TEST BANK ss
BASIC GERIATRIC NURSING
ss ss ss ss
7th Edition
ss
By Patricia A. Williams
ss ss ss
,TEST BANK: Basic Geriatric Nursing, 7th Edition by Patricia
ss ss ss
Test Bank: Basic Geriatric Nursing, 7th Edition by
ss ss ss ss ss ss
ss
ss
ss ss ss ss
Patricia A. A. Williams ss
Contents
Unit ssOne: ssOverview ssof ssAging
ssChapter ss1. ssTrends ssand ssIssues
ssChapter ss2. ssTheories ssof ssAging
ssChapter ss3.Physiologic ssChanges
Unit s s Two: s s Basic s s Skills s s for s s Gerontologic s s Nursing
Chapter ss4. ssHealth ssPromotion, ssHealth ssMaintenance, ssand ssHome ssHealth ssConsiderations
ssChapter ss5. ssCommunicating sswith ssOlder ssAdults
Chapter ss6. ssMaintaining ssFluid ssBalance ssand ssMeeting ssNutrition ssNeeds
ssChapter ss7. ssMedications ssand ssOlder ssAdults
Chapter ss8. ssHealth ssAssessment ssfor ssOlder ssAdults
ssChapter ss9. ssMeeting ssSafety ssNeeds ssof ssOlder
ssAdults ssUnit ssThree: ssPsychosocial ssCare ssof ssthe
ssElderly ssChapter ss10. ssCognition ssand ssPerception
Chapter ss11.Self-Perception ssand ssSelf-Concept
ssChapter ss12. ssRoles ssand ssRelationships
Chapter ss13. ssCoping ssand ssStress
ssChapter ss14. ssValues ssand ssBeliefs
ssChapter ss15. ssEnd-of-Life ssCare
ssChapter ss16. ssSexuality ssand ssAging
Unit s s Four: s s Physical s s Care s s of s s the s s Elderly
Chapter ss17. ssCare ssof ssAging ssSkin ssand ssMucous ssMembranes
ssChapter ss18. ssElimination
Chapter ss19. ssActivity ssand ssExercise
ssChapter ss20. ssSleep ssand ssRest
, Basic s s Geriatric ssNursing ss7th s s Edition ss Williams
Test
Chapter 01: Trends and Issues
ss ss ss ss
Williams: Basic Geriatric Nursing, 7th Edition
ss ss ss ss ss
MULTIPLE s s CHOICE
1. What ss fact s s explains s s the ssshift s s of s s health s s care ssfocus ss toward s s the ssolder ss adult s s in s s the sslate ss1960s?
a. Disability sswas ss viewed s s as s s unavoidable.
b. Complications ssfrom ssdisease ssincreased ss mortality.
c. Older ssadults‘ s s needs s s are sssimilar s s to ssthose ssof ssall ss adults.
d. Preventive sshealth sscare sspractices ssincreased
longevity. ssANS:
ss s s D
2. To sswhat ssage ssgroup ssdoes ssthe ssterm ss―aged‖ ssapply?
a. 55–64 ss years ssof ssage
b. 65–74 ss years ssof ssage
c. 75–84 ss years ssof ssage
d. 85sand older pp
ss ANS: s s C
3. Which s s is s s true ssof s s ageism?
a. It ss is ss discrimination s s against s s persons sssolely sson s s the ssbasis s s of s s age.
b. It ss causes s s a ssperson s s to ss fear s s aging.
c. It ssinvolves ss the s s use ssof sscultural s s sensitivity ssto s s address s s concerns ssof s s aging.
d. It ssfocuses sson ssresources ssfor ssthe ssolder
adult ssANS:
ss A
4. What ssis ssthe ssmost s s beneficial s s legislation ss that s s has ss influenced s s health s s care ssfor ssthe ssolder ssadult?
a. Medicare ssand s s Medicaid
b. Elimination s s of ssthe ssmandatory ssretirement s s age
c. The ssAmericans s s with s s Disabilities s s Act
d. ThesDrug BenefitssProgram pp
ss ANS: s s A
5. What sshousing ssoption ssfor ssthe ssolder ssadult ssoffers ssthe ssprivacy ssof ssan
ssapartment sswith ssrestaurant-style ssmeals ssand sssome ssmedical ssand sspersonal
sscare ssservices?
a. Government-subsidized sshousing
b. Long-term sscare ssfacility
c. Assisted-living sscenter
d. Groupshousingplan
ss ANS: s s C
6. The s s 75-year-old s s man s s who s s has s s been s s hospitalized ssfollowing s s a sssevere s s case s s of
s s pneumonia ssis s s concerned s s about s s his ssmounting sshospital s s bill s s and s s asks s s if sshis
s s Medicare sscoverage s s will sspay ssfor sshis sscare. s s What sswould ssbe ssthe ssmost sshelpful
s s response ssby ssthe ssnurse?
a. Medicare ssPart s s C s s pays s s 50% ssof ssall s s medical s s costs ss for sspersons s s older ssthan s s 65.
