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Basic Geriatric Nursing 8thEdition
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, Basic Geriatric Nursing 8th Edition by Patricia A. Williams Test Ba
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Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
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MULTIPLE CHOICE @
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
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a. Disability was viewed as unavoidable. @ @ @ @
b. Complications from disease increased mortality. @ @ @ @
c. Older adults‘ needs are similar to those of all adults.
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d. Preventive health care practices increased longevity.
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ANS: D @
Increased preventive health care practices, disease control, and focus on wellness helped people live l
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onger.
PTS: @@@ 1 DIF: 4 REF: @@@ p. 2 @ OBJ: 2 @
TOP: Aging Trends
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KEY: Nursing Process Step: Data Collectio
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n MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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NOT: Understanding
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2. To which age group does the term ―aged‖ apply?
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a. 55–64 years of age @ @ @
b. 65–74 years of age @ @ @
c. 75–84 years of age @ @ @
d. 85 and older @ @
ANS: C @
The term aged refers to persons who are 75–84 years of age.
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PTS: @@@ 1 DIF: 1 REF: p. 2 | Table 1.1
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OBJ: @@@ 1
TOP: Age Categories @ @
KEY: Nursing Process Step: Data Collecti
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on
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development N
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OT: Remembering
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3. Which is true of ageism?
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a. It is discrimination against persons solely on the basis of age.
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b. It causes a person to fear aging.
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c. It involves the use of cultural sensitivity to address concerns of aging.
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d. It focuses on resources for the older adult.
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ANS: A @
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the b
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asis of age and can lead to destructive behaviors toward the older adult.
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PTS: @@@ 1 DIF: 4 REF: @@@ p. 4@ OBJ: 3 @
TOP: Ageism @
KEY: Nursing Process Step: Data Collectio
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n MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
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NOT: Understanding
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4. Which legislation has been the most beneficial legislation that has influenced health care for the old
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er adult?
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a. Medicare and Medicaid @ @
b. Elimination of the mandatory retirement age @ @ @ @ @
c. The Americans with Disabilities Act
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d. The Drug Benefit Program @ @ @
ANS: A @
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimin
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ation of the mandatory retirement age does not apply to health care. The Americans with Disabilities
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Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit Program wa
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s added to Medicare, but deals only with medications.
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PTS: @@@ 1 DIF: 4 REF: @@@ p. 11
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TOP: Legislation@
KEY: Nursing Process Step: Implementatio
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n MSC: NCLEX: N/A
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NOT: Understanding
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5. Which housing option for the older adult offers the privacy of an apartment with restaurant-
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style meals and some medical and personal care services?
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a. Government-subsidized housing
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b. Long-term care facility
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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 serve
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d, limited medical care, and a variety of personal services.
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PTS: @@@ 1 DIF: 3 REF: @@@ p. 14
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TOP: Housing Options
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KEY: Nursing Process Step: Implementatio
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n MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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NOT: Remembering @
6. The 75-year-
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old man who has been hospitalized following a severe case of pneumonia is concerned about his m
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ounting hospital bill and asks if his Medicare coverage will pay for his care. Which would be the m
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ost helpful response by the nurse?
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a. Medicare Part C pays 50% of all medical costs for persons older than 65.
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b. Medicare Part B pays hospital costs and physician fees.
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c. Medicare Part A pays for inpatient hospital costs.
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d. Medicare Part D pays 80% of the charges made by physicians.
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ANS: C @
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician‘s charges, and Part D h
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elps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance thr
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ough private insurance companies and typically pays entire costs.
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PTS: @@@ 1 DIF: 7 REF: @@@ p. 16
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TOP: Medicare Provisions
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KEY: Nursing Process Step: Implementatio
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n MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
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7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents are
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required to allow her to make health care decisions for her parent. Which response would provide t
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he most accurate information to the daughter?
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