TESTBANK j
BASICjGERIATRICjNURSING
PATRICIAjA.jWILLIAMS
8thjEdition
TESTBANK j
,Chapterj01:jTrendsjandjIssuesjWilliams:jBasicjGeriatricjNursingj8thjEdition
MULTIPLEjCHOICE
1. Whichjfactjexplainsjthejshiftjofjhealthjcarejfocusjtowardjthejolderjadultj injthejlatej1960s?
a. Disabilityjwasjviewedjasjunavoidable.
b. Complicationsjfromjdiseasejincreasedjmortality.
c. Olderjadults’jneedsjarejsimilarjtojthosejofjalljadults.
d. Preventivejhealthjcarejpracticesjincreasedjlongevity.
ANS:j D
Increasedjpreventivejhealthjcarejpractices,jdiseasejcontrol,jandjfocusjonjwellnessjhelpedjpeoplejlivejlonger
.
PTS:j j 1 DIF: 4 REF:j j p.j2 OBJ:j 2
TOP:j AgingjTrends
KEY:jNursingjProcessjStep:jDatajCollectionj
MSC:j NCLEX:jHealthjPromotionjandjMaintenance:jGrowthjandjDevelopment
NOT:j Understanding
2. Tojwhichjagejgroupjdoesjthejtermj“aged”japply?
a. 55–64jyearsjofjage
b. 65–74jyearsjofjage
c. 75–84jyearsjofjage
d. 85jandjolder
ANS:j C
Thejtermjagedjrefersjtoj personsjwhojarej75–84jyearsjofjage.
PTS:j j 1 DIF: 1 REF:j p.j2j|j Tablej1.1
OBJ:j 1
TOP:jAgejCategoriesj
KEY:jNursingjProcessjStep:jDatajCollection
MSC:jNCLEX:jHealthjPromotionjandjMaintenance:jGrowthjandjDevelopmentjNO
T:jRemembering
3. Whichjisjtruejofjageism?
a. Itjisjdiscriminationjagainstjpersonsjsolelyjonjthejbasisjofjage.
b. Itjcausesjajpersonjtojfearjaging.
, c. Itjinvolvesjthejusejofjculturaljsensitivityjtojaddressjconcernsjofjaging.
d. Itjfocusesjonjresourcesjforjthejolderjadult.
ANS:j A
Ageismjisjajnegativejbeliefjpatternjthatjinfluencesjpersonsjtojdiscriminatejagainstjpersonsjsolelyjonjthejbas
isjofjagejandjcanjleadjtojdestructivejbehaviorsjtowardjthejolderjadult.
PTS:j j 1 DIF: 4 REF:j j p.j4 OBJ:j 3
TOP:j Ageism
KEY:jNursingjProcessjStep:jDatajCollectionj
MSC:jNCLEX:jPsychosocialjIntegrity:jPsychosocialjAdaptationjN
OT:jUnderstanding
4. Whichjlegislationjhasjbeenjthejmostjbeneficialjlegislationjthatjhasjinfluencedjhealthjcarejforjthejolderjad
ult?
a. MedicarejandjMedicaid
b. Eliminationjofjthejmandatoryjretirementjage
c. ThejAmericansjwithjDisabilitiesjAct
d. ThejDrugjBenefitjProgram
ANS:j A
ThejbroadestjsweepingjlegislationjbeneficialjtojthejolderjadultjisjMedicarejandjMedicaid.jThejeliminationj
ofjthejmandatoryjretirementjagejdoesjnotjapplyjtojhealthjcare.jThejAmericansjwithjDisabilitiesjActjdealsj
withjalljAmericansjwithjdisabilities,jnotjjustjthejolderjadult.jThejDrugjBenefitjProgramjwasjaddedjtojMedi
care,jbutjdealsjonlyjwithjmedications.
PTS:j j 1 DIF: 4 REF:j j p.j11 OBJ:j 6
TOP:j Legislation
KEY:jNursingjProcessjStep:jImplementationj
MSC:j NCLEX:jN/A NOT:jUnderstanding
5. Whichjhousingjoptionjforjthejolderjadultjoffersjthejprivacyjofjanjapartmentjwithjrestaurant-
stylejmealsjandjsomejmedicaljandjpersonaljcarejservices?
a. Government-subsidizedjhousing
b. Long-termjcarejfacility
c. Assisted-livingjcenter
d. Groupjhousingjplan
ANS:j C
Assisted-
livingjarrangementsjofferjthejprivacyjofjanjapartmentjorjcondominiumjwithjmealsjpreparedjandjserved,jl
imitedjmedicaljcare,jandjajvarietyjofjpersonaljservices.