, Basic s s Geriatric ssNursing ss7th s s Edition ss Williams
Test
b. Medicare ssPart ssB sspays ss hospital s s costs ss and ssphysician s s fees.
c. Medicare ssPart s s A ss pays s s for s s inpatient s s hospital s s costs.
d. Medicare ssPart ssD sspays ss80% ssof ssthe sscharges ssmade ssby
physicians. ssANS:
ss s s C
7. The ssdaughter ssof ssa sspatient sswho sshas ssbeen ssdiagnosed sswith ssterminal sscancer ssasks
sswhich ssdocuments ssare ssrequired ssto ssallow ssher ssto ssmake sshealth sscare ssdecisions ssfor
ssher ssparent. ssWhich ssresponse sswould ssprovide ssthe ssmost ssaccurate ssinformation ssto
ssthe ssdaughter?
a. Advance ssdirectives s s indicate s s the ssdegree ssof ssintervention s s desired s s byssthe s s patient.
b. A ss‗Do ssNot ssResuscitate‘ ssdocument sssigned ssbyssthe sspatient sstransfers
ssauthority ssto ssthe ssnext ssof sskin.
c. A ssdurable sspower ssof ssattorney ssfor sshealth sscare sstransfers ssdecision-making
ssauthority ssfor sshealth sscare ssto ssa ssdesignated ssperson.
d. A ssliving sswill sstransfers ssauthorityssto ssthe
physician. ssANS:
ss s s C
8. The ssdaughter ssof ssa ssresident ssin ssa sslong-term sscare ssfacility ssis ssfrustrated sswith ssher ss80-
year- ssold ssmother‘s ssrefusal ssto sseat. ssWhich ssresponse sswould ssbe ssthe ssmost
ssappropriate?
a. The ssrefusal ssto sseat ssis ssan sseffort ssto ssmaintain ssa ssportion ssof
ssindependence ssand ssself-direction.
b. The ssrefusal s s to s s eat ss is ssan ssindication s s of ssapproaching s s Alzheimer ssdisease.
c. The ssrefusal s s to ss eat s s is s s an sseffort ssto s s gain s s attention.
d. The ssrefusal s s to s s eat s s is s s an ss indication s s of ssthe s s dislike s s of ssthe ss institutional s s food.
ANS: A
9. When s s do s s the ss conditions s s of ss a ssliving sswill s s go s s into s s effect?
a. When s s the sspatient s s declares s s that s s desire ssin s s writing
b. When ssa s s family ssmember ssindicates s s the s s desire s s for sscurative s s therapy ssto s s cease
c. When sstwo ssphysicians ssagree ssin sswriting ssthat ssthe sscriteria ssin ssthe ssliving sswill
sshave ssbeen ssmet
d. When ssthe ssphysician ssand ssa ssfamily ssmember ssagree ssthat ssthe sscriteria ssin ssthe
ssliving sswill sshave ssbeen ssmet
ANS: C
10. In ssthe ss1980s, ssMedicare ssinitiated ssa ssprogram ssof ssdiagnosis-related ssgroups
ss(DRGs) ssto ssreduce sshospital sscosts. ssHow ssdid ssthe ssDRGs ssreduce sshospital sscosts?
a. By ssclassifying ssvarious s s diagnoses s s as s s ineligible ssfor s s hospitalization
b. Byssallotting ssa ssset ssamount ssof sshospital ssdays ssand ssprospective sspayment sson ssthe
ssbasis ssof ssthe ssadmitting ssdiagnosis
c. Byssspecifying ssparticular s s physicians s s to s s treat s s specified ssdiagnoses
d. Byssusing ssfrequency ssof ssa ssparticular ssdiagnosis ssto ssset s s a sspayment
ss schedule ssANS: s s B
11. Which ssfacilitysswould ssbe ssrecommended ssfor ssa sspatient sswho sshas sshad ssa sship
ssreplacement ssand ssneeds ssphysical sstherapy?
