TESTBANK jk
BASIC GERIATRIC NURSING
jk jk
PATRICIAA. WILLIAMS
jk
8th Edition
jk
TESTBANK jk
,Chapter 01: Trends andIssues Williams: Basic Geriatric Nursing 8thEdition
jk jk jk jk jk jk jk jk jk jk
MULTIPLE CHOICE jk
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
a. Disability was viewed as unavoidable. jk jk jk jk
b. Complications from disease increased mortality. jk jk jk jk
c. Older adults’ needs are similar to those ofall adults. jk jk jk jk jk jk jk jk jk
d. Preventive health care practices increased longevity. jk jk jk jk jk
ANS: D jk
Increased preventive health care practices, disease control, and focus on wellness helped people live longer.
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
PTS: 1 j DIF: 4
k REF: p. 2
j k OBJ: 2 j k j k jk j k
TOP: Aging Trends j k KEY: NursingProcess Step:Data Collection
jk jk jk jk jk jk
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
jk j k jk jk jk jk jk jk jk
NOT: Understanding jk
2. To which age group does the term “aged” apply?
jk jk jk jk jk jk jk jk
a. 55–64 years of age jk jk jk
b. 65–74 years of age jk jk jk
c. 75–84 years of age jk jk jk
d. 85 and older jk jk
ANS: C jk
The term aged refers to persons who are 75–84 years of age.
jk jk jk jk jk jk jk jk jk jk jk
PTS: 1 j DIF: 1
k j k REF: p. 2 | Table 1.1 j k jk jk j k jk
OBJ: 1 TOP: Age Categories
j k jk jk
KEY: Nursing Process Step: DataCollection
jk jk jk jk jk jk
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development NOT:
jk jk jk jk jk jk jk jk jk
Remembering
jk
3. Which is true of ageism? jk jk jk jk
a. It is discrimination against persons solely on the basis of age.
jk jk jk jk jk jk jk jk jk jk
b. It causes a person to fear aging.
jk jk jk jk jk jk
, c. It involves the use of cultural sensitivity to address concerns of aging.
jk jk jk jk jk jk jk jk jk jk jk
d. It focuses on resources for the older adult.
jk jk jk jk jk jk jk
ANS: A jk
Ageism is a negative belief pattern that influences persons to discriminate against persons solelyon the
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
basis of age and can lead to destructive behaviors toward the older adult.
jk jk jk jk jk jk jk jk jk jk jk jk jk
PTS: 1 jDIF: 4 k REF: p. 4
j k OBJ: j k j k jk j k 3
TOP: Ageism KEY: NursingProcess Step: DataCollection
j k jk jk jk jk jk
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
jk jk jk jk jk jk
NOT: Understanding
jk jk
4. Which legislation has been the most beneficial legislation that has influenced health care for the older
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
adult?
jk
a. Medicare and Medicaid jk jk
b. Elimination ofthe mandatory retirement age jk jk jk jk jk
c. The Americans with Disabilities Act jk jk jk jk
d. The Drug Benefit Program jk jk jk
ANS: A jk
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
jk jk jk jk jk jk jk jk jk jk jk jk jk
elimination of the mandatory retirement age does not apply to health care. The Americans with
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
Program was added to Medicare, but deals only with medications.
jk jk jk jk jk jk jk jk jk jk
PTS: 1 DIF: 4
j k REF: p. 11
j k OBJ: j k j k jk j k 6
TOP: Legislation KEY: NursingProcessStep:Implementation
j k jk jk jk jk
MSC: NCLEX: N/A
jk NOT: Understanding
j k jk jk
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style meals and
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
jk some medical and personal care services?
jk jk jk jk jk
a. Government-subsidized housing j k
b. Long-term care facility jk jk
c. Assisted-living center jk
d. Group housing plan jk jk
ANS: C jk
Assisted-living arrangements offer the privacy ofan apartment or condominium with meals prepared and jk jk jk jk jk jk jk jk jk jk jk jk jk
served, limited medical care, and a variety of personal services.
jk jk jk jk jk jk jk jk jk jk
PTS: 1 DIF: 3
j k REF: p. 14
j k OBJ: 9 j k j k jk j k
TOP: Housing Options j k KEY: NursingProcessStep:Implementation jk jk jk jk jk
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
jk j k jk jk jk jk
NOT: Remembering jk
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
about his mounting hospital bill and asks if his Medicare coverage will pay for his care. Which would be
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
the most helpful response by the nurse?
jk jk jk jk jk jk jk
a. Medicare Part C pays 50% of all medical costs for persons older than 65. jk jk jk jk jk jk jk jk jk jk jk jk jk
b. Medicare Part B pays hospital costs and physician fees. jk jk jk jk jk jk jk jk
, c. Medicare Part A pays for inpatient hospital costs. jk jk jk jk jk jk jk
d. Medicare Part D pays 80% of the charges made by physicians. jk jk jk jk jk jk jk jk jk jk
ANS: C jk
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
defrayprescription drug costs. Medicare Part C allows individuals to receive health insurance through
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
private insurance companies and typically pays entire costs.
