TEST BANK VV
BASIC GERIATRIC NURSING
VV VV
PATRICIAA. WILLIAMS
VV
8th Edition
VV
TESTBANK V
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
VV VV VV VV VV VV VV VV VV VV
MULTIPLE CHOICE VV
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
a. Disability was viewed as unavoidable. VV VV VV VV
b. Complications from disease increased mortality. VV VV VV VV
c. Older adults’ needs are similar to those of all
VV VV VV VV VV VV VV VV
adults.
VV
d. Preventive health care practices increased VV VV VV VV
longevity.
VV
ANS: D VV
Increased preventive health care practices, disease control, and focus on wellness helped people
VV VV VV VV VV VV VV VV VV VV VV VV
live longer.
VV VV
PTS: 1 V V DIF: 4 V V REF: p. 2 OBJ: 2 V V V V VV V V
TOP: Aging Trends
V V KEY: Nursing Process Step: Data
VV VV VV VV VV
Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and
VV VV V V VV VV VV VV VV VV
Development
VV
NOT: Understanding
VV
2. To which age group does the term “aged” apply?
VV VV VV VV VV VV VV VV
a. 55–64 years of VV VV
age
VV
b. 65–74 years of VV VV
age VV
c. 75–84 years of VV VV
age VV
d. 85 and older VV VV
ANS: C VV
The term aged refers to persons who are 75–84 years of age.
VV VV VV VV VV VV VV VV VV VV VV
PTS: 1 V V DIF: 1 V V REF: p. 2 | Table 1.1 V V VV VV V V VV
OBJ: 1 V V TOP: Age VV
Categories KEY: Nursing Process Step:
VV VV VV VV VV
Data Collection
VV VV
MSC: NCLEX: Health Promotion and Maintenance: Growth and
VV VV VV VV VV VV VV
Development NOT: Remembering
VV VV VV
3. Which is true of ageism? VV VV VV VV
a. It is discrimination against persons solely on the basis of
VV VV VV VV VV VV VV VV VV
age. VV
b. It causes a person to fear aging.
VV VV VV VV VV VV
, c. It involves the use of cultural sensitivity to address concerns of
VV VV VV VV VV VV VV VV VV VV
aging.
VV
d. It focuses on resources for the older adult.
VV VV VV VV VV VV VV
ANS: A VV
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
the basis of age and can lead to destructive behaviors toward the older adult.
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
PTS: 1 V V DIF: 4
V V REF: p. 4 V V V V VV OBJ: V V 3
TOP: Ageism V V KEY: Nursing Process Step: Data VV VV VV VV
Collection MSC: NCLEX: Psychosocial Integrity:
VV VV VV VV VV
Psychosocial Adaptation NOT: Understanding
VV VV VV VV
4. Which legislation has been the most beneficial legislation that has influenced health care for the
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
older adult?
VV VV
a. Medicare and Medicaid VV VV
b. Elimination of the mandatory retirement VV VV VV VV
ageVV
c. The Americans with Disabilities Act
VV VV VV VV
d. The Drug Benefit Program
VV VV VV
ANS: A VV
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
VV VV VV VV VV VV VV VV VV VV VV VV VV
elimination of the mandatory retirement age does not apply to health care. The Americans with
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
Benefit Program was added to Medicare, but deals only with medications.
VV VV VV VV VV VV VV VV VV VV VV
PTS: 1 V V DIF: 4
V V REF: p. 11 V V V V VV OBJ: V V 6
TOP: Legislation KEY: Nursing Process Step:
V V VV VV VV
Implementation MSC: NCLEX: N/A
VV NOT: VV V V VV
Understanding
VV
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
VV meals and some medical and personal care services?
VV VV VV VV VV VV VV
a. Government-subsidized
V V housing
b. Long-term care facility VV VV
c. Assisted-living center VV
d. Group housing plan VV VV
ANS: C VV
Assisted-living arrangements offer the privacy of an apartment or condominium with meals
VV VV VV VV VV VV VV VV VV VV VV
prepared and served, limited medical care, and a variety of personal services.
