BASIC GERIATRIC NURSING 8TH EDITION BY PATRICIA A.

BASIC GERIATRIC NURSING 8TH EDITION BY PATRICIA A.

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Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition

MULTIPLE CHOICE

• Which fact explains the shift of primary care focus toward the older adult in the late 1960s?
• Disability was viewed as unavoidable.
• Complications from disease increased mortality.
• Older adults’ needs are similar to those of all adults.
• Preventive primary care practices increased longevity.

CORRECT ANSWER:-D

Explanation :->>>>Increased preventive primary care practices, disease control, and focus on wellness helped people live longer.

POINTS:1 DIF: 4 REF: p. 2 OBJ: 2 TOPIC: Aging Trends KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

NOT: Understanding

• To which age group does the term “aged” apply?
• 55–64 years of age
• 65–74 years of age
• 75–84 years of age
• 85 and older

CORRECT ANSWER:-

C Explanation :->>>>The term aged refers to persons who are 75–84 years of age.

POINTS:1 DIF: 1 REF: p. 2 | Table 1.1 OBJ: 1 TOPIC: Age Categories KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

NOT: Remembering

• Which is true of ageism?
• It is discrimination against persons solely on the basis of age.
• It causes a person to fear aging. 2 / 4

• It involves the use of cultural sensitivity to address concerns of aging.
• It focuses on resources for the older adult.

CORRECT ANSWER:-A

Explanation :->>>>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.

POINTS:1 DIF: 4 REF: p. 4 OBJ: 3 TOPIC: Ageism KEY: Nursing Process Step: Data Collection MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

NOT: Understanding

• Which legislation has been the most beneficial legislation that has influenced primary care for the

older adult?

• Medicare and Medicaid
• Elimination of the mandatory retirement age
• The Americans with Disabilities Act
• The Medication Benefit Program

CORRECT ANSWER:-A

Explanation :->>>>The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimination of the mandatory retirement age does not apply to primary care. The Americans with Disabilities Act deals with all Americans with disabilities, not just the older adult. The Medication Benefit Program was added to Medicare, but deals only with medications.

POINTS:1 DIF: 4 REF: p. 11 OBJ: 6 TOPIC: Legislation KEY: Nursing Process Step: Implementation MSC: NCLEX: N/A NOT: Understanding

• Which housing option for the older adult offers the privacy of an apartment with restaurant-style meals

and some medical and personal care services?

• Government-subsidized housing
• Long-term care facility
• Assisted-living center
• Group housing plan

CORRECT ANSWER:-C

Explanation :->>>>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.

POINTS:1 DIF: 3 REF: p. 14 OBJ: 9 TOPIC: Housing Options KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation

NOT: Remembering

• 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 RN?

• Medicare Part C pays 50% of all medical costs for persons older than 65.
• Medicare Part B pays hospital costs and physician fees. 3 / 4

• Medicare Part A pays for inclient hospital costs.
• Medicare Part D pays 80% of the charges made by physicians.

CORRECT ANSWER:-C

Explanation :->>>>Medicare Part A pays inclient hospital costs, Part B pays 80% of physician’s charges, and Part D helps defray prescription medication costs. Medicare Part C allows individuals to receive health insurance through private insurance companies and typically pays entire costs.

POINTS:1 DIF: 7 REF: p. 16 OBJ: 6 TOPIC: Medicare Provisions KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying

• The daughter of a client who has been diagnosed with terminal cancer asks which documents are

required to allow her to make primary care decisions for her parent. Which response would provide the most accurate information to the daughter?

• Advance directives indicate the degree of intervention desired by the client.
• A ‘Do Not Resuscitate’ document signed by the client transfers authority to the

next of kin.

• A durable power of attorney for primary care transfers decision-making authority

for primary care to a designated person.

• A living will transfers authority to the physician.

CORRECT ANSWER:-C

Explanation :->>>>A durable power of attorney for primary 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 client wishes to die naturally with no intervention. A living will prohibits the use of life-prolonging measures.

POINTS:1 DIF: 7 REF: p. 19 OBJ: 11 TOPIC: Advance Directives KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying

• 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?

• 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.
• The refusal to eat is an effort to gain attention.
• The refusal to eat is an indication of the dislike of the institutional food.

CORRECT ANSWER:-A

Explanation :->>>>Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever control they may retain.

POINTS:1 DIF: 7 REF: p. 21 OBJ: 11 TOPIC: Loss of Independence KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation NOT: Applying

• When do the conditions of a living will go into effect?
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