Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
- Test Bank
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
Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
,Test Bank 1-2
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 discrimina te 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
Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
,Test Bank 1-3
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
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-
old mother‘s 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
Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
, Test Bank 1-4
9. The nurse clarifies that the conditions of a living will go into effect when:
a. the patient declares that desire in writing.
b. a family member indicates the desire for curative therapy to cease.
c. two physicians agree in writing that the criteria in the living will have been met.
d. the physician and a family member agree that the criteria in the living will have
been met.
ANS: C
Two physicians must agree in writing that the criteria of the living will have been met
before the document can go into effect.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Living Wills KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to
reduce hospital costs by:
a. classifying various diagnoses as ineligible for hospitalization.
b. allotting a set amount of hospital days and prospective payment on the basis of the
admitting diagnosis.
c. specifying particular physicians to treat specified diagnoses.
d. using frequency of a particular diagnosis to set a payment schedule.
ANS: B
DRGs set up a system of preset hospitalization time and payment on the basis of the
admitting diagnosis.
DIF: Cognitive Level: Comprehension REF: 16 OBJ: 6
TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
11. When discussing extended care with a patient who has had a hip replacement and
needs physical therapy, the nurse would recommend a(n):
a. basic care facility.
b. skilled care facility.
c. subacute care facility.
d. assisted-living residence.
ANS: B
Skilled care facilities offer not only basic care but also services from trained licensed
professionals such as nurses, physical therapists, speech therapists, and occupational
therapists.
DIF: Cognitive Level: Application REF: 16 OBJ: 9
TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. The 80-year-old woman who is recovering from a stroke is being sent to an
extended-care facility. She is concerned about the expense. The nurse can allay
anxiety by explaining that Medicare will cover extended-care facility costs:
Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
- Test Bank
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
Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
,Test Bank 1-2
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 discrimina te 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
Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
,Test Bank 1-3
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
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-
old mother‘s 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
Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
, Test Bank 1-4
9. The nurse clarifies that the conditions of a living will go into effect when:
a. the patient declares that desire in writing.
b. a family member indicates the desire for curative therapy to cease.
c. two physicians agree in writing that the criteria in the living will have been met.
d. the physician and a family member agree that the criteria in the living will have
been met.
ANS: C
Two physicians must agree in writing that the criteria of the living will have been met
before the document can go into effect.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Living Wills KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to
reduce hospital costs by:
a. classifying various diagnoses as ineligible for hospitalization.
b. allotting a set amount of hospital days and prospective payment on the basis of the
admitting diagnosis.
c. specifying particular physicians to treat specified diagnoses.
d. using frequency of a particular diagnosis to set a payment schedule.
ANS: B
DRGs set up a system of preset hospitalization time and payment on the basis of the
admitting diagnosis.
DIF: Cognitive Level: Comprehension REF: 16 OBJ: 6
TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
11. When discussing extended care with a patient who has had a hip replacement and
needs physical therapy, the nurse would recommend a(n):
a. basic care facility.
b. skilled care facility.
c. subacute care facility.
d. assisted-living residence.
ANS: B
Skilled care facilities offer not only basic care but also services from trained licensed
professionals such as nurses, physical therapists, speech therapists, and occupational
therapists.
DIF: Cognitive Level: Application REF: 16 OBJ: 9
TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. The 80-year-old woman who is recovering from a stroke is being sent to an
extended-care facility. She is concerned about the expense. The nurse can allay
anxiety by explaining that Medicare will cover extended-care facility costs:
Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
