1. What fact explains the shift of health care focus toward the older adult in the late 1960s?
nm nm nm nm nm nm nm nm nm nm nm nm nm nm nm nm
a. Disability was viewed as unavoidable. nm nm nm nm
b. Complications from disease increased mortality. nm nm nm nm
c. Older adults‘ needs are similar to those of all adults.
nm nm nm nm nm nm nm nm nm
d. Preventive health care practices increased nm nm nm nm
longevity. ANS:
nm nm n m D
2. To what age group does the term ―aged‖ apply?
nm nm nm nm nm nm nm nm
a. 55–64 years of age nm nm nm
b. 65–74 years of age nm nm nm
c. 75–84 years of age nm nm nm
d. 85 and nm
older ANS:
nm nm
n m C
3. Which is true of ageism?
nm nm nm nm
a. It is discrimination against persons solely on the basis of age.
nm nm nm nm nm nm nm nm nm nm
b. It causes a person to fear aging.
nm nm nm nm nm nm
c. It involves the use of cultural sensitivity to address concerns of aging.
nm nm nm nm nm nm nm nm nm nm nm
d. It focuses on resources for the older
nm nm nm nm nm nm
adult ANS:
nm nm n m A
4. What is the most beneficial legislation that has influenced health care for the older adult?
nm nm nm nm nm nm nm nm nm nm nm nm nm nm
a. Medicare and Medicaid nm nm
b. Elimination of the mandatory retirement age nm nm nm nm nm
c. The Americans with Disabilities Act
nm nm nm nm
d. The Drug Benefit nm nm
Program ANS:
nm nm n m A
5. What housing option for the older adult offers the privacy of an
nm nm nm nm nm nm nm nm nm nm nm
apartment with restaurant-style meals and some medical and personal
nm nm nm nm nm nm nm nm nm
care services?
nm nm
a. Government-subsidized housing nm
b. Long-term care facility nm nm
c. Assisted-living center nm
d. Group housing nm
plan ANS:
nm nm n m C
6. The 75-year-old man who has been hospitalized following
nm nm nm nm nm nm nm nm a severe case of
nm nm nm
pneumonia is concerned about his mounting hospital bill
nm nm nm nm nm nm nm nm and asks if his
nm nm nm nm
Medicare coverage will pay for his care. What would be
nm nm nm nm nm nm nm nm nm nm nm the most helpful
nm nm
response by the nurse?
nm nm nm nm
a. Medicare Part C pays 50% of all medical costs for persons
nm nm nm nm nm nm nm nm nm nm older than 65.
nm nm nm
, Basic Geriatric Nursing 7th Edition Williams Test
nm nm nm nm nm nm
Bank
b. Medicare Part B pays hospital costs and physician fees.
nm nm nm nm nm nm nm nm
c. Medicare Part A pays for inpatient hospital costs.
nm nm nm nm nm nm nm
d. Medicare Part D pays 80% of the charges made by
nm nm nm nm nm nm nm nm nm
physicians. ANS:
nm nm n m C
7. The daughter of a patient who has been diagnosed with terminal cancer asks
nm nm nm nm nm nm nm nm nm nm nm nm
which documents are required to allow her to make health care decisions for
nm nm nm nm nm nm nm nm nm nm nm nm nm
her parent. Which response would provide the most accurate information to the
nm nm nm nm nm nm nm nm nm nm nm nm
daughter?
nm
a. Advance directives indicate the degree of intervention desired by the patient.
nm nm nm nm nm nm nm nm nm nm
b. A ‗Do Not Resuscitate‘ document signed by the patient transfers authority
nm nm nm nm nm nm nm nm nm nm
to the next of kin.
nm nm nm nm nm
c. A durable power of attorney for health care transfers decision-making
nm nm nm nm nm nm nm nm nm
authority for health care to a designated person.
nm nm nm nm nm nm nm nm
d. A living will transfers authority to the
nm nm nm nm nm nm
physician. ANS:
nm nm n m C
8. The daughter of a resident in a long-term care facility is frustrated with her 80-
nm nm nm nm nm nm nm nm nm nm nm nm nm nm
year-old mother‘s refusal to eat. Which response would be the most
nm nm nm nm nm nm nm nm nm nm
appropriate?
nm
a. The refusal to eat is an effort to maintain a portion of
nm nm nm nm nm nm nm nm nm nm nm
independence and self-direction.
nm nm nm
b. The refusal to eat is an indication of approaching Alzheimer disease.
nm nm nm nm nm nm nm nm nm nm
c. The refusal to eat is an effort to gain attention.
nm nm nm nm nm nm nm nm nm
d. The refusal to eat is an indication of the dislike of the institutional food.
nm nm nm nm nm nm nm nm nm nm nm nm nm
ANS: A n m
9. When do the conditions of a living will go into effect?
nm nm nm nm nm nm nm nm nm nm
a. When the patient declares that desire in writing
nm nm nm nm nm nm nm
b. When a family member indicates the desire for curative therapy to cease
nm nm nm nm nm nm nm nm nm nm nm
c. When two physicians agree in writing that the criteria in the living will
nm nm nm nm nm nm nm nm nm nm nm nm
have been met
nm nm nm
d. When the physician and a family member agree that the criteria in the
nm nm nm nm nm nm nm nm nm nm nm nm
living will have been met
nm nm nm nm nm
ANS: n m C
10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to
nm nm nm nm nm nm nm nm nm nm nm
reduce hospital costs. How did the DRGs reduce hospital costs?
nm nm nm nm nm nm nm nm nm nm
a. By classifying various diagnoses as ineligible for hospitalization
nm nm nm nm nm nm nm
b. By allotting a set amount of hospital days and prospective payment on the
nm nm nm nm nm nm nm nm nm nm nm nm
basis of the admitting diagnosis
nm nm nm nm nm
c. By specifying particular physicians to treat specified diagnoses
nm nm nm nm nm nm nm
d. By using frequency of a particular diagnosis to set a payment
nm nm nm nm nm nm nm nm nm nm
schedule ANS:
nm nm n m B
11. Which facility would be recommended for a patient who has had a hip
nm nm nm nm nm nm nm nm nm nm nm nm
replacement and needs physical therapy?
nm nm nm nm nm
a. Basic care facility nm nm
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