Chapter 1: Trends and Issues

Chapter 1: Trends and Issues

Williams: Basic Geriatric Nursing, 8th Edition

MULTIPLE CHOICE

1.What is the fact thats 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 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

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 foc uses on resources for the older adult.

ANS: A

• What is the most beneficial legislation that has influenced health care for the older adult?

a.Medicare and Medicaid

• Elimination of the mandatory retirement age

c.The Americans with Disabilities Act

• The Drug Benefit Program

ANS: A

• 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

• Long-term care facility

c.Assisted-living center

• Group housing plan

ANS: C

• 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 for Basic Geriatric Nursing, 8e Patricia A. Williams (Chapter 1-20, Latest Updated, 100% Approved, A+ Grade) 1 / 4

• Medicare Part

B pays hospital costs and physician fees.c.Medicare Part A pays for inpatient hospital costs.

• Medicare Part

D pays 80% of the charges made by physicians.

ANS: C

• 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.

• A living will transfers authority to the physician.

ANS: C

• 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.

• The refusal

to eat is an indication of approaching Alzheimer disease.c.The refusal to eat is an effort to gain attention.

• The refusal to eat

is an indication of the dislike of the institutional food.

ANS: A

• When

do the conditions of a living will go into effect?a.When the patient declares that desire in writing

• 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

• When

the physician and a family member agree that the criteria in the living will have been met

ANS: C

• 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

11.What facility would be recommended for a patient who has had a hip replacement and needs physical therapy?a.Basic care facility 2 / 4

• Skilled

care facility c.Subacute care facility

• Assisted-living residence

ANS: B

• 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

• A

period of 45 days for physical therapy c.A period of 100 days for needed skilled care

• Until she is able to be discharged home

ANS: C

• Which senior

citizen political action group uses volunteers and lobbyists to advance the interests of older adults?a.American Association of Retired Persons (AARP)

• National Council

of Senior Citizens (NCSC) c.National Alliance of Senior Citizens (NASC)

• Gray Panthers

ANS: A

• 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 med ication

• 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

• What

is the most frequent response to elder abuse by the abused older adult?a.Anger

• Physical retaliationc.Notification

of authorities

• Nothing at all

ANS: D

• What

reason is often stated by nurses today for not seeking careers in gerontology?a.The physical work is too difficult.

• Their technical

skills are not used.c.There is too much challenge.

• There are limited options for employment.

ANS: B 3 / 4

17.“Baby boomers” is a term used to classify which of the following persons?a.Those who entered school in 1945

• Those who

served in the military in World War II c.Those who were born between 1946 and 1964

• Those who were eligible for Social Security benefits in 2000

ANS: C

• What

type of abuse is demonstrated by restraining an older adult in a recliner?a.Physical abuse

• Neglect

c.Emotional abuse

• Self-neglect

ANS: A

• Which

type of elder abuse is demonstrated by the nonprovision of medical care?a.Physical abuse

• Neglect

c.Emotional abuse

• Self-neglect

ANS: B

• 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

• Neglect

c.Emotional abuse

• Self-neglect

ANS: C

MULTIPLE RESPONSE

• 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

• income level

c.level of education

• current

age e.occupation

ANS: A,

D

• Gerontology

encompasses application to . (Select all that apply.) a.appropriate housing

• health care

c.public education

• business ventures
• / 4