Test Bank For Basic Geriatric Nursing 7th & 8th Edition Patricia A. Williams AllChapters | Complete Guide 2023

Test Bank For Basic Geriatric Nursing 7th & 8th Edition Patricia A. Williams AllChapters | Complete Guide 2023

Test Bank Basic Geriatric Nursing 7th Edition Williams
1
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 resourcesNforRtheIoldeGr 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
    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.

Test Bank Basic Geriatric Nursing 7th Edition Williams
2
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

  1. 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
  2. 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
  3. 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
  4. 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
    d. By using frequency of a particular diagnosis to set a payment schedule
    ANS: B
  5. Which facility would be recommended for a patient who has had a hip replacement and
    needs physical therapy?
    a. Basic care facility

Test Bank Basic Geriatric Nursing 7th Edition Williams
3
b. Skilled care facility
c. Subacute care facility
d. Assisted-living residence
ANS: B

  1. 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
  2. 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
  3. 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
  4. 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
  5. What reason is often stated by nurses today for not seeking careers in gerontology?
    a. The physical work is too difficult.
    b. Their technical skills are not used.
    c. There is too much challenge.
    d. There are limited options for employment.
    ANS: B

Test Bank Basic Geriatric Nursing 7th Edition Williams
4

  1. “Baby boomers” is a term used to classify which of the following persons?
    a. Those who entered school in 1945
    b. Those who served in the military in World War II
    c. Those who were born between 1946 and 1964
    d. Those who were eligible for Social Security benefits in 2000
    ANS: C
  2. What type of abuse is demonstrated by restraining an older adult in a recliner?
    a. Physical abuse
    b. Neglect
    c. Emotional abuse
    d. Self-neglect
    ANS: A
  3. Which type of elder abuse is demonstrated by the nonprovision of medical care?
    a. Physical abuse
    b. Neglect
    c. Emotional abuse
    d. Self-neglect
    ANS: B
  4. Which type of elder abuse is demonstrated by a health care worker telling a nursing home
    resident she will be left without a call light if she continues to use it excessively.
    a. Physical abuse
    b. Neglect
    c. Emotional abuse
    d. Self-neglect
    ANS: C
    MULTIPLE RESPONSE
  5. The nurse is aware that a person’s attitude about aging is influenced mainly by his or her
    . (Select all that apply.)
    a. life experiences
    b. income level
    c. level of education
    d. current age
    e. occupation
    ANS: A, D
  6. Gerontology encompasses application to . (Select all that apply.)
    a. appropriate housing
    b. health care
    c. public education
    d. business ventures

Test Bank For Basic Geriatric Nursing 8th Edition Patricia A. Williams Chapter 1-20 | Complete Guide Newest Version 2023

1
Chapter 01: Trends and Issues
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE

  1. Which 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
    Increased preventive health care practices, disease control, and focus
    on wellness helped people live longer.
    PTS: 1 DIF: 4 REF: p. 2 OBJ: 2
    TOP: Aging Trends KEY: Nursing Process Step: Data
    Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and
    Development
    NOT: Understanding
  2. To which 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
    The term aged refers to persons who are 75–84 years of age.
    PTS: 1 DIF: 1 REF: p. 2 | Table 1.1
    OBJ: 1 TOP: Age
    Categories KEY: Nursing Process Step:
    Data Collection
    MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
    NOT: Remembering
  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.
    Basic Geriatric Nursing 8th Edition Patricia A. Williams Test Bank
    Page 1 of 165

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c. It involves the use of cultural sensitivity to address concerns of aging.
d. It focuses 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.
PTS: 1 DIF: 4 REF: p. 4 OBJ: 3
TOP: Ageism KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
NOT: Understanding

  1. Which legislation has been 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
    The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The
    elimination of the mandatory retirement age does not apply to health care. The Americans with
    Disabilities Act deals with all Americans with disabilities, not just the older adult. The Drug Benefit
    Program was added to Medicare, but deals only with medications.
    PTS: 1 DIF: 4 REF: p. 11 OBJ: 6
    TOP: Legislation KEY: Nursing Process Step: Implementation
    MSC: NCLEX: N/A NOT: Understanding
  2. Which 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
    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.
    PTS: 1 DIF: 3 REF: p. 14 OBJ: 9
    TOP: Housing Options KEY: Nursing Process Step: Implementation
    MSC: NCLEX: Physiological Integrity: Physiological Adaptation
    NOT: Remembering
  3. 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. Which 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.
    Basic Geriatric Nursing 8th Edition Patricia A. Williams Test Bank
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c. Medicare Part A pays for inpatient hospital costs.
d. Medicare Part D pays 80% of the charges made by physicians.
ANS: C
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges, and Part D
helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance
through private insurance companies and typically pays entire costs.
PTS: 1 DIF: 7 REF: p. 16 OBJ: 6
TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying

