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,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
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MULTIPLE CHOICE ma




1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
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a. Disability was viewed as unavoidable. ma ma ma ma



b. Complications from disease increased mortality. ma ma ma ma



c. Older adults’ needs are similar to those of all adults.
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d. Preventive health care practices increased longevity. ma ma ma ma ma




ANS: D ma



Increased preventive health care practices, disease control, and focus on wellness helped people live lo
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nger.

PTS: 1 DIF:
m a m a 4 REF: m a m a p. 2 ma OBJ: 2 m a



TOP: Aging Trends m a ma



KEY: Nursing Process Step: Data Collection ma ma ma ma ma



MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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NOT: Understanding ma




2. To which age group does the term “aged” apply?
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a. 55–64 years of age ma ma ma



b. 65–74 years of age ma ma ma



c. 75–84 years of age ma ma ma



d. 85 and older ma ma




ANS: C ma



The term aged refers to persons who are 75–84 years of age.
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PTS: 1 m a m a DIF: 1 REF: p. 2 | Table 1.1
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OBJ: 1 m a



TOP: Age Categories ma ma



KEY: Nursing Process Step: Data Collectio
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n
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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NOT: Remembering
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3. Which is true of ageism? ma ma ma ma



a. It is discrimination against persons solely on the basis of age
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.
b. It causes a person to fear aging.
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, c. It involves the use of cultural sensitivity to address concerns of aging
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.
d. It focuses on resources for the older adult.
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ANS: A ma



Ageism is a negative belief pattern that influences persons to discriminate against persons solely on th
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e basis of age and can lead to destructive behaviors toward the older adult.
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PTS: 1 m a m a DIF: 4 REF: m a m a p. 4 ma OBJ: 3 m a



TOP: Ageism m a



KEY: Nursing Process Step: Data Collection ma ma ma ma ma



MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
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NOT: Understanding
ma ma




4. Which legislation has been the most beneficial legislation that has influenced health care for the olde
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r adult?
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a. Medicare and Medicaid ma ma



b. Elimination of the mandatory retirement age ma ma ma ma ma



c. The Americans with Disabilities Act
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d. The Drug Benefit Program ma ma ma




ANS: A ma



The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimi
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nation of the mandatory retirement age does not apply to health care. The Americans with Disabiliti
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es Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit Program
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was added to Medicare, but deals only with medications.
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PTS: 1 m a m a DIF: 4 REF: m a m a p. 11 ma OBJ: 6 m a



TOP: Legislation m a



KEY: Nursing Process Step: Implementation ma ma ma ma



MSC: NCLEX: N/A
ma m a ma



NOT: Understanding ma




5. Which housing option for the older adult offers the privacy of an apartment with restaurant-
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style meals and some medical and personal care services?
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a. Government-subsidized housing m a



b. Long-term care facility ma ma



c. Assisted-living center ma



d. Group housing plan ma ma




ANS: C ma



Assisted-
living arrangements offer the privacy of an apartment or condominium with meals prepared and serve
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d, limited medical care, and a variety of personal services.
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PTS: 1 DIF:
m a m a 3 REF: m a m a p. 14 ma OBJ: 9 m a



TOP: Housing Options m a ma



KEY: Nursing Process Step: Implementation ma ma ma ma



MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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NOT: Remembering ma




6. The 75-year- ma



old man who has been hospitalized following a severe case of pneumonia is concerned about his m
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ounting hospital bill and asks if his Medicare coverage will pay for his care. Which would be the mo
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st helpful response by the nurse?
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