VV VV VV VV VV VV VV VV VV VV VV VV
PTS: 1 V V DIF: 3
V V REF: p. 14 OBJ: 9 V V V V VV V V
TOP: Housing Options
V V KEY: Nursing Process Step:
VV VV VV VV
Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation
VV VV V V VV VV VV VV
NOT: Remembering
VV
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
VV VV VV VV VV VV VV VV VV VV VV VV VV
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for his
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
care. Which would be the most helpful response by the nurse?
VV VV VV VV VV VV VV VV VV VV VV
a. Medicare Part C pays 50% of all medical costs for persons older
VV VV VV VV VV VV VV VV VV VV VV
than 65.
VV VV
b. Medicare Part B pays hospital costs and physician fees.
VV VV VV VV VV VV VV VV
, c. Medicare Part A pays for inpatient hospital costs.VV VV VV VV VV VV VV
d. Medicare Part D pays 80% of the charges made by VV VV VV VV VV VV VV VV VV
VV physicians.
ANS: C VV
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
D helps defray prescription drug costs. Medicare Part C allows individuals to receive health
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
insurance through private insurance companies and typically pays entire costs.
VV VV VV VV VV VV VV VV VV VV
PTS: 1 DIF: 7
V V V V REF: p. 16 OBJ: 6 VV VV VV V V
TOP: Medicare Provisions
V V KEY: Nursing Process Step: VV VV VV VV
Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
VV VV V V VV VV VV VV VV
NOT: Applying VV
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
are required to allow her to make health care decisions for her parent. Which response would
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
provide the most accurate information to the daughter?
VV VV VV VV VV VV VV VV
a. Advance directives indicate the degree of intervention desired by the patient.
VV VV VV VV VV VV VV VV VV VV
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the
VV VV VV VV VV VV VV VV VV VV VV VV
next of kin.
VV VV VV
c. A durable power of attorney for health care transfers decision-making authority
VV VV VV VV VV VV VV VV VV VV
for health care to a designated person.
VV VV VV VV VV VV VV
d. A living will transfers authority to the physician.
VV VV VV VV VV VV VV
ANS: C VV
A durable power of attorney for health care transfers the authority for decision making to a
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
designated person. An advance directive specifies the type of care an individual desires when
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
he cannot speak for himself. The durable power of attorney is only one type of advance
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
directive. A “Do Not Resuscitate” document states that the patient wishes to die naturally with
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
no intervention. A living will prohibits the use of life-prolonging measures.
VV VV VV VV VV VV VV VV VV VV VV
PTS: 1 DIF: 7
V V V V REF: p. 19 OBJ: 11 V V V V VV V V
TOP: Advance Directives
V V KEY: Nursing Process Step: VV VV VV VV
Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
VV VV V V VV VV VV VV VV
NOT: Applying VV
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
mother’s refusal to eat. Which response would be the most appropriate?
VV VV VV VV VV VV VV VV VV VV VV
a. The refusal to eat is an effort to maintain a portion of independence and
VV VV VV VV VV VV VV VV VV VV VV VV VV
self- direction.
VV VV
b. The refusal to eat is an indication of approaching Alzheimer disease.
VV VV VV VV VV VV VV VV VV VV
c. The refusal to eat is an effort to gain attention.
VV VV VV VV VV VV VV VV VV
d. The refusal to eat is an indication of the dislike of the institutional food.
VV VV VV VV VV VV VV VV VV VV VV VV VV
ANS: A VV
Loss of independence and control is a significant issue for the older adult. Some residents will
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
exercise whatever control they may retain.
VV VV VV VV VV VV
PTS: 1 DIF: 7
V V V V REF: p. 21 OBJ: 11 V V V V VV V V
TOP: Loss of Independence
V V KEY: Nursing Process Step:
VV VV VV VV VV
Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
VV VV V V VV VV VV VV VV
NOT: Applying VV
9. When do the conditions of a living will go into effect?
VV VV VV VV VV VV VV VV VV VV
BASIC GERIATRIC NURSING
VV VV
PATRICIAA. WILLIAMS
VV
8th Edition
VV
TESTBANK V
,Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition
VV VV VV VV VV VV VV VV VV VV
MULTIPLE CHOICE VV
1. Which fact explains the shift of health care focus toward the older adult in the late 1960s?
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
a. Disability was viewed as unavoidable. VV VV VV VV
b. Complications from disease increased mortality. VV VV VV VV
c. Older adults’ needs are similar to those of all
VV VV VV VV VV VV VV VV
adults.
