TESTBANK BASIC GERIATRIC NURSING 7TH
EDITION
Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 7th Edition
x x x x x x x x x x
MULTIPLE CHOICE
1. In the 1980s, Medicare initiated a program of diagnosis-
x
related groups (DRGs) to reduce hospitalcosts. How did the DRGs reduce hospital costs?
a. Byclassifying various diagnoses as ineligible for hospitalization
b. Byallotting a set amount of hospitaldays and prospective payment on the basis of
x
the admitting diagnosis
c. Byspecifying particular physicians to treat specified diagnoses
x
d. Byusing frequencyofa particular diagnosis to set a payment schedule
ANS: B x
DRGs set up a system of preset hospitalization time and payment onthe basis ofthe admittingdiagnosis.
x
PTS: 1 DIF: 4 REF: p. 16 OBJ: 6
TOP: DRGs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A NOT: Understanding
x
2. Which facilitywould be recommended for a patient with diabetes who has had a hip replacement andnee
x x x x x x
ds physical therapy?
a. Basic care facility
b. Skilled care facility
x
c. Subacute care facility
Test Bank
x Page 1
, d. Assisted-livingresidence
ANS: B
x
Skilled care facilities offer not only basic care but also services from experienced licensed professio
x x
nals such as nurses, physicaltherapists, speech therapists, andoccupational therapists.
PTS: 1 DIF: 7 REF: p. 15 OBJ: 9
TOP: Extended-Care Facilities
KEY: Nursing Process Step: Implementation
x
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
NOT: Applying
3. The 80-year-
old woman who is recovering from a stroke is being sent to a skilled care facility. She isconcerned about
x
the expense. The nurse can decrease anxiety by explaining that Medicare will coverextended-
x
care facilitycosts for which period of time?
a. A period of 30 days
b. A period of 45 days for physical therapy
c. Aperiod of 100 days for needed skilled care
d. Until she is able to be discharged home
ANS: C
x
Medicare will cover skilled care costs for 100 days. After 100 days, the resident must revert to privatepayo
x x
r ancillarylong-term care insurance.
PTS: 1 DIF: 4 REF: p. 16 OBJ: 8
TOP: Extended Care
KEY: Nursing Process Step: Implementation
x
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
NOT: Understanding
4. Which senior citizen political action group uses volunteers and lobbyists to advance the interests ofold
x x
er adults?
a. American Association of Retired Persons (AARP)
b. National Council of Senior Citizens (NCSC)
c. National Alliance of Senior Citizens (NASC)
Test Bank
x Page 2
, d. GrayPanthers
ANS: A
x
Test Bank
x Page 3
, The AARP uses volunteers and lobbyists to advance the interests and welfare ofolder adults.
PTS: 1 DIF: 2 REF: p. 12 OBJ: 7
TOP: Political Action Groups
KEY: Nursing Process Step: N/A
x
MSC: NCLEX: N/A NOT: Remembering
5. Which caregiver could be found guiltyof elder abuse?
x
a. A daughter who uses her mother‘s Social Securitymoneyto purchase her mother‘s
medication
b. Ason who puts an alarm on the front doorto prevent his mother fromwandering
x x
out of the house
c. Awife who allows her mentallycompetent husband to refuse to take a bath for a
x
week
d. Ason who uses his mother‘s checking account funds to purchase alcohol for
x
himself
ANS: D
x
It is financial abuse if the older person‘s moneyis taken and spent byothers for their own purposes.
x
PTS: 1 DIF: 8 REF: p. 23 OBJ: 13
TOP: Elder Abuse
KEY: Nursing Process Step: Data Collection
x
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort N
OT: Analyzing
6. Which is the most frequent response to elder abuse bythe abused older adult?
a. Anger
b. Physicalretaliation
c. Notification of authorities
d. Nothing at all
ANS: D
x
Fear ofretaliation or abandonment keeps most abused older adults silent.
