TESTBANK
BASICGERIATRICNURSING
PATRICIAA.WILLIAMS
8th Edition
TESTBANK
,Chapter01:TrendsandIssuesWilliams:BasicGeriatricNursing8thEdition
MULTIPLECHOICE
1. Which fact explainstheshift ofhealthcarefocustowardtheolderadult inthelate1960s?
a. Disabilitywasviewed asunavoidable.
b. Complicationsfromdiseaseincreased mortality.
c. Older adults’ needs are similar tothoseofall adults.
d. Preventivehealthcarepracticesincreasedlongevity.
ANS: D
Increased preventivehealthcarepractices, diseasecontrol, and focusonwellnesshelpedpeople live longer.
PTS: 1 DIF: 4 REF: p. 2 OBJ: 2
TOP: Aging Trends KEY: NursingProcessStep:DataCollection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Understanding
2. To which age groupdoes theterm“aged” apply?
a. 55–64 years ofage
b. 65–74 years ofage
c. 75–84 years ofage
d. 85 and older
ANS: C
Thetermaged refers to persons who are 75–84 years ofage.
PTS: 1 DIF: 1 REF: p. 2 | Table1.1
OBJ: 1 TOP: Age Categories
KEY: NursingProcessStep:DataCollection
MSC:NCLEX:HealthPromotionandMaintenance:GrowthandDevelopment NOT:
Remembering
3. Which is trueofageism?
a. It isdiscriminationagainst personssolelyonthe basis ofage.
b. It causes apersonto fear aging.
, c. It involvestheuse ofculturalsensitivityto address concerns ofaging.
d. It focusesonresources fortheolderadult.
ANS: A
Ageismisa negativebeliefpatternthatinfluencespersonsto discriminateagainst personssolelyonthe basis of
age and can lead to destructive behaviors toward the older adult.
PTS: 1 DIF: 4 REF: p. 4 OBJ: 3
TOP: Ageism KEY:NursingProcessStep:DataCollection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
NOT: Understanding
4. Whichlegislationhas beenthe most beneficiallegislationthat has influenced healthcare fortheolder adult?
a. Medicareand Medicaid
b. Eliminationofthe mandatoryretirement age
c. TheAmericanswithDisabilities Act
d. TheDrugBenefit Program
ANS: A
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimination of the
mandatory retirement age does not apply to health care. The Americans with DisabilitiesAct dealswithall
Americanswithdisabilities, not just theolderadult.TheDrug Benefit Program was added to Medicare, but deals
only with medications.
PTS: 1 DIF: 4 REF: p. 11 OBJ: 6
TOP: Legislation KEY:NursingProcessStep:Implementation
MSC: NCLEX: N/A NOT: Understanding
5. Which housing option for theolder adult offersthe privacyofanapartment withrestaurant-style meals and
some medical and personal care services?
a. Government-subsidized housing
b. Long-termcare facility
c. Assisted-living center
d. Grouphousingplan
ANS: C
Assisted-living arrangementsoffer theprivacyofanapartment orcondominiumwith mealsprepared and
served, limited medical care, and a variety of personal services.
PTS: 1 DIF: 3 REF: p. 14 OBJ: 9
TOP: Housing Options KEY: NursingProcessStep:Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
NOT: Remembering
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned about his
mounting hospitalbillandasks ifhisMedicarecoveragewillpayfor hiscare. Whichwould be the most helpful
response by the nurse?
a. MedicarePart Cpays 50% ofall medicalcosts forpersons older than65.
b. MedicarePart Bpays hospitalcostsand physician fees.
, c. MedicarePart Apays for inpatient hospitalcosts.
d. MedicarePart Dpays 80% ofthecharges made byphysicians.
ANS: C
Medicare Part A pays inpatient hospitalcosts, Part B pays 80% ofphysician’s charges, and Part D helpsdefray
prescriptiondrugcosts. MedicarePartCallows individualsto receivehealth insurance through private
insurance companies and typically pays entire costs.
PTS: 1 DIF: 7 REF: p. 16 OBJ: 6
TOP: Medicare Provisions KEY: NursingProcessStep:Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are required to
allowher to makehealthcaredecisions forherparent. Whichresponsewould providethe most accurate
information to the daughter?
a. Advance directives indicate the degreeofinterventiondesired bythe patient.
b. A‘Do Not Resuscitate’document signedbythepatient transfers authoritytothe next of
kin.
c. Adurable power ofattorneyfor healthcaretransfers decision-making authorityfor health
care to a designated person.
d. A livingwilltransfers authorityto the physician.
ANS: C
A durable power of attorney for health care transfers the authority for decision making to a designated person.
An advance directive specifies the type of care an individual desires when he cannot speak for himself. The
durable power of attorney is only one type of advance directive. A “Do Not Resuscitate” document states that
the patient wishes to die naturally with no intervention. A living will prohibits the use of life-prolonging
measures.
PTS: 1 DIF: 7 REF: p. 19 OBJ: 11
TOP: Advance Directives KEY:NursingProcessStep:Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
8. Thedaughter ofaresident ina long-termcare facilityis frustrated with her 80-year-old mother’s refusal
to eat. Which response would be the most appropriate?
a. Therefusalto eat is aneffort to maintainaportionofindependence and self-
direction.
b. Therefusalto eat isan indicationofapproaching Alzheimer disease.
c. Therefusalto eat is an effort to gainattention.
d. Therefusalto eat is an indicationofthe dislike ofthe institutional food.
ANS: A
Loss of independence and control is a significant issue for the older adult. Some residents will exercise
whatever control they may retain.