jk jk jk jk jk jk jk jk
PTS: 1 DIF: 7j k REF: p. 16
j k OBJ: 6 j k j k jk j k
TOP: Medicare Provisions j k KEY: NursingProcessStep:Implementation jk jk jk jk jk
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
jk j k jk jk jk jk jk jk
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
required to allow her to make health care decisions for her parent. Which response would provide the most
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
accurate information to the daughter?
jk jk jk jk jk
a. Advance directives indicate the degree of intervention desired by the patient. jk jk jk jk jk jk jk jk jk jk
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the
jk jk jk jk jk jk jk jk jk jk jk jk
next of kin.
jk jk jk
c. A durable power of attorney for health care transfers decision-making authority for
jk jk jk jk jk jk jk jk jk jk jk
health care to a designated person.
jk jk jk jk jk jk
d. A living will transfers authority to the physician.
jk jk jk jk jk jk jk
ANS: C jk
A durable power of attorney for health care transfers the authority for decision making to a designated
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
person. An advance directive specifies the type of care an individual desires when he cannot speak for
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate”
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
document states that the patient wishes to die naturally with no intervention. A living will prohibits the use
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
of life-prolonging measures.
jk jk jk
PTS: 1 DIF: 7 j k REF: p. 19
j k OBJ: 11 j k j k jk j k
TOP: Advance Directives j k KEY: NursingProcessStep:Implementation jk jk jk jk jk
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
jk j k jk jk jk jk jk jk
8. The daughter of a resident in a long-termcare facility is frustrated with her 80-year-old mother’s
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
refusal to eat. Which response would be the most appropriate?
jk jk jk jk jk jk jk jk jk jk
a. The refusal to eat is an effort to maintain a portion of independence and self-
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
direction.jk
b. Therefusal to eat is an indication of approaching Alzheimer disease.
jk jk jk jk jk jk jk jk jk jk
c. The refusal to eat is an effort to gain attention.
jk jk jk jk jk jk jk jk jk
d. The refusal to eat is an indication of the dislike of the institutional food.
jk jk jk jk jk jk jk jk jk jk jk jk jk
ANS: A jk
Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
control they may retain.
jk jk jk jk
PTS: 1 DIF: 7j k REF: p. 21
j k OBJ: 11 j k j k jk j k
TOP: Loss of Independence j k KEY: NursingProcessStep:Implementation jk jk jk jk jk jk
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
jk j k jk jk jk jk jk jk
9. When do the conditions of a living will go into effect?
jk jk jk jk jk jk jk jk jk jk
BASIC GERIATRIC NURSING
jk jk
PATRICIAA. WILLIAMS
jk
8th Edition
jk
TESTBANK jk
,Chapter 01: Trends andIssues Williams: Basic Geriatric Nursing 8thEdition
jk jk jk jk jk jk jk jk jk jk
MULTIPLE CHOICE jk
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
a. Disability was viewed as unavoidable. jk jk jk jk
b. Complications from disease increased mortality. jk jk jk jk
c. Older adults’ needs are similar to those ofall adults. jk jk jk jk jk jk jk jk jk
d. Preventive health care practices increased longevity. jk jk jk jk jk
ANS: D jk
Increased preventive health care practices, disease control, and focus on wellness helped people live longer.
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
PTS: 1 j DIF: 4
k REF: p. 2
j k OBJ: 2 j k j k jk j k
TOP: Aging Trends j k KEY: NursingProcess Step:Data Collection
jk jk jk jk jk jk
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
jk j k jk jk jk jk jk jk jk
NOT: Understanding jk
2. To which age group does the term “aged” apply?
jk jk jk jk jk jk jk jk
a. 55–64 years of age jk jk jk
b. 65–74 years of age jk jk jk
c. 75–84 years of age jk jk jk
d. 85 and older jk jk
ANS: C jk
The term aged refers to persons who are 75–84 years of age.
jk jk jk jk jk jk jk jk jk jk jk
PTS: 1 j DIF: 1
k j k REF: p. 2 | Table 1.1 j k jk jk j k jk
OBJ: 1 TOP: Age Categories
j k jk jk
KEY: Nursing Process Step: DataCollection
jk jk jk jk jk jk
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development NOT:
jk jk jk jk jk jk jk jk jk
Remembering
jk
3. Which is true of ageism? jk jk jk jk
a. It is discrimination against persons solely on the basis of age.
jk jk jk jk jk jk jk jk jk jk
b. It causes a person to fear aging.
jk jk jk jk jk jk
, c. It involves the use of cultural sensitivity to address concerns of aging.
jk jk jk jk jk jk jk jk jk jk jk
d. It focuses on resources for the older adult.
jk jk jk jk jk jk jk
ANS: A jk
Ageism is a negative belief pattern that influences persons to discriminate against persons solelyon the
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
basis of age and can lead to destructive behaviors toward the older adult.
