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

TESTBANK n




BASIC GERIATRIC NURSING
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PATRICIAA. WILLIAMS
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8th Edition
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TESTBANK n

,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
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MULTIPLE CHOICE n




1. Which 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. n n n n




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




c. Older adults’ needs are similar to those ofall adults.
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d. Preventive health care practices increased longevity. n n n n n




ANS: D n




Increased preventive health care practices, disease control, and focus on wellness helped people live longer.
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PTS: 1 n DIF: 4 n REF: p. 2 OBJ: 2 n n n n




TOP: Aging Trends n KEY: NursingProcess Step: Data Collection
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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NOT: Understandingn




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




b. 65–74 years of age n n n




c. 75–84 years of age n n n




d. 85 and older n n




ANS: C n




The term aged refers to persons who are 75–84 years of age.
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PTS: 1 n DIF: 1 n REF: p. 2 | Table 1.1 n n n n n




OBJ: 1 n TOP: Age Categories n n




KEY: Nursing Process Step: Data Collection
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development NOT:
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Remembering
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3. Which is true of ageism? n n n n




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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ANS: A n




Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the basis
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of age and can lead to destructive behaviors toward the older adult.
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PTS: 1 DIF: 4
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TOP: Ageism KEY: Nursing Process Step: Data Collection
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MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
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NOT: Understanding
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4. Which legislation has been the most beneficial legislation that has influenced health care for the older
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n adult?
a. Medicare and Medicaid n n




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




c. The Americans with Disabilities Act n n n n




d. The Drug Benefit Program n n n




ANS: A n




The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimination of
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the mandatory retirement age does not apply to health care. The Americans with Disabilities Act deals with
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all Americans with disabilities, not just the older adult. The Drug Benefit Program was added to Medicare, but
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deals only with medications.
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PTS: 1 DIF: 4
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TOP: Legislation KEY: NursingProcess Step:Implementation
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MSC: NCLEX: N/A
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5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style meals and
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n some medical and personal care services?
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a. Government-subsidized housing n




b. Long-term care facility n n




c. Assisted-living center n




d. Group housing plan n n




ANS: C n




Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared and
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served, limited medical care, and a variety of personal services.
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PTS: 1 DIF: 3
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TOP: Housing Options n KEY: NursingProcess Step: Implementation n n n n n




MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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NOT: Remembering n




6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned about
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n his mounting hospital bill and asks if his Medicare coverage will pay for his care. Which would be the most
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n helpful response by the nurse? n n n n




a. Medicare Part C pays 50% of all medical costs for persons older than 65.
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b. Medicare Part B pays hospital costs and physician fees. n n n n n n n n

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




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




ANS: C n




Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps
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defray prescription drug costs. Medicare Part C allows individuals to receive health insurance through
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private insurance companies and typically pays entire costs.
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PTS: 1 n DIF: 7 n REF: p. 16 OBJ: 6 n n n n




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




MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
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7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are
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n required to allow her to make health care decisions for her parent. Which response would provide the most
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n accurate information to the daughter? n n n n




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




b. A ‘Do Not Resuscitate’ document signed by the patient transfers authorityto the next of
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kin.
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c. A durable power of attorney for health care transfers decision-making authority for
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health care to a designated person.
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d. A living will transfers authority to the physician.
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ANS: C n




A durable power of attorney for health care transfers the authority for decision making to a designated
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person. An advance directive specifies the type of care an individual desires when he cannot speak for
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himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate”
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document states that the patient wishes to die naturally with no intervention. A living will prohibits the use
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of life-prolonging measures.
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PTS: 1 n DIF: 7 n REF: p. 19 OBJ: 11 n n n n




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




MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
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8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s
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n 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 and self-
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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 n




Loss of independence and control is a significant issue for the older adult. Some residents will exercise
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whatever control they may retain.
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PTS: 1 n DIF: 7 n REF: p. 21 OBJ: 11 n n n n




TOP: Loss of Independence n KEY: NursingProcess Step:Implementation
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MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
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9. When do the conditions of a living will go into effect?
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