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Test Bank Basic Geriatric Nursing 7th Edition Williams

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Basic Geriatric Nursing

Basic Geriatric Nursing 7th Edition Williams Test Bank Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing, 7th Edition MULTIPLE CHOICE 1. What fact explains the shift of health care focus toward the older adult in the late 1960s? a. Disability was viewed as unavoi...

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basic geriatric nursing 7th edition williams test

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Basic Geriatric Nursing 7th Edition Williams Test Bank
Basic Geriatric Nursing 7th Edition Williams Test Bank
Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing, 7th Edition

MULTIPLE CHOICE

1. What fact explains the shift of health care focus toward the older adult in the late 1960s?
a. Disability was viewed as unavoidable.
b. Complications from disease increased mortality.
c. Older adults’ needs are similar to those of all adults.
d. Preventive health care practices increased longevity.
ANS: D

2. To what age group does the term “aged” apply?
a. 55–64 years of age
b. 65–74 years of age
c. 75–84 years of age
d. 85 and older

ANS: C

3. Which is true of ageism?
a. It is discrimination against persons solely on the basis of age.
b. It causes a person to fear aging.
c. It involves the use of cultural sensitivity to address concerns of aging.

d. It focuses on resources Nfor Rthe IoldeGr adBu.lt.C M
ANS: A

4. What is the most beneficial legislation that has influenced health care for the older
adult? a. Medicare and Medicaid
b. Elimination of the mandatory retirement age
c. The Americans with Disabilities Act
d. The Drug Benefit Program

ANS: A

5. What housing option for the older adult offers the privacy of an apartment with
restaurant-style meals and some medical and personal care services? a. Government-
subsidized housing
b. Long-term care facility
c. Assisted-living center

, Basic Geriatric Nursing 7th Edition Williams Test Bank
d. Group housing plan

ANS: C

6. The 75-year-old man who has been hospitalized following a severe case of pneumonia is
concerned about his mounting hospital bill and asks if his Medicare coverage will pay for
his care. What would be the most helpful response by the nurse?
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.
c. Medicare Part A pays for inpatient hospital costs.
d. Medicare Part D pays 80% of the charges made by physicians. ANS: C

7. The daughter of a patient who has been diagnosed with terminal cancer asks which
documents are required to allow her to make health care decisions for her parent. Which
response would provide the most accurate information to the daughter?
a. Advance directives indicate the degree of intervention desired by the patient.
b. A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the next of
kin.
c. A durable power of attorney for health care transfers decision-making authority for
health care to a designated person.
d. A living will transfers authority to the physician.
ANS: C

8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
mother’s refusal to eat. Which response would be the most appropriate?
a. The refusal to eat is an effort to maintain a portion of independence and self-direction.
b. The refusal to eat is an indication of approaching Alzheimer disease.
c. The refusal to eat is an effort to gain attention.
d. The refusal to eat is an indication of the dislike of the institutional food.
ANS: A

9. When do the conditions of a living will go into effect?
a. When the patient declares that desire in writing
b. When a family member indicates the desire for curative therapy to cease
c. When two physicians agree in writing that the criteria in the living will have been met
d. When the physician and a family member agree that the criteria in the living will have
been met
ANS: C

10. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce
hospital costs. How did the DRGs reduce hospital costs?
a. By classifying various diagnoses as ineligible for hospitalization

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, Basic Geriatric Nursing 7th Edition Williams Test Bank
b. By allotting a set amount of hospital days and prospective payment on the basis of the
admitting diagnosis
c. By specifying particular physicians to treat specified diagnoses
d. By using frequency of a particular diagnosis to set a payment schedule

ANS: B

11. Which facility would be recommended for a patient who has had a hip replacement and
needs physical therapy? a. Basic care facility
b. Skilled care facility
c. Subacute care facility
d. Assisted-living residence ANS: B

12. The 80-year-old woman who is recovering from a stroke is being sent to a skilled care
facility. She is concerned about the expense. The nurse can decrease anxiety by explaining
that Medicare will cover extended-care facility costs for what period of time? a. A period of
30 days
b. A period of 45 days for physical therapy
c. A period of 100 days for needed skilled care
d. Until she is able to be discharged home

ANS: C

13. Which senior citizen political action group uses volunteers and lobbyists to advance the
interests of older adults?
a. American Association of Retired Persons (AARP)
b. National Council of Senior Citizens (NCSC)
c. National Alliance of Senior Citizens (NASC)
d. Gray Panthers ANS: A

14. Which caregiver could be found guilty of elder abuse?
a. A daughter who uses her mother’s Social Security money to purchase her mother’s
medication
b. A son who puts an alarm on the front door to prevent his mother from wandering out of
the house
c. A wife who allows her mentally competent husband to refuse to take a bath for a week
d. A son who uses his mother’s checking account funds to purchase alcohol for
himself
ANS: D

15. What is the most frequent response to elder abuse by the abused older adult? a. Anger
b. Physical retaliation
c. Notification of authorities
d. Nothing at all
ANS: D

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, Basic Geriatric Nursing 7th Edition Williams Test Bank
16. What freason fis foften fstated fby fnurses ftoday ffor fnot fseeking fcareers fin fgerontology?
f
a. The fphysical fwork fis ftoo fdifficult. f
b. Their ftechnical fskills fare fnot fused. f
c. There fis ftoo fmuch fchallenge. f
d. There fare flimited foptions ffor femployment. f
ANS: fB f
f

17. “Baby fboomers” fis fa fterm fused fto fclassify fwhich fof fthe ffollowing fpersons? f
a. Those fwho fentered fschool fin f1945 f
b. Those fwho fserved fin fthe fmilitary fin fWorld fWar fII f
c. Those fwho fwere fborn fbetween f1946 fand f1964 f
d. Those fwho fwere feligible ffor fSocial fSecurity fbenefits fin f2000 fANS: fC f

18. What ftype fof fabuse fis fdemonstrated fby frestraining fan folder fadult fin fa frecliner? fa.
fPhysical fabuse f
b. Neglect f
c. Emotional fabuse f
d. Self-neglect fANS: fA f

19. Which ftype fof felder fabuse fis fdemonstrated fby fthe fnonprovision fof fmedical fcare? fa.
fPhysical fabuse f
b. Neglect f
c. Emotional fabuse f
d. Self-neglect fANS: fB f

20. Which ftype fof felder fabuse fis fdemonstrated fby fa fhealth fcare fworker ftelling fa
fnursing fhome fresident fshe fwill fbe fleft fwithout fa fcall flight fif fshe fcontinues fto fuse
fit fexcessively. f
a. Physical fabuse f f
b. Neglect f
c. Emotional fabuse f
d. Self-neglect f
ANS: fC f
f
MULTIPLE fRESPONSE f
f

1. fThe fnurse fis faware fthat fa fperson’s fattitude fabout faging fis finfluenced fmainly fby fhis
for fher f f f . f(Select fall fthat fapply.) fa. flife fexperiences f
b. income flevel f
c. level fof feducation f
d. current fage f

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