TEST BANK FOR BASIC GERIATRIC NURSING
7TH EDITION WILLIAMS TEST
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Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 7th Edition
MULTIPLE CHOICE
• What fact explains the shift of health care focus toward the older adult in the late
1960s?
• Disability was viewed as unavoidable.
• Complications from disease increased mortality.
• Older adults’ needs are similar to those of all adults.
• Preventive health care practices increased
longevity. ANS: D
• To what age group does the term “aged” apply?
• 55–64 years of age
• 65–74 years of age
• 75–84 years of age
• 85 and older ANS: C
• Which is true of ageism?
• It is discrimination against persons solely on the basis of age.
• It causes a person to fear aging.
• It involves the use of cultural sensitivity to address concerns of aging.
• It focuses on resourcesNfor Rt he I
oldeG
r adBu .
lt .C M
ANS: A
• What is the most beneficial legislation that has influenced health care for the older
adult?
• Medicare and Medicaid
• Elimination of the mandatory retirement age
• The Americans with Disabilities Act
• The Drug Benefit
Program ANS: A
,• What housing option for the older adult offers the privacy of an
apartment with restaurant-style meals and some medical and personal
care services?
• Government-subsidized housing
• Long-term care facility
• Assisted-living center
• Group housing plan ANS: C
• 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. What would be the most helpful response by the
nurse?
• Medicare Part C pays 50% of all medical costs for persons older than 65.
PRIMEXAM.COM
• Medicare Part B pays hospital costs and physician fees.
• Medicare Part A pays for inpatient hospital costs.
• Medicare Part D pays 80% of the charges made by
physicians. ANS: C
• 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. Which response would provide the most accurate information to the
daughter?
• Advance directives indicate the degree of intervention desired by the patient.
• A ‘Do Not Resuscitate’ document signed by the patient transfers
authority to the next of kin.
• A durable power of attorney for health care transfers decision-making
authority for health care to a designated person.
• A living will transfers authority to the
physician. ANS: C
• 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?
• The refusal to eat is an effort to maintain a portion of
independence and self-direction.
• The refusal to eat is an indication of approaching Alzheimer disease.
• The refusal to eat is an effort to gain attention.
• The refusal to eat is an indication of the dislike of the
institutional food. ANS: A
, • When do the conditions of a living will go into effect?
• When the patient declares that desire in writing
• When a family member indicates the desire for curative therapy to cease
• When two physicians agree in writing that the criteria in the living will
have been met
• When the physician and a family member agree that the criteria in the
living will have been met
ANS: C
• In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs)
to reduce hospital costs. How did the DRGs reduce hospital costs?
• By classifying various diagnoses as ineligible for hospitalization
• By allotting a set amount of hospital days and prospective payment on the
basis of the admitting diagnosis
• By specifying particular physicians to treat specified diagnoses
• By using frequency of a particular diagnosis to set a payment
schedule ANS: B
• Which facility would be recommended for a patient who has had a hip
replacement and needs physical therapy?
• Basic care facility
PRIMEXAM.COM
• Skilled care facility
• Subacute care facility
• Assisted-living
residence ANS: B
• The 80-year-old woman who is recovering from a stroke is being sent to a skilled
care facility. She is concerned about the expense. The nurse can decrease anxiety
by explaining that Medicare will cover extended-care facility costs for what
period of time?
• A period of 30 days
• A period of 45 days for physical therapy
• A period of 100 days for needed skilled care
• Until she is able to be
discharged home ANS: C
, • Which senior citizen political action group uses volunteers and lobbyists to
advance the interests of older adults?
• American Association of Retired Persons (AARP)
• National Council of Senior Citizens (NCSC)
• National Alliance of Senior Citizens (NASC)
• Gray Panthers ANS: A
• Which caregiver could be found guilty of elder abuse?
• A daughter who uses her mother’s Social Security money to purchase her mother’s
medication
• A son who puts an alarm on the front door to prevent his mother from
wandering out of the house
• A wife who allows her mentally competent husband to refuse to take a
bath for a week
• A son who uses his mother’s checking account funds to purchase
alcohol for himself
ANS: D
• What is the most frequent response to elder abuse by the abused older adult?
• Anger
• Physical retaliation
• Notification of authorities
• Nothing at all ANS: D
• What reason is often stated by nurses today for not seeking careers in gerontology?
• The physical work is too difficult.
• Their technical skills are not used.
• There is too much challenge.
• There are limited options for
employment. ANS: B
PRIMEXAM.COM
• “Baby boomers” is a term used to classify which of the following persons?
• Those who entered school in 1945
• Those who served in the military in World War II
• Those who were born between 1946 and 1964
• Those who were eligible for Social Security benefits
in 2000 ANS: C
7TH EDITION WILLIAMS TEST
BANK||COMPLETE GUIDE||RATED A++
LATEST!!
Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 7th Edition
MULTIPLE CHOICE
• What fact explains the shift of health care focus toward the older adult in the late
1960s?
• Disability was viewed as unavoidable.
• Complications from disease increased mortality.
• Older adults’ needs are similar to those of all adults.
• Preventive health care practices increased
longevity. ANS: D
• To what age group does the term “aged” apply?
• 55–64 years of age
• 65–74 years of age
• 75–84 years of age
• 85 and older ANS: C
• Which is true of ageism?
• It is discrimination against persons solely on the basis of age.
• It causes a person to fear aging.
• It involves the use of cultural sensitivity to address concerns of aging.
• It focuses on resourcesNfor Rt he I
oldeG
r adBu .
lt .C M
ANS: A
• What is the most beneficial legislation that has influenced health care for the older
adult?
• Medicare and Medicaid
• Elimination of the mandatory retirement age
• The Americans with Disabilities Act
• The Drug Benefit
Program ANS: A
,• What housing option for the older adult offers the privacy of an
apartment with restaurant-style meals and some medical and personal
care services?
• Government-subsidized housing
• Long-term care facility
• Assisted-living center
• Group housing plan ANS: C
• 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. What would be the most helpful response by the
nurse?
• Medicare Part C pays 50% of all medical costs for persons older than 65.
PRIMEXAM.COM
• Medicare Part B pays hospital costs and physician fees.
• Medicare Part A pays for inpatient hospital costs.
• Medicare Part D pays 80% of the charges made by
physicians. ANS: C
• 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. Which response would provide the most accurate information to the
daughter?
• Advance directives indicate the degree of intervention desired by the patient.
• A ‘Do Not Resuscitate’ document signed by the patient transfers
authority to the next of kin.
• A durable power of attorney for health care transfers decision-making
authority for health care to a designated person.
• A living will transfers authority to the
physician. ANS: C
• 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?
• The refusal to eat is an effort to maintain a portion of
independence and self-direction.
• The refusal to eat is an indication of approaching Alzheimer disease.
• The refusal to eat is an effort to gain attention.
• The refusal to eat is an indication of the dislike of the
institutional food. ANS: A
, • When do the conditions of a living will go into effect?
• When the patient declares that desire in writing
• When a family member indicates the desire for curative therapy to cease
• When two physicians agree in writing that the criteria in the living will
have been met
• When the physician and a family member agree that the criteria in the
living will have been met
ANS: C
• In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs)
to reduce hospital costs. How did the DRGs reduce hospital costs?
• By classifying various diagnoses as ineligible for hospitalization
• By allotting a set amount of hospital days and prospective payment on the
basis of the admitting diagnosis
• By specifying particular physicians to treat specified diagnoses
• By using frequency of a particular diagnosis to set a payment
schedule ANS: B
• Which facility would be recommended for a patient who has had a hip
replacement and needs physical therapy?
• Basic care facility
PRIMEXAM.COM
• Skilled care facility
• Subacute care facility
• Assisted-living
residence ANS: B
• The 80-year-old woman who is recovering from a stroke is being sent to a skilled
care facility. She is concerned about the expense. The nurse can decrease anxiety
by explaining that Medicare will cover extended-care facility costs for what
period of time?
• A period of 30 days
• A period of 45 days for physical therapy
• A period of 100 days for needed skilled care
• Until she is able to be
discharged home ANS: C
, • Which senior citizen political action group uses volunteers and lobbyists to
advance the interests of older adults?
• American Association of Retired Persons (AARP)
• National Council of Senior Citizens (NCSC)
• National Alliance of Senior Citizens (NASC)
• Gray Panthers ANS: A
• Which caregiver could be found guilty of elder abuse?
• A daughter who uses her mother’s Social Security money to purchase her mother’s
medication
• A son who puts an alarm on the front door to prevent his mother from
wandering out of the house
• A wife who allows her mentally competent husband to refuse to take a
bath for a week
• A son who uses his mother’s checking account funds to purchase
alcohol for himself
ANS: D
• What is the most frequent response to elder abuse by the abused older adult?
• Anger
• Physical retaliation
• Notification of authorities
• Nothing at all ANS: D
• What reason is often stated by nurses today for not seeking careers in gerontology?
• The physical work is too difficult.
• Their technical skills are not used.
• There is too much challenge.
• There are limited options for
employment. ANS: B
PRIMEXAM.COM
• “Baby boomers” is a term used to classify which of the following persons?
• Those who entered school in 1945
• Those who served in the military in World War II
• Those who were born between 1946 and 1964
• Those who were eligible for Social Security benefits
in 2000 ANS: C
