Gerontological Nursing 9th Edition Eliopoulos p p p p
p Test Bank p
Chapter 1 The Aging Population
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Test Bank
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p MULTIPLE
p CHOICE
1. The nurse explains that in the late 1960s, health care focus was aimed at the older adult
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because:
a. disability was viewed as unavoidable.
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b. complications from disease increased mortality. p p p p
c. older adults needs are similar to those of all adults.
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d. preventive health care practices increased longevity.
p p p p p
ANS: D p
Increased preventive health care practices, disease control, and focus on wellness helped people
p p p p p p p p p p p p
live longer.
p p
DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2
p p p p p p p
TOP: Aging Trends KEY: Nursing Process Step: Implementation
p p p p p p p
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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2. The nurse clarifies that in the terminology defining specific age groups, the term aged refers to
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persons who are:
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a. 55 to 64 years of age.
p p p p p
b. 65 to 74 years of age.
p p p p p
c. 75 to 84 years of age.
p p p p p
d. 85 and older.
p p
ANS: C p
,The term aged refers to persons who are 75 to 84 years of age.
p p p p p p p p p p p p p
DIF: Cognitive Level: Comprehension REF: 2, Table 1-1 OBJ: 1
p p p p p p p p p p
TOP: Age Categories KEY: Nursing Process Step: Implementation
p p p p p p p p
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
p p p p p p p p
3. The nurse cautions that ageism is a mindset that influences persons to:
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a. discriminate against persons solely on the basis of age. p p p p p p p p
b. fear aging. p
c. be culturally sensitive to concerns of aging.
p p p p p p
d. focus on resources for the older adult.
p p p p p p
ANS: A p
Ageism is a negative belief pattern that influences persons to discriminate against persons
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solely on the basis of age and can lead to destructive behaviors toward the older adult.
p p p p p p p p p p p p p p p p
DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3
p p p p p p p
TOP: Ageism KEY: Nursing Process Step: Implementation
p p p p p p p
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
p p p p p
4. The nurse points out that the most beneficial legislation that has influenced health care for the
p p p p p p p p p p p p p p p
older adult is:
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a. Medicare and Medicaid. p p
b. elimination of the mandatory retirement age. p p p p p
c. the Americans with Disabilities Act.
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d. the Drug Benefit Program.
p p p
ANS: A p
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid.
p p p p p p p p p p p p
,DIF: Cognitive Level: Application REF: 16 OBJ: 6
p p p p p p p
TOP: Legislation KEY: Nursing Process Step: Implementation
p p p p p p
MSC: NCLEX: N/A
p p p
5. The nurse clarifies that a housing option for the older adult that offers the privacy of an
p p p p p p p p p p p p p p p p
apartment with restaurant-style meals and some medical and personal care services is
p p p p p p p p p p p p
the:
p
a. government-subsidized housing. p
b. long-term care facility. p p
c. assisted-living center. p
d. group housing plan. p p
ANS: C p
Assisted-living arrangements offer the privacy of an apartment or condominium with meals
p p p p p p p p p p p
prepared and served, limited medical care, and a variety of personal services.
p p p p p p p p p p p p
DIF: Cognitive Level: Application REF: 14 OBJ: 9
p p p p p p p
TOP: Housing Options KEY: Nursing Process Step: Implementation
p p p p p p p
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
p p p p p p
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
p p p p p p p p p p p p p
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for
p p p p p p p p p p p p p p p
his care. The nurses most helpful response is Yes. Medicare:
p p p p p p p p p p
a. pays 100% of all medical costs for persons older than 65.
p p p p p p p p p p
b. Part B pays hospital costs and physician fees.
p p p p p p p
c. Part A pays for inpatient hospital costs.
p p p p p p
d. Part D pays 80% of the charges made by physicians.
p p p p p p p p p
ANS: C p
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physicians charges, and Part D
p p p p p p p p p p p p p p p p
helps defray prescription drug costs.
p p p p p
, DIF: Cognitive Level: Application REF: 16 OBJ: 6
p p p p p p p
TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
p p p p p p p
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
p p p p p p p
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents
p p p p p p p p p p p p p p
are required to allow her to make health care decisions for her parent. The nurses most
p p p p p p p p p p p p p p p p
informative response is:
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a. Advance directives indicate the degree of intervention desired by the patient.
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b. A Do Not Resuscitate document signed by the patient transfers authority to the next
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of kin.
p p
c. A durable power of attorney for health care transfers decision-making authority
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for health care to a designated person.
p p p p p p p
d. A living will transfers authority to the physician.
p p p p p p p
ANS: C p
A durable power of attorney for health care transfers the authority for decision making to a
p p p p p p p p p p p p p p p
designated person.
p p
DIF: Cognitive Level: Application REF: 19 OBJ: 11
p p p p p p p
TOP: Advance Directives KEY: Nursing Process Step: Implementation
p p p p p p p
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
p p p p p p p
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
p p p p p p p p p p p p p p
mothers refusal to eat. The nurse explains that the refusal to eat is a behavior that is an:
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a. effort to maintain a portion of independence and self direction.