VV
d. Preventive health care practices increased VV VV VV VV
longevity.
VV
ANS: D VV
Increased preventive health care practices, disease control, and focus on wellness helped people
VV VV VV VV VV VV VV VV VV VV VV VV
live longer.
VV VV
PTS: 1 V V DIF: 4 V V REF: p. 2 OBJ: 2 V V V V VV V V
TOP: Aging Trends
V V KEY: Nursing Process Step: Data
VV VV VV VV VV
Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and
VV VV V V VV VV VV VV VV VV
Development
VV
NOT: Understanding
VV
2. To which age group does the term “aged” apply?
VV VV VV VV VV VV VV VV
a. 55–64 years of VV VV
age
VV
b. 65–74 years of VV VV
age VV
c. 75–84 years of VV VV
age VV
d. 85 and older VV VV
ANS: C VV
The term aged refers to persons who are 75–84 years of age.
VV VV VV VV VV VV VV VV VV VV VV
PTS: 1 V V DIF: 1 V V REF: p. 2 | Table 1.1 V V VV VV V V VV
OBJ: 1 V V TOP: Age VV
Categories KEY: Nursing Process Step:
VV VV VV VV VV
Data Collection
VV VV
MSC: NCLEX: Health Promotion and Maintenance: Growth and
VV VV VV VV VV VV VV
Development NOT: Remembering
VV VV VV
3. Which is true of ageism? VV VV VV VV
a. It is discrimination against persons solely on the basis of
VV VV VV VV VV VV VV VV VV
age. VV
b. It causes a person to fear aging.
VV VV VV VV VV VV
, c. It involves the use of cultural sensitivity to address concerns of
VV VV VV VV VV VV VV VV VV VV
aging.
VV
d. It focuses on resources for the older adult.
VV VV VV VV VV VV VV
ANS: A VV
Ageism is a negative belief pattern that influences persons to discriminate against persons solely on
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
the basis of age and can lead to destructive behaviors toward the older adult.
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
PTS: 1 V V DIF: 4
V V REF: p. 4 V V V V VV OBJ: V V 3
TOP: Ageism V V KEY: Nursing Process Step: Data VV VV VV VV
Collection MSC: NCLEX: Psychosocial Integrity:
VV VV VV VV VV
Psychosocial Adaptation NOT: Understanding
VV VV VV VV
4. Which legislation has been the most beneficial legislation that has influenced health care for the
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
older adult?
VV VV
a. Medicare and Medicaid VV VV
b. Elimination of the mandatory retirement VV VV VV VV
ageVV
c. The Americans with Disabilities Act
VV VV VV VV
d. The Drug Benefit Program
VV VV VV
ANS: A VV
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
VV VV VV VV VV VV VV VV VV VV VV VV VV
elimination of the mandatory retirement age does not apply to health care. The Americans with
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
Benefit Program was added to Medicare, but deals only with medications.
VV VV VV VV VV VV VV VV VV VV VV
PTS: 1 V V DIF: 4
V V REF: p. 11 V V V V VV OBJ: V V 6
TOP: Legislation KEY: Nursing Process Step:
V V VV VV VV
Implementation MSC: NCLEX: N/A
VV NOT: VV V V VV
Understanding
VV
5. Which housing option for the older adult offers the privacy of an apartment with restaurant-style
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
VV meals and some medical and personal care services?
VV VV VV VV VV VV VV
a. Government-subsidized
V V housing
b. Long-term care facility VV VV
c. Assisted-living center VV
d. Group housing plan VV VV
ANS: C VV
Assisted-living arrangements offer the privacy of an apartment or condominium with meals
VV VV VV VV VV VV VV VV VV VV VV
prepared and served, limited medical care, and a variety of personal services.