jk jk jk jk jk jk jk jk jk jk jk jk jk
PTS: 1 jDIF: 4 k REF: p. 4
j k OBJ: j k j k jk j k 3
TOP: Ageism KEY: NursingProcess Step: DataCollection
j k jk jk jk jk jk
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
jk jk jk jk jk jk
NOT: Understanding
jk jk
4. Which legislation has been the most beneficial legislation that has influenced health care for the older
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
adult?
jk
a. Medicare and Medicaid jk jk
b. Elimination ofthe mandatory retirement age jk jk jk jk jk
c. The Americans with Disabilities Act jk jk jk jk
d. The Drug Benefit Program jk jk jk
ANS: A jk
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
jk jk jk jk jk jk jk jk jk jk jk jk jk
elimination of the mandatory retirement age does not apply to health care. The Americans with
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
Program was added to Medicare, but deals only with medications.
jk jk jk jk jk jk jk jk jk jk
PTS: 1 DIF: 4
j k REF: p. 11
j k OBJ: j k j k jk j k 6
TOP: Legislation KEY: NursingProcessStep:Implementation
j k jk jk jk jk
MSC: NCLEX: N/A
jk NOT: Understanding
j k jk jk
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style meals and
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
jk some medical and personal care services?
jk jk jk jk jk
a. Government-subsidized housing j k
b. Long-term care facility jk jk
c. Assisted-living center jk
d. Group housing plan jk jk
ANS: C jk
Assisted-living arrangements offer the privacy ofan apartment or condominium with meals prepared and jk jk jk jk jk jk jk jk jk jk jk jk jk
served, limited medical care, and a variety of personal services.
jk jk jk jk jk jk jk jk jk jk
PTS: 1 DIF: 3
j k REF: p. 14
j k OBJ: 9 j k j k jk j k
TOP: Housing Options j k KEY: NursingProcessStep:Implementation jk jk jk jk jk
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
jk j k jk jk jk jk
NOT: Remembering jk
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
about his mounting hospital bill and asks if his Medicare coverage will pay for his care. Which would be
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
the most helpful response by the nurse?
jk jk jk jk jk jk jk
a. Medicare Part C pays 50% of all medical costs for persons older than 65. jk jk jk jk jk jk jk jk jk jk jk jk jk
b. Medicare Part B pays hospital costs and physician fees. jk jk jk jk jk jk jk jk
, c. Medicare Part A pays for inpatient hospital costs. jk jk jk jk jk jk jk
d. Medicare Part D pays 80% of the charges made by physicians. jk jk jk jk jk jk jk jk jk jk
ANS: C jk
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D helps
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
defrayprescription drug costs. Medicare Part C allows individuals to receive health insurance through
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
private insurance companies and typically pays entire costs.
jk jk jk jk jk jk jk jk
PTS: 1 DIF: 7j k REF: p. 16
j k OBJ: 6 j k j k jk j k
TOP: Medicare Provisions j k KEY: NursingProcessStep:Implementation jk jk jk jk jk
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
jk j k jk jk jk jk jk jk
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
required to allow her to make health care decisions for her parent. Which response would provide the most
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
accurate information to the daughter?
jk jk jk jk jk
a. Advance directives indicate the degree of intervention desired by the patient. jk jk jk jk jk jk jk jk jk jk
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the
jk jk jk jk jk jk jk jk jk jk jk jk
next of kin.
jk jk jk
c. A durable power of attorney for health care transfers decision-making authority for
jk jk jk jk jk jk jk jk jk jk jk
health care to a designated person.
jk jk jk jk jk jk
d. A living will transfers authority to the physician.
jk jk jk jk jk jk jk
ANS: C jk
A durable power of attorney for health care transfers the authority for decision making to a designated
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
person. An advance directive specifies the type of care an individual desires when he cannot speak for
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate”
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
document states that the patient wishes to die naturally with no intervention. A living will prohibits the use
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
of life-prolonging measures.
jk jk jk
PTS: 1 DIF: 7 j k REF: p. 19
j k OBJ: 11 j k j k jk j k
TOP: Advance Directives j k KEY: NursingProcessStep:Implementation jk jk jk jk jk
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
jk j k jk jk jk jk jk jk
8. The daughter of a resident in a long-termcare facility is frustrated with her 80-year-old mother’s
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
refusal to eat. Which response would be the most appropriate?
jk jk jk jk jk jk jk jk jk jk
a. The refusal to eat is an effort to maintain a portion of independence and self-
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
direction.jk
b. Therefusal to eat is an indication of approaching Alzheimer disease.
jk jk jk jk jk jk jk jk jk jk
c. The refusal to eat is an effort to gain attention.
jk jk jk jk jk jk jk jk jk
d. The refusal to eat is an indication of the dislike of the institutional food.
jk jk jk jk jk jk jk jk jk jk jk jk jk
ANS: A jk
Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
control they may retain.
jk jk jk jk
PTS: 1 DIF: 7j k REF: p. 21
j k OBJ: 11 j k j k jk j k
TOP: Loss of Independence j k KEY: NursingProcessStep:Implementation jk jk jk jk jk jk
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
jk j k jk jk jk jk jk jk
9. When do the conditions of a living will go into effect?
jk jk jk jk jk jk jk jk jk jk
