TEST BANK =
BASIC=GERIATRIC=NURSING
PATRICIA=A.=WILLIAMS
8th Edition
=
TESTBANK =
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
= = = = = = = = = =
MULTIPLE=CHOICE
1. Which=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
Increased=preventive=health=care=practices,=disease=control,=and=focus=on=wellness=helped=people=live=long
er.
PTS:= = 1 DIF: 4 REF:= = p.=2 OBJ:= 2
TOP:= Aging=Trends
KEY:=Nursing=Process=Step:=Data=Collection
MSC:= NCLEX:=Health=Promotion=and=Maintenance:=Growth=and=Development
=
NOT:= Understanding
2. To=which=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
The=term=aged=refers=to= persons=who=are=75–84=years=of=age.
PTS:= = 1 DIF: 1 REF:= p.=2=|= Table=1.1
OBJ:= 1
TOP:=Age=Categories=
KEY:=Nursing=Process=Step:=Data=Collection
MSC:=NCLEX:=Health=Promotion=and=Maintenance:=Growth=and=Development=N
OT:=Remembering
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
Ageism=is=a=negative=belief=pattern=that=influences=persons=to=discriminate=against=persons=solely=on=the=b
asis=of=age=and=can=lead=to=destructive=behaviors=toward=the=older=adult.
PTS:= = 1 DIF: 4 REF:= = p.=4 OBJ:= 3
TOP:= Ageism
KEY:=Nursing=Process=Step:=Data=Collection
=MSC:=NCLEX:=Psychosocial=Integrity:=Psychosocial=Adaptation=
NOT:=Understanding
4. Which=legislation=has=been=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
The=broadest=sweeping=legislation=beneficial=to=the=older=adult=is=Medicare=and=Medicaid.=The=eliminatio
n=of=the=mandatory=retirement=age=does=not=apply=to=health=care.=The=Americans=with=Disabilities=Act=de
als=with=all=Americans=with=disabilities,=not=just=the=older=adult.=The=Drug=Benefit=Program=was=added=to=
Medicare,=but=deals=only=with=medications.
PTS:= = 1 DIF: 4 REF:= = p.=11 OBJ:= 6
TOP:= Legislation
KEY:=Nursing=Process=Step:=Implementation
= MSC:= NCLEX:=N/A NOT:=Understanding
5. Which=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
Assisted-
living=arrangements=offer=the=privacy=of=an=apartment=or=condominium=with=meals=prepared=and=served
,=limited=medical=care,=and=a=variety=of=personal=services.
PTS:= = 1 DIF: 3 REF:= = p.=14 OBJ:= 9
TOP:= Housing=Options
KEY:=Nursing=Process=Step:=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=mou
nting=hospital=bill=and=asks=if=his=Medicare=coverage=will=pay=for=his=care.=Which=would=be=the=most=he
lpful=response=by=the=nurse?
a. Medicare=Part=C=pays=50%=of=all=medical=costs=for=persons=older=than=65.
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
Medicare=Part=A=pays=inpatient=hospital=costs,=Part=B=pays=80%=of=physician’s=charges,=and=Part=D=hel
ps=defray=prescription=drug=costs.=Medicare=Part=C=allows=individuals=to=receive=health=insurance=throu
gh=private=insurance=companies=and=typically=pays=entire=costs.
PTS:= = 1 DIF: 7 REF:= = p.=16 OBJ:= 6
TOP:= Medicare=Provisions
KEY:=Nursing=Process=Step:=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=re
quired=to=allow=her=to=make=health=care=decisions=for=her=parent.=Which=response=would=provide=the=m
ost=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=ne
xt=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
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:=Nursing=Process=Step:=Implementation
=MSC:= NCLEX:=Psychosocial=Integrity:=Coping=and=Adaptation NOT:=Applying
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
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:=Nursing=Process=Step:=Implementation
= MSC:= NCLEX:=Psychosocial=Integrity:=Coping=and=Adaptation NOT:=Applying
9. When=do=the=conditions=of=a=living=will=go=into=effect?
BASIC=GERIATRIC=NURSING
PATRICIA=A.=WILLIAMS
8th Edition
=
TESTBANK =
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
= = = = = = = = = =
MULTIPLE=CHOICE
1. Which=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
Increased=preventive=health=care=practices,=disease=control,=and=focus=on=wellness=helped=people=live=long
er.