PTS:j j 1 DIF: 3 REF:j j p.j14 OBJ:j 9
TOP:j HousingjOptions
KEY:jNursingjProcessjStep:jImplementationj
MSC:j NCLEX:jPhysiologicaljIntegrity:jPhysiologicaljAdaptation
NOT:jRemembering
6. Thej75-year-
oldjmanjwhojhasjbeenjhospitalizedjfollowingjajseverejcasejofjpneumoniajisjconcernedjaboutjhisjmounti
ngjhospitaljbilljandjasksjifjhisjMedicarejcoveragejwilljpayjforjhisjcare.jWhichjwouldjbejthejmostjhelpfulj
responsejbyjthejnurse?
a. MedicarejPartjCjpaysj50%jofjalljmedicaljcostsjforjpersonsjolderjthanj65.
b. MedicarejPartjBjpaysjhospitaljcostsjandjphysicianjfees.
, c. MedicarejPartjAjpaysjforjinpatientjhospitaljcosts.
d. MedicarejPartjDjpaysj80%jofjthejchargesjmadejbyjphysicians.
ANS:j C
MedicarejPartjAjpaysjinpatientjhospitaljcosts,jPartjBjpaysj80%jofjphysician’sjcharges,jandjPartjDjhelpsj
defrayjprescriptionjdrugjcosts.jMedicarejPartjCjallowsjindividualsjtojreceivejhealthjinsurancejthroughjpr
ivatejinsurancejcompaniesjandjtypicallyjpaysjentirejcosts.
PTS:j j 1 DIF: 7 REF:j j p.j16 OBJ:j 6
TOP:j MedicarejProvisions
KEY:jNursingjProcessjStep:jImplementationj
MSC:j NCLEX:jPsychosocialjIntegrity:jCopingjandjAdaptation NOT:jApplying
7. Thejdaughterjofjajpatientjwhojhasjbeenjdiagnosedjwithjterminaljcancerjasksjwhichjdocumentsjarejrequ
iredjtojallowjherjtojmakejhealthjcarejdecisionsjforjherjparent.jWhichjresponsejwouldjprovidejthejmostja
ccuratejinformationjtojthejdaughter?
a. Advancejdirectivesjindicatejthejdegreejofjinterventionjdesiredjbyjthejpatient.
b. Aj‘DojNotjResuscitate’jdocumentjsignedjbyjthejpatientjtransfersjauthorityjtojthejnextj
ofjkin.
c. Ajdurablejpowerjofjattorneyjforjhealthjcarejtransfersjdecision-
makingjauthorityjforjhealthjcarejtojajdesignatedjperson.
d. Ajlivingjwilljtransfersjauthorityjtojthejphysician.
ANS:j C
Ajdurablejpowerjofjattorneyjforjhealthjcarejtransfersjthejauthorityjforjdecisionjmakingjtojajdesignatedjpe
rson.jAnjadvancejdirectivejspecifiesjthejtypejofjcarejanjindividualjdesiresjwhenjhejcannotjspeakjforjhims
elf.jThejdurablejpowerjofjattorneyjisjonlyjonejtypejofjadvancejdirective.jAj“DojNotjResuscitate”jdocume
ntjstatesjthatjthejpatientjwishesjtojdiejnaturallyjwithjnojintervention.jAjlivingjwilljprohibitsjthejusejofjlife-
prolongingjmeasures.
PTS:j j 1 DIF: 7 REF:j j p.j19 OBJ:j 11
TOP:j AdvancejDirectives
KEY:jNursingjProcessjStep:jImplementationj
MSC:j NCLEX:jPsychosocialjIntegrity:jCopingjandjAdaptation NOT:jApplying
8. Thejdaughterjofjajresidentjinjajlong-termjcarejfacilityjisjfrustratedjwithjherj80-year-
oldjmother’sjrefusaljtojeat.jWhichjresponsejwouldjbejthejmostjappropriate?
a. Thejrefusaljtojeatjisjanjeffortjtojmaintainjajportionjofjindependencejandjself-
jdirection.
b. ThejrefusaljtojeatjisjanjindicationjofjapproachingjAlzheimerjdisease.
c. Thejrefusaljtojeatjisjanjeffortjtojgainjattention.
d. Thejrefusaljtojeatjisjanjindicationjofjthejdislikejofjthejinstitutionaljfood.
ANS:j A
Lossjofjindependencejandjcontroljisjajsignificantjissuejforjthejolderjadult.jSomejresidentsjwilljexercisejw
hateverjcontroljtheyjmayjretain.