  1. 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
    A durable power of attorney for health care transfers the authority for decision making to a designated
    person. An advance directive specifies the type of care an individual desires when he cannot speak for
    himself. The durable power of attorney is only one type of advance directive. A “Do Not Resuscitate”
    document states that the patient wishes to die naturally with no intervention. A living will prohibits the
    use of life-prolonging measures.
    PTS: 1 DIF: 7 REF: p. 19 OBJ: 11
    TOP: Advance Directives KEY: Nursing Process Step: Implementation
    MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
  2. 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 selfdirection.
    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
    Loss of independence and control is a significant issue for the older adult. Some residents will exercise
    whatever control they may retain.
    PTS: 1 DIF: 7 REF: p. 21 OBJ: 11
    TOP: Loss of Independence KEY: Nursing Process Step: Implementation
    MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying
  3. When do the conditions of a living will go into effect?
    Basic Geriatric Nursing 8th Edition Patricia A. Williams Test Bank
    Page 3 of 165

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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
Two physicians must agree in writing that the criteria of the living will have been met before the
document can go into effect.
PTS: 1 DIF: 4 REF: p. 19 OBJ: 11
TOP: Living Wills KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
NOT: Understanding

  1. 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
    d. By using frequency of a particular diagnosis to set a payment schedule
    ANS: B
    DRGs set up a system of preset hospitalization time and payment on the basis of the admitting
    diagnosis.
    PTS: 1 DIF: 4 REF: p. 16 OBJ: 6
    TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
    NOT: Understanding
  2. Which facility would be recommended for a patient with diabetes 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
    Skilled care facilities offer not only basic care but also services from experienced licensed
    professionals such as nurses, physical therapists, speech therapists, and occupational therapists.
    PTS: 1 DIF: 7 REF: p. 15 OBJ: 9
    TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation
    MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
    NOT: Applying
    Basic Geriatric Nursing 8th Edition Patricia A. Williams Test Bank
    Page 4 of 165

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  1. 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 which 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
    Medicare will cover skilled care costs for 100 days. After 100 days, the resident must revert to private
    pay or ancillary long-term care insurance.
    PTS: 1 DIF: 4 REF: p. 16 OBJ: 8
    TOP: Extended Care KEY: Nursing Process Step: Implementation
    MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
    NOT: Understanding
  2. 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
    The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults.
    PTS: 1 DIF: 2 REF: p. 12 OBJ: 7
    TOP: Political Action Groups KEY: Nursing Process Step: N/A
    MSC: NCLEX: N/A NOT: Remembering
  3. 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
    It is financial abuse if the older person’s money is taken and spent by others for their own purposes.
    PTS: 1 DIF: 8 REF: p. 23 OBJ: 13
    TOP: Elder Abuse KEY: Nursing Process Step: Data Collection
    MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
    NOT: Analyzing
  4. Which is the most frequent response to elder abuse by the abused older adult?
    Basic Geriatric Nursing 8th Edition Patricia A. Williams Test Bank
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a. Anger
b. Physical retaliation
c. Notification of authorities
d. Nothing at all
ANS: D
Fear of retaliation or abandonment keeps most abused older adults silent.
PTS: 1 DIF: 5 REF: p. 24 OBJ: 14
TOP: Response to Abuse KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Understanding