PTS:= = 1 DIF: 4 REF:= = p.=2 OBJ:= 2
TOP:= Aging=Trends
KEY:=Nursing=Process=Step:=Data=Collection
MSC:= NCLEX:=Health=Promotion=and=Maintenance:=Growth=and=Development
=
NOT:= Understanding
2. To=which=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
The=term=aged=refers=to= persons=who=are=75–84=years=of=age.
PTS:= = 1 DIF: 1 REF:= p.=2=|= Table=1.1
OBJ:= 1
TOP:=Age=Categories=
KEY:=Nursing=Process=Step:=Data=Collection
MSC:=NCLEX:=Health=Promotion=and=Maintenance:=Growth=and=Development=N
OT:=Remembering
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
Ageism=is=a=negative=belief=pattern=that=influences=persons=to=discriminate=against=persons=solely=on=the=b
asis=of=age=and=can=lead=to=destructive=behaviors=toward=the=older=adult.
PTS:= = 1 DIF: 4 REF:= = p.=4 OBJ:= 3
TOP:= Ageism
KEY:=Nursing=Process=Step:=Data=Collection
=MSC:=NCLEX:=Psychosocial=Integrity:=Psychosocial=Adaptation=
NOT:=Understanding
4. Which=legislation=has=been=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
The=broadest=sweeping=legislation=beneficial=to=the=older=adult=is=Medicare=and=Medicaid.=The=eliminatio
n=of=the=mandatory=retirement=age=does=not=apply=to=health=care.=The=Americans=with=Disabilities=Act=de
als=with=all=Americans=with=disabilities,=not=just=the=older=adult.=The=Drug=Benefit=Program=was=added=to=
Medicare,=but=deals=only=with=medications.
PTS:= = 1 DIF: 4 REF:= = p.=11 OBJ:= 6
TOP:= Legislation
KEY:=Nursing=Process=Step:=Implementation
= MSC:= NCLEX:=N/A NOT:=Understanding
5. Which=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
Assisted-
living=arrangements=offer=the=privacy=of=an=apartment=or=condominium=with=meals=prepared=and=served
,=limited=medical=care,=and=a=variety=of=personal=services.
PTS:= = 1 DIF: 3 REF:= = p.=14 OBJ:= 9
TOP:= Housing=Options
KEY:=Nursing=Process=Step:=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=mou
nting=hospital=bill=and=asks=if=his=Medicare=coverage=will=pay=for=his=care.=Which=would=be=the=most=he
lpful=response=by=the=nurse?
a. Medicare=Part=C=pays=50%=of=all=medical=costs=for=persons=older=than=65.
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
Medicare=Part=A=pays=inpatient=hospital=costs,=Part=B=pays=80%=of=physician’s=charges,=and=Part=D=hel
ps=defray=prescription=drug=costs.=Medicare=Part=C=allows=individuals=to=receive=health=insurance=throu
gh=private=insurance=companies=and=typically=pays=entire=costs.
PTS:= = 1 DIF: 7 REF:= = p.=16 OBJ:= 6
TOP:= Medicare=Provisions
KEY:=Nursing=Process=Step:=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=re
quired=to=allow=her=to=make=health=care=decisions=for=her=parent.=Which=response=would=provide=the=m
ost=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=ne
xt=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
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:=Nursing=Process=Step:=Implementation
=MSC:= NCLEX:=Psychosocial=Integrity:=Coping=and=Adaptation NOT:=Applying
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
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:=Nursing=Process=Step:=Implementation
= MSC:= NCLEX:=Psychosocial=Integrity:=Coping=and=Adaptation NOT:=Applying
9. When=do=the=conditions=of=a=living=will=go=into=effect?
