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TEST BANK FOR GERONTOLOGICAL NURSING 10TH EDITION BY ELIOPOULOS

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Gerontological Nursing 10th Edition Eliopoulos Test Bank Chapter 1 The Aging Population Test Bank MULTIPLE CHOICE 1. The nurse explains that in the late 1960s, health care focus was aimed at the older adult because: 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 longer. DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2 TOP: Aging Trends KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 2. The nurse clarifies that in the terminology defining specific age groups, the term aged refers to persons who are: a. 55 to 64 years of age. b. 65 to 74 years of age. c. 75 to 84 years of age. d. 85 and older. ANS: C The term aged refers to persons who are 75 to 84 years of age. DIF: Cognitive Level: Comprehension REF: 2, Table 1-1 OBJ: 1 TOP: Age Categories KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 3. The nurse cautions that ageism is a mindset that influences persons to: a. discriminate against persons solely on the basis of age. b. fear aging. c. be culturally sensitive to concerns of aging. d. focus on resources for the older adult. ANS: A Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the basis of age and can lead to destructive behaviors toward the older adult. DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3 TOP: Ageism KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 4. The nurse points out that the most beneficial legislation that has influenced health care for the older adult is: 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. DIF: Cognitive Level: Application REF: 16 OBJ: 6 TOP: Legislation KEY: Nursing Process Step: Implementation MSC: NCLEX: N/A 5. The nurse clarifies that a housing option for the older adult that offers the privacy of an apartment with restaurant-style meals and some medical and personal care services is the: 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. DIF: Cognitive Level: Application REF: 14 OBJ: 9 TOP: Housing Options KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned about his mounting hospital bill and asks if his Medicare coverage will pay for his care. The nurses most helpful response is Yes. Medicare: a. pays 100% of all medical costs for persons older than 65. b. Part B pays hospital costs and physician fees. c. Part A pays for inpatient hospital costs. d. Part D pays 80% of the charges made by physicians. ANS: C Medicare Part A pays inpatient hospital costs, Part B pays 80% of physicians charges, and Part D helps defray prescription drug costs. DIF: Cognitive Level: Application REF: 16 OBJ: 6 TOP: Medicare Provisions KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are required to allow her to make health care decisions for her parent. The nurses most informative response is: 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 next 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. DIF: Cognitive Level: Application REF: 19 OBJ: 11 TOP: Advance Directives KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mothers refusal to eat. The nurse explains that the refusal to eat is a behavior that is an: a. effort to maintain a portion of independence and self direction. b. indication of approaching Alzheimer disease. c. effort to gain attention. d. 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. DIF: Cognitive Level: Application REF: 21 OBJ: 11 TOP: Loss of Independence KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 9. The nurse clarifies that the conditions of a living will go into effect when:

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Gerontological Nursing 10th Edition Eliopoulos
Test Bank
Chapter 1 The Aging Population



Test Bank MULTIPLE CHOICE

1. The nurse explains that in the late 1960s, health care focus was aimed at the older adult
because:

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
longer.



DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2



TOP: Aging Trends KEY: Nursing Process Step: Implementation



MSC: NCLEX: Health Promotion and Maintenance: Growth and Development



2. The nurse clarifies that in the terminology defining specific age groups, the term aged refers to
persons who are:

a. 55 to 64 years of age.

,b. 65 to 74 years of age.

c. 75 to 84 years of age.

d. 85 and older.



ANS: C



The term aged refers to persons who are 75 to 84 years of age. DIF: Cognitive Level: Comprehension
REF: 2, Table 1-1 OBJ: 1 TOP: Age Categories KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Growth and Development



3. The nurse cautions that ageism is a mindset that influences persons to:



a. discriminate against persons solely on the basis of age.

b. fear aging.

c. be culturally sensitive to concerns of aging.

d. focus on resources for the older adult.



ANS: A



Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the
basis of age and can lead to destructive behaviors toward the older adult.



DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3 TOP: Ageism KEY: Nursing Process Step:
Implementation

MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

,4. The nurse points out that the most beneficial legislation that has influenced health care for the
older adult is:

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.



DIF: Cognitive Level: Application REF: 16 OBJ: 6



TOP: Legislation KEY: Nursing Process Step: Implementation MSC: NCLEX: N/A

5. The nurse clarifies that a housing option for the older adult that offers the privacy of an
apartment with restaurant-style meals and some medical and personal care services is the:

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.



DIF: Cognitive Level: Application REF: 14 OBJ: 9

, TOP: Housing Options KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity:
Physiological Adaptation

6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for his care. The
nurses most helpful response is Yes. Medicare:

a. pays 100% of all medical costs for persons older than 65.

b. Part B pays hospital costs and physician fees.

c. Part A pays for inpatient hospital costs.

d. Part D pays 80% of the charges made by physicians.



ANS: C



Medicare Part A pays inpatient hospital costs, Part B pays 80% of physicians charges, and Part D helps
defray prescription drug costs.



DIF: Cognitive Level: Application REF: 16 OBJ: 6



TOP: Medicare Provisions KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial
Integrity: Coping and Adaptation

7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents
are required to allow her to make health care decisions for her parent. The nurses most informative
response is:

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 next 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.

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