TEST BANK
BASIC GERIATRIC NURSING
7th Edition
By Patricia A. Williams
,TTest
EST BANK:
Bank: Basic Nursing,
Basic Geriatric Geriatric Nursing,
7th Edition 7th A.
by Patricia Edition
Williamsby Patricia
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
, Basic Geriatric Nursing 7th Edition Williams Test Bank
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. 85 and older
ANS: C
3. Which is true of ageism?
a. It is discrimination against persons solely on the basis of age.
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. The Drug Benefit 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. Group housing plan
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.
, Basic Geriatric Nursing 7th Edition Williams Test Bank
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 authority to 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
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. By specifying particular physicians to treat specified diagnoses
d. By using 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
BASIC GERIATRIC NURSING
7th Edition
By Patricia A. Williams
,TTest
EST BANK:
Bank: Basic Nursing,
Basic Geriatric Geriatric Nursing,
7th Edition 7th A.
by Patricia Edition
Williamsby Patricia
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
, Basic Geriatric Nursing 7th Edition Williams Test Bank
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. 85 and older
ANS: C
3. Which is true of ageism?
a. It is discrimination against persons solely on the basis of age.
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. The Drug Benefit 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. Group housing plan
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.
, Basic Geriatric Nursing 7th Edition Williams Test Bank
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 authority to 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
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. By specifying particular physicians to treat specified diagnoses
d. By using 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