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b. indication of approaching Alzheimer disease. p p p p
c. effort to gain attention. p p p
d. indication of the dislike of the institutional food. p p p p p p p
ANS: A p
p Test Bank p
Chapter 1 The Aging Population
p p p p
Test Bank
p
p MULTIPLE
p CHOICE
1. The nurse explains that in the late 1960s, health care focus was aimed at the older adult
p p p p p p p p p p p p p p p p
because:
a. disability was viewed as unavoidable.
p p p p
b. complications from disease increased mortality. p p p p
c. older adults needs are similar to those of all adults.
p p p p p p p p p
d. preventive health care practices increased longevity.
p p p p p
ANS: D p
Increased preventive health care practices, disease control, and focus on wellness helped people
p p p p p p p p p p p p
live longer.
p p
DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2
p p p p p p p
TOP: Aging Trends KEY: Nursing Process Step: Implementation
p p p p p p p
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
p p p p p p p p
2. The nurse clarifies that in the terminology defining specific age groups, the term aged refers to
p p p p p p p p p p p p p p p
persons who are:
p p p
a. 55 to 64 years of age.
p p p p p
b. 65 to 74 years of age.
p p p p p
c. 75 to 84 years of age.
p p p p p
d. 85 and older.
p p
ANS: C p
,The term aged refers to persons who are 75 to 84 years of age.
p p p p p p p p p p p p p
DIF: Cognitive Level: Comprehension REF: 2, Table 1-1 OBJ: 1
p p p p p p p p p p
TOP: Age Categories KEY: Nursing Process Step: Implementation
p p p p p p p p
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
p p p p p p p p
3. The nurse cautions that ageism is a mindset that influences persons to:
p p p p p p p p p p p
a. discriminate against persons solely on the basis of age. p p p p p p p p
b. fear aging. p
c. be culturally sensitive to concerns of aging.
p p p p p p
d. focus on resources for the older adult.
p p p p p p
ANS: A p
Ageism is a negative belief pattern that influences persons to discriminate against persons
p p p p p p p p p p p p
solely on the basis of age and can lead to destructive behaviors toward the older adult.
p p p p p p p p p p p p p p p p
DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3
p p p p p p p
TOP: Ageism KEY: Nursing Process Step: Implementation
p p p p p p p
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
p p p p p
4. The nurse points out that the most beneficial legislation that has influenced health care for the
p p p p p p p p p p p p p p p
older adult is:
p p p
a. Medicare and Medicaid. p p
b. elimination of the mandatory retirement age. p p p p p
c. the Americans with Disabilities Act.
p p p p
d. the Drug Benefit Program.
p p p
ANS: A p
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid.
p p p p p p p p p p p p
,DIF: Cognitive Level: Application REF: 16 OBJ: 6
p p p p p p p
TOP: Legislation KEY: Nursing Process Step: Implementation
p p p p p p
MSC: NCLEX: N/A
p p p
5. The nurse clarifies that a housing option for the older adult that offers the privacy of an
p p p p p p p p p p p p p p p p
apartment with restaurant-style meals and some medical and personal care services is
p p p p p p p p p p p p
the:
p
a. government-subsidized housing. p
b. long-term care facility. p p
c. assisted-living center. p
d. group housing plan. p p
ANS: C p
Assisted-living arrangements offer the privacy of an apartment or condominium with meals
p p p p p p p p p p p
prepared and served, limited medical care, and a variety of personal services.
p p p p p p p p p p p p
DIF: Cognitive Level: Application REF: 14 OBJ: 9
p p p p p p p
TOP: Housing Options KEY: Nursing Process Step: Implementation
p p p p p p p
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
p p p p p p
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
p p p p p p p p p p p p p
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for
p p p p p p p p p p p p p p p
his care. The nurses most helpful response is Yes. Medicare:
p p p p p p p p p p
a. pays 100% of all medical costs for persons older than 65.
p p p p p p p p p p
b. Part B pays hospital costs and physician fees.
p p p p p p p
c. Part A pays for inpatient hospital costs.
p p p p p p
d. Part D pays 80% of the charges made by physicians.
p p p p p p p p p
ANS: C p
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physicians charges, and Part D
p p p p p p p p p p p p p p p p
helps defray prescription drug costs.
p p p p p
, DIF: Cognitive Level: Application REF: 16 OBJ: 6
p p p p p p p
TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
p p p p p p p
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
p p p p p p p
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents
p p p p p p p p p p p p p p
are required to allow her to make health care decisions for her parent. The nurses most
p p p p p p p p p p p p p p p p
informative response is:
p p p
a. Advance directives indicate the degree of intervention desired by the patient.
p p p p p p p p p p
b. A Do Not Resuscitate document signed by the patient transfers authority to the next
p p p p p p p p p p p p p
of kin.
p p
c. A durable power of attorney for health care transfers decision-making authority
p p p p p p p p p p
for health care to a designated person.
p p p p p p p
d. A living will transfers authority to the physician.
p p p p p p p
ANS: C p
A durable power of attorney for health care transfers the authority for decision making to a
p p p p p p p p p p p p p p p
designated person.
p p
DIF: Cognitive Level: Application REF: 19 OBJ: 11
p p p p p p p
TOP: Advance Directives KEY: Nursing Process Step: Implementation
p p p p p p p
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
p p p p p p p
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
p p p p p p p p p p p p p p
mothers refusal to eat. The nurse explains that the refusal to eat is a behavior that is an:
p p p p p p p p p p p p p p p p p
a. effort to maintain a portion of independence and self direction.
p p p p p p p p p
b. indication of approaching Alzheimer disease. p p p p
c. effort to gain attention. p p p
d. indication of the dislike of the institutional food. p p p p p p p
ANS: A p
