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.:
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: C
3. Which of the following 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 for the older adult.: 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: 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
d. Group housing plan: 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.
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.: 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 information
to the daughter?
a. Advance directives indicate the degree of intervention desired by the pa-
tient.
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.: 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.: 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: 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
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
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