Wold: Basic Geriatric Nursing, 5th Edition
Chapter 01: Trends and Issues
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 nurse’s 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 physician’s 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
nurse’s 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
Chapter 01: Trends and Issues
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 nurse’s 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 physician’s 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
nurse’s 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