PTS:j j 1 DIF: 7 REF:j j p.j21 OBJ:j 11
TOP:j LossjofjIndependence
KEY:jNursingjProcessjStep:jImplementationj
MSC:j NCLEX:jPsychosocialjIntegrity:jCopingjandjAdaptation NOT:jApplying
9. Whenjdojthejconditionsjofjajlivingjwilljgojintojeffect?
BASICjGERIATRICjNURSING
PATRICIAjA.jWILLIAMS
8thjEdition
TESTBANK j
,Chapterj01:jTrendsjandjIssuesjWilliams:jBasicjGeriatricjNursingj8thjEdition
MULTIPLEjCHOICE
1. Whichjfactjexplainsjthejshiftjofjhealthjcarejfocusjtowardjthejolderjadultj injthejlatej1960s?
a. Disabilityjwasjviewedjasjunavoidable.
b. Complicationsjfromjdiseasejincreasedjmortality.
c. Olderjadults’jneedsjarejsimilarjtojthosejofjalljadults.
d. Preventivejhealthjcarejpracticesjincreasedjlongevity.
ANS:j D
Increasedjpreventivejhealthjcarejpractices,jdiseasejcontrol,jandjfocusjonjwellnessjhelpedjpeoplejlivejlonger
.
PTS:j j 1 DIF: 4 REF:j j p.j2 OBJ:j 2
TOP:j AgingjTrends
KEY:jNursingjProcessjStep:jDatajCollectionj
MSC:j NCLEX:jHealthjPromotionjandjMaintenance:jGrowthjandjDevelopment
NOT:j Understanding
2. Tojwhichjagejgroupjdoesjthejtermj“aged”japply?
a. 55–64jyearsjofjage
b. 65–74jyearsjofjage
c. 75–84jyearsjofjage
d. 85jandjolder
ANS:j C
Thejtermjagedjrefersjtoj personsjwhojarej75–84jyearsjofjage.
PTS:j j 1 DIF: 1 REF:j p.j2j|j Tablej1.1
OBJ:j 1
TOP:jAgejCategoriesj
KEY:jNursingjProcessjStep:jDatajCollection
MSC:jNCLEX:jHealthjPromotionjandjMaintenance:jGrowthjandjDevelopmentjNO
T:jRemembering
3. Whichjisjtruejofjageism?
a. Itjisjdiscriminationjagainstjpersonsjsolelyjonjthejbasisjofjage.
b. Itjcausesjajpersonjtojfearjaging.
, c. Itjinvolvesjthejusejofjculturaljsensitivityjtojaddressjconcernsjofjaging.
d. Itjfocusesjonjresourcesjforjthejolderjadult.
ANS:j A
Ageismjisjajnegativejbeliefjpatternjthatjinfluencesjpersonsjtojdiscriminatejagainstjpersonsjsolelyjonjthejbas
isjofjagejandjcanjleadjtojdestructivejbehaviorsjtowardjthejolderjadult.
PTS:j j 1 DIF: 4 REF:j j p.j4 OBJ:j 3
TOP:j Ageism
KEY:jNursingjProcessjStep:jDatajCollectionj
MSC:jNCLEX:jPsychosocialjIntegrity:jPsychosocialjAdaptationjN
OT:jUnderstanding
4. Whichjlegislationjhasjbeenjthejmostjbeneficialjlegislationjthatjhasjinfluencedjhealthjcarejforjthejolderjad
ult?
a. MedicarejandjMedicaid
b. Eliminationjofjthejmandatoryjretirementjage
c. ThejAmericansjwithjDisabilitiesjAct
d. ThejDrugjBenefitjProgram
ANS:j A
ThejbroadestjsweepingjlegislationjbeneficialjtojthejolderjadultjisjMedicarejandjMedicaid.jThejeliminationj
ofjthejmandatoryjretirementjagejdoesjnotjapplyjtojhealthjcare.jThejAmericansjwithjDisabilitiesjActjdealsj
withjalljAmericansjwithjdisabilities,jnotjjustjthejolderjadult.jThejDrugjBenefitjProgramjwasjaddedjtojMedi
care,jbutjdealsjonlyjwithjmedications.
PTS:j j 1 DIF: 4 REF:j j p.j11 OBJ:j 6
TOP:j Legislation
KEY:jNursingjProcessjStep:jImplementationj
MSC:j NCLEX:jN/A NOT:jUnderstanding
5. Whichjhousingjoptionjforjthejolderjadultjoffersjthejprivacyjofjanjapartmentjwithjrestaurant-
stylejmealsjandjsomejmedicaljandjpersonaljcarejservices?
a. Government-subsidizedjhousing
b. Long-termjcarejfacility
c. Assisted-livingjcenter
d. Groupjhousingjplan
ANS:j C
Assisted-
livingjarrangementsjofferjthejprivacyjofjanjapartmentjorjcondominiumjwithjmealsjpreparedjandjserved,jl
imitedjmedicaljcare,jandjajvarietyjofjpersonaljservices.