  1. Which reason is often stated by nurses today for not seeking careers in gerontology?
    a. The physical work is too difficult.
    b. Their technical skills are not used.
    c. There is too much challenge.
    d. There are limited options for employment.
    ANS: B
    Many nurses feel that their technical skills will not be used in the care of the older adult. There are
    many employment options that offer challenge and fulfillment.
    PTS: 1 DIF: 4 REF: p. 5 OBJ: 2
    TOP: Employment Options KEY: Nursing Process Step: N/A
    MSC: NCLEX: N/A NOT: Understanding
  2. “Baby boomers” is a term used to classify which of the following persons?
    a. Those who entered school in 1945
    b. Those who served in the military in World War II
    c. Those who were born between 1946 and 1964
    d. Those who were eligible for Social Security benefits in 2000
    ANS: C
    Baby boomers are those born between 1946 and 1964. The impact of the retirement of this cohort is
    unprecedented in terms of the impact on society.
    PTS: 1 DIF: 3 REF: p. 8 OBJ: 5
    TOP: Baby Boomers KEY: Nursing Process Step: N/A
    MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
    NOT: Remembering
  3. The home health nurse recognizes which type of abuse is occurring when finding an older adult
    restrained in a recliner?
    a. Physical abuse
    b. Neglect
    c. Emotional abuse
    d. Self-neglect
    ANS: A
    Physical abuse is any action that causes physical pain or injury. Inappropriate use of drugs, forcefeeding, physical restraints, and punishment of any kind are examples of physical abuse.
    Basic Geriatric Nursing 8th Edition Patricia A. Williams Test Bank
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PTS: 1 DIF: 7 REF: p. 23 OBJ: 13
TOP: Types of Abuse KEY: Nursing Process Step: Data Collection
MSC: NCLEX: N/A NOT: Applying

  1. The nurse discovers a family member has not provided prescribed medications and dressing changes
    for an older adult. Which type of elder abuse is demonstrated by the nonprovision of medical care?
    a. Physical abuse
    b. Neglect
    c. Emotional abuse
    d. Self-neglect
    ANS: B
    Neglect is a passive form of abuse in which caregivers fail to provide for the needs of the older person
    under their care. Failure to provide necessary medical care may constitute neglect because with no
    means of going to the doctor or pharmacy, the older person may suffer or even die.
    PTS: 1 DIF: 7 REF: p. 23 OBJ: 13
    TOP: Types of Abuse KEY: Nursing Process Step: Data Collection
    MSC: NCLEX: N/A NOT: Applying
  2. A patient reports to the nurse that a health care worker told the patient the call light would be taken
    away if it continues to be used excessively. The nurse recognizes this as which type of elder abuse?
    a. Physical abuse
    b. Neglect
    c. Emotional abuse
    d. Self-neglect
    ANS: C
    Emotional abuse is more subtle and difficult to recognize than physical abuse or neglect. It often
    includes behaviors such as isolating, ignoring, or depersonalizing older adults. Emotional abusers can
    use verbal abuse to inflict damage such as threatening punishment.
    PTS: 1 DIF: 7 REF: p. 23 OBJ: 13
    TOP: Types of Abuse KEY: Nursing Process Step: Data Collection
    MSC: NCLEX: N/A NOT: Applying
    MULTIPLE RESPONSE
  3. The nurse is aware that a person’s attitude about aging is influenced mainly by which factor?
    . (Select all that apply.)
    a. Life experiences
    b. Income level
    c. Level of education
    d. Current age
    e. Occupation
    ANS: A, D
    A person’s current age and life experiences are the main influences on his or her attitude relative to
    aging.
    Basic Geriatric Nursing 8th Edition Patricia A. Williams Test Bank
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8
PTS: 1 DIF: 7 REF: p. 3 OBJ: 2
TOP: Attitudes Toward Aging KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
NOT: Understanding

  1. Gerontology encompasses applying to which aspect? (Select all that apply.)
    a. Appropriate housing
    b. Health care
    c. Education
    d. Business ventures
    e. Government-sponsored pensions
    ANS: A, B, C, D
    Gerontological concerns extend and influence provision of appropriate housing, health care, education,
    business ventures, and political stands relative to the welfare of the older adult.
    PTS: 1 DIF: 4 REF: p. 2 OBJ: 1
    TOP: Gerontology KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
    NOT: Understanding
  2. Medicare Part C allows eligible persons to receive Medicare benefits via the services of private
    insurance companies through which program? (Select all that apply.)
    a. Health maintenance organization (HMO)
    b. Preferred provider organization (PPO)
    c. Medications provided free of charge (FOC)
    d. Medicaid is supplemented with Medicare (MCD/MA)
    e. Medical service organization (MSO)
    ANS: A, B
    Medicare Part C allows benefits via the services of managed care organizations, such as an HMO or
    PPO. Medications are not provided free of charge. Medicaid is not supplemented with Medicare in
    Medicare Part C. Medical service organization is not one of them.
    PTS: 1 DIF: 7 REF: p. 16 OBJ: 6
    TOP: Medicare Part C KEY: Nursing Process Step: N/A
    MSC: NCLEX: N/A NOT: Understanding
  3. Which emotional response would be expected from a family who is coping with an aging loved one’s
    diminishing abilities and increased care needs? (Select all that apply.)
    a. Grief
    b. Anger
    c. Frustration
    d. Loss
    e. Resentment
    ANS: A, B, C, D
    As the family witnesses the decline of a loved one and attempts to respond to the increasing care
    needs, the emotional responses are varied and changing. The responses include grief, anger,
    frustration, loss, and confusion.
    Basic Geriatric Nursing 8th Edition Patricia A. Williams Test Bank
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9
PTS: 1 DIF: 7 REF: p. 21 OBJ: 11
TOP: Impact of Aging on the Family KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying

