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Test Bank For Gerontological Nursing 10th Edition By Eliopoulos

Chapter 1 The Aging Population




MULTIPLE CHOICE

1. The nurse explains that in the late 1960s, health care focus was aimed at
the older adult because:

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

Increased preventive health care practices, disease control, and focus on wellness helped people
live longer.

DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2

TOP: Aging Trends KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

2. The nurse clarifies that in the terminology defining specific age groups, the term aged refers to
persons who are:

a. 55 to 64 years of age.
b. 65 to 74 years of age.
c. 75 to 84 years of age.
d. 85 and older.

ANS: C

,The term aged refers to persons who are 75 to 84 years of age.

DIF: Cognitive Level: Comprehension REF: 2, Table 1-1 OBJ: 1

TOP: Age Categories KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

3. The nurse cautions that ageism is a mindset that influences persons to:

a. discriminate against persons solely on the basis of age.
b. fear aging.
c. be culturally sensitive to concerns of aging.
d. focus on resources for the older adult.

ANS: A

Ageism is a negative belief pattern that influences persons to discriminate against persons solely
on the basis of age and can lead to destructive behaviors toward the older adult.

DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3

TOP: Ageism KEY: Nursing Process Step: Implementation

MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

4. The nurse points out that the most beneficial legislation that has influenced health care for the
older adult is:

a. Medicare and Medicaid.
b. elimination of the mandatory retirement age.
c. the Americans with Disabilities Act.
d. the Drug Benefit Program.

ANS: A

The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid.

,DIF: Cognitive Level: Application REF: 16 OBJ: 6

TOP: Legislation KEY: Nursing Process Step: Implementation

MSC: NCLEX: N/A

5. The nurse clarifies that a housing option for the older adult that offers the privacy of an
apartment with restaurant-style meals and some medical and personal care services is the:

a. government-subsidized housing.
b. long-term care facility.
c. assisted-living center.
d. group housing plan.

ANS: C

Assisted-living arrangements offer the privacy of an apartment or condominium with meals
prepared and served, limited medical care, and a variety of personal services.

DIF: Cognitive Level: Application REF: 14 OBJ: 9

TOP: Housing Options KEY: Nursing Process Step: Implementation

MSC: NCLEX: Physiological Integrity: Physiological Adaptation

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. The nurses most helpful response is Yes. Medicare:

a. pays 100% of all medical costs for persons older than 65.
b. Part B pays hospital costs and physician fees.
c. Part A pays for inpatient hospital costs.
d. Part D pays 80% of the charges made by physicians.

ANS: C

Medicare Part A pays inpatient hospital costs, Part B pays 80% of physicians charges, and Part D
helps defray prescription drug costs.

, DIF: Cognitive Level: Application REF: 16 OBJ: 6

TOP: Medicare Provisions KEY: Nursing Process Step: Implementation

MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

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. The nurses most
informative response is:

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

A durable power of attorney for health care transfers the authority for decision making to a
designated person.

DIF: Cognitive Level: Application REF: 19 OBJ: 11

TOP: Advance Directives KEY: Nursing Process Step: Implementation

MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-old
mothers refusal to eat. The nurse explains that the refusal to eat is a behavior that is an:

a. effort to maintain a portion of independence and self direction.
b. indication of approaching Alzheimer disease.
c. effort to gain attention.
d. indication of the dislike of the institutional food.

ANS: A

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