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Geri Exam 1| 135 Questions and Answers 100% Correct

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Geri Exam 1| 135 Questions and Answers 100% CorrectGeri Exam 1| 135 Questions and Answers 100% CorrectGeri Exam 1| 135 Questions and Answers 100% CorrectGeri Exam 1| 135 Questions and Answers 100% Correct 1. A nurse who works on a subacute medical unit of a hospital is discussing the increasing po...

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  • August 18, 2024
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Geri Exam 1| 135 Questions and
Answers 100% Correct
1. A nurse who works on a subacute medical unit of a hospital is discussing the increasing
population of older adults on the unit with a colleague. Which of the colleague's following
statements about older adults is most accurate?


A) "Fortunately, Social Security ensures a sufficient level of income for people over 65."
B) "It helps that older people don't have to directly incur any costs for their medical care."
C) "Most of the older clients on the unit will have come to us from nursing homes."
D) "It's reassuring that people are starting to show more concern for older adults than in
decades past." - ANSWER - Ans: D
Feedback:
The formation of the Administration on Aging, enactment of the Older Americans Act, and the
introduction of Medicaid and Medicare all occurred in 1965. Since that time, society has
demonstrated a growing concern for its older members. Myths about older people include the
belief that Social Security ensures them an adequate income, that they do not have to pay for
medical care, and that most older adults live in nursing homes.


2. A public health nurse who directs a homecare program that serves an area with a large
population of older adults is conducting a long-term strategic plan. Which of the following
phenomena should the nurse take into account when planning for the future?


A) While life expectancy will continue to rise, the percentage of older adults in the United States
relative to the overall population will decrease.
B) By 2020, it is expected that over one-third of Americans will be over the age of 65.
C) Both life expectancy and the percentage of people over 65 in the population will increase in
coming decades.
D) Chronic conditions, such as diabetes, are expected to bring a gradual decrease in the
number of older adults by 2020. - ANSWER - Ans: C
Feedback:
Both life expectancy and the percentage of individuals over age 65 are expected to increase in
coming years. About 17% of the population is expected to be over 65 by 2020.

,3. A nurse who practices in a long-term care facility is providing care for a 101-year-old black
female. The nurse's coworker states, "It's gratifying that black people in this country are finally
reaching the same levels of health that white people are enjoying." How can the nurse best
respond?


A) "Actually, the difference in life expectancy between black people and white people is growing,
not shrinking."
B) "We've not yet arrived at a place where the life expectancies are equal between black and
white people, but the gap is decreasing gradually."
C) "Black women do tend to live longer than white women, but the overall life expectancies
when men are included are not yet equal."
D) "You're right. Since the 1980s the life expectancies of black and white Americans have
remained nearly the same." - ANSWER - Ans: A
Feedback:
Since the 1980s, the gap between life expectancies of black Americans and white Americans
has been increasing rather than decreasing. Black women do not tend to live longer than white
women.


4. Which of the following phenomena most likely accounts for the fact that more women than
men live alone later in life?


A) Women tend to both live longer than men and marry men older than themselves.
B) Men tend to have greater access to care facilities due to higher incomes and savings.
C) Men are more likely to live with younger family members following the death of a spouse.
D) Social pressures tend to stigmatize older men who live alone. - ANSWER - Ans: A
Feedback:
The facts that women live longer than men and often marry men older than themselves account
for their higher rates of living alone in old age. Men are not noted to have greater access to care
facilities, to be more likely to live with younger family members or to face stigma for living alone.
7. Which of following statements most accurately captures the role of chronic illness in the lives
of older adults?


A) Chronic illnesses constitute the leading cause of death for older adults.
B) More older adults die from acute illnesses than from chronic diseases.
C) While chronic diseases used to be the leading cause of death, this is no longer the case.

,D) While cancer rates have fallen, other chronic diseases remain a common cause of death. -
ANSWER - Ans: A
Feedback:
Chronic illnesses constitute the leading cause of death for older adults, exceeding those
attributed to acute illnesses. The presence of heart disease as a cause of death has decreased
in recent years, while at the same time cancer has become more prevalent.


8. The board of a large chain of hospitals has commissioned a strategic plan in order to meet
the care needs of baby boomers in coming years. Which of the following trends constitute a
sound basis for understanding the baby boomer generation and conducting future planning?
Select all that apply.


A) Baby boomers tend to have fewer children than members of earlier generations.
B) Adjusted for inflation, baby boomers have lower incomes than their parents had.
C) Due to technology, baby boomers have more leisure time than other adults.
D) Baby boomers perform physical exercise more frequently than other adults. - ANSWER -
Ans: A, D
Feedback:
Baby boomers have had fewer children than generations that preceded them and they tend to
exercise more often. Their incomes tend to be higher while they enjoy less leisure time.


5. Which of the following statements most accurately captures the financial status of older adults
in the United States?


A) The percentage of older people living below the poverty level has been increasing.
B) The financial needs of most older adults are well met by Social Security income alone.
C) The recent decline in housing prices has made many older adults "asset rich and cash poor."
D) Women 65 years of age and older is the fastest growing group of employment. - ANSWER -
Ans: C
Feedback:
The percentage of older people living below the poverty level has been declining, with about
10% now falling into this category. Most older people depend on Social Security for more than
half of their income. Although the median net worth of older households is nearly twice the
national average because of the high prevalence of home ownership by elders, many older
adults are "asset rich and cash poor." The recent decline in housing prices, however, has made

, that asset a less valuable one for many older adults. There has been a significant rise in the
percentage of middle-aged women who are employed, although there has been little change in
the labor force participation of women 65 years of age and older.


6. A care aide employed on a geriatric medicine unit of a hospital expresses frustration that "old
people get sick so much more often than young people." What is the nurse's most appropriate
response to this statement?


A) "In fact, the prevalence of obesity and accompanying chronic illnesses mean that young
people actually have more chronic conditions than older adults."
B) "It's actually a myth that older adults require more hospitalization than young people."
C) "Actually, older adults experience fewer acute illnesses than younger people, it's just that
they tend to take longer to recover from them."
D) "With the increase in life expectancies in recent years, most older people actually live free of
chronic diseases until very late in life." - ANSWER - Ans: C
Feedback:
The incidence of acute illness is lower among older adults than younger adults, though
recovery times tend to be longer. Older adults tend to have a higher incidence of chronic illness
and require more frequent and longer hospitalizations.


9. The family of an 85-year-old man who has been admitted to hospital with exacerbation of his
chronic obstructive pulmonary disease (COPD) has expressed concern about their ability to pay
for his present and future care. Which of the following statements most accurately conveys the
reality of payment for care services by older adults?


A) The high value of assets owned by older adults makes the financial burden of care minimal
for most older adults.
B) Payment for long-term care of adults is most often covered by private insurers.
C) Most older adults have their basic care needs provided in a long-term facility.
D) Overall, federal money pays for more care than do older adults themselves or private
insurers. - ANSWER - Ans: D
Feedback:
Most money for the care of older adults comes from federally funded programs. The burden of
payment is still significant for most older adults and a minority of older adults receive care in an
institutional living environment.

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