x
Test Bank
x Page 4
EDITION
Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 7th Edition
x x x x x x x x x x
MULTIPLE CHOICE
1. In the 1980s, Medicare initiated a program of diagnosis-
x
related groups (DRGs) to reduce hospitalcosts. How did the DRGs reduce hospital costs?
a. Byclassifying various diagnoses as ineligible for hospitalization
b. Byallotting a set amount of hospitaldays and prospective payment on the basis of
x
the admitting diagnosis
c. Byspecifying particular physicians to treat specified diagnoses
x
d. Byusing frequencyofa particular diagnosis to set a payment schedule
ANS: B x
DRGs set up a system of preset hospitalization time and payment onthe basis ofthe admittingdiagnosis.
x
PTS: 1 DIF: 4 REF: p. 16 OBJ: 6
TOP: DRGs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A NOT: Understanding
x
2. Which facilitywould be recommended for a patient with diabetes who has had a hip replacement andnee
x x x x x x
ds physical therapy?
a. Basic care facility
b. Skilled care facility
x
c. Subacute care facility
Test Bank
x Page 1
, d. Assisted-livingresidence
ANS: B
x
Skilled care facilities offer not only basic care but also services from experienced licensed professio
x x
nals such as nurses, physicaltherapists, speech therapists, andoccupational therapists.
PTS: 1 DIF: 7 REF: p. 15 OBJ: 9
TOP: Extended-Care Facilities
KEY: Nursing Process Step: Implementation
x
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
NOT: Applying
3. The 80-year-
old woman who is recovering from a stroke is being sent to a skilled care facility. She isconcerned about
x
the expense. The nurse can decrease anxiety by explaining that Medicare will coverextended-
x
care facilitycosts for which period of time?
a. A period of 30 days
b. A period of 45 days for physical therapy
c. Aperiod of 100 days for needed skilled care
d. Until she is able to be discharged home
ANS: C
x
Medicare will cover skilled care costs for 100 days. After 100 days, the resident must revert to privatepayo
x x
r ancillarylong-term care insurance.
PTS: 1 DIF: 4 REF: p. 16 OBJ: 8
TOP: Extended Care
KEY: Nursing Process Step: Implementation
x
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
NOT: Understanding
4. Which senior citizen political action group uses volunteers and lobbyists to advance the interests ofold
x x
er adults?
a. American Association of Retired Persons (AARP)
b. National Council of Senior Citizens (NCSC)
c. National Alliance of Senior Citizens (NASC)
Test Bank
x Page 2
, d. GrayPanthers
ANS: A
x
Test Bank
x Page 3
, The AARP uses volunteers and lobbyists to advance the interests and welfare ofolder adults.
PTS: 1 DIF: 2 REF: p. 12 OBJ: 7
TOP: Political Action Groups
KEY: Nursing Process Step: N/A
x
MSC: NCLEX: N/A NOT: Remembering
5. Which caregiver could be found guiltyof elder abuse?
x
a. A daughter who uses her mother‘s Social Securitymoneyto purchase her mother‘s
medication
b. Ason who puts an alarm on the front doorto prevent his mother fromwandering
x x
out of the house
c. Awife who allows her mentallycompetent husband to refuse to take a bath for a
x
week
d. Ason who uses his mother‘s checking account funds to purchase alcohol for
x
himself
ANS: D
x
It is financial abuse if the older person‘s moneyis taken and spent byothers for their own purposes.
x
PTS: 1 DIF: 8 REF: p. 23 OBJ: 13
TOP: Elder Abuse
KEY: Nursing Process Step: Data Collection
x
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort N
OT: Analyzing
6. Which is the most frequent response to elder abuse bythe abused older adult?
a. Anger
b. Physicalretaliation
c. Notification of authorities
d. Nothing at all
ANS: D
x
Fear ofretaliation or abandonment keeps most abused older adults silent.
x
Test Bank
x Page 4