a. Basic sscare ssfacility
BASIC GERIATRIC NURSING
ss ss ss ss
7th Edition
ss
By Patricia A. Williams
ss ss ss
,TEST BANK: Basic Geriatric Nursing, 7th Edition by Patricia
ss ss ss
Test Bank: Basic Geriatric Nursing, 7th Edition by
ss ss ss ss ss ss
ss
ss
ss ss ss ss
Patricia A. A. Williams ss
Contents
Unit ssOne: ssOverview ssof ssAging
ssChapter ss1. ssTrends ssand ssIssues
ssChapter ss2. ssTheories ssof ssAging
ssChapter ss3.Physiologic ssChanges
Unit s s Two: s s Basic s s Skills s s for s s Gerontologic s s Nursing
Chapter ss4. ssHealth ssPromotion, ssHealth ssMaintenance, ssand ssHome ssHealth ssConsiderations
ssChapter ss5. ssCommunicating sswith ssOlder ssAdults
Chapter ss6. ssMaintaining ssFluid ssBalance ssand ssMeeting ssNutrition ssNeeds
ssChapter ss7. ssMedications ssand ssOlder ssAdults
Chapter ss8. ssHealth ssAssessment ssfor ssOlder ssAdults
ssChapter ss9. ssMeeting ssSafety ssNeeds ssof ssOlder
ssAdults ssUnit ssThree: ssPsychosocial ssCare ssof ssthe
ssElderly ssChapter ss10. ssCognition ssand ssPerception
Chapter ss11.Self-Perception ssand ssSelf-Concept
ssChapter ss12. ssRoles ssand ssRelationships
Chapter ss13. ssCoping ssand ssStress
ssChapter ss14. ssValues ssand ssBeliefs
ssChapter ss15. ssEnd-of-Life ssCare
ssChapter ss16. ssSexuality ssand ssAging
Unit s s Four: s s Physical s s Care s s of s s the s s Elderly
Chapter ss17. ssCare ssof ssAging ssSkin ssand ssMucous ssMembranes
ssChapter ss18. ssElimination
Chapter ss19. ssActivity ssand ssExercise
ssChapter ss20. ssSleep ssand ssRest
, Basic s s Geriatric ssNursing ss7th s s Edition ss Williams
Test
Chapter 01: Trends and Issues
ss ss ss ss
Williams: Basic Geriatric Nursing, 7th Edition
ss ss ss ss ss
MULTIPLE s s CHOICE
1. What ss fact s s explains s s the ssshift s s of s s health s s care ssfocus ss toward s s the ssolder ss adult s s in s s the sslate ss1960s?
a. Disability sswas ss viewed s s as s s unavoidable.
b. Complications ssfrom ssdisease ssincreased ss mortality.
c. Older ssadults‘ s s needs s s are sssimilar s s to ssthose ssof ssall ss adults.
d. Preventive sshealth sscare sspractices ssincreased
longevity. ssANS:
ss s s D
2. To sswhat ssage ssgroup ssdoes ssthe ssterm ss―aged‖ ssapply?
a. 55–64 ss years ssof ssage
b. 65–74 ss years ssof ssage
c. 75–84 ss years ssof ssage
d. 85sand older pp
ss ANS: s s C
3. Which s s is s s true ssof s s ageism?
a. It ss is ss discrimination s s against s s persons sssolely sson s s the ssbasis s s of s s age.
b. It ss causes s s a ssperson s s to ss fear s s aging.
c. It ssinvolves ss the s s use ssof sscultural s s sensitivity ssto s s address s s concerns ssof s s aging.
d. It ssfocuses sson ssresources ssfor ssthe ssolder
adult ssANS:
ss A
4. What ssis ssthe ssmost s s beneficial s s legislation ss that s s has ss influenced s s health s s care ssfor ssthe ssolder ssadult?
a. Medicare ssand s s Medicaid
b. Elimination s s of ssthe ssmandatory ssretirement s s age
c. The ssAmericans s s with s s Disabilities s s Act
d. ThesDrug BenefitssProgram pp
ss ANS: s s A
5. What sshousing ssoption ssfor ssthe ssolder ssadult ssoffers ssthe ssprivacy ssof ssan
ssapartment sswith ssrestaurant-style ssmeals ssand sssome ssmedical ssand sspersonal
sscare ssservices?
a. Government-subsidized sshousing
b. Long-term sscare ssfacility
c. Assisted-living sscenter
d. Groupshousingplan
ss ANS: s s C
6. The s s 75-year-old s s man s s who s s has s s been s s hospitalized ssfollowing s s a sssevere s s case s s of
s s pneumonia ssis s s concerned s s about s s his ssmounting sshospital s s bill s s and s s asks s s if sshis
s s Medicare sscoverage s s will sspay ssfor sshis sscare. s s What sswould ssbe ssthe ssmost sshelpful
s s response ssby ssthe ssnurse?
a. Medicare ssPart s s C s s pays s s 50% ssof ssall s s medical s s costs ss for sspersons s s older ssthan s s 65.
