,TABLE OF CONTENTS
Chapter 01: Trends and Issues
o Chapter 02: Theories of Aging
o Chapter 03: Physiologic Changes
o Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations
o Chapter 06: Maintaining Fluid Balance and Meeting Nutritional Needs
o Chapter 07: Medications and Older Adults
o Chapter 08: Health Assessment of Older Adults
o Chapter 09: Meeting Safety Needs of Older Adults
o Chapter 10: Cognition and Perception
o Chapter 11: Self-Perception and Self-Concept
o Chapter 12: Roles and Relationships
o Chapter 13: Coping and Stress
o Chapter 14: Values and Beliefs
o Chapter 15: End-of-Life Care
o Chapter 16: Sexuality and Aging
o Chapter 17: Care of Aging Skin and Mucous Membranes
o Chapter 19: Activity and Exercise
, Basic Geriatric Nursing 8th Edition Williams Test Bank
Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 7th Edition
MULTIPLE CHOICE
1.
Which was the most influential factor shifting healthcare focus toward older adults in the late 1960s?
a. Disability was considered unavoidable
b. Complications from chronic disease increased mortality
c. Preventive healthcare practices increased longevity
d. Older adults’ needs were identical to younger adults
Answer: c. Preventive healthcare practices increased longevity
Rationale: Advances in preventive health, vaccines, and medical technology allowed people to live longer, leading
to a demographic shift with more elderly patients requiring specialized care.
2.
Which legislation most significantly improved healthcare access for older adults?
a. The Americans with Disabilities Act
b. Medicare and Medicaid
c. The Drug Benefit Program
d. Elimination of mandatory retirement age
Answer: b. Medicare and Medicaid
Rationale: Enacted in 1965, Medicare and Medicaid revolutionized access to healthcare for older adults and low-
income populations, directly impacting geriatric care.
3.
Which age group is classified as “aged”?
a. 55–64 years
b. 65–74 years
c. 75–84 years
d. 85+ years
Answer: c. 75–84 years
Rationale: According to gerontological classification, “young-old” = 65–74, “aged” = 75–84, and “old-old” = 85+.
, 4.
The most frequent response of older adults experiencing abuse is:
a. Anger
b. Retaliation
c. Silence (nothing at all)
d. Calling authorities
Answer: c. Silence (nothing at all)
Rationale: Fear of retaliation, dependence on the abuser, and feelings of helplessness lead many older adults to
remain silent about abuse.
5.
What is the major criticism of ageism in healthcare?
a. Promotes early retirement
b. Reduces healthcare costs
c. Encourages cultural sensitivity
d. Discriminates solely based on age
Answer: d. Discriminates solely based on age
Rationale: Ageism refers to stereotyping or discriminating against people based on age, leading to neglect or
inadequate care.
6.
The Medicare program of Diagnosis-Related Groups (DRGs) reduced costs by:
a. Limiting which physicians could treat certain illnesses
b. Paying hospitals a set fee based on diagnosis
c. Denying admission for certain conditions
d. Using disease frequency to allocate funds
Answer: b. Paying hospitals a set fee based on diagnosis
Rationale: DRGs encourage efficiency by reimbursing hospitals a predetermined amount for specific diagnoses,
regardless of actual cost.
7.
Which facility is best for a patient recovering from hip replacement requiring intensive physical therapy?
a. Assisted-living facility
b. Skilled care facility
c. Group housing
d. Long-term custodial care
Chapter 01: Trends and Issues
o Chapter 02: Theories of Aging
o Chapter 03: Physiologic Changes
o Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations
o Chapter 06: Maintaining Fluid Balance and Meeting Nutritional Needs
o Chapter 07: Medications and Older Adults
o Chapter 08: Health Assessment of Older Adults
o Chapter 09: Meeting Safety Needs of Older Adults
o Chapter 10: Cognition and Perception
o Chapter 11: Self-Perception and Self-Concept
o Chapter 12: Roles and Relationships
o Chapter 13: Coping and Stress
o Chapter 14: Values and Beliefs
o Chapter 15: End-of-Life Care
o Chapter 16: Sexuality and Aging
o Chapter 17: Care of Aging Skin and Mucous Membranes
o Chapter 19: Activity and Exercise
, Basic Geriatric Nursing 8th Edition Williams Test Bank
Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 7th Edition
MULTIPLE CHOICE
1.
Which was the most influential factor shifting healthcare focus toward older adults in the late 1960s?
a. Disability was considered unavoidable
b. Complications from chronic disease increased mortality
c. Preventive healthcare practices increased longevity
d. Older adults’ needs were identical to younger adults
Answer: c. Preventive healthcare practices increased longevity
Rationale: Advances in preventive health, vaccines, and medical technology allowed people to live longer, leading
to a demographic shift with more elderly patients requiring specialized care.
2.
Which legislation most significantly improved healthcare access for older adults?
a. The Americans with Disabilities Act
b. Medicare and Medicaid
c. The Drug Benefit Program
d. Elimination of mandatory retirement age
Answer: b. Medicare and Medicaid
Rationale: Enacted in 1965, Medicare and Medicaid revolutionized access to healthcare for older adults and low-
income populations, directly impacting geriatric care.
3.
Which age group is classified as “aged”?
a. 55–64 years
b. 65–74 years
c. 75–84 years
d. 85+ years
Answer: c. 75–84 years
Rationale: According to gerontological classification, “young-old” = 65–74, “aged” = 75–84, and “old-old” = 85+.
, 4.
The most frequent response of older adults experiencing abuse is:
a. Anger
b. Retaliation
c. Silence (nothing at all)
d. Calling authorities
Answer: c. Silence (nothing at all)
Rationale: Fear of retaliation, dependence on the abuser, and feelings of helplessness lead many older adults to
remain silent about abuse.
5.
What is the major criticism of ageism in healthcare?
a. Promotes early retirement
b. Reduces healthcare costs
c. Encourages cultural sensitivity
d. Discriminates solely based on age
Answer: d. Discriminates solely based on age
Rationale: Ageism refers to stereotyping or discriminating against people based on age, leading to neglect or
inadequate care.
6.
The Medicare program of Diagnosis-Related Groups (DRGs) reduced costs by:
a. Limiting which physicians could treat certain illnesses
b. Paying hospitals a set fee based on diagnosis
c. Denying admission for certain conditions
d. Using disease frequency to allocate funds
Answer: b. Paying hospitals a set fee based on diagnosis
Rationale: DRGs encourage efficiency by reimbursing hospitals a predetermined amount for specific diagnoses,
regardless of actual cost.
7.
Which facility is best for a patient recovering from hip replacement requiring intensive physical therapy?
a. Assisted-living facility
b. Skilled care facility
c. Group housing
d. Long-term custodial care
