdisease.
c. Therefusaltoeatisanefforttogainattention.
d. Therefusaltoeatisanindicationofthedislikeoftheinstitutionalfood.
ANS: A
9. Whendotheconditionsofalivingwillgointoeffect?
a. Whenthepatientdeclaresthatdesireinwriting
b. Whenafamilymemberindicatesthedesireforcurativetherapytocease
c. Whentwophysiciansagreeinwritingthatthecriteriainthelivingwillhavebeenmet
d. Whenthephysicianandafamilymemberagreethatthecriteriainthelivingwillhavebe
enmet
ANS: C

10. Inthe1980s,Medicareinitiatedaprogramofdiagnosis-
relatedgroups(DRGs)toreducehospitalcosts.HowdidtheDRGsreducehospitalcosts?
a. Byclassifyingvariousdiagnosesasineligibleforhospitalization
b. Byallottingasetamountofhospitaldaysandprospectivepaymentonthebasisoftheadm
ittingdiagnosis
c. Byspecifyingparticularphysicianstotreatspecifieddiagnoses
d. ByusingfrequencyofaparticulardiagnosistosetapaymentscheduleANS
:B

11. Whichfacilitywouldberecommendedforapatientwhohashadahipreplacementandneedsp
hysicaltherapy?
a. Basiccarefacility






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b. Skilledcarefacility
c. Subacutecarefacility
d. Assisted-
livingresidenceANS:B

12. The80-year-
oldwomanwhoisrecoveringfromastrokeisbeingsenttoaskilledcarefacility.Sheisconcerneda
bouttheexpense.ThenursecandecreaseanxietybyexplainingthatMedicarewillcoverextende
d-carefacilitycostsforwhatperiodoftime?
a. Aperiodof30days
b. Aperiodof45daysforphysicaltherapy
c. Aperiodof100daysforneededskilledcare
d. UntilsheisabletobedischargedhomeA
NS:C

13. Whichseniorcitizenpoliticalactiongroupusesvolunteersandlobbyiststoadvancetheintere
stsofolderadults?
a. AmericanAssociationofRetiredPersons(AARP)
b. NationalCouncilofSeniorCitizens(NCSC)
c. NationalAllianceofSeniorCitizens(NASC)
d. GrayPanthers
ANS:A

14. Whichcaregivercouldbefoundguiltyofelderabuse?
a. Adaughterwhouseshermother’sSocialSecuritymoneytopurchasehermother’smedic
ation
b. Asonwhoputsanalarmonthefrontdoortopreventhismotherfromwandering
outofthehouse
c. Awifewhoallowshermentallycompetenthusbandtorefusetotakeabathforaweek
d. Asonwhouseshismother’scheckingaccountfundstopurchasealcoholforhimsel
f
ANS: D

15. Whatisthemostfrequentresponsetoelderabusebytheabusedolderadult?
a. Anger
b. Physicalretaliation
c. Notificationofauthorities
d. Nothingatall
ANS:D

16. Whatreasonisoftenstatedbynursestodayfornotseekingcareersingerontology?
a. Thephysicalworkistoodifficult.
b. Theirtechnicalskillsarenotused.
c. Thereistoomuchchallenge.
d. Therearelimitedoptionsforemployment.
ANS:B

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17. “Babyboomers”isatermusedtoclassifywhichofthefollowingpersons?
a. Thosewhoenteredschoolin1945
b. ThosewhoservedinthemilitaryinWorldWarII
c. Thosewhowerebornbetween1946and1964
d. ThosewhowereeligibleforSocialSecuritybenefitsin2000AN
S:C

18. Whattypeofabuseisdemonstratedbyrestraininganolderadultinarecliner?
a. Physicalabuse
b. Neglect
c. Emotionalabuse
d. Self-
neglectANS:A

19. Whichtypeofelderabuseisdemonstratedbythenonprovisionofmedicalcare?
a. Physicalabuse
b. Neglect
c. Emotionalabuse
d. Self-
neglectANS:B

20. Whichtypeofelderabuseisdemonstratedbyahealthcareworkertellinganursinghomeresident
shewillbeleftwithoutacalllightifshecontinuestouseitexcessively.
a. Physicalabuse
b. Neglect
c. Emotionalabuse
d. Self-
neglectANS:C

MULTIPLERESPONSE

1. Thenurseisawarethataperson’sattitudeaboutagingisinfluencedmainlybyhisorher
.(Selectallthatapply.)
a. lifeexperiences
b. incomelevel
c. levelofeducation
d. currentage
e. occupation
ANS:A,D

2. Gerontologyencompassesapplicationto .(Selectallthatapply.)
a. appropriatehousing
b. healthcare
c. publiceducation
d. businessventures