PTS: 1 DIF: 7 REF: p. 21 OBJ: 11
TOP: Loss of Independence KEY: NursingProcessStep:Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
9. Whendo the conditions ofa living willgo into effect?
BASICGERIATRICNURSING
PATRICIAA.WILLIAMS
8th Edition
TESTBANK
,Chapter01:TrendsandIssuesWilliams:BasicGeriatricNursing8thEdition
MULTIPLECHOICE
1. Which fact explainstheshift ofhealthcarefocustowardtheolderadult inthelate1960s?
a. Disabilitywasviewed asunavoidable.
b. Complicationsfromdiseaseincreased mortality.
c. Older adults’ needs are similar tothoseofall adults.
d. Preventivehealthcarepracticesincreasedlongevity.
ANS: D
Increased preventivehealthcarepractices, diseasecontrol, and focusonwellnesshelpedpeople live longer.
PTS: 1 DIF: 4 REF: p. 2 OBJ: 2
TOP: Aging Trends KEY: NursingProcessStep:DataCollection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NOT: Understanding
2. To which age groupdoes theterm“aged” apply?
a. 55–64 years ofage
b. 65–74 years ofage
c. 75–84 years ofage
d. 85 and older
ANS: C
Thetermaged refers to persons who are 75–84 years ofage.
PTS: 1 DIF: 1 REF: p. 2 | Table1.1
OBJ: 1 TOP: Age Categories
KEY: NursingProcessStep:DataCollection
MSC:NCLEX:HealthPromotionandMaintenance:GrowthandDevelopment NOT:
Remembering
3. Which is trueofageism?
a. It isdiscriminationagainst personssolelyonthe basis ofage.
b. It causes apersonto fear aging.
, c. It involvestheuse ofculturalsensitivityto address concerns ofaging.
d. It focusesonresources fortheolderadult.
ANS: A
Ageismisa negativebeliefpatternthatinfluencespersonsto discriminateagainst personssolelyonthe basis of
age and can lead to destructive behaviors toward the older adult.
PTS: 1 DIF: 4 REF: p. 4 OBJ: 3
TOP: Ageism KEY:NursingProcessStep:DataCollection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
NOT: Understanding
4. Whichlegislationhas beenthe most beneficiallegislationthat has influenced healthcare fortheolder adult?
a. Medicareand Medicaid
b. Eliminationofthe mandatoryretirement age
c. TheAmericanswithDisabilities Act
d. TheDrugBenefit Program
ANS: A
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimination of the
mandatory retirement age does not apply to health care. The Americans with DisabilitiesAct dealswithall
Americanswithdisabilities, not just theolderadult.TheDrug Benefit Program was added to Medicare, but deals
only with medications.
PTS: 1 DIF: 4 REF: p. 11 OBJ: 6
TOP: Legislation KEY:NursingProcessStep:Implementation
MSC: NCLEX: N/A NOT: Understanding
5. Which housing option for theolder adult offersthe privacyofanapartment withrestaurant-style meals and
some medical and personal care services?
a. Government-subsidized housing
b. Long-termcare facility
c. Assisted-living center
d. Grouphousingplan
ANS: C
Assisted-living arrangementsoffer theprivacyofanapartment orcondominiumwith mealsprepared and
served, limited medical care, and a variety of personal services.
PTS: 1 DIF: 3 REF: p. 14 OBJ: 9
TOP: Housing Options KEY: NursingProcessStep:Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
NOT: Remembering
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned about his
mounting hospitalbillandasks ifhisMedicarecoveragewillpayfor hiscare. Whichwould be the most helpful
response by the nurse?
a. MedicarePart Cpays 50% ofall medicalcosts forpersons older than65.
b. MedicarePart Bpays hospitalcostsand physician fees.
, c. MedicarePart Apays for inpatient hospitalcosts.
d. MedicarePart Dpays 80% ofthecharges made byphysicians.
ANS: C
Medicare Part A pays inpatient hospitalcosts, Part B pays 80% ofphysician’s charges, and Part D helpsdefray
prescriptiondrugcosts. MedicarePartCallows individualsto receivehealth insurance through private
insurance companies and typically pays entire costs.
PTS: 1 DIF: 7 REF: p. 16 OBJ: 6
TOP: Medicare Provisions KEY: NursingProcessStep:Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are required to
allowher to makehealthcaredecisions forherparent. Whichresponsewould providethe most accurate
information to the daughter?
a. Advance directives indicate the degreeofinterventiondesired bythe patient.
b. A‘Do Not Resuscitate’document signedbythepatient transfers authoritytothe next of
kin.
c. Adurable power ofattorneyfor healthcaretransfers decision-making authorityfor health
care to a designated person.
d. A livingwilltransfers authorityto the physician.
ANS: C
A durable power of attorney for health care transfers the authority for decision making to a designated person.
An advance directive specifies the type of care an individual desires when he cannot speak for himself. The
durable power of attorney is only one type of advance directive. A “Do Not Resuscitate” document states that
the patient wishes to die naturally with no intervention. A living will prohibits the use of life-prolonging
measures.
PTS: 1 DIF: 7 REF: p. 19 OBJ: 11
TOP: Advance Directives KEY:NursingProcessStep:Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
8. Thedaughter ofaresident ina long-termcare facilityis frustrated with her 80-year-old mother’s refusal
to eat. Which response would be the most appropriate?
a. Therefusalto eat is aneffort to maintainaportionofindependence and self-
direction.
b. Therefusalto eat isan indicationofapproaching Alzheimer disease.
c. Therefusalto eat is an effort to gainattention.
d. Therefusalto eat is an indicationofthe dislike ofthe institutional food.
ANS: A
Loss of independence and control is a significant issue for the older adult. Some residents will exercise
whatever control they may retain.
PTS: 1 DIF: 7 REF: p. 21 OBJ: 11
TOP: Loss of Independence KEY: NursingProcessStep:Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
9. Whendo the conditions ofa living willgo into effect?
