TEST BANK f
BASIC GERIATRIC NURSING
f f
7th Edition
f
By Patricia A. Williams
f f f
,TEST BANK: Basic Geriatric Nursing, 7th Edition by Patricia
f f
Test Bank: Basic Geriatric Nursing, 7th Edition by Patricia A. Williams
f f f f
f
f f
f
f f f
f
f
f f f
A. Williams f
Contents
Unit One: Overview of Aging
f f f f
Chapter 1. Trends and Issues
f f f f
Chapter 2. Theories of Aging
f f f f
Chapter 3.Physiologic Changes
f f
Unit Two: Basic Skills for Gerontologic Nursing
f f f f f f
Chapter 4. Health Promotion, Health Maintenance, and Home Health Considerations
f f f f f f f f f
Chapter 5. Communicating with Older Adults
f f f f f
Chapter 6. Maintaining Fluid Balance and Meeting Nutrition Needs
f f f f f f f f
Chapter 7. Medications and Older Adults
f f f f f
Chapter 8. Health Assessment for Older Adults
f f f f f f
Chapter 9. Meeting Safety Needs of Older Adults
f f f f f f f
Unit Three: Psychosocial Care of the Elderly
f f f f f f
Chapter 10. Cognition and Perception
f f f f
Chapter 11.Self-Perception and Self-Concept
f f f
Chapter 12. Roles and Relationships
f f f f
Chapter 13. Coping and Stress
f f f f
Chapter 14. Values and Beliefs
f f f f
Chapter 15. End-of-Life Care
f f f
Chapter 16. Sexuality and Aging
f f f f
Unit Four: Physical Care of the Elderly
f f f f f f
Chapter 17. Care of Aging Skin and Mucous Membranes
f f f f f f f f
Chapter 18. Elimination
f f
Chapter 19. Activity and Exercise
f f f f
Chapter 20. Sleep and Rest
f f f f
, Basic Geriatric Nursing 7th Edition Williams Test Bank
f f f f f f f
Chapter 01: Trends and Issues
f f f f
Williams: Basic Geriatric Nursing, 7th Edition
f f f f f
MULTIPLE CHOICE f
1. What fact explains the shift of health care focus toward the older adult in the late 1960s?
f f f f f f f f f f f f f f f f
a. Disability was viewed as unavoidable. f f f f
b. Complications from disease increased mortality. f f f f
c. Older adults‘ needs are similar to those of all adults.
f f f f f f f f f
d. Preventive health care practices increased longevity. f f f f f
fANS: D f
2. To what age group does the term ―aged‖ apply?
f f f f f f f f
a. 55–64 years of age f f f
b. 65–74 years of age f f f
c. 75–84 years of age f f f
d. 85 and older f f
fANS: C f
3. Which is true of ageism? f f f f
a. It is discrimination against persons solely on the basis of age.
f f f f f f f f f f
b. It causes a person to fear aging.
f f f f f f
c. It involves the use of cultural sensitivity to address concerns of aging.
f f f f f f f f f f f
d. It focuses on resources for the older adult
f f f f f f f
fANS: A f
4. What is the most beneficial legislation that has influenced health care for the older adult?
f f f f f f f f f f f f f f
a. Medicare and Medicaid f f
b. Elimination of the mandatory retirement age f f f f f
c. The Americans with Disabilities Act f f f f
d. The Drug Benefit Program f f f
fANS: A f
5. What housing option for the older adult offers the privacy of an apartment with
f f f f f f f f f f f f f
restaurant-style meals and some medical and personal care services?
f f f f f f f f f
a. Government-subsidized housing f
b. Long-term care facility f f
c. Assisted-living center f
d. Group housing plan f f
fANS: C f
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
f f f f f f f f f f f f f
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for
f f f f f f f f f f f f f f f
his care. What would be the most helpful response by the nurse?
f f f f f f f f f f f f
a. Medicare Part C pays 50% of all medical costs for persons older than 65. f f f f f f f f f f f f f
, Basic Geriatric Nursing 7th Edition Williams Test Bank f f f f f f f
b. Medicare Part B pays hospital costs and physician fees. f f f f f f f f
c. Medicare Part A pays for inpatient hospital costs. f f f f f f f
d. Medicare Part D pays 80% of the charges made by physicians. f f f f f f f f f f
fANS: C f
7. The daughter of a patient who has been diagnosed with terminal cancer asks which
f f f f f f f f f f f f f
documents are required to allow her to make health care decisions for her parent. Which
f f f f f f f f f f f f f f f
response would provide the most accurate information to the daughter?
