Basic Geriatric Nursing – 8th Edition | Patricia A. Williams | Test Bank with Answers for All Chapters

TESTBANK b




BASIC GERIATRIC NURSING
b b




PATRICIAA. WILLIAMS
b b




8th Edition
b




TESTBANK b

,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
b b b b b b b b b b




MULTIPLE CHOICE b




1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
b b b b b b b b b b b b b b b b




a. Disability was viewed as unavoidable. b b b b




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




c. Older adults’ needs are similar to those of all adults.
b b b b b b b b b




d. Preventive health care practices increased longevity. b b b b b




ANS: D b




Increased preventive health care practices, disease control, and focus on wellness helped people live longer.
b b b b b b b b b b b b b b




PTS: 1 b DIF: 4 b REF: p. 2 OBJ: 2 b b b b




TOP: Aging Trends b KEY: NursingProcess Step: Data Collection
b b b b b b




MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
b b b b b b b b b




NOT: Understandingb




2. To which age group does the term “aged” apply?
b b b b b b b b




a. 55–64 years of age b b b




b. 65–74 years of age b b b




c. 75–84 years of age b b b




d. 85 and older b b




ANS: C b




The term aged refers to persons who are 75–84 years of age.
b b b b b b b b b b b




PTS: 1 b DIF: 1 b REF: p. 2 | Table 1.1 b b b b b




OBJ: 1 b TOP: Age Categories b b




KEY: Nursing Process Step: Data Collection
b b b b b b




MSC: NCLEX: Health Promotion and Maintenance: Growth and Development NOT:
b b b b b b b b b




Remembering
b




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




a. It is discrimination against persons solely on the basis of age.
b b b b b b b b b b




b. It causes a person to fear aging.
b b b b b b

, c. It involves the use of cultural sensitivity to address concerns of aging.
b b b b b b b b b b b




d. It focuses on resources for the older adult.
b b b b b b b




ANS: A b




Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the basis
b b b b b b b b b b b b b b b b




of age and can lead to destructive behaviors toward the older adult.
b b b b b b b b b b b b




PTS: 1 DIF: 4
b b REF: p. 4 OBJ: 3 b b b b




TOP: Ageism KEY: Nursing Process Step: Data Collection
b b b b b b




MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
b b b b b b




NOT: Understanding
b b




4. Which legislation has been the most beneficial legislation that has influenced health care for the older
b b b b b b b b b b b b b b b




b adult?
a. Medicare and Medicaid b b




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




c. The Americans with Disabilities Act b b b b




d. The Drug Benefit Program b b b




ANS: A b




The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimination of
b b b b b b b b b b b b b b b




the mandatory retirement age does not apply to health care. The Americans with Disabilities Act deals with
b b b b b b b b b b b b b b b b b




all Americans with disabilities, not just the older adult. The Drug Benefit Program was added to Medicare, but
b b b b b b b b b b b b b b b b b b




deals only with medications.
b b b b




PTS: 1 DIF: 4
b REF: p. 11
b OBJ: 6 b b b b




TOP: Legislation KEY: NursingProcess Step:Implementation
b b b b b




MSC: NCLEX: N/A
b NOT: Understanding
b b b




5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style meals and
b b b b b b b b b b b b b b b b




b some medical and personal care services?
b b b b b




a. Government-subsidized housing b




b. Long-term care facility b b




c. Assisted-living center b




d. Group housing plan b b




ANS: C b




Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared and
b b b b b b b b b b b b b




served, limited medical care, and a variety of personal services.
b b b b b b b b b b




PTS: 1 DIF: 3
b b REF: p. 14 OBJ: 9 b b b b




TOP: Housing Options b KEY: NursingProcess Step: Implementation b b b b b




MSC: NCLEX: Physiological Integrity: Physiological Adaptation
b b b b b b




NOT: Remembering b




6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned about
b b b b b b b b b b b b b b b




b his mounting hospital bill and asks if his Medicare coverage will pay for his care. Which would be the most
b b b b b b b b b b b b b b b b b b b




b helpful response by the nurse? b b b b




a. Medicare Part C pays 50% of all medical costs for persons older than 65.
b b b b b b b b b b b b b




b. Medicare Part B pays hospital costs and physician fees. b b b b b b b b

, c. Medicare Part A pays for inpatient hospital costs. b b b b b b b




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




ANS: C b




Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps
b b b b b b b b b b b b b b b b b




defray prescription drug costs. Medicare Part C allows individuals to receive health insurance through
b b b b b b b b b b b b b b




private insurance companies and typically pays entire costs.
b b b b b b b b




PTS: 1 b DIF: 7 b REF: p. 16 OBJ: 6 b b b b




TOP: Medicare Provisions b KEY: NursingProcess Step:Implementation b b b b b




MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
b b NOT: Applying b b b b b b




7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are
b b b b b b b b b b b b b b b




b required to allow her to make health care decisions for her parent. Which response would provide the most
b b b b b b b b b b b b b b b b b




b accurate information to the daughter? b b b b




a. Advance directives indicate the degree of intervention desired by the patient. b b b b b b b b b b




b. A ‘Do Not Resuscitate’ document signed by the patient transfers authorityto the next of
b b b b b b b b b b b b b b




kin.
b




c. A durable power of attorney for health care transfers decision-making authority for
b b b b b b b b b b b




health care to a designated person.
b b b b b b




d. A living will transfers authority to the physician.
b b b b b b b




ANS: C b




A durable power of attorney for health care transfers the authority for decision making to a designated
b b b b b b b b b b b b b b b b




person. An advance directive specifies the type of care an individual desires when he cannot speak for
b b b b b b b b b b b b b b b b b




himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate”
b b b b b b b b b b b b b b b b b




document states that the patient wishes to die naturally with no intervention. A living will prohibits the use
b b b b b b b b b b b b b b b b b b




of life-prolonging measures.
b b b




PTS: 1 b DIF: 7 b REF: p. 19 OBJ: 11 b b b b




TOP: Advance Directives b KEY: NursingProcess Step: Implementation b b b b b




MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
b b NOT: Applying b b b b b b




8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s
b b b b b b b b b b b b b b b




b refusal to eat. Which response would be the most appropriate?
b b b b b b b b b




a. The refusal to eat is an effort to maintain a portion of independence and self-
b b b b b b b b b b b b b b




direction.
b




b. The refusal to eat is an indication of approaching Alzheimer disease.
b b b b b b b b b b




c. The refusal to eat is an effort to gain attention.
b b b b b b b b b




d. The refusal to eat is an indication of the dislike of the institutional food.
b b b b b b b b b b b b b




ANS: A b




Loss of independence and control is a significant issue for the older adult. Some residents will exercise
b b b b b b b b b b b b b b b b




whatever control they may retain.
b b b b b




PTS: 1 b DIF: 7 b REF: p. 21 OBJ: 11 b b b b




TOP: Loss of Independence b KEY: NursingProcess Step:Implementation
b b b b b b




MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
b b NOT: Applying b b b b b b




9. When do the conditions of a living will go into effect?
b b b b b b b b b b