, Table Of Contents
Chapter 01: Trends And Issues ................................................................................................................................ 3
Chapter 02: Theories Of Aging ............................................................................................................................... 9
Chapter 03: Physiologic Changes .......................................................................................................................... 13
Chapter 04: Health Promotion, Health Maintenance, And Home Health Considerations ...................................... 19
Chapter 05: Communicating With Older Adults .................................................................................................... 25
Chapter 06: Maintaining Fluid Balance And Meeting Nutritional Needs .............................................................. 31
Chapter 07: Medications And Older Adults .......................................................................................................... 37
Chapter 08: Health Assessment Of Older Adults ....................................................................................................... 43
Chapter 09: Meeting Safety Needs Of Older Adults .................................................................................................. 48
Chapter 10: Cognition And Perception ...................................................................................................................... 54
Chapter 11: Self-Perception And Self-Concept ..................................................................................................... 59
Chapter 12: Roles And Relationships.................................................................................................................... 64
Chapter 13: Coping And Stress.............................................................................................................................. 69
Chapter 14: Values And Beliefs............................................................................................................................. 74
Chapter 15: End-Of-Life Care ............................................................................................................................... 79
Chapter 16: Sexuality And Aging .......................................................................................................................... 85
Chapter 17: Care Of Aging Skin And Mucous Membranes ................................................................................... 90
Chapter 18: Elimination ......................................................................................................................................... 96
Chapter 19: Activity And Exercise ...................................................................................................................... 101
Chapter 20: Sleep And Rest ................................................................................................................................. 106
, Basic Geriatric Nursing 8th Edition Williams Test Bank
Chapter 01: Trends And Issues
Williams: Basic Geriatric Nursing, 8th 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 Resources n
for R
the I
oldeg
r Adbu .
Lt.
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.
, 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
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 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
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. Ans: 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
Ans: 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
d. By Using Frequency Of A Particular Diagnosis To Set A Payment
Schedule Ans: B
11. Which Facility Would Be Recommended For A Patient Who Has Had A Hip
Replacement And Needs Physical Therapy?
a. Basic Care Facility
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