PTS:j j 1 DIF: 3 REF:j j p.j14 OBJ:j 9
TOP:j HousingjOptions
KEY:jNursingjProcessjStep:jImplementationj
MSC:j NCLEX:jPhysiologicaljIntegrity:jPhysiologicaljAdaptation
NOT:jRemembering
6. Thej75-year-
oldjmanjwhojhasjbeenjhospitalizedjfollowingjajseverejcasejofjpneumoniajisjconcernedjaboutjhisjmounti
ngjhospitaljbilljandjasksjifjhisjMedicarejcoveragejwilljpayjforjhisjcare.jWhichjwouldjbejthejmostjhelpfulj
responsejbyjthejnurse?
a. MedicarejPartjCjpaysj50%jofjalljmedicaljcostsjforjpersonsjolderjthanj65.
b. MedicarejPartjBjpaysjhospitaljcostsjandjphysicianjfees.
, c. MedicarejPartjAjpaysjforjinpatientjhospitaljcosts.
d. MedicarejPartjDjpaysj80%jofjthejchargesjmadejbyjphysicians.
ANS:j C
MedicarejPartjAjpaysjinpatientjhospitaljcosts,jPartjBjpaysj80%jofjphysician’sjcharges,jandjPartjDjhelpsj
defrayjprescriptionjdrugjcosts.jMedicarejPartjCjallowsjindividualsjtojreceivejhealthjinsurancejthroughjpr
ivatejinsurancejcompaniesjandjtypicallyjpaysjentirejcosts.
PTS:j j 1 DIF: 7 REF:j j p.j16 OBJ:j 6
TOP:j MedicarejProvisions
KEY:jNursingjProcessjStep:jImplementationj
MSC:j NCLEX:jPsychosocialjIntegrity:jCopingjandjAdaptation NOT:jApplying
7. Thejdaughterjofjajpatientjwhojhasjbeenjdiagnosedjwithjterminaljcancerjasksjwhichjdocumentsjarejrequ
iredjtojallowjherjtojmakejhealthjcarejdecisionsjforjherjparent.jWhichjresponsejwouldjprovidejthejmostja
ccuratejinformationjtojthejdaughter?
a. Advancejdirectivesjindicatejthejdegreejofjinterventionjdesiredjbyjthejpatient.
b. Aj‘DojNotjResuscitate’jdocumentjsignedjbyjthejpatientjtransfersjauthorityjtojthejnextj
ofjkin.
c. Ajdurablejpowerjofjattorneyjforjhealthjcarejtransfersjdecision-
makingjauthorityjforjhealthjcarejtojajdesignatedjperson.
d. Ajlivingjwilljtransfersjauthorityjtojthejphysician.
ANS:j C
Ajdurablejpowerjofjattorneyjforjhealthjcarejtransfersjthejauthorityjforjdecisionjmakingjtojajdesignatedjpe
rson.jAnjadvancejdirectivejspecifiesjthejtypejofjcarejanjindividualjdesiresjwhenjhejcannotjspeakjforjhims
elf.jThejdurablejpowerjofjattorneyjisjonlyjonejtypejofjadvancejdirective.jAj“DojNotjResuscitate”jdocume
ntjstatesjthatjthejpatientjwishesjtojdiejnaturallyjwithjnojintervention.jAjlivingjwilljprohibitsjthejusejofjlife-
prolongingjmeasures.
PTS:j j 1 DIF: 7 REF:j j p.j19 OBJ:j 11
TOP:j AdvancejDirectives
KEY:jNursingjProcessjStep:jImplementationj
MSC:j NCLEX:jPsychosocialjIntegrity:jCopingjandjAdaptation NOT:jApplying
8. Thejdaughterjofjajresidentjinjajlong-termjcarejfacilityjisjfrustratedjwithjherj80-year-
oldjmother’sjrefusaljtojeat.jWhichjresponsejwouldjbejthejmostjappropriate?
a. Thejrefusaljtojeatjisjanjeffortjtojmaintainjajportionjofjindependencejandjself-
jdirection.
b. ThejrefusaljtojeatjisjanjindicationjofjapproachingjAlzheimerjdisease.
c. Thejrefusaljtojeatjisjanjeffortjtojgainjattention.
d. Thejrefusaljtojeatjisjanjindicationjofjthejdislikejofjthejinstitutionaljfood.
ANS:j A
Lossjofjindependencejandjcontroljisjajsignificantjissuejforjthejolderjadult.jSomejresidentsjwilljexercisejw
hateverjcontroljtheyjmayjretain.
PTS:j j 1 DIF: 7 REF:j j p.j21 OBJ:j 11
TOP:j LossjofjIndependence
KEY:jNursingjProcessjStep:jImplementationj
MSC:j NCLEX:jPsychosocialjIntegrity:jCopingjandjAdaptation NOT:jApplying
9. Whenjdojthejconditionsjofjajlivingjwilljgojintojeffect?