  1. Which characteristic is typical for a caregiver of an aging family member? (Select all that apply.)
    a. Average age of 32
    b. Female
    c. Spending about 24 hours a week giving care
    d. Caring for a parent or parent-in-law
    e. Giving care for an average of 4 years
    ANS: B, C, D
    The average age of the caregiver is 49 and is caring for a parent or parent-in-law. About 75% of
    caregivers to older adults are females, who spend about 24 hours weekly providing care. As the
    population ages, women will spend more time caring for their parents than they did caring for their
    children.
    PTS: 1 DIF: 7 REF: p. 20 | Box 1.5
    OBJ: 11 TOP: Characteristics of Family Caregiver
    KEY: Nursing Process Step: Data Collection
    MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
    NOT: Understanding
  2. Which factor is an indicator of self-neglect in the aging person? (Select all that apply.)
    a. Unpaid bills
    b. Reduced personal hygiene
    c. Increased alcohol consumption
    d. Irritability
    e. Loss of weight
    ANS: A, B, C, E
    Indicators may be mismanagement of personal finances, reduced hygiene, substance abuse, and loss of
    weight due to inability to obtain adequate food. Irritability is not a consistent characteristic.
    PTS: 1 DIF: 8 REF: p. 22 OBJ: 11
    TOP: Self-Neglect KEY: Nursing Process Step: Data Collection
    MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
    NOT: Applying
  3. The nurse reminds a group of prospective caregivers that elder abuse may take which form? (Select all
    that apply.)
    a. Caring for physical needs
    b. Misappropriation of finances
    c. Psychological intimidation
    d. Emotional depersonalization
    e. Abandonment
    ANS: B, C, D, E
    Basic Geriatric Nursing 8th Edition Patricia A. Williams Test Bank
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10
Elder abuse may take the form of physical injury, misusing the older person’s finances for personal
gain, psychological intimidation, and depersonalization and abandonment.
PTS: 1 DIF: 7 REF: pp. 22-24 OBJ: 13
TOP: Elder Abuse KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk NOT: Applying

  1. The nurse is planning an on-line educational program to promote health among older adults. Which is
    factual regarding older adults and their use of technology? (Select all that apply.)
    a. Very few older adults have access to the internet.
    b. Older adults rarely use social networking sites such as Facebook.
    c. About 45% of adults in their 60s use some type of smart phone.
    d. Google maps are sometimes used by older adults for parking spot reminders.
    e. Apps such as Medisafe can be used as a mobile medication management system.
    ANS: D, E
    Apps such as Google maps help older adults with parking spot reminders. Medisafe is an app used as a
    mobile medication management system. About 70% of adults over age 65 use the internet. There is a
    growing percentage of older adults using social media such as Facebook. About 81% of adults in their
    60s use some type of smart phone.
    PTS: 1 DIF: 7 REF: p. 9 OBJ: 5
    TOP: Trends KEY: Nursing Process Step: Implementation
    MSC: NCLEX: Health Promotion and Maintenance NOT: Understanding
    COMPLETION
  2. The nurse clarifies that the term that refers to the promotion of high-level functioning and supportive
    care to older adults is .
    ANS:
    gerontics
    Gerontics comprises a holistic view of aging, with the goal of increasing health, providing comfort,
    and caring for the older adult’s needs.
    PTS: 1 DIF: 2 REF: p. 2 OBJ: 10
    TOP: Gerontics KEY: Nursing Process Step: Implementation
    MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
    NOT: Remembering
  3. The nurse reminds a patient who was born in 1965 that eligibility for full Social Security benefits for
    persons of this age is now the age of .
    ANS:
    67
    Individuals born in 1960 or later must wait until age 67 to qualify for full benefits.
    Basic Geriatric Nursing 8th Edition Patricia A. Williams Test Bank
    Page 10 of 165
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