f f f f f f f f f f
a. Advance directives indicate the degree of intervention desired by the patient.
f f f f f f f f f f
b. A ‗Do Not Resuscitate‘ document signed by the patient transfers authority to the
f f f f f f f f f f f f
next of kin.
f f f
c. A durable power of attorney for health care transfers decision-making authority for
f f f f f f f f f f f
health care to a designated person.
f f f f f f
d. A living will transfers authority to the physician.
f f f f f f f
fANS: C f
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
f f f f f f f f f f f f f f
mother‘s refusal to eat. Which response would be the most appropriate?
f f f f f f f f f f f
a. The refusal to eat is an effort to maintain a portion of independence and
f f f f f f f f f f f f f
self-direction.
f
b. The refusal to eat is an indication of approaching Alzheimer disease.
f f f f f f f f f f
c. The refusal to eat is an effort to gain attention.
f f f f f f f f f
d. The refusal to eat is an indication of the dislike of the institutional food.
f f f f f f f f f f f f f
ANS: A f
9. When do the conditions of a living will go into effect?
f f f f f f f f f f
a. When the patient declares that desire in writing f f f f f f f
b. When a family member indicates the desire for curative therapy to cease
f f f f f f f f f f f
c. When two physicians agree in writing that the criteria in the living will have been
f f f f f f f f f f f f f f
met f
d. When the physician and a family member agree that the criteria in the living will
f f f f f f f f f f f f f f
have been met
f f f
ANS: C f
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
f f f f f f f f f f f f
hospital costs. How did the DRGs reduce hospital costs?
f f f f f f f f f
a. By classifying various diagnoses as ineligible for hospitalization
f f f f f f f
b. By allotting a set amount of hospital days and prospective payment on the basis of
f f f f f f f f f f f f f f
the admitting diagnosis
f f f
c. By specifying particular physicians to treat specified diagnoses
f f f f f f f
d. By using frequency of a particular diagnosis to set a payment schedule
f f f f f f f f f f f
fANS: B f
11. Which facility would be recommended for a patient who has had a hip replacement and
f f f f f f f f f f f f f f
needs physical therapy?
f f f
a. Basic care facility f f
BASIC GERIATRIC NURSING
f f
7th Edition
f
By Patricia A. Williams
f f f
,TEST BANK: Basic Geriatric Nursing, 7th Edition by Patricia
f f
Test Bank: Basic Geriatric Nursing, 7th Edition by Patricia A. Williams
f f f f
f
f f
f
f f f
f
f
f f f
A. Williams f
Contents
Unit One: Overview of Aging
f f f f
Chapter 1. Trends and Issues
f f f f
Chapter 2. Theories of Aging
f f f f
Chapter 3.Physiologic Changes
f f
Unit Two: Basic Skills for Gerontologic Nursing
f f f f f f
Chapter 4. Health Promotion, Health Maintenance, and Home Health Considerations
f f f f f f f f f
Chapter 5. Communicating with Older Adults
f f f f f
Chapter 6. Maintaining Fluid Balance and Meeting Nutrition Needs
f f f f f f f f
Chapter 7. Medications and Older Adults
f f f f f
Chapter 8. Health Assessment for Older Adults
f f f f f f
Chapter 9. Meeting Safety Needs of Older Adults
f f f f f f f
Unit Three: Psychosocial Care of the Elderly
f f f f f f
Chapter 10. Cognition and Perception
f f f f
Chapter 11.Self-Perception and Self-Concept
f f f
Chapter 12. Roles and Relationships
f f f f
Chapter 13. Coping and Stress
f f f f
Chapter 14. Values and Beliefs
f f f f
Chapter 15. End-of-Life Care
f f f
Chapter 16. Sexuality and Aging
f f f f
Unit Four: Physical Care of the Elderly
f f f f f f
Chapter 17. Care of Aging Skin and Mucous Membranes
f f f f f f f f
Chapter 18. Elimination
f f
Chapter 19. Activity and Exercise
f f f f
Chapter 20. Sleep and Rest
f f f f
, Basic Geriatric Nursing 7th Edition Williams Test Bank
f f f f f f f
Chapter 01: Trends and Issues
f f f f
Williams: Basic Geriatric Nursing, 7th Edition
f f f f f
MULTIPLE CHOICE f
1. What fact explains the shift of health care focus toward the older adult in the late 1960s?
f f f f f f f f f f f f f f f f
a. Disability was viewed as unavoidable. f f f f
b. Complications from disease increased mortality. f f f f
c. Older adults‘ needs are similar to those of all adults.