VV VV VV VV VV VV VV VV VV VV VV VV
PTS: 1 V V DIF: 3
V V REF: p. 14 OBJ: 9 V V V V VV V V
TOP: Housing Options
V V KEY: Nursing Process Step:
VV VV VV VV
Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation
VV VV V V VV VV VV VV
NOT: Remembering
VV
6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
VV VV VV VV VV VV VV VV VV VV VV VV VV
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for his
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
care. Which would be the most helpful response by the nurse?
VV VV VV VV VV VV VV VV VV VV VV
a. Medicare Part C pays 50% of all medical costs for persons older
VV VV VV VV VV VV VV VV VV VV VV
than 65.
VV VV
b. Medicare Part B pays hospital costs and physician fees.
VV VV VV VV VV VV VV VV
, c. Medicare Part A pays for inpatient hospital costs.VV VV VV VV VV VV VV
d. Medicare Part D pays 80% of the charges made by VV VV VV VV VV VV VV VV VV
VV physicians.
ANS: C VV
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
D helps defray prescription drug costs. Medicare Part C allows individuals to receive health
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
insurance through private insurance companies and typically pays entire costs.
VV VV VV VV VV VV VV VV VV VV
PTS: 1 DIF: 7
V V V V REF: p. 16 OBJ: 6 VV VV VV V V
TOP: Medicare Provisions
V V KEY: Nursing Process Step: VV VV VV VV
Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
VV VV V V VV VV VV VV VV
NOT: Applying VV
7. The daughter of a patient who has been diagnosed with terminal cancer asks which documents
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
are required to allow her to make health care decisions for her parent. Which response would
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
provide the most accurate information to the daughter?
VV VV VV VV VV VV VV VV
a. Advance directives indicate the degree of intervention desired by the patient.
VV VV VV VV VV VV VV VV VV VV
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the
VV VV VV VV VV VV VV VV VV VV VV VV
next of kin.
VV VV VV
c. A durable power of attorney for health care transfers decision-making authority
VV VV VV VV VV VV VV VV VV VV
for health care to a designated person.
VV VV VV VV VV VV VV
d. A living will transfers authority to the physician.
VV VV VV VV VV VV VV
ANS: C VV
A durable power of attorney for health care transfers the authority for decision making to a
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
designated person. An advance directive specifies the type of care an individual desires when
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
he cannot speak for himself. The durable power of attorney is only one type of advance
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
directive. A “Do Not Resuscitate” document states that the patient wishes to die naturally with
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
no intervention. A living will prohibits the use of life-prolonging measures.
VV VV VV VV VV VV VV VV VV VV VV
PTS: 1 DIF: 7
V V V V REF: p. 19 OBJ: 11 V V V V VV V V
TOP: Advance Directives
V V KEY: Nursing Process Step: VV VV VV VV
Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
VV VV V V VV VV VV VV VV
NOT: Applying VV
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
mother’s refusal to eat. Which response would be the most appropriate?
VV VV VV VV VV VV VV VV VV VV VV
a. The refusal to eat is an effort to maintain a portion of independence and
VV VV VV VV VV VV VV VV VV VV VV VV VV
self- direction.
VV VV
b. The refusal to eat is an indication of approaching Alzheimer disease.
VV VV VV VV VV VV VV VV VV VV
c. The refusal to eat is an effort to gain attention.
VV VV VV VV VV VV VV VV VV
d. The refusal to eat is an indication of the dislike of the institutional food.
VV VV VV VV VV VV VV VV VV VV VV VV VV
ANS: A VV
Loss of independence and control is a significant issue for the older adult. Some residents will
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
exercise whatever control they may retain.
VV VV VV VV VV VV
PTS: 1 DIF: 7
V V V V REF: p. 21 OBJ: 11 V V V V VV V V
TOP: Loss of Independence
V V KEY: Nursing Process Step:
VV VV VV VV VV
Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
VV VV V V VV VV VV VV VV
NOT: Applying VV
9. When do the conditions of a living will go into effect?
VV VV VV VV VV VV VV VV VV VV
