TEST BANK
BASIC GERIATRIC NURSING
7th Edition
By Patricia A. Williams
,TEST BANK: Basic Geriatric Nursing, 7th Edition by Patricia
Test Bank: Basic Geriatric Nursing, 7th Edition by Patricia A. Williams
A. Williams
Contents
Unit One: Overview of Aging
Chapter 1. Trends and Issues
Chapter 2. Theories of Aging
Chapter 3.Physiologic Changes
Unit Two: Basic Skills for Gerontologic Nursing
Chapter 4. Health Promotion, Health Maintenance, and Home Health Considerations
Chapter 5. Communicating with Older Adults
Chapter 6. Maintaining Fluid Balance and Meeting Nutrition Needs
Chapter 7. Medications and Older Adults
Chapter 8. Health Assessment for Older Adults
Chapter 9. Meeting Safety Needs of Older Adults
Unit Three: Psychosocial Care of the Elderly
Chapter 10. Cognition and Perception
Chapter 11.Self-Perception and Self-Concept
Chapter 12. Roles and Relationships
Chapter 13. Coping and Stress
Chapter 14. Values and Beliefs
Chapter 15. End-of-Life Care
Chapter 16. Sexuality and Aging
Unit Four: Physical Care of the Elderly
Chapter 17. Care of Aging Skin and Mucous Membranes
Chapter 18. Elimination
Chapter 19. Activity and Exercise
Chapter 20. Sleep and Rest
Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 7th Edition
MULTIPLE CHOICE
1. What fact explains the shift of health care focus toward the older adult in the late 1960s?
a. Disability was viewed as unavoidable.
b. Complications from disease increased mortality.
c. Older adults’ needs are similar to those of all adults.
d. Preventive health care practices increased longevity.
ANS: D
2. To what age group does the term “aged” apply?
a. 55–64 years of age
b. 65–74 years of age
c. 75–84 years of age
d. 85andolder
ANS: C
3. Which is true of ageism?
a. It is discrimination against persons solely on the basis of age.
, Basic Geriatric Nursing 7th Edition Williams Test Bank
b. It causes a person to fear aging.
c. It involves the use of cultural sensitivity to address concerns of aging.
d. It focuses on resources for the older adult
ANS: A
4. What is the most beneficial legislation that has influenced health care for the older adult?
a. Medicare and Medicaid
b. Elimination of the mandatory retirement age
c. The Americans with Disabilities Act
d. TheDrugBenefit Program
ANS: A
5. What housing option for the older adult offers the privacy of an apartment with
restaurant-style meals and some medical and personal care services?
a. Government-subsidized housing
b. Long-term care facility
c. Assisted-living center
d. Grouphousingplan
ANS: C
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for
his care. What would be the most helpful response by the nurse?
a. Medicare Part C pays 50% of all medical costs for persons older than 65.
b. Medicare Part B pays hospital costs and physician fees.
c. Medicare Part A pays for inpatient hospital costs.
d. Medicare Part D pays 80% of the charges made by physicians.
ANS: C
7. The daughter of a patient who has been diagnosed with terminal cancer asks which
documents are required to allow her to make health care decisions for her parent. Which
response would provide the most accurate information to the daughter?
a. Advance directives indicate the degree of intervention desired by the patient.
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the
next of kin.
c. A durable power of attorney for health care transfers decision-making authority for
health care to a designated person.
d. A living will transfers authorityto the physician.
ANS: C
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
mother’s refusal to eat. Which response would be the most appropriate?
a. The refusal to eat is an effort to maintain a portion of independence and
self-direction.
b. The refusal to eat is an indication of approaching Alzheimer disease.
c. The refusal to eat is an effort to gain attention.
d. The refusal to eat is an indication of the dislike of the institutional food.
ANS: A
9. When do the conditions of a living will go into effect?
a. When the patient declares that desire in writing
, Basic Geriatric Nursing 7th Edition Williams Test Bank
b. When a family member indicates the desire for curative therapy to cease
c. When two physicians agree in writing that the criteria in the living will have been
met
d. When the physician and a family member agree that the criteria in the living will
have been met
ANS: C
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
hospital costs. How did the DRGs reduce hospital costs?
a. By classifying various diagnoses as ineligible for hospitalization
b. By allotting a set amount of hospital days and prospective payment on the basis of
the admitting diagnosis
c. Byspecifying particular physicians to treat specified diagnoses
d. Byusing frequency of a particular diagnosis to set a payment schedule
ANS: B
11. Which facility would be recommended for a patient who has had a hip replacement and
needs physical therapy?
a. Basic care facility
b. Skilled care facility
c. Subacute care facility
d. Assisted-livingresidence
ANS: B
12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care
facility. She is concerned about the expense. The nurse can decrease anxiety by explaining
that Medicare will cover extended-care facility costs for what period of time?
a. A period of 30 days
b. A period of 45 days for physical therapy
c. A period of 100 days for needed skilled care
d. Until she is able to be discharged home
ANS: C
13. Which senior citizen political action group uses volunteers and lobbyists to advance the
interests of older adults?