f f f f f f f f f
d. Preventive health care practices increased longevity. f f f f f
fANS: D f
2. To what age group does the term ―aged‖ apply?
f f f f f f f f
a. 55–64 years of age f f f
b. 65–74 years of age f f f
c. 75–84 years of age f f f
d. 85 and older f f
fANS: C f
3. Which is true of ageism? f f f f
a. It is discrimination against persons solely on the basis of age.
f f f f f f f f f f
b. It causes a person to fear aging.
f f f f f f
c. It involves the use of cultural sensitivity to address concerns of aging.
f f f f f f f f f f f
d. It focuses on resources for the older adult
f f f f f f f
fANS: A f
4. What is the most beneficial legislation that has influenced health care for the older adult?
f f f f f f f f f f f f f f
a. Medicare and Medicaid f f
b. Elimination of the mandatory retirement age f f f f f
c. The Americans with Disabilities Act f f f f
d. The Drug Benefit Program f f f
fANS: A f
5. What housing option for the older adult offers the privacy of an apartment with
f f f f f f f f f f f f f
restaurant-style meals and some medical and personal care services?
f f f f f f f f f
a. Government-subsidized housing f
b. Long-term care facility f f
c. Assisted-living center f
d. Group housing plan f f
fANS: C f
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
f f f f f f f f f f f f f
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for
f f f f f f f f f f f f f f f
his care. What would be the most helpful response by the nurse?
f f f f f f f f f f f f
a. Medicare Part C pays 50% of all medical costs for persons older than 65. f f f f f f f f f f f f f
, Basic Geriatric Nursing 7th Edition Williams Test Bank f f f f f f f
b. Medicare Part B pays hospital costs and physician fees. f f f f f f f f
c. Medicare Part A pays for inpatient hospital costs. f f f f f f f
d. Medicare Part D pays 80% of the charges made by physicians. f f f f f f f f f f
fANS: C f
7. The daughter of a patient who has been diagnosed with terminal cancer asks which
f f f f f f f f f f f f f
documents are required to allow her to make health care decisions for her parent. Which
f f f f f f f f f f f f f f f
response would provide the most accurate information to the daughter?
f f f f f f f f f f
a. Advance directives indicate the degree of intervention desired by the patient.
f f f f f f f f f f
b. A ‗Do Not Resuscitate‘ document signed by the patient transfers authority to the
f f f f f f f f f f f f
next of kin.
f f f
c. A durable power of attorney for health care transfers decision-making authority for
f f f f f f f f f f f
health care to a designated person.
f f f f f f
d. A living will transfers authority to the physician.
f f f f f f f
fANS: C f
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
f f f f f f f f f f f f f f
mother‘s refusal to eat. Which response would be the most appropriate?
f f f f f f f f f f f
a. The refusal to eat is an effort to maintain a portion of independence and
f f f f f f f f f f f f f
self-direction.
f
b. The refusal to eat is an indication of approaching Alzheimer disease.
f f f f f f f f f f
c. The refusal to eat is an effort to gain attention.
f f f f f f f f f
d. The refusal to eat is an indication of the dislike of the institutional food.
f f f f f f f f f f f f f
ANS: A f
9. When do the conditions of a living will go into effect?
f f f f f f f f f f
a. When the patient declares that desire in writing f f f f f f f
b. When a family member indicates the desire for curative therapy to cease
f f f f f f f f f f f
c. When two physicians agree in writing that the criteria in the living will have been
f f f f f f f f f f f f f f
met f
d. When the physician and a family member agree that the criteria in the living will
f f f f f f f f f f f f f f
have been met
f f f
ANS: C f
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
f f f f f f f f f f f f
hospital costs. How did the DRGs reduce hospital costs?
f f f f f f f f f
a. By classifying various diagnoses as ineligible for hospitalization
f f f f f f f
b. By allotting a set amount of hospital days and prospective payment on the basis of
f f f f f f f f f f f f f f
the admitting diagnosis
f f f
c. By specifying particular physicians to treat specified diagnoses
f f f f f f f
d. By using frequency of a particular diagnosis to set a payment schedule
f f f f f f f f f f f
fANS: B f
11. Which facility would be recommended for a patient who has had a hip replacement and
f f f f f f f f f f f f f f
needs physical therapy?
f f f
a. Basic care facility f f