, Basic s s Geriatric ssNursing ss7th s s Edition ss Williams
Test
b. Medicare ssPart ssB sspays ss hospital s s costs ss and ssphysician s s fees.
c. Medicare ssPart s s A ss pays s s for s s inpatient s s hospital s s costs.
d. Medicare ssPart ssD sspays ss80% ssof ssthe sscharges ssmade ssby
physicians. ssANS:
ss s s C
7. The ssdaughter ssof ssa sspatient sswho sshas ssbeen ssdiagnosed sswith ssterminal sscancer ssasks
sswhich ssdocuments ssare ssrequired ssto ssallow ssher ssto ssmake sshealth sscare ssdecisions ssfor
ssher ssparent. ssWhich ssresponse sswould ssprovide ssthe ssmost ssaccurate ssinformation ssto
ssthe ssdaughter?
a. Advance ssdirectives s s indicate s s the ssdegree ssof ssintervention s s desired s s byssthe s s patient.
b. A ss‗Do ssNot ssResuscitate‘ ssdocument sssigned ssbyssthe sspatient sstransfers
ssauthority ssto ssthe ssnext ssof sskin.
c. A ssdurable sspower ssof ssattorney ssfor sshealth sscare sstransfers ssdecision-making
ssauthority ssfor sshealth sscare ssto ssa ssdesignated ssperson.
d. A ssliving sswill sstransfers ssauthorityssto ssthe
physician. ssANS:
ss s s C
8. The ssdaughter ssof ssa ssresident ssin ssa sslong-term sscare ssfacility ssis ssfrustrated sswith ssher ss80-
year- ssold ssmother‘s ssrefusal ssto sseat. ssWhich ssresponse sswould ssbe ssthe ssmost
ssappropriate?
a. The ssrefusal ssto sseat ssis ssan sseffort ssto ssmaintain ssa ssportion ssof
ssindependence ssand ssself-direction.
b. The ssrefusal s s to s s eat ss is ssan ssindication s s of ssapproaching s s Alzheimer ssdisease.
c. The ssrefusal s s to ss eat s s is s s an sseffort ssto s s gain s s attention.
d. The ssrefusal s s to s s eat s s is s s an ss indication s s of ssthe s s dislike s s of ssthe ss institutional s s food.
ANS: A
9. When s s do s s the ss conditions s s of ss a ssliving sswill s s go s s into s s effect?
a. When s s the sspatient s s declares s s that s s desire ssin s s writing
b. When ssa s s family ssmember ssindicates s s the s s desire s s for sscurative s s therapy ssto s s cease
c. When sstwo ssphysicians ssagree ssin sswriting ssthat ssthe sscriteria ssin ssthe ssliving sswill
sshave ssbeen ssmet
d. When ssthe ssphysician ssand ssa ssfamily ssmember ssagree ssthat ssthe sscriteria ssin ssthe
ssliving sswill sshave ssbeen ssmet
ANS: C
10. In ssthe ss1980s, ssMedicare ssinitiated ssa ssprogram ssof ssdiagnosis-related ssgroups
ss(DRGs) ssto ssreduce sshospital sscosts. ssHow ssdid ssthe ssDRGs ssreduce sshospital sscosts?
a. By ssclassifying ssvarious s s diagnoses s s as s s ineligible ssfor s s hospitalization
b. Byssallotting ssa ssset ssamount ssof sshospital ssdays ssand ssprospective sspayment sson ssthe
ssbasis ssof ssthe ssadmitting ssdiagnosis
c. Byssspecifying ssparticular s s physicians s s to s s treat s s specified ssdiagnoses
d. Byssusing ssfrequency ssof ssa ssparticular ssdiagnosis ssto ssset s s a sspayment
ss schedule ssANS: s s B
11. Which ssfacilitysswould ssbe ssrecommended ssfor ssa sspatient sswho sshas sshad ssa sship
ssreplacement ssand ssneeds ssphysical sstherapy?
a. Basic sscare ssfacility