a. American Association of Retired Persons (AARP)
b. National Council of Senior Citizens (NCSC)
c. National Alliance of Senior Citizens (NASC)
d. Gray Panthers
ANS: A
14. Which caregiver could be found guilty of elder abuse?
a. A daughter who uses her mother’s Social Security money to purchase her mother’s
medication
b. A son who puts an alarm on the front door to prevent his mother from wandering
BASIC GERIATRIC NURSING
7th Edition
By Patricia A. Williams
,TEST BANK: Basic Geriatric Nursing, 7th Edition by Patricia
Test Bank: Basic Geriatric Nursing, 7th Edition by Patricia A. Williams
A. Williams
Contents
Unit One: Overview of Aging
Chapter 1. Trends and Issues
Chapter 2. Theories of Aging
Chapter 3.Physiologic Changes
Unit Two: Basic Skills for Gerontologic Nursing
Chapter 4. Health Promotion, Health Maintenance, and Home Health Considerations
Chapter 5. Communicating with Older Adults
Chapter 6. Maintaining Fluid Balance and Meeting Nutrition Needs
Chapter 7. Medications and Older Adults
Chapter 8. Health Assessment for Older Adults
Chapter 9. Meeting Safety Needs of Older Adults
Unit Three: Psychosocial Care of the Elderly
Chapter 10. Cognition and Perception
Chapter 11.Self-Perception and Self-Concept
Chapter 12. Roles and Relationships
Chapter 13. Coping and Stress
Chapter 14. Values and Beliefs
Chapter 15. End-of-Life Care
Chapter 16. Sexuality and Aging
Unit Four: Physical Care of the Elderly
Chapter 17. Care of Aging Skin and Mucous Membranes
Chapter 18. Elimination
Chapter 19. Activity and Exercise
Chapter 20. Sleep and Rest
Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 7th Edition
MULTIPLE CHOICE
1. What fact explains the shift of health care focus toward the older adult in the late 1960s?
a. Disability was viewed as unavoidable.
b. Complications from disease increased mortality.
c. Older adults’ needs are similar to those of all adults.
d. Preventive health care practices increased longevity.
ANS: D
2. To what age group does the term “aged” apply?
a. 55–64 years of age
b. 65–74 years of age
c. 75–84 years of age
d. 85andolder
ANS: C
3. Which is true of ageism?
a. It is discrimination against persons solely on the basis of age.
, Basic Geriatric Nursing 7th Edition Williams Test Bank
b. It causes a person to fear aging.
c. It involves the use of cultural sensitivity to address concerns of aging.
d. It focuses on resources for the older adult
ANS: A
4. What is the most beneficial legislation that has influenced health care for the older adult?
a. Medicare and Medicaid
b. Elimination of the mandatory retirement age
c. The Americans with Disabilities Act
d. TheDrugBenefit Program
ANS: A
5. What housing option for the older adult offers the privacy of an apartment with
restaurant-style meals and some medical and personal care services?
a. Government-subsidized housing
b. Long-term care facility
c. Assisted-living center
d. Grouphousingplan
ANS: C
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for
his care. What would be the most helpful response by the nurse?
a. Medicare Part C pays 50% of all medical costs for persons older than 65.
b. Medicare Part B pays hospital costs and physician fees.
c. Medicare Part A pays for inpatient hospital costs.
d. Medicare Part D pays 80% of the charges made by physicians.
ANS: C
7. The daughter of a patient who has been diagnosed with terminal cancer asks which
documents are required to allow her to make health care decisions for her parent. Which
response would provide the most accurate information to the daughter?
a. Advance directives indicate the degree of intervention desired by the patient.
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the
next of kin.
c. A durable power of attorney for health care transfers decision-making authority for
health care to a designated person.
d. A living will transfers authorityto the physician.
ANS: C
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
mother’s refusal to eat. Which response would be the most appropriate?
a. The refusal to eat is an effort to maintain a portion of independence and
self-direction.
b. The refusal to eat is an indication of approaching Alzheimer disease.
c. The refusal to eat is an effort to gain attention.
d. The refusal to eat is an indication of the dislike of the institutional food.
ANS: A
9. When do the conditions of a living will go into effect?
a. When the patient declares that desire in writing
, Basic Geriatric Nursing 7th Edition Williams Test Bank
b. When a family member indicates the desire for curative therapy to cease
c. When two physicians agree in writing that the criteria in the living will have been
met
d. When the physician and a family member agree that the criteria in the living will
have been met
ANS: C
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
hospital costs. How did the DRGs reduce hospital costs?
a. By classifying various diagnoses as ineligible for hospitalization
b. By allotting a set amount of hospital days and prospective payment on the basis of
the admitting diagnosis
c. Byspecifying particular physicians to treat specified diagnoses
d. Byusing frequency of a particular diagnosis to set a payment schedule
ANS: B
11. Which facility would be recommended for a patient who has had a hip replacement and
needs physical therapy?
a. Basic care facility
b. Skilled care facility
c. Subacute care facility
d. Assisted-livingresidence
ANS: B
12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care
facility. She is concerned about the expense. The nurse can decrease anxiety by explaining
that Medicare will cover extended-care facility costs for what period of time?
a. A period of 30 days
b. A period of 45 days for physical therapy
c. A period of 100 days for needed skilled care
d. Until she is able to be discharged home
ANS: C
13. Which senior citizen political action group uses volunteers and lobbyists to advance the
interests of older adults?
a. American Association of Retired Persons (AARP)
b. National Council of Senior Citizens (NCSC)
c. National Alliance of Senior Citizens (NASC)
d. Gray Panthers
ANS: A
14. Which caregiver could be found guilty of elder abuse?
a. A daughter who uses her mother’s Social Security money to purchase her mother’s
medication
b. A son who puts an alarm on the front door to prevent his mother from wandering
